100,000 patients on hold in South Australian government hospitals

MORE than 100,000 patients were not seen on time in the state's emergency departments last year, the latest Health Department figures show. Almost 18,000 more people sought emergency treatment last financial year compared to the year before, putting pressure on overloaded staff. Only about two in three people were seen within the ideal waiting times. While almost all patients requiring resuscitation were seen to immediately, emergency departments are still failing to meet targets for other urgent cases.

Health Minister John Hill said waiting times were improving despite the "enormous extra workload". "The most significant insight from these figures is that despite the massive increase in the number of people going to EDs, our hospitals are improving in terms of waiting times - not going backwards," he said. "But we know there is more work to do and that's why the Government launched SA's $2.2 billion Health Care Plan this year, designed to reform the health system and make it work better for patients and expand capacity at our hospitals."

Opposition health spokeswoman Michelle Lensink said the health care reforms were the "worst decision" the Government had made. "The fact they want to centralise everything into the new Marjorie Jackson-Nelson Hospital will make things much worse for people who live in areas like the west or the north-east because there's an increase in ambulance transit times," she said.

Mr Hill, who wrote to his federal counterpart, Nicola Roxon, yesterday with proposals to increase elective surgery numbers, said besides opening 250 beds and expanding emergency departments in the hospital system, the Government was working to keep people out of hospital through its GP Plus Health Care Centres and hospital at home programs. "Importantly people should be reassured that if they are suffering a life-threatening condition they will get immediate treatment in our hospitals," he said.

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$2.5 million for unnecessary HIV treatments at Massachusetts university hospital

A jury awarded $2.5 million in damages Wednesday to a woman who received HIV treatments for almost nine years before discovering she never actually had the virus that causes AIDS. In her lawsuit against a doctor who treated her, Audrey Serrano said the powerful combination of drugs she took triggered a string of ailments, including depression, chronic fatigue, loss of weight and appetite and inflammation of the intestine.

Serrano, 45, said she cried after hearing the verdict in Worcester Superior Court and was gratified that the jury believed her. "I'm going to finish my school and I am going to continue to help others," Serrano said in a telephone interview from her Fitchburg home. "I am going to find another doctor that will help me."

Serrano's attorney, David Angueira, said Dr. Kwan Lai, who treated his client at the University of Massachusetts Medical Center in Worcester's HIV clinic, repeatedly failed to order definitive tests even after monitoring of Serrano's treatment did not show the presence of HIV in her blood. "It is one of the clearest cases of misdiagnosis that I have ever seen and it's based in part on a presumption that people who engage in certain types of conduct are more likely to have HIV and AIDS than other people without really listening to the patient," Angueira said after the verdict.

Lai testified last week that Serrano told her she had worked as a prostitute, her partner had AIDS, and that she had suffered three bouts of a type of pneumonia typically associated with those infected by the virus. Serrano has denied she had ever been a prostitute. She confirmed that her former boyfriend tested positive for HIV/AIDS, but disputed the claim that she told the doctor that she had suffered bouts of Pneumocystis pneumonia.

Lai's attorney, Joannie Gulliford Hoban, did not return a call for comment Wednesday night. Lai testified that she had no reason to question Serrano's original diagnosis at another clinic because Serrano convinced her she had HIV when she took her personal history, and her blood had abnormal amounts of cells used to fight infections. Hoban argued during the trial that Lai had provided standard care to Serrano.

"Audrey's case clearly demonstrates how inadequate that procedure was," Angueira said. He said his client "is responsible for changing thousands of lives in the future." The medical center, which was not named in the lawsuit, did not immediately return a message for comment Wednesday night. The institution has denied wrongdoing in the case. The jury reached its verdict after two days of deliberations, Serrano's attorney said. He said the damages could total about $3.7 million including prejudgment interest.

Serrano filed the lawsuit in 2003 after she became suspicious of her diagnosis and had herself tested at another hospital.

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