24 October 2015
Dear Sirs,
I refer to the matter , and his plaint brought under Personal Injuries Proceedings Act 2002 against Central Queensland Health Service District for treatment received commencing June 2010 and subsequent.
I confirm that I am registered with the Medical Board of Australia as a Specialist General Surgeon, with my practice largely confined to Colorectal Surgery. My qualifications are Bachelor of Medicine, and Bachelor of Surgery with Honours (1979) from the University of New South Wales, Fellow of the Royal Australasian College of Surgeons (1987), Fellow of the Royal College of Surgeons of England (1987) and a Fellow of the American College of Surgeons. I am a member of, and past Director of, the Colorectal Surgical Society of Australia and New Zealand.
I have received instructions in this matter, dated 17 October 2012, and accompanying documentation being: the Claimant 's PIPA Notice of Claim
Two reports from Professor David Morris dated 18 August, 2011 and 28 December 2011 respectively ppearances are consistent with an ileus, and not with a bowel obstruction.
The pain he developed in the right upper abdomen on 26 June 2010 may have been due to an hepatic subcapsular haematoma as the CT scan demonstrated fluid surrounding the liver and not elsewhere in the abdomen (appended images: page 2).
There were none of the expected clinical features of anastomotic leakage prior to 1 July 2010 when a second CT scan was a requested. When performed on 2 July
DIAGNOSTIC DATA: White count was 13.4, hemoglobin and hematocrit 15.4 and 45.8, platelets 206, with an 89% shift. Sodium 133, potassium 3.7, chloride 99, bicarb 24, BUN and creatinine are 18 and 1.1, respectively. Glucose 146, albumin 4.3, total bilirubin 1.7. The remainder of the LFTs is within normal limits. Urinalysis reveals trace ketones with 100mg per decilitre protein and a small amount of blood. CT scan was performed revealing evidence of acute appendicitis with pericecal inflammation, as well as, dilatation of the appendix and
HISTORY OF PRESENT ILLNESS: This 46-year old gentleman with past medical history significant only for degenerative disease of the bilateral hips, secondary to arthritis presents to the emergency room after having had 3 days of abdominal pain. It initially started 3 days ago and was a generalized vague abdominal complaint. Earlier this morning the pain localized and radiated to the right lower quadrant. He had some nausea without emesis. He was able to tolerate p.o earlier around 6am, but he now
History of Present Illness: The patient is a 27-year-old male complaining of right lower-quadrant abdominal pain, nausea, and
During the time of the claimant met with Jessica McClellan and Supervisor Jovany Villanueva, he alleged that the claimant never reported or complained about her alleged injuries that she had in her claim. He states prior to the claimant being called into the office on 2-21-15, he had not seen or heard the claimant complain of being injured at work prior to when being called into the office. The claimant did not attempt to either contact him or anyone else he is aware of that knew of the claimants injuries.
Contrary to the alleged, Dr. Brock refuted the claim, defending that he never established a doctor-patient relationship with Anita, which relieves him of liability. In order to validate his refute, Dr. Brock provided four factual elements that were supported by his counterparts; Dr. Whitfield and Dr. Ketcham. The four elements that were presented in the affidavit included: (1) That there has never been a doctor-patient relationship between Dr. Brock and Anita Oliver, (2) Dr. Brock has never seen or talked to Anita or Cathy Oliver, (3) Dr. Brock was not employed, engaged or requested to serve as a consultant to treat Anita, (4) and Dr. Brock was not employed or engaged to consult with doctors treating Anita, concerning complaints or medical problems. In order to support Dr. Brock’s refute, Dr. Whitfield and Dr. Ketcham provided affidavit’s as
History of Present Illness: The patient is a 27-year-old male complaining of right lower-quadrant abdominal pain, nausea, and
The point of contact for this action is Mr. Tim Seibert, Program Manager, GoArmyEd at
As a result of the events referred to in their particulars of claim the claimant is now represented by Bloomingdale Solicitors to launch to launch a civil action against Friends Health NHS Foundation Trust on 31 August 2010.
Please advise the next steps in this process or, if there is a procedure document available let me know where I can find it.
The patient complained of right lower quadrant pain and of feeling faint. Dr. O'Donnel documented a chief complaint, a brief history of present illness, and a systemic review of the gastrointestinal system and respiratory system. Dr. O'Donnel also documented a complete examination of all body systems, which included all required elements. Medical decision making was of moderate complexity.
Assess: Caroline Morris is a day five post-operative ileostomy patient with a thirty year history of ulcerative colitis. Her vital signs have been stable. She has been experiencing pain which she has rated an eight out of ten however, she refuses further pain medication. She is ready for discharge.
He was admitted to the ICU because he had surgery to redone his stoma He was intubated because of respiratory failure after his abdominal surgery. his condition is very critical because the fluid from his wound vac and colostomy is dark red and patient is in distress. He was on constant monitoring for a change in his
ABDOMEN: The lung basis appeared unremarkable. The liver, spleen, gallbladder, adrenals, kidneys and pancreas and abdominal aorta appeared unremarkable. The bowels seen on the study appeared thickened. Dilated appendix seen constant with acute appendicitis. Osseous structures of the abdomen appeared unremarkable. No free air was seen.
What was the HIH board doing while this saga was going on? What should they have done?
The tort law section that falls into this case is negligence. Negligence is made up of three elements which determine negligence and duty of care is owed in this case State of Victoria v Bryar [1970] 44 ALJR 174.