A Galway teacher who fell to the ground suffering from a brain hemorrhage four years after being told that nothing had showed up in a brain scan has settled a High Court hospital negligence action for €750,000.
Barrister John O’Mahony, plaintiff Ms Lorraine Duffy’s legal representative, told the High Court she had gone to the Galway hospital in 2008 to have a brain scan as she was experiencing severe headaches and pain around her left eye. Following the scan Ms Duffy was advised that nothing abnormal was to be seen and she was allowed to go home. However in 2012, just four years later, Ms Duffy collapsed when she was out running.
Counsel said that, following Ms Duffy’s collapse, it was found that there was an aneurysm in the right side of the brain which should been evident in the initial brain scan four years earlier. Due to the failure to diagnose correctly in 2008 Ms Duffy now suffers from injuries to the brain.
Ms Duffy (42) of An Creagan, Barna, Co Galway, took the hospital medical negligence action against the Bon Secours Hospital, Renmore Road, Bon Secours Ireland Ltd and Bon Secours Health System Ltd of College Road, Cork which runs the Galway hospital. Along with this she sued for compensation from consultant radiologist Dr Davidson and Alliance Medical Diagnostic Imaging Ltd of Raheen, Co Limerick which was operated the diagnostic imaging at the Galway Hospital when the 2008 scan took place.
The wrong diagnosis of migraine headaches, to be managed with medication, was given to Ms Duffy. However, following her collapse in 2012 the matter was further looked into at a Dublin hospital and Ms Duffy was discovered to have been experiencing aneurysms.
Ms Duffy can now only do her job part time due to the brain injuries she suffered during the aneurysms. Sadly, she will suffer from the consequences for the rest of her life.
An apology by consultant radiologist, Dr Ian Davidson, of Bon Secours Hospital, Galway, was read aloud to the court in which he accepted and apologised for “the failings” during the care he provided that led to the delay in diagnosis of Ms Duffy’s inter cranial aneurysm.
His apology stated: “I would like to offer my sincere sympathy and regret for the upset and harm you have suffered arising from the subarachnoid hemorrhage in May 2012.”
Despite the author of the Scally review into the controversy saying he did not think one was needed, Minister for Health Simon Harris said he still hopes to set up a Commission of Investigation into the CervicalCheck crisis which saw approximately 206 of cervical cancer where it seems women missed out on earlier intervention due to wrong diagnosis.
Dr Gabriel Scally has revealed that his team was still receiving documents in the days leading up to the completion of its work. The review missed its original deadline in June as they had no plan for such a huge variance in the file format of some documents submitted. In total 12,000 documents were reviewed in the production of the 170 page report.
The report suggests management weaknesses in the CervicalCheck programme were to blame and recommends cultural and legal amendments to the current process in order to make sure there is transparency for all patients. While existing laboratories being used were found to be, more or less, adhering with the required quality assurance standards, there were a number of concerns in relation to laboratories which no longer have a contract with CervicalCheck and a perceived failure in communication. In total the report made 50 recommendations and is due to be presented to Cabinet.
Speaking on RTÉ’s Morning Ireland, Mr Harris said: “So what I intend to do is let the report be published, let Dr Scally speak … meet with the Opposition, meet with some of those affected and impacted by this terrible debacle, and then decide whether people feel there is need for one. But absolutely if there is a feeling that there is a need for one that will be the case.
“The only people who can change that decision are the Government and the Oireachtas, but obviously if a very eminent expert has been asked to look at this area and has made a view I think its important that we at least let the report be published and consider why he arrived at that point.”
It has been announced that a free cervical smear test will be provided to anyone who has concerns following the recent revelations following the CervicalCheck scandal.
The Government has offered this to ease the concerns of anyone who might be worried regarding the results of previously carried out cervical smear tests. This announcement follows a meeting of senior doctors who sought to address the concerns over the confidence in the CervicalCheck Screening programme.
The CervicalCheck Scandal came to light following a cancer misdiagnosis settlement of €2.5m was announced for Ms Vicky Phelan last week. Ms Phelan underwent a cervical smear in 2011 that gave no indication that she had cervical cancer. However, a audit carried out in 2014 showed that the results of that test were incorrect. Despite this she (Ms Phelan) was only advised in 2017 that she had contracted cervical cancer. Unfortunately, in January 2018 she was told that she has just 12 months to live.
The Irish Cancer Society has also announced that it is providing emergency funding for an additional 500 counselling sessions in their centres nationwide. The Society made this announcement in order to alleviate some of the worry among those impacted by the controversy.
The Irish Cancer Society provides funding to the following Support Centres across the country who deliver free professional counselling:
ARC Cancer Support Centres, Dublin
Arklow Cancer Support Group, Wicklow
Balbriggan Cancer Support Centre
Ballinasloe Cancer Support Centre
Cancer Support Sanctuary, LARCC
Cois Nore, Kilkenny Cancer Support Centre
Cork ARC Cancer Support House
Cuan Cancer Social Support and Wellness Group, Co Cavan
Cúisle Centre, Portlaoise
Dochas Offaly Cancer Support, Tullamore
Donegal Cancer Flights & Services
Eist, Carlow Cancer Support Centre
Gary Kelly Cancer Support, Drogheda
Greystones Cancer Support
Hope Cancer Support Centre, Enniscorthy
Letterkenny Donegal– administered through Sligo Cancer Support
The family of a little girl who died due to a hole in her heart being not being diagnosed has been apologised to by the Health Service Executive (HSE). The HSE must also pay over €40,000 clinical misdiagnosis compensation to the parents of the child.
Aimee Keogh aged two when she died. She had been waiting in an ambulance as she was due to be taken from Limerick Hospital to Our Lady’s Hospital for Children, Crumlin for a cardiac treatment on July 10, 2014.
Aimee had first attended hospital in March 2014 for febrile convulsions caused by tonsillitis. Consultant radiologist Padraig O’Brien said that after viewing Aimee’s X-ray, he was worried with regard to a septal defect – a hole between the chambers of Aimee’s heart.
Regardless of this, Aimee was not brought to see a paediatric cardiologist and more negligence was suffered when a paediatric neurologist and a treating paediatrician did not examine or identify irregularities in the X-ray, the Keogh family claimed in court.
Four months later, Aimee’s major congenital heart defect went undiagnosed until her condition worsened in the days leading up to her death.
Aimee had experienced 17 different seizures before being rushed to hospital on July 9 and was being about to be transferred to Dublin for a paediatric cardio echo procedure that can be performed by a paediatric cardio consultant working at Crumlin Hospital in Dublin.
An enquiry into the little girl’s death was told her compensation case was never examined by a paediatric cardiologist, but paediatric consultant Annemarie Murphy, who was in charge of Aimee’s case, said she thought that the X-ray was normal and a multi-disciplinary team who reviewed over the same X-ray around three weeks later also found it to be normal.
There were no paediatric cardiologists located outside Crumlin when this happened and children needing treatment would have had to wait up to two years to be seen by a specialist.
The Health Service Executive was told by Judge Eugene O’Kellyto to pay hospital misdiagnosis compensation of €40,000 to Aimee’s family.
Shauni Breen, a 20-year-old woman with cerebral palsy, has been awarded a €1.9m birth negligence pay out from the HSE due to the events surrounding her birth.
The High Court was advised that Ms Breen was delivered approximately 40 minutes after her Nicole, her healthy twin sister in Wexford General Hospital. She (Ms Breen) suffers from cerebral palsy, spastic diplegia and must use a wheelchair.
Ms Breen, who now live in Co Cork, took the legal action against the HSE over the circumstances of her December 30, 1997 birth. When the twins were 33 weeks and three days, it was claimed that their mother Marie Foley was admitted to Wexford General Hospital at 5am. Following this Nicole was delivered healthy at 6.10am.
It was alleged that that the management of the subsequent delivery of Shauni, which lasted for 40 minutes, was incompetent. As well as a failure to have an anaesthetist at the delivery a qualified team should also have been ready and prepared, it was argued. Due was due, it was argued, to the failure of those present to see that this was a high-risk labour.
In the Hight Court HSE refuted these claims and countered that manner of Ms Breen’s delivery complied with general and approved practice at the time in 1997. They (the HSE) claimed that the treatment adhered with conventional medical practice for a district hospital maternity unit at the time.
As Ms Breen had an abnormal presentation she should have been delivered by caesarean section within 15 minutes of her sister, her legal representatives argued.
They advised the Hight Court that Ms Breen had to be resuscitated before being moved to another hospital.
Counsel said the young woman was now doing well in her life and the day to day provided by her mother throughout her life had been of an extraordinary level.
Ms Breen is due to come back to court in five years’ time when her future life care needs will be re-assessed. Mr Justice Kevin Cross approved the €1.9m interim settlement.
Calls have been made, by Epilespy Ireland, for a review of 40 cases of birth defects and disabilities that involved the use of the drug Epilim.
Epilim, a drug which the group has urged doctors not to prescribe for new child patients, is currently under review by the European Medicines Agency. Findings of the review are expected to result in new guidelines regarding its use being issue. Epilim is the brand name in Ireland for sodium valproate.
Epilepsy Ireland, and other campaigners, have asked that females being treated with the drug be considered for alternatives medications as a precaution. 1,700 female patients between the ages of 16 and 44, according to official figures released by the Health Service Executive (HSE), were prescribed Epilim during the calendar year 2016.
Issues experienced in Irish births involving the use of the drug include:
Epilim is currently being implicated in 40 cases of birth defects and disabilities, reported to the Health Products Regulatory Authority (HPRA). Lobby groups are of the opinion that this figure might actually be closer to 400 in the 43 years that the drug has been prescribed for treatment in Ireland.
Additionally it has been reported that, in France, in excess of 4,000 children have been born with malformations since 1967 when the use of the drug on children in the womb began there. Dr Mahmoud Zureik, the scientific director of France’s ANSM, said that reports have shown the possibility of experiencing significant birth defects was, worldwide, four times higher in children born to a woman treated with Valproate (Epilim) for epilepsy, when cross referencde with females who were not prescribed the drug.
Commenting on the use of Epilim, the HPRA said that it has liaised with neurologists, obstetricians, paediatricians, psychiatrists, GPs, family planning clinics, specialist epilepsy nurses, pharmacists and HSE clinical leads on an ongoing basis. Following the completion of the review by the European Medicines Agency is it expected that the HPRA will meet to review the use of Epilim in Ireland by medical professionals.
The Minister for Health, Fine Gael TD for Wicklow, Simon Harris is also due to meet with mothers of children who are believed to have suffered following being prescribed the drug to treat their epilepsy.
Roger Murray, joint Managing Partner at Callan Tansey solicitors – speaking at a conference on medical negligence with solicitors, medical professionals and patients in attendance in September – said that roughly 1,000 unnecessary deaths are caused every year in Ireland due to medical negligence.
The legal expert went on to add that up to 160,000 hospitals visitors suffer injuries due to human error. Mr Murray was speaking at the Pathways to Progress conference on medical negligence and stressed that there is “no compo culture” to be seen when it comes to Irish medical negligence compensation legal cases, saying that he believes that what we are seeing currently is just “the top of a very murky iceberg”.
From his experience in working on a number of high-profile medical error compensation cases, Mr Murray said that he believes that not all people suffering due to medical negligence report it while the HSE is made aware of 34,170 “clinical incidents” every year. Of these 575 resulted in compensation claims against the HSE, a rate of less than 1.7 per cent.
Mr Murray told those at the conference that the most often experienced cases are involving surgery (36 per cent) medicine (24 per cent), maternity (23 per cent) and gynaecology (7.5 per cent).
He also stressed that while injured parties and families do have empathy for medical workers who make errors what “they cannot abide is systemic and repeated errors”.
The legal expert called for thorough reviews when mistakes are experienced, saying that he had witnessed many inquests where families of those who had died learned that desktop reviews had been completed after a death, and the results were not presented to the appropriate staff members.
A woman in Philadelphia has won her claim for an adverse reaction to medication which caused her to go into cardiac arrest from which she suffered permanent brain damage.
In June 2010, Jacqueline DiTore attended the Outpatient´s Department of the Abington Surgical Centre in Pennsylvania for scheduled surgery on her nose. Prior to starting the surgery, her surgeon – Dr Warren Zager – asked a nurse to prepare an injection for a local anaesthetic and soak some cotton balls in a nasal decongestant (Afrin) so that they were ready if there was excessive bleeding during the procedure.
The nurse poured the nasal decongestant into a cup in order to soak the cotton balls before preparing the injection; but a second nurse mistook the contents of the cup as the anaesthetic, drew the Afrin into a syringe and handed it to the doctor. Unaware that the syringe had been filled with nasal decongestant, Dr Zager injected the Afrin into Jacqueline´s nose, and then left his patient to prepare for the surgery.
An anaesthetist present in the operating room saw that Jacqueline´s heart rate had decreased to 36 beats per minute and – unaware that Jacqueline had been injected with sufficient Afrin to cause a 100-fold narrowing of the blood vessels – administered an anticholinergic which brought Jacqueline´s heart rate up to 80 beats per minute.
Dr Zager returned to the operating room to begin the procedure, but Jacqueline still had feeling in her nose. The doctor asked for another injection of anaesthetic to be prepared, and it was then that the mix-up was realised. Unaware of the effect that the Afrin had on Jacqueline´s heart rate, Dr Zager chose to continue with the surgery and injected more anaesthetic into Jacqueline´s nose.
Following the second injection, Jacqueline´s heart rate suddenly increased to 140 beats per minute and her blood pressure registered 260/150. Dr Zager administered Labetalol (a drug used to lower high blood pressure) and Jacqueline´s blood pressure fell so low so quickly that she went into cardiac arrest. Jacqueline was rushed to nearby Abington Memorial Hospital where she was resuscitated.
Soon after her recovery from the cardiac arrest, it became apparent that Jacqueline´s adverse reaction to medication had caused brain damage which left her with impaired cognitive abilities, short-term memory loss and difficulty with her speech. Doctors told Jacqueline that her brain injuries were likely to deteriorate as she gets older and, after seeking legal advice, she made a compensation claim for an adverse reaction to medication against the Abington Surgical Centre and Dr Zager.
Both defendants denied that they were liable for the adverse reaction that caused Jacqueline to go into cardiac arrest but at the Montgomery County Court in Philadelphia before Judge Thomas M. Del Ricci, a jury delivered a verdict in Jacqueline´s favour and awarded her $5.1 million in settlement of her claim for an adverse reaction to medication. The jury found Dr Zager to be 38.5 percent negligent for the adverse reaction and the Abington Surgical Centre 61.5 percent negligent for the circumstances which caused it.
A settlement of compensation for delayed hospital negligence has been approved at the High Court in the case of Brid Courtney – two years after the brain damaged child was awarded an interim payment.
Brid, who is now nine years old and comes from Ardfert in County Kerry, was born in Tralee General Hospital in February 2003 suffering from brain damage after medical staff at the hospital allegedly did not act on a sudden and dramatic change in the foetal heart rate pattern.
As a consequence of the slowing heart beat, Brid suffered perinatal asphyxia in the womb and because of the oxygen starvation is now confined to a wheelchair from which she has to be lifted bodily. She is also unable to speak and has to rely on her eyes and facial expressions to communicate with her family.
Following a medical negligence claim due to delayed treatment made through her mother – Deidre – the Health Service Executive agreed to settle the claim without admission of liability and, in November 2010, Mr Justice John Quirke approved an interim payment of 2 million Euros and adjourned the case for two years to allow for the introduction of periodic payments.
However, a system for periodic compensation payments for catastrophic injuries has still not been brought in by the government and – two years after the first payment of compensation for delayed hospital action was approved – the case returned before the court for the approval of a final settlement.
At the High Court, Ms Justice Mary Irvine heard evidence from experts that a further 9 million Euros in compensation for delayed hospital negligence would be required to provide adequate care for Brid through the remainder of her expected life and, as both Brid´s mother and the Health Service Executive agreed with the expert´s assessment, Ms Justice Mary Irvine approved the settlement.
An ex-paramedic, who was left severely disabled after doctors removed the wrong part of his brain, has accepted a seven figure settlement of compensation for hospital negligent brain surgery from the NHS Trust responsible for the error.
John Tunney (63) from Sutton Coldfield, West Midlands, underwent the hospital operation in April 2008 after an MRI scan had revealed abnormalities around his pituitary gland. However, instead of removing the tumour, surgeons took away healthy tissue during the procedure which resulted in John´s brain haemorrhaging.
The error left John partly blind and requiring 24 hour care. He later learned that the operation had not even been necessary as doctors did not check the results of a blood test which would have revealed that John was suffering from prolactinoma – a benign and common pituitary tumour which can be treated with tablets.
After taking legal guidance, John – who worked for the West Midlands Ambulance Service as a paramedic for 23 years – made a claim for hospital negligent brain surgery compensation against the University Hospitals Coventry and Warwickshire NHS Trust and, after an investigation, the NHS Trust admitted liability for the dual error.
John´s solicitors entered into talks with University Hospitals Coventry and Warwickshire NHS Trust over how much compensation for hospital negligent brain surgery should be awarded and, although details of the final settlement have not been released, a settlement in excess of one million pounds has been agreed.