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Temple street hospital using unauthorised devices

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  • Registered Users Posts: 2,031 ✭✭✭Sheep breeder


    Less of the pub talk, it adds nothing to this scandal. Wake up

    Post edited by Boards.ie: Paul on


  • Registered Users Posts: 8,571 ✭✭✭lawrencesummers


    They made it public?

    You know, the public health system has a ‘bit’ of a checkered history dealing with people who have been mistreated until its all out in the open. The thing we thanked Vicky for.



  • Registered Users Posts: 13,106 ✭✭✭✭Goldengirl


    This..mostly

    No way this was not noticed in CSSD , however it's not something that is in their control ,and these compression screws or whatever they were , were used in 2/3 surgeries, possibly before it was clocked . I can only imagine the pandemonium that ensued .

    A scrubnurse would not necessarily know the provenance of every item except that it was in a sterile pack and approved by the operating doctor . The theatre manager might have been contacted by staff who would have fed back that something different was being used by a particular surgeon and from there it would be investigated.

    Surgeons who request particular items for surgery have to request them via ordering /supplies managers and new items usually are checked thoroughly for contents suitability and warrantee by the supplies team .

    Something happened to bypass these checks obviously but we will have to wait to see what comes out of the enquiry.

    Awful stuff.

    But caution is needed here , people need to be aware that nobody knows what caused a child's death , it will be subject to an inquest. Should not be speculating.

    There is more than one family grieving ,with ill children and not knowing what to expect, and none of us are privy to the full details of who broke this story or what exactly went on .


    Temple St is a fantastic hospital with highly trained experienced staff from the consultants and nurses to those working as porters and in catering , and all focussed on the best possible care for children and their families.

    They have been working under terrible pressure over the last number of years all the time being told that a move to the new Children's hospital was imminent , and they working in circumstances in Victorian buildings and still doing it with good grace and high standards .

    I am fully confident that everybody there was on the case as soon as and this person stopped in their tracks.

    At least now everybody is aware there is / was a problem .



  • Registered Users Posts: 8,571 ✭✭✭lawrencesummers


    The more interesting question is if Rte / virgin weremade aware of it and just did nothing until the Ditch ran with it?



  • Registered Users Posts: 13,106 ✭✭✭✭Goldengirl


    Yes . I don't deny that .

    But with investigations ongoing and families in the mix I don't think anything was being covered up here ..is that what you are saying ?

    I suppose the Ditch was operating in the public interest .

    I would say that the hospital were acting in the children's interests and their families , given that they instigated an internal review and a very thorough external review .



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  • Registered Users Posts: 8,571 ✭✭✭lawrencesummers


    And those reviews don't seem to have satisfied everything because since the ditch broken the story a third review was ordered.

    Forgive me if i take everything the HSE ever says with a pinch of salt



  • Registered Users Posts: 82,412 ✭✭✭✭Atlantic Dawn
    M


    How was this happening, surely there would be a package of approved components ordered/used/stocked for each operation, there would be people in Finance and admin departments signing off these orders for unapproved medical springs. Could the whole thing have been a scam by someone selling on the actual expensive components that should have been used for a few hundred here and there in blood money?



  • Registered Users Posts: 13,106 ✭✭✭✭Goldengirl


    Because the second review essentially agreed with the first, but also Irish standards of practice would be closer to the UK than US , I would think .



  • Registered Users Posts: 594 ✭✭✭Yakov P. Golyadkin


    This. Any time I visit my GP everything used is clearly medical grade - How on earth did ordinary springs pass muster? I would have assumed everything used in such serious operations comes sterile wrapped and is prepared/prepped by a party other than the operating doctor/consultant.

    Either way, it's an awful thing to happen, I only hope for a rigorous review that isn't afraid to apportion blame where warranted, and that those found guilty are prosecuted to the fullest extent of the law.



  • Registered Users Posts: 1,144 ✭✭✭airy fairy


    All implants, devices, screws etc are usually sealed in a nitrate container that undergo vigorous testing along the way, and then gamma radiated, stamped and certified.

    I cannot fathom how these devices/things went through procurement, stock control, being signed for several times, needing serial numbers, expiry dates, codes etc being recorded...even calling it up on a stock system IT, medical staff signing and preparing items for implantation ...and then counter signing for such things. It's truly farcical.



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  • Registered Users Posts: 1,233 ✭✭✭crusd


    From what is now known about that case how is your point relevant other than throwing mud at foreigners when reports in the media are that the individual under investigation is Irish



  • Registered Users Posts: 1,233 ✭✭✭crusd


    I can’t help believe it’s down to the instinct that is instilled on some teams to treat “Mr” as some sort of infallible god.

    Even the insistence on calling a surgeon Mr not Dr feeds into this exceptionalism that sometimes results in hubris going unchecked. It’s a brave theatre nurse or non consultant doctor who goes against Mr.

    Ironically the origins of Mr for a surgeon was down to them being considered less qualified qualified than a medical doctor at one stage



  • Registered Users Posts: 625 ✭✭✭Cal4567


    You always know when a story comes out, it's going to be monumental in its long reaching affect on society.

    This sadly looks like one of those.

    Whatever the facts, we've let down another group of people, this time children and their families. The priority has to help them in every way possible.

    As other posters have said, didn't our ever useless media have an inkling of this, or did, but chose just not to report it?

    Quite the irony, they're over it now as a rash. Most allegations of amnesia by politicians as regards register of interests and planning applications, published by The Ditch, go unreported in the mainstream media.





  • good to see this being used as an excuse to have a go at the “foreign doctors”..





  • on the last point it actually wasn’t the reason.

    Historically surgeons trained alongside already experienced surgeons in sort of an apprenticeship type role. In London at least you had to also take a written exam but one way or the other you didn’t receive a degree though just a diploma so no PhD and no “Dr” title.

    Nowadays of course all surgeons first need to finish medical school and qualify as a doctor. So it sort of goes Mr. X then you’re Dr. X, then back to Mr. X 🤔

    anyway— I do think there’s an attitude among hospitals that surgeons shouldn’t be argued with and they know best so well believe that no one thought to argue with him especially if he was a consultant surgeon.



  • Registered Users Posts: 1,233 ✭✭✭crusd


    On a historical level, it was a trade. They qualified through apprenticeship. And thus not considered on the level of professionals unlike Medical doctors, lawyers etc. Mr was the honorific for those with no formal academic or professional qualification.



  • Posts: 0 [Deleted User]


    All I can say is anytime I have interacted with hospitals here the sense you get is the consultants operate like freelancers in a coworking hub. Nobody ever seems to know what’s going on and they breeze in and out without any kind of coordination.

    I know dealing with healthcare with an elderly relative or mine is a nightmare of chasing people constantly for info and files and data and having to constantly manage your own case. Scans don’t get sent to the right people, people don’t communicate unless you facilitate it, documents go missing, people are completely unaware of what another department has been doing, unless you actually put the report under their nose. Prescriptions don’t get issued unless you chase them even though they’re repeating and regular etc etc

    I have phoned various nurse specialists and so on to chase files and they’re all lovely but typically you’ll get a told in the event of needing x, call this number… when you can that number you get a voicemail telling you to call one of the following 6 numbers, which all get answered by a similar voicemail telling you to call the same 5 numbers and the number you just called. You’ll also get “and only call this number in a genuine medical emergency…” and you’re never sure if that includes not having a prescription the lack of which might kill you etc etc

    I’ve also seen politics at play where we had a situation where another consultant / hospital doctor saw some issues which might have been related to the main treatment and they were loathed to step on toes. I had to raise the issue and have it checked out and the sense I got was “how dare you! You trouble maker!” Rather than “oh that’s really important - let’s look into it and rule it out.” The other consultant wrote a report back to the patient and I had to as a relative send that to the main consultant and this was all to avoid an awkwardness, so the other guy hadn’t written to him, but the smug remarks just got aimed at me instead of the colleague. Why the hell is that level of pettiness tolerated ?!

    if you or a relative weren’t constantly advocating you’d probably just not get treatment.

    I really don’t think Irish people are critical enough of how bad healthcare admin systems and structure are here. We are accepting chaos and excusing it because we meet some nice medic who’s being overworked and is a hero in a broken system.

    There seems to be no systems in place and a lot of reliance on individuals to continuously go above and beyond. That is just dangerous and chaotic.



  • Moderators, Arts Moderators, Recreation & Hobbies Moderators Posts: 10,667 Mod ✭✭✭✭Hellrazer


    Exactly my experience.Consultants are a law on to themselves. Im sure Im not the only one who shows up for a clinic at 9.00 am as per your appointment time and the consultant is sitting in the cafe having their morning coffee while theres 70 people waiting on them to start the clinic.

    Its a disgrace - they should be at their desk at 8.45 waiting for their patients.

    I pulled one of them up on it before and his exact words were " he was doing his ward rounds" - I asked was there a ward in the cafe - wasnt in the least bit impressed.

    Hospital managers are supposed to be responsible for appointments and clinics but they are terrified to speaks out about God (consultants)


    Big changes are needed.



  • Posts: 0 [Deleted User]


    The clinics where they give about 20 people the same 11:00am appointment and assume you can just take the day off work and sit there for 6 hours…





  • They’ve gotten cute enough that now it’s your “check in” time not an “appointment” time…

    Post edited by Boards.ie: Mike on


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  • thats absolutely shocking lads! Fair enough have the coffee but can it not be taken back to the desk? 🤔



  • Moderators, Arts Moderators, Recreation & Hobbies Moderators Posts: 10,667 Mod ✭✭✭✭Hellrazer




  • Registered Users Posts: 7,639 ✭✭✭Floppybits


    I always wondered about these appointments with the Consultants and why you are left waiting there? Are the consultants on call during that time that if there is an emergency that comes in they can be called away and it's this can delay things? I mean most visits with the consultant would be 15 - 20 minutes, usually its either to do a quick examination and then arrange an x-ray or mri or its to review the results of the said x-rays/MRI and then say what the next steps are. You rarely see anything that would cause a the delays we have all seen.

    Post edited by Boards.ie: Mike on


  • Posts: 0 [Deleted User]


    My deepest condolences to her family. May she rest in peace.

    It’s very important to remember there are children and their families impacted by this. We can sometimes lose that in the abstract way it’s covered.



  • Registered Users Posts: 6,989 ✭✭✭SuperBowserWorld


    Post edited by SuperBowserWorld on


  • Registered Users Posts: 13,106 ✭✭✭✭Goldengirl


    This.. *1

    I can't get over how those items got in.

    Its unbelievable.



  • Registered Users Posts: 13,106 ✭✭✭✭Goldengirl


    Its annoying.

    Mainly these surgeons are running from pillar to post and get delayed /nabbed everywhere.

    Clinics are important but when something more urgent comes up they get put back.

    We waited 2/3hours past our actual given appointment time when my oh had cancer to speak to the surgeon who was called to an emergency. It was frustrating and unforgivable at the time, to us, but we were so grateful to this person after, all was forgiven!

    Its the nurses and secretaries who get the frustration levelled at them and have to try to manage expectations.

    This is all by the way, really.. How somebody organises their inics is one thing but these are very serious surgical incidents.

    The surgeon might be.. I don't know this... one of those Godlike people to each and every person they talk to especially the families, but a completely useless surgeon who blames everyone else when things go wrong.


    I think I can put up with long clinic waits to see someone who may not be very easy to talk to and be very cllinical and matter of fact, but operates diligently on me and mine using the best techniques and equipment.

    Thats the core of the job of a surgeon.



  • Posts: 0 [Deleted User]


    I can fully understand and I think everyone does when there are serious surgical incidents. It's not hard to communicate that either. All the secretary has to say is "they're delayed in surgery" and we all understand that.

    However, in a lot of cases I've been dealing with people who aren't involved in surgery at all and they're still run in the same manner.

    They could even have virtual queuing by SMS these days and let people disappear off for a coffee or whatever if there's going to be an extraordinary delay.

    I remember going in for an outpatients consultation / minor procedure in a public hospital, but covered by VHI. I arrived at 10:00... then it was lunchtime... I waited... read my phone, read a book... waited.. next thing it was 4:00pm... I was still waiting. (I'd asked multiple times). Then a consultant came in who I recognised and was wondering how long I'd been there. His colleague was on holidays and the admin people never checked with anyone when I'd asked, they just shooed me back to the seats.

    I also remember arriving an A&E on a busy night and there was a completely unstaffed reception with total confusion going on around it and a huge queue building for about 20 mins. Then eventually in saunters the grumpy admin duo who were supping tea and sarcastic as hell with everyone. Didn't even make eye contact.

    There's a MAJOR cultural problem in healthcare here. They don't see patients as people in a lot of cases.

    I'm not saying everyone is like that in healthcare, but there's enough of them and it's tolerated, so it's a cultural issue. In any other sector, you wouldn't dream of speaking to people the way I've been spoken to in various hospitals, including private ones.



  • Registered Users Posts: 1,167 ✭✭✭Kalimah


    I totally agree! I was back at James' for a check up six weeks after a gall bladder op. Appointment was for 11 - I think I was seen at about 2pm for a total of 30 seconds- no exaggeration. It would have been a better use of time to have done the consultation over the phone as all it was, was how are you, any problems, no, ok, no need to see us again. Well I would hope so unless I have the ability to regrow my gallbladder.

    I do agree that the attitude of some staff is appalling. Thank the Lord I haven't had many dealings with hospitals but I did find the private ones marginally better.

    Post edited by Boards.ie: Mike on


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  • Registered Users Posts: 7,639 ✭✭✭Floppybits


    One of the main issues of the health service is that it organised an run for the people that work in it and not for the people, like us, using the service. Even the new Children's hospital was built where it was for the staff rather than for the users. I had to laugh when they said the new hospital has good transport links but who brings a sick child to hospital on public transport. Even with this latest scandal the hospital have provided no communication what so ever to the parents of kids under this consultant. I heard a father of one of the kids on the radio yesterday and he says they are left in limbo with no work from the hospital as to what is happening with their child. Is it that difficult to pick up the phone to the parents affected and inform them of what is going on. The HSE just doesn't seem to care about its patients, it seems that patients, the people they were set up to treat are more of annoyance to them than anything else.



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