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Temple street hospital using unauthorised devices

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  • Registered Users Posts: 40,413 ✭✭✭✭ohnonotgmail


    call me cynical but they only started another enquiry so they wouldnt have to comment until that was finished.



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


    I was thinking along the same lines. I think it Dr Tom Clonan that said the same yesterday. Seems to the go to for these boards and also the government when something like this happens they start and enquiry and don't have to answer questions and they hope by the time the enquiry is finished they won't be in office any longer or the hubbub about it will have died down.



  • Registered Users Posts: 5,876 ✭✭✭Princess Calla


    I don't think this will go away easily.

    I have never protested for anything but I'd march for this.

    Those poor children already dealt a crap hand in life without some "God" thinking they're above rules and regulations.



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


    Its already starting to go away. Its all a bit too quiet in the media considering the seriousness of it - did the HSE not learn anything from the cervical check scandal? Id protest too considering I had child go through spinal fusion for scoliosis in 2020.

    Lots of elections next year - local, EU and general election. Im going to have fun when any of these government parties knock at my door looking for votes.



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


    By right we should be out marching about not only this but the HSE and DOH and the way the treat and dismiss people who question them. I think if there was one thing that the would unite the public it would be something like this but as @Hellrazer says it is already starting to disappear from Media even though I see the Ditch have said they have a significant story to come on the scandal at Temple street. The problem here is that it is the Ditch that is breaking this scandal and the MSM ignore them, don't even invite them on the talk shows.



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  • Registered Users Posts: 8,375 ✭✭✭BrianD3


    the significant story seems to be that management knew in May (according to a source within Temple St) about the use of unlicensed springs - yet Eilish Hardiman, CHI CEO told the Oireachtas health committee that they didn't know until July/August. So if this is true she's either lying or incompetent.

    This is all oh so typical of Ireland and the Irish health service. How many other scandals are happening under the radar or have been buried. Along with victims.

    As stated above, this story is getting nowhere near the attention it should in the established media. Now we know why other, less serious but still public interest stories (e.g. the antics of Niall Collins) get so little attention.



  • Registered Users Posts: 5,876 ✭✭✭Princess Calla


    Well tbh I can only speak for myself but I'd be expecting the parents of all Spina bifida and scoliosis to be organising protests and the rest of us to then join in.

    If they don't make the noise it looks like they are happy with the way things are progressing.

    Guaranteed if this was hip/knee replacement you'd have the grey brigade taking to the streets.

    It has to be the group impacted leading the way.



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


    Not trying to be smart here kids done vote and don’t appear of tv and news programs like prime time etc, and don’t have a voice with newspapers. So why would the government or management of hospitals care.



  • Registered Users Posts: 4,545 ✭✭✭Topgear on Dave


    There's no privatisation angle like there was with cervical check which got a lot of political noise made about it in that scandal.

    Plus absolutely everybody involved in this one has well lawyered up so don't expect fast answers.



  • Registered Users Posts: 2,957 ✭✭✭RoTelly


    I am leaving a link here to explain what happened

    Sorry mods if there is another thread please merge if you want.

    So I just have one question. Why is this not a criminal investigation?

    "The use of unapproved springs in complex spinal surgery carried out at" the hospital resulting in "high levels of post-operative complications and infection in children undergoing spinal surgery at" the hospital … "including two serious incidents and the death of one patient."

    How is this not a crime? Are the guards involved?

    Should this not have a full Criminal investigation?


    ______

    Just one more thing .... when did they return that car

    Yesterday



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  • Registered Users Posts: 4,914 ✭✭✭skimpydoo




  • Registered Users Posts: 1,130 ✭✭✭lmao10


    I don't really understand why the doctors did it? Did they think it was better to do it with the part than to wait or try get another part? Was it laziness? I presume they get paid more money for doing surgeries? I'm just asking questions here as i have no idea why they would have done this. I can understand potentially covering it up if that was done afterward but why do it in the first place?



  • Registered Users Posts: 449 ✭✭L.Ball


    the doctor should be put under the jail, but will probably have some excuses, mental health, addiction issues, stress etc. suspended sentence and gets to keep their pension.



  • Registered Users Posts: 34,704 ✭✭✭✭Hotblack Desiato


    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. 

    Many if not most of them regard themselves as service providers to the public health system, their private practice is their 'real job'. This is why public-only contracts are so important, but the government appears very reluctant to pay enough to attract those worth employing (without the carrot of private work on the side).

    People blaming the HSE don't seem to realise the extent of autonomy within the system, in 'voluntary' (i.e. religious established, but today state-funded) hospitals they regard themselves as all but independent and only grudgingly part of the public health system. This is an issue which should have been rooted out 100 years ago and is the rock Noel Browne's ministerial career perished on. Even today, voluntary bodies like CHI (Temple St. and Crumlin) have a great deal of autonomy e.g. running their own IT systems. HSE had connectivity to all of these hospitals and other bodies but couldn't enforce security standards on them which had a lot to do with why the hack was so damaging.

    Ulitmately this is a political issue, politicians refuse to create and fund a public health service but instead don't rock the boats and continue to fund a healthcare model rooted in the 19th century.

    My wife is sorely familiar with having to advocate constantly for an elderly patient in an overburdened system, do follow-ups because different providers can't coordinate, etc. It's not on in the 21st century. On a positive note my GP has moved to a new practice with online booking, appointment reminders etc. but most GPs are stuck in the paper era.

    Post edited by Boards.ie: Mike on

    Fingal County Council are certainly not competent to be making decisions about the most important piece of infrastructure on the island. They need to stick to badly designed cycle lanes and deciding on whether Mrs Murphy can have her kitchen extension.



  • Registered Users Posts: 25,317 ✭✭✭✭Strumms


    If you went up to an Aer Lingus maintenance hanger, each part, from, a screw, spring, flap up to a stabiliser…. Has a part number, batch number and serial number… the parts are made by approved manufacturers. You cannot go to Homebase and buy xyz..

    on any given day a member of the IAA can turn up, unannounced, demand to go through stock inventory, maintenance records as well as observation of work ongoing or that has been completed. Anomalies have serious repercussions, colossal fines, …if you so much as tell him / her to take a seat while you ask the boss, you’ll be in serious trouble. They have to be allowed to walk in unannounced like they own the place, access everything straight away…

    why is it not the same for medical professionals ? Medical businesses and services ? Can a state medical auditor not walk into a hospital, access independently the designated storage area for medical tools, parts and devices.. ensuring that…parts are stored correctly, staging area labeled correctly, area is secured, access is controlled….AND check each device / part ensuring the correct labels and documentation are present with each ? A bag of X parts sitting in a plastic bag, minus a label or paperwork and ..investigation, corrective actions and a fine…. Surely that is common sense…



  • Posts: 0 [Deleted User]


    To be perfectly honest this is really frightening. From my point of view it says you can’t trust the Irish healthcare system. If it can’t even keep track of implants, it just sounds like the whole thing is a chaotic mess.

    The state of the health system an actually makes me consider emigrating. It really is that bad. The stats look good on longevity and so on, but then you go to A&E or have to deal with utterly chaotic and often downright hostile administration, utterly ludicrous waiting lists, etc etc etc

    I don’t know why we put up with it. We pay tens of billions a year for this “system” and it basically treats us like dirt.





  • honestly it’s a wonder most people wouldn’t visit their GP unless they absolutely had to..

    I myself have had for three years a really bad stomach pain that used to be fairly infrequent but has in the past 6~ months become weekly or twice weekly in occurrence.

    Last time I went to the GP about it, getting absolutely no help previously was just told I’ll be referred to surgical clinic. For what surgery? I have no idea.

    What are they hoping to find? Beats me. Funnily enough every time I do visit the GP hoping for some insight I go through the same process and questions and leave in the same state I arrived no closer to understanding.

    honestly I perish the thought of ever having a very sick child. You’re just goosed.

    Post edited by Boards.ie: Mike on


  • Moderators, Category Moderators, Social & Fun Moderators, Society & Culture Moderators Posts: 23,280 CMod ✭✭✭✭Ten of Swords


    Threads merged



  • Registered Users Posts: 8,375 ✭✭✭BrianD3


    The Temple St scandal is just the tip of one iceberg and there are multiple icebergs. At least Temple St. is getting some attention as the idea of implanting industrial grade springs into children is horrific on a visceral level.

    It goes so far beyond temple St or even A&E. Major problems everywhere - primary care, community services, homecare, nursing homes, ambulance service, outpatients, elective care. I'm dealing with all of this myself as my relative has dementia and other conditions and as they cannot advocate for themselves, I have to do it. The chaos, ineptitude and unprofessionalism that I constantly encounter is staggering. I have made several formal complaints about obvious and fixable issues (e.g. non existent communication from a particular HSE office) the HSE complaints officer agreed with me that what I had experienced was unacceptable and said it would be sorted. Nothing has changed. This is just one small example.

    The Irish health service is like a house that had a unstable roof for decades with nobody thinking about what might happen if a major storm hit it. The major storm (Covid, increased population) has now hit and the house is starting to subside as well.

    Post edited by Boards.ie: Mike on


  • Registered Users Posts: 4,574 ✭✭✭jackboy


    People put too much stock in GPs. In reality they are little more than admin workers. The only way to diagnose anything is to test, whether a blood test or a scan. If you have any concern about your health you should only be going to a GP to get one of these tests organised. Do not listen to your GP if he tries to diagnose without testing as this common practice kills large numbers of people each year.



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


    I would echo this. There is no point going back to the GP unless you get him to send to a specialist who will get all the tests done abs organise the treatment.

    My father had what he thought was stomach bug and with elderly parents they won't tell you because they don't want to worrying. Anyway he goes the doctor and he gives tablets to settle his stomach they work for a bit but he has to go back and keeps being told the same thing. Finally they told us and we said we would got to A&E, he said no because he would end up on a chair. His Dr finally organised a scan but by the time the scan was due my dad was in hospital with untreatable bowel cancer. He died a few weeks later. I am only saying this because his GP was fobbing him off. I often wonder how many other patients are treated like this by health service GPs and consultants. Its seems like the HSE is run for those high up in it and anyone below them which the us the public are the bottom are a nuisance or irritant that needs to dismissed.



  • Registered Users Posts: 4,768 ✭✭✭jj880


    You have to raise hell to get anything besides a prescription and a boot out the door. Its been that way for years now.



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


    Terrible that it has to come down to whoever shouts loudest or causes most grief gets the service.



  • Registered Users Posts: 25,916 ✭✭✭✭Mrs OBumble


    Nonsense.

    And I'm speaking from personal experience.



  • Registered Users Posts: 1,454 ✭✭✭Caquas


    I’ll try to answer my own question because I’ve seen no good answer anywhere, Please correct my speculative answer if you actually know something about the case.

    • The tragic problems of children with spinal problems reached crisis levels some years ago as these children were left waiting in agony for years. Pressure was growing for an urgent solution
    • Temple St. is the “centre of excellence” for this issue (until the NCH is built😫), The surgeon there decided, in response to intense pressure, to use an experimental technique developed in the Netherlands. He explained the risks to the patients and their parents who agreed to proceed. The technique involved the use of springs but the EU has not yet approved any such device. Obviously, everyone on the medical team dealing with this surgery understood that this was an experimental technique.
    • Some (many?) of the patients suffered grave complications. One died. The parents sought legal advice. The obstacle to any legal action was that consent had been given to these procedures. But the use of uncertified springs was not mentioned to the parents explicitly. So that opened the door to legal action and it has become the focus of the controversy.




  • Registered Users Posts: 5,876 ✭✭✭Princess Calla


    I know everyone has their own levels of acceptability, but I seriously doubt parents would agree to the insertion of "trade" springs into their child's body. There's enough literature of bodies rejecting medical grade implants, so why would you risk your local hardware springs.



  • Registered Users Posts: 1,454 ✭✭✭Caquas


    i am saying the opposite- that the parents agreed to the procedure but weren’t specifically told that the EU had not approved the springs for use,

    That is what is meant by “experimental”

    But what if the parents had been told? How many years would you want your child to writhe in agony in order that the spring had EU approval?



  • Registered Users Posts: 7,299 ✭✭✭Tow


    It is not so much about the procedure using springs not being approved, but what appears to be the use of standard industrial grade metal springs. At a cost of about 4 quid each, these were not titanium, cobalt or high-tech ceramic springs.

    When is the money (including lost growth) Michael Noonan took in the Pension Levy going to be paid back?





  • Unfortunately using cheap grade materials did actually cause more writhing in agony. If people were, eg taking their children to Turkey (where clinics are not regulated, it’s patient beware) in good faith and receiving these, there’d be an outcry. We are regulated here for such matters, but the regulation has failed in this case.



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  • Registered Users Posts: 1,454 ✭✭✭Caquas


    But it seems the EU has not authorised any springs for this purpose (again, please correct me if I'm wrong and, better still, point to somewhere in all the recent media coverage which explains this).

    Do you mean that a better-quality spring could been purchased and that would have solved the problem although it too lacked EU authorisation?

    Or do you mean doctors here should never use anything which does not have EU approval I.e. that no experimental operations should be undertaken here?

    Post edited by Boards.ie: Paul on


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