Tuesday, October 28, 2008

Widow, 71, died after uncaring NHS doctors ignored penicillin warning

A grandmother died after hospital doctors gave her penicillin even though her medical notes and drug chart made clear she was allergic to it. June Cutmore was even wearing a red wristband to draw attention to the allergy. The 71-year-old widow went into anaphylactic shock and died after being injected with Augmentin - a form of the drug.

St Bartholomew's Hospital in London admitted that 'human error' caused the death. Her family believe a catalogue of mistakes by medical staff led to the tragedy in May 2007. The grandmother of three from Basildon, Essex, was admitted to St Bartholomew's to have a heart valve replaced, and undergo a double bypass.

Shortly before this Mrs Cutmore had some teeth removed at a hospital in Basildon. While there she was given penicillin and went into anaphylactic shock. She recovered from that reaction but it was written on her medical notes that she should never be given the drug again. Daughter Denise Hajduga, 48, and her husband Peter, 50, say they repeatedly told staff at St Bartholomew's about the allergy. Mrs Hajduga said: 'We told a nurse about it when we went into hospital with my mother for her pre-operation tests, then we told another nurse about it when my mother was actually admitted a few days later. They gave her a red band to wear on her wrist which said she was allergic to penicillin. 'It was also written on her medical notes after they discovered it in Basildon, and on her drug chart.' In a copy of Mrs Cutmore's drug chart seen by the Daily Mail the word penicillin is written in big capital letters with stars next to it in a box labelled 'drug allergies'.

Mrs Cutmore's heart operation was deemed a success, and after two days in intensive care the retired cook was transferred on to a ward. But the pensioner, who lived alone after the death of her husband Cliff, suffered complications. Mrs Hajduga, from Romford, Essex said: 'When she had the heart operation they had to break her sternum bone to reach her heart, and it became infected. The doctors had a meeting about what to do, and prescribed the antibiotic Augmentin - which contains penicillin.'

Mrs Hajduga's husband was there when the nurses gave her the drug. She said: 'He could see my mother was distressed immediately - within seconds of it being given to her she started getting short of breath and was pointing to her arm.' She says that her husband told the nurse three times to stop injecting it. 'But the nurse said she was just panicking a bit and carried on injecting it. She died shortly after.'

Mrs Cutmore had been in hospital for three weeks before she died. Mrs Hajduga said: 'They just didn't follow procedures. A number of health professionals failed to pick up that allergy.' She claims staff failed to even check her mother's wristband. 'They killed somebody and I think people should know about it. We have waited 18 months and now we just want answers to why it happened.' Her husband added: 'June worked hard all her life. She was loved by everyone. It is unbelievable what happened.'

A spokesman for the hospital said: 'Barts and The London NHS Trust is deeply sorry for the failure of the safeguards that should have protected Mrs Cutmore. The Trust's medical director and chief nurse met Mr and Mrs Hajduga soon after their mother's death to apologise unreservedly for the medication error. 'The staff members involved in this tragic incident are very upset and the Trust is committed to ensuring that the whole organisation learns the lessons from the tragedy.' [Bullsh*t, Bullsh*t, Bullsh*t]

Source





Australia: Rapist doctor to practise again

Your regulators will protect you -- NOT. They say he is OK to work again because he is only dangerous when he goes mad, which he periodically does. Follow that logic!



A rapist doctor banned indefinitely amid public outcry over his serial misconduct has won the right to treat patients again, despite a history of relapses. Dr Sabi Lal, 49, can work in Victorian clinics or hospitals, even though the Medical Practitioners Board opposed his return and considers him unfit to practise. A tribunal ruled this month the GP be reinstated to the medical register, overturning the board's decision that Dr Lal should remain struck off.

The suburban doctor, who suffers obsessive compulsive disorder, was struck off in December 2003 for assaulting two female drug company representatives. Dr Lal was also convicted and given a suspended jail term in Victoria's County Court in 2002 for digitally raping a patient.

The Medical Practitioners Board had previously found him guilty of more than 40 misconduct offences involving seven women. The board strongly opposed Dr Lal being allowed to work again and fought his appeal to VCAT last month. But a three-member Victorian Civil and Administrative Tribunal panel ruled this month that Dr Lal could resume seeing patients, subject to strict conditions. He is not allowed to treat females or children under 16 and must be strictly supervised and monitored. Lawyers for the Medical Practitioners Board argued that the need to impose such strict conditions indicated Dr Lal was unfit to work.

The Fijian-born doctor had previously been subject to similar conditions and offended again within a year of them being lifted. The VCAT panel noted in its ruling on October 10 that Dr Lal's rehabilitation was "less than complete". They noted there was a risk he might have a relapse of mental illness, which could result in aggressive and inappropriate behaviour towards women. "We acknowledge Mr Lal's character flaws . . . but in our view these can be addressed by the imposition of a range of conditions on his registration," the panel said.

The panel -- which comprised tribunal vice-president Judge Iain Ross and members Dr Elaine Fabris and Dr Dorothy Burge - noted Dr Lal's previous offences were "very serious". "The serious nature of the offences and the limited extent of Mr Lal's rehabilitation would ordinarily warrant findings that . . . it is not in the public interest to allow the applicant to practise," they said. But Dr Lal's culpability was reduced because he suffered a mental illness at the time of the offences, they said. "We are not persuaded that Mr Lal's suitability to practise is likely to be affected because of the offences of which he has been found guilty," they said.

Experts told the hearing Dr Lal's obsessive compulsive disorder appeared to have subsided, but there was dispute about the risk of relapse. VCAT heard the GP previously suffered relapses of the disorder, with symptoms including sexual obsessions, compulsive counting of money and an obsession with "lucky" numbers.

Experts told the VCAT hearing the GP continued to display a lack of empathy and remorse for his past actions and denied the factual basis of some offences. The panel said: "Mr Lal's deficits in terms of empathy and remorse are troubling. But they must be viewed in the context of the evidence as a whole." The tribunal heard Dr Lal had "significant community involvement" and had made a pro bono contribution to the training of overseas doctors.

Members of the Medical Practitioners Board are privately concerned that Dr Lal is able to practise again, but are unable to do anything further. Board spokeswoman Nicole Newton said yesterday: "The board has reviewed the tribunal's decision closely and does not believe there are grounds for appeal. As such, the board accepts the VCAT decision."

Lawyers for Dr Lal argued he had attended treatment sessions diligently and was engaged in every aspect of his treatment. He sold his Boronia practice, but is listed as the director of a company called Lal Medical Pty Ltd. A man who answered the door at the GP's Doncaster address yesterday said "yes" when asked if he was Dr Lal. But when asked for comment about the case, the man said, "Oh, he is not here" and shut the door.

Source

1 comment:

Adele Pace said...

Problem is this is being condoned at the highest levels by eminent Psychiatrists prepared to act as apologists for deviant doctors.

http://psychiatrictreatment.blogspot.com/2009/11/psychiatric-abuse.html

Professor Bruce Singh (see para 30) at http://medicalboardvic.org.au/pdf/DrLal.pdf

Professor Graeme Burrows
http://medicalboardvic.org.au/pdf/DrJoseph03.pdf