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25 March 2013
INTERNATIONAL TRADE IN SERVICES
23 March 2013
UK:Dr..Humayun IQBAL "struck off".
From UK DAILY MAIL
Saturday, Mar 23 2013
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Doctor who groped trainee surgeon while telling her ‘that’s what juniors are for’ during private anatomy session is struck off
- Dr Humayun Iqbal has been struck off for molesting two junior colleagues
- Said to have told trainee surgeon: 'I have to practice for my wife'
- Accused of fondling the breast of a nurse practitioner
- Iqbal, 40, denies misconduct while a registrar at a Newcastle hospital
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Dr Humayun Iqbal molested two junior colleagues at a hospital in Newcastle
A senior hospital doctor who groped a trainee surgeon telling her: 'well that’s what juniors are for isn’t it?' was struck off the medical register in disgrace.
Dr Humayun Iqbal, 40, had been conducting a private anatomy lesson when he forced himself upon the woman and attempted to kiss her whilst trying to put his right arm down the inside of her blouse.
When the junior colleague protested and told him to get off, Iqbal replied: 'I have to practice for my wife' and later added: ‘'At the end of your rotation you will be begging for it,’' it was said.
Later after she moved hospitals Iqbal sent the junior surgeon a text saying: 'A good boss is like a bra - always supportive and never lets you down, a bad boss is like pampers - always stuck to your arse.’'
The woman known as Dr B was one of two junior female colleagues molested by Iqbal at the Freeman Hospital in Newcastle-upon-Tyne where he was registrar.
The other woman known as Miss A was said to have been 'confused and distressed' by Iqbal groping her breast and fielded an entry in her diary saying: 'awful day. Iqbal.'
At the General Medical Council in Manchester Iqbal of Ponteland, Newcastle denied wrongdoing but was found guilty of misconduct charges by a fitness to practise panel.
Chairman Dr Anthony Morgan told him: 'Whilst the extent of the physical assault was limited, it occurred on each occasion, during a teaching situation with a junior colleague that you both engineered and exploited.
'It was a serious breach of trust, the victim on each occasion being new to the department and considerably junior to you.
'The Panel took full account of your potential talent as a surgeon and it also considered the question of potentially depriving the public of a valuable doctor.
'However in the light of the serious nature and extent of these transgressions, your conduct is fundamentally incompatible with continued medical registration.'
The incident involving Dr B occurred in December 2009 in an empty coffee room after she was invited Dr Iqbal for ‘’further teaching.'
Mr Peter Atherton counsel for the GMC said: 'He asked Dr B about anatomy and when she answered correctly he put his arms around her as if to give her an encouraging hug. It was a small room nobody else was present.
'Totally inappropriate': The General Medical
Council was told at a hearing in Manchester that Iqbal had 'manipulated'
his alleged victims by offering to teach them
'Following that incident her reaction was to object and repute him for what had happened but he started to say totally inappropriate things such as “I have to practice for my wife” and "well that’s what juniors are for isn’t it."
'He also invited her to attend a course with him in Canada. When she made it clear his advances were not welcome he said ‘’at the end of your rotation you will be begging for it'.
'At the end of the shift, she had had an induction meeting and when he saw her emerging from the meeting, he was clearly concerned as to whether she had made any complaints about him, she hadn’t at that early stage.'
Dr B moved on from her surgical training and transferred to another hospital in the North East where she had a much happier experience but in May 2010 she suddenly received the offensive text from Iqbal on her mobile. Dr B is said to be still suffering from shock.
The second victim known as Miss A was a nurse practitioner who had just started training at the same hospital. Iqbal was said to have lured her to a lecture theatre in November 2009 under the pre-text of 'demonstrating relevant anatomy’’ only to cup her breast in his hand.
Miss A told the hearing: 'He was drawing pictures of lungs and different incisions, he touched me on the back first, below my right shoulder blade and moved his hand right around towards the front.
'He moved his hand from the back to the front, my right breast. I was just a bit shocked. I don’t know, he could have drawn it on the diagram. I just moved away and I sat back.
'I just felt very uncomfortable because he touched me. He carried on with the drawings and continued talking about the lungs.
'My heart was racing. I felt like a lump of jelly. I knew I had gone bright red, blushing and he asked me if I had allergies. I knew my face was bright red, he touched my left cheek and I said ‘no’. He was sitting next to me, I didn’t get up, he just continued teaching. I had concerns but I didn’t know how to get out of the situation. I didn’t know what to say to be able to get away.'
'I thought when he touched my face, momentarily I thought ‘is he going to kiss me?
'I said I needed to go and pick my kids up I thought that was a good excuse because I don’t have any children. The whole time I was trying to think of something I could say to get away. I couldn’t organise myself to think of something to say.'
'I had just started working there and I didn’t want to cause any trouble I just wanted to get on with my him. I didn’t have any more teaching and I only saw him on the ward rounds, he made me a bit more nervous.'
Iqbal was reported after Miss A attended an interview with a consultant the following February and confessed her spell at the hospital had been 'unhappy' because of her experience with Iqbal.
In a subsequent trust disciplinary proceedings relating to both women, Iqbal claimed Dr B had made 'profoundly racist' comments towards him.
He claimed he had only taken her to the coffee room to tackle her over a complaint made about her work. His allegations are firmly denied by Dr B.
21 March 2013
UK: DANGER of NURSES in NHS HOSPITALS
from UK DAILY MAIL
Patient at scandal-hit Stafford Hospital 'died as she pleaded with nurses to help her after getting head stuck in bed railing'
- Nurse Ann King told auxiliary worker: ‘Sit down - she’s fine’, hearing told
- By the time she was checked on the woman’s face had 'turned purple'
- King and ward manager Jeanette Coulson accused of series of blunders
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A patient died at scandal-hit Stafford Hospital as she pleaded with nurses ‘Help me’, a disciplinary hearing was told today.
The woman had got her head stuck between a bed railing and begged for help, but nurse Ann King told an auxiliary worker: ‘Sit down - she’s fine’, the Nursing and Midwifery Council (NMC) heard.
By the time she was checked on the woman’s face had turned purple and she could not be resuscitated, the NMC was told.
A patient died at scandal-hit Stafford Hospital as she pleaded with nurses 'Help me', a disciplinary hearing was told today
The nurse is also accused of failing to recognise that another patient, who subsequently died, was diabetic.
Mrs King and ward manager Jeannette Coulson are accused of making a number of blunders while working in the Trauma and Orthopaedics ward between 2005 and 2010.
Their alleged failings came to light when a Healthcare support worker known as (HCSWA) and another nurse known as (SNA) blew the whistle.
The woman who died in the railings had been admitted to the ward with a broken leg was said to be an alcoholic, and 'appeared to be agitated due to withdrawal'.
‘Patient A was in a side room and could not move from her bed without assistance due to her injury - she was awaiting surgery,’ said Rebecca Wood, for the NMC.
DUKE of KENT: King Edward VII Hosp
8:57PM GMT 21 Mar 2013
The Duke, who is 77, was taken ill on Sunday night and was taken to University
College Hospital in London before being transferred to the King Edward VII
Hospital, where the Queen was treated this month for symptoms of
gastroenteritis.
He has cancelled his engagements for the next three weeks, though Palace
sources stressed that his stroke was “mild” and he is expected to return to
official duties in due course. He has been well enough to speak to royal
household staff since he was admitted to hospital.
A source said: “It’s not serious. He will stay in hospital for a few more days
and then will return home to recover. He is expected to resume his duties at
some point.”
15 March 2013
NURSE PRACTITIONER KILLS 2 BABIES by MORPHINE OVERDOSE
Friday, Mar 15 2013
9PM
33°F
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5-Day Forecast
From UK DAILY MAIL
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A nurse who helped treat twins who
died from a huge overdose of morphine at the scandal-hit Stafford
Hospital has been allowed to keep working.
Joanne Thompson admitted a series of charges before a Nursing and Midwifery Council (NMC) fitness to practise hearing in London this week.
But the panel ruled her fitness to practise 'was not impaired'.
An inquest into the deaths of the twins, Alfie and Harry McQuillan, who died on November 1, 2010, heard that they were given an 'excessive' dose of morphine hours after their birth at Stafford Hospital.
The babies were born at 27 weeks after the twins' mother, Ami Dean, was rushed to Stafford Hospital in the early hours of October 30th, 2010, after she began to bleed.
Despite being born prematurely, the identical twins had been in a 'good' condition during the first few hours of their lives, an inquest into their deaths in 2012 heard.
But it was decided to give the twins morphine to stabilise them before they were transferred to the maternity unit at the University Hospital of North Staffordshire where the twins died on November 1st.
The panel heard that the brothers, referred to in the proceedings as twin one and twin two, received 600 and 850 microgrammes of morphine respectively.
They should have been given between 50 and 100 microgrammes.
Mrs Thompson, a senior staff nurse in the hospital's special care baby unit, was accused of allowing a more junior nurse, Lisa Lucas, prepare for the administration and/or administer the drug to the twins with the help of a junior doctor whom she should have known was insufficiently experienced.
The NMC panel found this claim was not proved.
The nurse admitted not being present throughout the whole morphine administration process, that she did not check it was properly diluted, and she did not call for medical help to check the administration.
Nurse linked to the death of premature twins killed by '10 times too much morphine' is allowed to keep working
- Alfie and Harry McQuillan were born at 27 weeks in October 2010
- Were in a 'good condition' despite being born so early, inquest heard
- Prescribed morphine to stabilise them but instead given 'excessive dose'
- Died at scandal-hit Stafford Hospital two days later
- Nurse in charge, Joanne Thompson, was accused of letting less senior member of staff administer wrong dose
- Was today cleared of misconduct by Nursing and Midwifery Council
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Joanne Thompson, a senior staff nurse in the special care baby unit of the hospital, has been allowed to continue working
Joanne Thompson admitted a series of charges before a Nursing and Midwifery Council (NMC) fitness to practise hearing in London this week.
But the panel ruled her fitness to practise 'was not impaired'.
An inquest into the deaths of the twins, Alfie and Harry McQuillan, who died on November 1, 2010, heard that they were given an 'excessive' dose of morphine hours after their birth at Stafford Hospital.
The babies were born at 27 weeks after the twins' mother, Ami Dean, was rushed to Stafford Hospital in the early hours of October 30th, 2010, after she began to bleed.
Despite being born prematurely, the identical twins had been in a 'good' condition during the first few hours of their lives, an inquest into their deaths in 2012 heard.
But it was decided to give the twins morphine to stabilise them before they were transferred to the maternity unit at the University Hospital of North Staffordshire where the twins died on November 1st.
The panel heard that the brothers, referred to in the proceedings as twin one and twin two, received 600 and 850 microgrammes of morphine respectively.
They should have been given between 50 and 100 microgrammes.
Mrs Thompson, a senior staff nurse in the hospital's special care baby unit, was accused of allowing a more junior nurse, Lisa Lucas, prepare for the administration and/or administer the drug to the twins with the help of a junior doctor whom she should have known was insufficiently experienced.
The NMC panel found this claim was not proved.
The nurse admitted not being present throughout the whole morphine administration process, that she did not check it was properly diluted, and she did not call for medical help to check the administration.
TIEEX CAMERA WATCH: UK GP VOYEUR DAVINDERJIT BAINS
From UK DAILY MAIL
GP filmed himself groping 300 women using secret James Bond-style camera hidden in a watch
- Dr Davinderjit Bains, 45, has pleaded guilty to 39 sexual offences
- Sexually assaulted women at surgery in Royal Wootton Bassett, near Swindon, Wiltshire, for almost two years before he was caught
- Police found 361 high-quality video clips filmed on 'spy watch'
- Fears as many as 100 women had medical examinations they didn't need
- 'He is a sexual predator, as simple as that,' DI Mark Garrett
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A family doctor secretly filmed the intimate examination of hundreds of women patients using a camera hidden in his wristwatch.
GP Davinderjit Bains, 45, recorded hours of footage with the £60 spy device as he carried out 'unnecessary and inappropriate' inspections.
The abuse continued for two years until his 19-year-old lodger told police he had filmed her showering and assaulted her.
Predator: Dr Davinderjit Bains, left, used his
'spy watch' right to film himself sexually abusing female patients at
his surgery for more than two years before he was caught
Around 3,000 potential victims were contacted but the exact number is thought to be 'close to 300' – aged between 14 and 51.
Bains appeared at Swindon Crown Court where he admitted 39 counts of sexual assault and voyeurism and asked for a further 65 offences to be taken into consideration.
14 March 2013
PNEUMONECTOMY for MDR-TB
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you're reading...
Pneumonectomy: for Tuberculosis
Pneumonectomy, or surgical removal of one entire lung (versus removal of smaller segments of the lung) is a major surgery which is not performed without serious consideration to alternative treatments. Pneumonectomy is indicated as the treatment of choice for otherwise unresectable cancers, as well as serious lung infections such as tuberculosis.In fact, surgery for tuberculosis (including pneumonectomy) was one of the first set of procedures that helped establish thoracic surgery as a specialty. In the era preceeding the development of antibiotics, there was no effective treatment for tuberculosis – which carried a high mortality rate. Surgical resection of the affected lung was the treatment of choice.
Once antibiotics were established as an effective treatment for this disease, surgery faded into the background – and was primarily reserved for cases complicated by hemoptysis or empyema.
However, in recent years, due to the rise of multi-drug resistance tuberculosis (MDR-TB), surgical resection for the treatment of Tuberculosis has been making a comeback. According to World Health Organization statistics; there were more than 8.8 million cases of TB in 2010. While the death rate has fallen significantly (40%) since 1990 – over 1.4 million people died of TB during that same year. In addition to multi-drug resistant Tuberculosis, there is another subtype called extensively drug resistant tubeculosis (XDR-TB) which is resistant to several drug regimens. (Most cases of non-XDR forms of TB are currently treated with a four drug regimen for several months.)
The emergence of these antibiotic resistant strains have brought us full circle in the surgical management of the disease. Failure of medical therapies leads to a mortality of fifty percent (Kir, et. al (1997). The re-emergence of surgery for tuberculosis is two-fold; surgery is used for both the treatment of active disease and the management of complications from tuberculosis (i.e. removal of dead or damaged lung tissue from previous TB infection.)
A review of the literature surrounding the surgical treatment of tuberculosis explores the modern surgical indications; potential complications and post-operative outcomes. Shiraishi et al. (2008) detail their experiences with surgical resection of several cases of XDR-TB at a Tokyo facility. As explained by Shiraishi, larger operations such as pneumonectomy are preferred over smaller resection procedures because the success of the operation hinges on the ability to remove all of the gross lesions (cavities) or destroyed tissue.
In this article (1997) from Saudi Arabia, Ashour discusses his experiences (from 1985 to 1995) using pneumonectomy to treat post-TB lung destruction.
By reviewing several historical sources, we can review the changing perspectives regarding the treatment of tuberculosis and the indications for surgical resection. While it may be surprising to many readers, the current indicators for surgical resection and pneumonectomy for tuberculosis encourage earlier surgical intervention. In comparison to the late 20th century, where surgery was reserved for cases of extensive lung destruction with gross hemoptysis after years of unsuccessful medical treatment, the development of MDR- TB and XDR-TB provides for ample incentive for surgeons to intervene earlier in the disease process.
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