Another doctor in trouble

[shrjun]

^ poor house officer also sued 😂.

Personal opinion only since I don't know the case - Looking at the list of her active medical conditions including sepsis , no cardiologist will touch her esp as she seems ADL assisted.

CPR is not some magic dust which brings people back to life. Same for ICUs . 

[Windwaver]

[Breaking News] A beauty real estate agent killed in botox. The beauty doctor was charged this morning.

This report earlier reported that female real estate agent Mary Lee, 32, died after 5 days of coma while visiting a beauty clinic in the Bay Area on March 8, 2019, the female real estate agent had a cardiac arrest and was sent to hospital on life support, and died five days later in a coma.

Mr. Lee Lee, the father of Mary Lee, told reporters that after his daughter was taken to the hospital's emergency room, he received a call from a beauty doctor that the daughter came to his clinic that day for Botox injection.

Mr. Liu also said that his daughter was sent to the hospital for seven days and called to ask about the beauty doctor, but the beauty doctor's explanation could not solve the doubts in his heart, and the family called the police to deal with it, hoping to find out the truth. The family also responded to the Ministry of Health on the matter.

Revival Medical & Aesthetics Centre's Dr. Yi Yi (34, Soundbites) was charged this morning with a felony that led to the death of another.

Control application exhibition will pass through four weeks, or control will be added. The accused is currently out on 5000 yuan bail.

Check New Tomorrow for further details.

[13177]

31 minutes ago, mikk123 said:

the doc will be suspended for 3 mths and fine $2k. after that He will be happily seeing patient again. 

He is doctor, he is precious.  Made a mistake, never mind lah. 

 

But might affect his business in somehow liao, cause if people know about this mistake that the doctor has committed before, some or most people may not choose to see him liao.

[Watwheels]

But botox injection to the face are unlikely to cause death if administered the right amount. But still cannot rule out an extreme allergic reaction to botox. It is nevertheless a toxin. Quite a rare occurrence.

Edited October 11, 2022 by Watwheels

[Lala81]

50 minutes ago, mikk123 said:

the doc will be suspended for 3 mths and fine $2k. after that He will be happily seeing patient again. 

He is doctor, he is precious.  Made a mistake, never mind lah. 

 

Dont think it's going to be such a light sentence. Maybe struck off or even jail. Theres already precedence. 

Edited October 11, 2022 by Lala81

[Lala81]

BTW I changed my reply twice cos I thought this was a different case. 

[inlinesix]

21 minutes ago, Lala81 said:

Dont think it's going to be such a light sentence. Maybe struck off or even jail. Theres already precedence. 

https://www.zaobao.com.sg/realtime/singapore/story20221011-1321718

There is a conflicting report from ZB.  It said Doc inject EDTA too fast and overdose resulted in death.

[Lala81]

4 minutes ago, inlinesix said:

https://www.zaobao.com.sg/realtime/singapore/story20221011-1321718

There is a conflicting report from ZB.  It said Doc inject EDTA too fast and overdose resulted in death.

Haha all the doctors I know never knew EDTA existed as a drug to be administered. 

We only know it as a chemical we use in one type of blood lab tubes. 

Edited October 11, 2022 by Lala81

[Fitvip]

On 8/15/2022 at 4:13 PM, Windwaver said:

A local man who claimed unknown hospital and three doctors killed his mother due to misconduct and fraud has taken the hospital and doctors to court and demanded 800 million dollars. The plaintiff alleges the doctor's remorse included allowing an untrained intern to bathe his mother in violation of the family's will.

Chinese report says "并索赔80万元" and the English version says "demanded 800 million dollars"

Which is which?

[inlinesix]

8 minutes ago, Lala81 said:

Haha all the doctors I know never knew EDTA existed as a drug to be administered. 

We only know it as a chemical we use in one type of blood lab tubes. 

No wonder I don't understand what the report is about.

[Atonchia]

1 hour ago, Fitvip said:

Chinese report says "并索赔80万元" and the English version says "demanded 800 million dollars"

Which is which?

Probably 800k lah.

She's worth close to a billion?

[ER-3682]

2 hours ago, Fitvip said:

Chinese report says "并索赔80万元" and the English version says "demanded 800 million dollars"

Which is which?

Demand $800,000,if She is Billionaire,The Family won't go Tan Tock Seng Hospital,but i can assure you,Court will side with Gov't Hospital,i think $8,000 also cannot get.

[inlinesix]

20 minutes ago, ER-3682 said:

Demand $800,000,if She is Billionaire,The Family won't go Tan Tock Seng Hospital,but i can assure you,Court will side with Gov't Hospital,i think $8,000 also cannot get.

It depends on what evidence that was presented.

$800k will be far fetched for her age.

Professional negligence sometimes difficult to prove especially with Professional Judgement 

[Eyke]

6 minutes ago, inlinesix said:

It depends on what evidence that was presented.

$800k will be far fetched for her age.

Professional negligence sometimes difficult to prove especially with Professional Judgement 

she only 32yrs, even assume retire @52yrs: $800K / 20yrs = $40K per yr or $3.3K per mth only

[inlinesix]

1 minute ago, Eyke said:

she only 32yrs, even assume retire @52yrs: $800K / 20yrs = $40K per yr or $3.3K per mth only

https://www.8world.com/singapore/man-sues-ttsh-and-3-doctors-for-negligence-1889291

[Victor68]

Whatever amount of compensation cannot bring back a life. More importantly, need to understand why and have some guidelines to prevent same thing from happening. If it is something unavoidable, then cannot place all blame in doctor too. 

[Windwaver]

End of story?

https://www.todayonline.com/singapore/man-loses-s800000-lawsuit-against-tan-tock-seng-hospital-and-3-doctors-over-mothers-death-2018836

Man loses S$800,000 lawsuit against Tan Tock Seng Hospital and 3 doctors over mother’s death

• Mr Chia Soo Kiang sued Tan Tock Seng Hospital and the doctors who treated his elderly mother
• She collapsed in the shower in her ward and died a few weeks later
• Mr Chia alleged that the defendants were negligent in diagnosing and treating her
• A High Court judge threw out his lawsuit and rejected his claims

SINGAPORE — A High Court judge on Thursday (Oct 13) dismissed a man’s claims for S$800,000 in damages for alleged medical negligence by Tan Tock Seng Hospital (TTSH) and three of its doctors.

Justice Choo Han Teck ruled that Mr Chia Soo Kiang’s allegations were “woefully short of evidence” and were refuted by not just the doctors and nurses who had treated his elderly mother, but also by his own expert witnesses.

Mr Chia sued the hospital and doctors after his mother’s death, claiming they had misdiagnosed and neglected his mother while she was warded there four years ago.

Tan Yaw Lan, then aged 74, collapsed from a cardiac arrest while an untrained intern nurse was helping her to take a shower.

She sustained injuries due to the fall and died about three weeks later on May 13, 2018.

The civil trial began in the High Court about two months ago. Mr Chia alleged that Tan’s death would have been prevented if the doctors were not negligent in caring for her.

The damages that he sought included for Tan’s pain and suffering, reduction in life expectancy, loss in amenity and her subsequent death.

The doctors listed in the case are:

• Dr Doraj Raj Appadora, an internal medical specialist who was working as the department of general medicine’s consultant on overnight call when Tan was admitted
• Dr Lee Wei Sheng, the house officer on call when Tan was admitted. He was undergoing residency training during which he was rotated to various healthcare institutions
• Dr Ranjana Acharya, who was the consultant-in-charge of reviewing new admissions to the general medicine department

TAN WAS 'FULLY AND CAREFULLY OBSERVED'

In his 21-page judgement, Justice Choo noted that Tan had a history of multiple ailments including chronic heart disease, type 2 diabetes, hypertension, chronic kidney disease and high cholesterol.

She was warded at TTSH on April 20, 2018 as she was suffering from a persistent fever. She was diagnosed with sepsis, which was complicated by her other ailments, doctors said.

Mr Chia claimed that the doctors were negligent in not diagnosing Tan correctly in the emergency department and when she was warded.

He also alleged that they were negligent in taking her for a shower against the family’s wishes and for not resuscitating her promptly.

Mr Chia’s lawyers argued that one of the doctors approved a treatment plan to withhold her primary heart medications — aspirin, a painkiller that reduces fever; furosemide which is used to reduce extra fluid in the body; and losartan which lowers blood pressure.

The lawyers, led by Mr Clarence Lun from Fervent Chambers LLC, also alleged that the doctor did not advise Tan or get her informed consent and should have at least informed her next-of-kin of the intended treatment plan.

In his judgement, Justice Choo ruled that the defendants did not have a reason to send Tan to the intensive care unit or a high-dependency unit and had correctly diagnosed her with sepsis from an unknown source.

This was complicated by ailments that included a type 2 myocardial infarction. She did not have any symptoms of a type 1 myocardial infarction, Justice Choo said.

The judge ruled that one of the doctors could not be faulted in diagnosing or treating Tan for sepsis and for not referring her to a cardiologist or admitting her to the ICU or HDU.

As for the change in Tan’s medication, Justice Choo noted that it had no bearing on her diagnosis or her eventual collapse in the shower. Tan was also alert and conscious when her medication was changed.

As for getting Tan’s consent, the judge said that doctors do not have a duty to ask if a patient consents to specific drugs, though they may have to check on allergies.

"The idea of liability for not seeking a patient’s consent to stop medication or treatment under the guise of informed consent is a solution without a problem. On the contrary, it will be the seed of big problems,” Justice Choo said.

In any case, Tan’s doctors had stopped her medications to “avert acute complications” and changed her antibiotics to those with wider coverage, the judge said.

“The evidence from all sources show that Mdm Tan was being fully and carefully observed so that the medical team may move swiftly and with flexibility when needed.”

BASELESS CLAIM THAT HOSPITAL WAS NEGLIGENT FOR SHOWERING TAN

Justice Choo then ruled that another of Mr Chia’s claims — that the hospital was negligent in taking his mother for a shower — was similarly baseless.

The intern nurse, who is now studying medicine at the National University of Singapore, testified during the trial that Tan readily agreed to have a shower.

Assisting a patient with a shower does not require specialised skills and it was something Tan’s family members could have done as well, Justice Choo said.

As for the claim that TTSH was too slow in its efforts to resuscitate Tan after she collapsed, Justice Choo said it was “also without merit”.

Tan was still breathing in the shower and her airway was still intact, the judge noted. Moving her to the bed, which was connected to crucial resuscitation equipment, was the right thing to do as the shower area was not a safe location to perform resuscitation.

Separately, Justice Choo pointed out that one of the defence’s experts — Dr Eric Chong, a cardiologist in private practice at the ESC Heart Clinic — submitted an affidavit that was lifted almost verbatim from the affidavit of an expert for the plaintiffs.

Dr Chong then filed another affidavit where he changed his mind about Tan having a type 2 myocardial infarction. He merely explained that he had since seen fresh evidence.

Justice Choo said: “It seems to me that Dr Chong had not at all applied his mind to the issues when preparing his first expert report, but instead adopted the views and words of (the other expert).

"This puts Dr Chong’s neutrality and independence as an expert in considerable doubt.”

The judge ordered for the issue of costs to be heard at a later date.

[ER-3682]

@Windwaver I already predict the Son will not win Gov't Hospital...MOH & Court sure act together as One..If this Case was on a Private Hospital..different Story liao.