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The first is to inform readers of news and happenings in the e-Health domain, both here in Australia and world-wide.
The second is to provide commentary on e-Health in Australia and to foster improvement where I can.
The third is to encourage discussion of the matters raised in the blog so hopefully readers can get a balanced view of what is really happening and what successes are being achieved.
Quote Of The Year
Timeless Quotes - Sadly The Late Paul Shetler - "Its not Your Health Record it's a Government Record Of Your Health Information"
or
H. L. Mencken - "For every complex problem there is an answer that is clear, simple, and wrong."
Tuesday, June 18, 2024
I Have To Say This Is Really A Worrying Story That Gets Worse The More You Think About It!
\This appeared last week:
Circumcision doctor accused of ‘amputation’ fails to
have ban lifted amid appeal
A
prolific circumcision doctor has lost his battle to perform operations while he
appeals a medical board decision, as new details emerge about one of his
newborn patients suffering an “amputation or partial amputation” of his penis
and another needing a blood transfusion.
Dr
Hershel Goldman, who estimates he has performed 20,000 circumcisions, has
sought to overturn an April ban imposed by the Medical
Board of Australia that prevents the Melbourne doctor from performing
circumcisions. His appeal remains ongoing, and Goldman applied to have the ban
lifted until the appeal concluded.
But the Victorian Civil and Administrative Tribunal rejected the 63-year-old’s request to delay the ban ahead of a full appeal hearing and decision this year.
In a May 30 decision published by the tribunal this week, it was alleged that Goldman performed a circumcision on a seven-day-old baby “where amputation or partial amputation of the penis occurred”.
The baby’s family claims that Goldman “pressed on with the ritual prayers for several minutes and delayed providing care to the infant” after their baby bled more than usual after the operation.
“Further, once confirming the amputation, concerns have been raised that Dr Goldman had no procedures in place to manage the complication, with management of the emergency being undertaken by guests at the party who were also medical practitioners,” the family told the Medical Board of Australia’s immediate action committee.
Goldman’s clinical records do not detail when he phoned an ambulance.
In another case considered by the board, another of Goldman’s seven-day old patients required sutures and a blood transfusion after a circumcision in a family home.
It is alleged that after the procedure, Goldman applied a bandage to the baby boy and instructed the parents to keep his nappy on for four hours.
Goldman
then advised the family he was travelling interstate and provided no on-call
coverage after he left their home, they told the committee.
When
the parents removed their son’s nappy four hours later, they said they
discovered “significant bleeding”. They said they contacted Goldman and he
advised them to travel to a hospital 40 minutes away for a review. The baby
required stitches and a blood transfusion at the hospital.
The
family in the second case also raised concerns about Goldman’s hygiene
practices and claimed he washed his hands in the kitchen sink and used a tea
towel to dry them before performing the procedure.
Goldman
told the committee that bleeding requiring sutures was not a sign of any error,
but that sutures were required in a small number of circumcision cases.
He
denied telling the infant’s parents that they should not remove his nappy for
four hours after the circumcision.
Goldman
said he told the parents to check the infant during routine nappy changes
within four hours of the procedure.
He
also denied he had poor hygiene and submitted that he used surgical antiseptic
after washing his hands with soap and water and dried them on a clean tea towel
supplied by the baby’s parents.
In
the first case, Goldman maintains that a partial amputation – not full –
occurred but acknowledged the seriousness of this complication. He also denied
the parents’ claims he performed the circumcision in poor lighting.
The
doctor submitted to the tribunal that he should be allowed to continue
performing circumcisions in clinical settings only, and not in people’s homes,
while the appeal process was ongoing.
Goldman
told VCAT he had performed circumcisions for 40 years, and that what he
referred to as the partial amputation was his first major complication in that
time.
He
argued he would suffer a “devastating financial impact” if he was banned from
performing circumcisions. It would also have a detrimental impact on the Jewish
and non-Jewish community, as half his clients were Muslim, he said.
But
VCAT deputy president Ian Proctor said the evidence did not give him confidence
that the serious risk posed by Goldman could be satisfactorily reduced by
banning only in-home religious procedures.
“The
paramount principle of the protection of the public and public confidence in
the safety of services provided by registered health practitioners outweighs Dr
Goldman’s personal interest in continuing his circumcision practice and
community interest in him being able to do so,” Proctor said.
The
substantive appeal will be heard at a later date.
Surely this is a procedure that
should only happen in ideal conditions (light, anti-sepsis etc.) in the hands
of someone who is fully trained in the procedure and how to manage any
complications.
The idea of this procedure happening
at a party suggests to me all those involved had / have essentially “taken
leave of their senses!” You can die of hemorrhage from this for heaven’s
sake!!!!
Worse still , it seems this bloke is
only in it for the money!
Heaven spare us from such nonsense, and practitioners of this ilk.
What a terrible story!
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