Hospital Docs Beg Drugmakers To Pay For Staff
Staffing shortfalls are so acute at Liverpool Hospital in Sydney, Australia, that senior doctors have been lobbying drugmakers for funds to privately recruit workers, according to a public inquiry into New South Wales hospitals, The Sydney Morning Herald reports.
The issue raises questions of the independence of the medical profession after it was revealed last month that drugmakers had paid $30 million for doctors and nurses to attend educational events.
Suzanne Hodgkinson, a senior neurologist at the hospital, told the inquiry that she approached a drugmaker for $20,000 to pay for an administrative assistant. She said morale among staff had dropped in recent years due to chronically low staffing levels and increased workloads, with senior doctors often having to do more menial tasks traditionally assigned to administrative staff.
“I considered I had insufficient clerical support and, so as to try and remedy that, I approached a company to help me with that on a temporary, part-time basis,” she confessed, but wouldn’t reveal which drugmaker paid the money. However, she said the practice was widespread. “This was just a very discreet example, so I have other examples as well. Quite a few senior doctors do try to raise money to help with the provision of services”.
And do you think the drugmakers received anything in return?
fraud
Years in hospital for nothing
Ron Hicks
17dec05 the Australian
TEENAGER Samantha Farr spent four years bedridden in a $650-a-day hospital room after being diagnosed with a rare immune disorder that independent medical experts say she may never have had.
In a case the NSW Health Care Complaints Commission found involved “serious identified breaches of practice”, Ms Farr has been left diabetic, addicted to drugs and with no reproductive cycle after her treatment.
Now 21, Ms Farr also suffered a series of serious health setbacks during her hospital stay, including kidney and liver failure, septic shock, lung disease and catching a hospital “superbug”.
Health investigators are now pursuing answers from a number of hospitals and neurologist Suzanne Hodgkinson over the case, which cost taxpayers millions of dollars in public hospital costs.
Her family is seeking millions in compensation from the NSW Government.
Ms Farr’s father, Andy, claims she “nearly died” as a result of the treatment at Liverpool Hospital in southwest Sydney.
“Sam has lost four years of her life and she has been physically and psychologically damaged for life. It is appalling that a leading hospital could do this to a patient,” he said.
Dr Hodgkinson is the wife of controversial University of NSW professor of immunology Bruce Hall, who was publicly accused of exaggerating laboratory results before obtaining a federal research grant. Professor Hall - whom an inquiry later found guilty of academic misconduct but cleared of scientific fraud - was the director of medicine at Liverpool while his wife was treating Ms Farr there.
The Farr family’s saga began in Cairns in 2000 when Ms Farr, then barely 16, suddenly “stopped breathing”.
After a battery of tests, Cairns Base Hospital doctors could not find a cause and referred the case to specialists at Sydney Children’s Hospital in Randwick, where doctors diagnosed her with a rare and obscure disease called myasthenia gravis, which affects five in every 100,000 people.
This is caused by an abnormality of the immune system in which antibodies attack or attach themselves to the nerve endings that control muscle movement, including breathing.
In 2001, Mr Farr and his wife Kim moved to Blackheath in the Blue Mountains west of Sydney and after an attack Ms Farr was transferred to Liverpool Hospital, where she was seen by the head of neurology, Dr Hodgkinson.
“Dr Hodgkinson told us Sam was suffering from ‘refractory’ myasthenia gravis and that she needed ‘aggressive treatment’ or she would die,” Mr Farr said.
Mr Farr, who now has access to all her daughter’s medical records, said she was given “dozens of plasma exchanges that did nothing”; strong immuno-suppressant drugs; corticosteroids; morphine-based painkillers; anti-cancer drugs; and … powerful myasthenia gravis drugs, all of which had side effects”.
“The crazy thing was that one of these drugs in particular had side-effects that mimic the disease, affecting muscle movement and breathing,” he said. “Every time we saw Sam she seemed worse … Dr Hodgkinson told us that if Sam stopped taking this particular drug she would ‘die within hours’.” That is why Mr Farr was so disturbed when he went to Liverpool Hospital in April to find out that Dr Hodgkinson was on “stress leave”.
Her patients were given to another neurologist, who immediately sent Ms Farr to specialists at the Royal Prince Alfred Hospital, the main teaching hospital for Sydney University, for a second opinion. Mr Farr said most of the tests came up negative, including the test for raised antibodies.
By this time, Mr Farr had complained to his MP and then health minister Morris Iemma, who ordered another “independent neurological assessment” by a retired neurology professor at Sydney University.
“The professor concluded that, at worst, at some stage, Samantha may have had a ‘mild case’ of myasthenia gravis — effectively ‘drooping eyelid’,” Mr Farr said.
Dr Hodgkison yesterday defended her diagnosis, saying “there were excellent reasons for believing Samantha had myasthenia gravis”.
Dr Hodgkinson said she did “reassess” Samantha through her 3 1/2 years in hospital under her care. “It was a long, long time, but she was a very sick girl.”
A spokesman for the NSW Health Minister John Hatzistergos said: “It is not appropriate to comment as the case has been referred to the Health Care Complaints Commission for investigation.”
But a spokesman for the NSW Southwest Area Health Service said: “This is a very complex case and the hospital remains in close contact with the family. It is being investigated internally and externally at the Area Health Service’s request.
“Our investigations have led to a full review of our protocols and procedures, particularly regarding long-term patients.”
Hospital Begs Pharma To Pay For Staff | Pharma Night Fever
[...] Tom Taulli wrote an interesting post today onHere’s a quick excerptbeggar.jpg Staffing shortfalls are so acute at Liverpool Hospital in Sydney, Australia, that senior doctors have been lobbying drugmakers for funds to privately recruit workers, according to a public inquiry into New South Wales … [...]