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catbirdsteed wrote:It's damned easy these days to get in bed with the wrong fellows, isn't it?
£500,000 payout for autistic boy left fighting for life after being used as an MMR guinea pig
An autistic boy has won a £500,000 payout after a hospital at the centre of an MMR scandal carried out an operation that was "not clinically justified".
Jack Piper, then five, was left battling for life after the procedure, which his parents claim was carried out to establish links between his condition and bowel problems.
His bowel was perforated in more than 12 places during surgery at the Royal Free Hospital in Hampstead, North London.
At the time, the hospital was at the centre of a controversy after employee Dr Andrew Wakefield claimed that the triple measles, mumps and rubella (MMR) jab was linked to autism and bowel problems.
High Court papers alleged the colonoscopy procedure performed on Jack in 1998 was "not clinically indicated or justified".
They also claimed the "principal reason" for the surgery was to further research into links between autism and bowel conditions rather than Jack's clinical needs.
The documents also claimed that Jack's parents were not warned of the risks of the procedure or the "controversial and uncertain" link between autism and bowel conditions.
This meant the surgery was performed "without lawful consent" and was an "assault" on Jack.
The Royal Free Hospital insists that staff had gone through all the pros and cons with Jack's parents.
The colonoscopy was suggested by Professor Simon Murch.
He is being investigated by the General Medical Council over allegations that he carried out invasive tests including colonoscopies on 11 other children contrary to their best clinical interests.
Prof Murch, now professor of paediatrics and child health at Warwick Medical School, denies the charges.
If he is found guilty of serious professional misconduct, he could be struck off.
High Court judge David Mitchell last week approved a £482,300 cash settlement made to Jack by the Royal Free Hampstead NHS Trust.
The hospital admitted the operation itself was negligent and gave Jack and his family a public apology.
Claims by his parents that they could not give proper consent for the operation, and that the procedure amounted to assault, were not tested in court.
The NHS hospital could end up with a bill for a further £1million, depending on Jack's future care needs.
Jack, who lived in Hertfordshire before his family moved to York, had the operation, which went "catastrophically wrong", in November 1998.
He then spent two weeks in intensive care at Great Ormond Street Hospital in Central London.
He suffered multiple organ failure, including kidney and liver problems, a swollen brain and neurological problems. He has also developed epilepsy and suffered stomach ulcers.
The botched operation "significantly increased" his dependence on others.
Now aged 14, Jack needs round-the-clock care.
barracuda wrote:That looks to be enormously fun, I must say. But at the moment, we have no posting guidelines in specific prohibition regarding affirmations of the principles of the Knights of Malta beyond the overriding "anti-fascism" rules.
With regard to nine of the eleven children (2,1, 3, 4, 6, 9, 5,12 and 8 ) considered by the Panel, it determined that Dr Wakefield caused research to be undertaken on them without Ethics Committee approval and thus without the ethical constraints that safeguard research. Ethical constraints are there for the protection both of research subjects and for the reassurance of the public and are crucial to public trust in research medicine. It was in the context of this research project that the Panel found that Dr Wakefield caused three of these young and vulnerable children, (nos. 3, 9 and 12) to undergo the invasive procedure of lumbar puncture when such investigation was for research purposes and was not clinically indicated. This action was contrary to his representation to the Ethics Committee that all the procedures were clinically indicated. In nine of the eleven children (2,1, 3, 4, 9, 5,12, 8 and 7) the Panel has found that Dr Wakefield acted contrary to the clinical interests of each child. The Panel is profoundly concerned that Dr Wakefield repeatedly breached fundamental principles of research medicine. It concluded that his actions in this area alone were sufficient to amount to serious professional misconduct.
On behalf of Dr Wakefield, no evidence has been adduced and no arguments or pleas in mitigation have been addressed to the Panel at this stage of the proceedings. In fact Mr Coonan specifically submitted:“......we call no evidence and we make no substantive submissions on behalf of Dr Wakefield at this stage.” “...I am instructed to make no further observations in this case”.
The Panel made findings of transgressions in many aspects of Dr Wakefield’s research. It made findings of dishonesty in regard to his writing of a scientific paper that had major implications for public health, and with regard to his subsequent representations to a scientific body and to colleagues. He was dishonest in respect of the LAB funds secured for research as well as being misleading. Furthermore he was in breach of his duty to manage finances as well as to account for funds that he did not need to the donor of those funds. In causing blood samples to be taken from children at a birthday party, he callously disregarded the pain and distress young children might suffer and behaved in a way which brought the profession into disrepute.
In causing blood samples to be taken from children at a birthday party, he callously disregarded the pain and distress young children might suffer and behaved in a way which brought the profession into disrepute.
lupercal wrote:This and some alleged failure of financial hyper-vigilance is being represented as "elaborate fraud"? How inane is that? Whatever the shortcomings of Wakefield's research they clearly don't merit the treatment he's getting, and it's not like we don't regularly see this kind of b.s. in Congress (Charlie Rangel's stationery, Tip O'Neill's stamps, or was that Tom Foley, the list of overhyped Dem infractions is endless).
The panel found he had subjected 11 children to invasive tests such as lumbar punctures and colonoscopies that they did not need, without ethical approval.
lupercal wrote:Anyway Wakefield is a distraction...
The results of the research project were written up as an early report in the
Lancet in February 1998. Dr Wakefield as a senior author undertook the
drafting of the Lancet paper and wrote its final version. The reporting in that
paper of a temporal link between gastrointestinal disease, developmental
regression and the MMR vaccination had major public health implications and
Dr Wakefield admitted that he knew it would attract intense public and media
interest. The potential implications were therefore clear to him, as
demonstrated in his correspondence with the Chief Medical Officer of Health
and reports which had already appeared in the medical press. In the
circumstances, Dr Wakefield had a clear and compelling duty to ensure that
the factual information contained in the paper was true and accurate and he
failed in this duty.
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