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Medical Council halts wrong kidney inquiry


Ulster-Lad

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The Fitness to Practise Committee of the Irish Medical Council has halted its inquiry into allegations of professional misconduct against two doctors over the removal of the wrong kidney from a young boy
The two doctors, Professor Martin Corbally, a consultant surgeon, and specialist registrar Mr Sri Paran have undertaken 'not to repeat the conduct complained of' and never operate without reviewing all imaging.
RTÉ News: Medical Council halts wrong kidney inquiry

So these doctors remove the healthy kidney in a child and leave him with a diseased kidney in place. The child will ultimately need additional surgery to correct this gross error and this is not considered 'Professional Misconduct'? :(
 

Dunlin3

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The same medical council that though that Michael Neary was a great fella. This stinks.
 

cyberianpan

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Actually RTE have mis-headlined the story

Lawyers for the Medical Council said its chief executive objected to the course proposed by the Fitness to Practise Committee.
It appears the Fitness to Practise Committee is gone rogue

cYp
 

loner

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Not serious medical misconduct---what exactly then would constitute serious medical misconduct----reminds me of FF and "conduct unbecoming"
 
B

boo-boo

why am I not surprised

Why am I not surprised at this outcome - it just goes to show that despite all the rhetoric about the re-organisation of these fitness to practice hearings and greater levels of accountability - its just as it alway's was.

Introducing lay members to these panels was just a meaningless exercise. How many lay people have any knowledge about medicine let alone what constitutes acceptable medical practice? These idiots obviously havent got an utter clue and rather than this council promoting safe practice and standards within the profession they are clearly bamboozled and outwitted by the presence of so called professionals on the panel. There's an owl saying - there's no accountability in self-regulation and unfortunately the medical council is still testament to this sad but very real fact!

What this highlights is that the medical profession is an "unaccountable clique" who close ranks at the first sign of trouble and turn blind eye's when faced with colleagues who engage in unsafe practices that unfortunately do actually cause harm to the patient.

I was listening to the reports on this case and tbh I was quite surprised that Dr. Paran a specialist registrar came out with some bull that he couldnt say no to Prof. Corbally when he was asked to perform this op? What utter bull and I am restraining myself! Medicine in Ireland is so bloomin archaic with its institutional structures and systems - they need to be dragged kicking into the 21st century. So by that very same logic if Prof. Corbally had told Dr. Paran to jump in a fire and that the future of his career as a surgeon wholly depended on it would Dr. Paran still do it...or would he say no?

I was flabbergasted that Prof. Corbally put this down to human error and because it was human error that didnt constitute professional misconduct. Lets examine the facts here. A young boy was scheduled for a nephrectomy and this consultant documented in the medical notes the wrong kidney for removal. That clinical error resulted in the wrong kidney being listed for surgical removal. Then Prof. Corbally at the last minute delegated this surgery to a junior colleague - who is still in specialist training. Medical council ethical guidelines 2009 explicitly state that care should be consultant led. This complex surgery was being carried out by a specialist registrar who wasnt being directly supervised by a consultant. Dr. Paran blatently ignored the parents concerns that the wrong kidney was possibly being listed for removal and clearly Dr. Paran didnt conduct the necessary investigations when these concerns were raised. Where was his professional duty of care to ensure that the right kidney was scheduled for removal.

Its quite amazing that these doctors have made undertakings not to repeat the conduct complained of, and never to operate without reviewing all documents and imaging. FFS what do these people do as part of their pre-op assessments and checklist? If that isnt misconduct what the hell is? It certainly doesnt evidence best clinical practice! Its also quite amazing that this error wasnt picked up by any other professional as part of their pre-op checklists ie. nurses but that's a whole different issue.

Is it any wonder why those who prosecuted this case had to get in experts from out of State...that in itself raises questions about the expertise of Irish doctors and/or their willingness to stand up above the parapet and question colleagues who are being investigated for gross misconduct.

We've had a succession of cases - Neary for starters. Then there was another case where the medical council had no problems with a doctor doing an internal vaginal examination for an appendixectomy. That particular doctor then claimed that internals were a standard pre-op exam for a appendixectomy - I kid you not! Then we've got a case where an immigrant doctor puts across a sob story case that she was pressured into giving prescription pads or writing prescriptions to drug addicts. Then there was a recent case where a doctor deliberately covered up his own mistake and changed medical records in a case of the misdiagnosis of terminal skin cancer.
 
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spidermom

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SIGH!

Was exceptionally disapointed with the way this case finished. This was an incredible error to have occured. I find it very hard to believe that Crumlin Hospital did not have the safeguards in place to ensure that this kind of incident does not occur.We are not talking about a surgery that was carried out years ago, this happened last year.

I work with adults and we have a triple check system in place.....surely for kids...we should have a quadruple checking procedure in place!!!


Poor little man...and his poor parents......and as for the Consultant...not even a slap on the wrist!!...


Not good enough!
 

cry freedom

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The same medical council that though that Michael Neary was a great fella. This stinks.
Are these apt?

"Every doctor will allow a colleague to decimate a whole countryside sooner than violate the bond of professional etiquette by giving him away." --George Bernard Shaw

"All professions are conspiracies against the laity."--George Bernard Shaw.
 

Didimus

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SIGH!

Was exceptionally disapointed with the way this case finished. This was an incredible error to have occured. I find it very hard to believe that Crumlin Hospital did not have the safeguards in place to ensure that this kind of incident does not occur.We are not talking about a surgery that was carried out years ago, this happened last year.

I work with adults and we have a triple check system in place.....surely for kids...we should have a quadruple checking procedure in place!!!


Poor little man...and his poor parents......and as for the Consultant...not even a slap on the wrist!!...


Not good enough!
From what you say though it does look like there was not an appropriate system in place. Terribly sad, and I hope wahtever changes were needed have been made.
 

spidermom

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From what you say though it does look like there was not an appropriate system in place. Terribly sad, and I hope wahtever changes were needed have been made.
Me too!!

I really find it very disheartening to think that such a basic basic error was made....
 

Didimus

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Me too!!

I really find it very disheartening to think that such a basic basic error was made....
and that such tracking for such a simple error was not built into the system. I cannot delete the simplest file from my computer with a warning popping up to ask me if I'm sure.
 

spidermom

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and that such tracking for such a simple error was not built into the system. I cannot delete the simplest file from my computer with a warning popping up to ask me if I'm sure.
Its simplier than that...its called informed consent!!


The parents must have been asked to sign a consent form for a Left nephrectomy. The parents say no..its a RIGHT nephrectomy...and alarm bells immediately go off and everything STOPS...until its sorted!!

We are not allowed to use abbreviations...R..or L..in case an error is made. You must write...right or left...and ths side of surgery is marked with permanent marker.

Once one of our surgeons sent a patient back to the ward because the side for surgery was not marked....patient had their surgery cancelled!!

We STICK to protocols!
WE ALL helped develope them!
 

Didimus

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Relieved to hear that and all the more puzzling that it did not happen in this case. Suggests perhaps a culture of deference? Hopefully the results of any systems enquiry will be published.
 

spidermom

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Relieved to hear that and all the more puzzling that it did not happen in this case. Suggests perhaps a culture of deference? Hopefully the results of any systems enquiry will be published.
Deference or sloppy practise?


Theatre nurses are anally retentive for a reason!!

The chain was broken somewhere here....Crumlin to be sure that it cannot be repeated.
We can always ask our adult patients...but you cannot ask a child!
 
B

boo-boo

I would have thought the most basic thing to do is for a doctor to recognise his own limitations of knowledge and to raise a conscientious objection to performing the procedure if there was any likelihood that the welfare of the patient was being put at risk - which clearly it was.

There is such a thing as a pre-op check list - I know for surgical amputations - the limb listed for amputation is clearly marked prior to the patient even entering the theatre. I thought a doctor should review and at least familiarise himself with a patients file - and look at all the patients records and films. OK he said he was only given 5 minutes notice - but it wasnt like he couldnt afford to wait another 30 minutes to do a bit of cross-checking - a kids life depended on it. Utter conveyor belt mentality!

To me the chain is bog standard - but evidently not in Crumlin for some reason.
 

Didimus

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Deference or sloppy practise?


Theatre nurses are anally retentive for a reason!!

The chain was broken somewhere here....Crumlin to be sure that it cannot be repeated.
We can always ask our adult patients...but you cannot ask a child!
Operating surgeon seemed to go against medical judgement, parents seemed understandably to defer to system, nurses seemed to ignore oarents worries..
Why?
 

Samell

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Professionals protecting themselves AGAIN
Neary springs to mind.
Also Judge Brian Curtin, a fellow Judge ruled the search warrant out of date, yet all the other arrests and charges stood on the warrants issued for operation Amethyst. (Tim Allen!)
 
B

boo-boo

And in the Neary case that case only came to light because a UK Nurse decided to blow the whistle on practices that in her professional experience she perceived as highly suspicious. Neary was enabled by theatre staff be them junior doctors, specialist reg's, anaesthetists, nurses, pathologists etc....all of whom adopted the same mantra of see nothing hear nothing do nothing....
 

spidermom

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Operating surgeon seemed to go against medical judgement, parents seemed understandably to defer to system, nurses seemed to ignore oarents worries..
Why?
nurses are the ultimate defence and advocate for our patients...whether on the ward...in the theatre reception..or in theatre itself...we cannot be deferent to the Docs..it is not in our job description....I am quite renowned for this...(...:)...) and my Docs do not mind..not one bit...even the old lads..its time all nurses grew a pair!!
 

Samell

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I would have thought the most basic thing to do is for a doctor to recognise his own limitations of knowledge and to raise a conscientious objection to performing the procedure if there was any likelihood that the welfare of the patient was being put at risk - which clearly it was.

There is such a thing as a pre-op check list - I know for surgical amputations - the limb listed for amputation is clearly marked prior to the patient even entering the theatre. I thought a doctor should review and at least familiarise himself with a patients file - and look at all the patients records and films. OK he said he was only given 5 minutes notice - but it wasnt like he couldnt afford to wait another 30 minutes to do a bit of cross-checking - a kids life depended on it. Utter conveyor belt mentality!

To me the chain is bog standard - but evidently not in Crumlin for some reason.
How can you give a surgeon only 5 mins notice to perform an operation, I was under the impression that surgery was run to a schedule Dr A, theatre 1, Monday 2pm Dr B Theatre 1 5pm just so they know when they can see their private patients, can't be late for them can you?

Surely when the doctor saw the kidney looked fine he should have stopped, BEFORE removing it and double checked the notes and then checked them again. How often will this child be brought back in to hospital for Dialasys and eventually for a transplant, if that surgery is not postponed again and again for cost cutting measures or lack of care or lack of beds?
Those doctors should be responsible for the compensation to the family, why should the taxpayer stump up for their stupidity.
 
B

boo-boo

Prof. Corbally had been scheduled to do the nephrectomy but at the very last minute had delegated this to Dr. Panel. Dr. Panel in his evidence said that he was assigned to and was doing minor surgical procedures in theatre that day. There seems to have been several systematic failures in this case, from the pre-op assessment and check list that was done by Prof. Corbally on the ward, the check-list and handover which is alway's done when the ward staff hand the client over to the theatre staff, and then the check list that is done in the anaesthetic room, and those final checks prior to proceeding with surgery.

I do hope that they sue these doctors and the hospital and hold them to account financially....but no amount of money at the end of the day is going to compensate that little boy and his family for what has happened.
 
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