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North Wales Chronicle
3 days ago
- Health
- North Wales Chronicle
Consultant should have referred teenager to intensive care, tribunal rules
Martha Mills, 13, had been an inpatient on the Rays of Sunshine Ward at King's College Hospital in London after she suffered a serious injury to her pancreas when she slipped while riding a bike on a family holiday in Wales in July 2021. Weeks later she experienced a fever, increased heart rate and had a catheter inserted into her vein, which was 'ultimately considered' to be a likely source of the infection that led to her death from sepsis, the Medical Practitioners Tribunal Service (MPTS) hearing was told. More spikes in her temperature followed, before consultant hepatologist Professor Richard Thompson saw Martha on his morning ward round on Sunday August 29 at the hospital, one of three locations in the UK which specialise in the treatment of paediatric pancreatic injuries. The on-call consultant left the hospital at 3pm, but was phoned at home two hours later by a trainee doctor, who gave an update on Martha's condition. Medical records showed she had deteriorated over the course of the afternoon, and into the early evening, with a drop in her blood pressure, the appearance of a new rash and increases in heart rate, respiratory rate and body temperature. Tribunal chairman Robin Ince noted that by 5pm there were 'several high-risk indicators' as set out in the Nice guidelines relating to sepsis. He said: 'These changes collectively indicated a sudden and significant deterioration for no clearly identified reason…it was evident that by around 5pm the clinical condition of Martha justified escalation to PICU (paediatric intensive care unit) and this opportunity was not taken.' The duty registrar called Prof Thompson again at 8.30pm because of ongoing concerns over Martha's fever, but she was kept on the ward despite the continued presence of moderate to high-risk indicators and the absence of meaningful clinical improvement, said the tribunal. Mr Ince said: 'The tribunal notes that Professor Thompson expressed a preference to prearrange any PICU involvement, rather than having PICU clinicians arrive unexpectedly and cause distress to Martha's parents. 'While the tribunal understands the desire to manage the family anxiety sensitively, this did not, in its view, justify withholding or delaying a clinically indicated escalation of care.' He added: 'The tribunal therefore concluded that the GMC (General Medical Council) has proved its case that Professor Thompson failed to take more aggressive intervention from 12 noon onwards in that he did not escalate Martha to the PICU team for a direct clinical review.' The tribunal also ruled that Prof Thompson should have conducted a direct in-person review and assessment of Martha, including the developing rash, from 5pm, which would have been 'beneficial'. Mr Ince said: 'He would no doubt have discovered that no observations had been taken in respect of Martha from 2pm to at least 4.45pm. 'The tribunal notes that one of the advantages of escalating a patient to PICU would have been an increased level of monitoring. 'Although no explanation has been given to the tribunal for the failure to monitor Martha between 2pm and 4.45pm, this absence of monitoring on the ward would no doubt have been a significant factor in justifying such an escalation.' The tribunal cleared Prof Thompson of the GMC's allegations that he gave 'outdated, misleading' information on Martha's condition to a consultant colleague in the intensive care unit, and that he failed to mention her rash. Martha collapsed on August 30 and was moved to intensive care, before she was transferred to London's Great Ormond Street Hospital, where she died in the early hours of August 31. At a 2022 inquest into her death a coroner ruled Martha would most likely have survived if doctors had identified the warning signs and transferred her to intensive care earlier. Martha's mother, Merope Mills, an editor at The Guardian, said she and her husband, Paul Laity, raised concerns about Martha's deteriorating health a number of times but these were not acted on. The couple later successfully campaigned for Martha's Rule to give patients, families and carers the chance to easily request a second opinion from a senior doctor in the same hospital in the event of a suspected deterioration or serious concern. The MPTS hearing in Manchester continues as the tribunal considers whether Prof Thompson's fitness to practise is impaired.
South Wales Guardian
3 days ago
- Health
- South Wales Guardian
Consultant should have referred teenager to intensive care, tribunal rules
Martha Mills, 13, had been an inpatient on the Rays of Sunshine Ward at King's College Hospital in London after she suffered a serious injury to her pancreas when she slipped while riding a bike on a family holiday in Wales in July 2021. Weeks later she experienced a fever, increased heart rate and had a catheter inserted into her vein, which was 'ultimately considered' to be a likely source of the infection that led to her death from sepsis, the Medical Practitioners Tribunal Service (MPTS) hearing was told. More spikes in her temperature followed, before consultant hepatologist Professor Richard Thompson saw Martha on his morning ward round on Sunday August 29 at the hospital, one of three locations in the UK which specialise in the treatment of paediatric pancreatic injuries. The on-call consultant left the hospital at 3pm, but was phoned at home two hours later by a trainee doctor, who gave an update on Martha's condition. Medical records showed she had deteriorated over the course of the afternoon, and into the early evening, with a drop in her blood pressure, the appearance of a new rash and increases in heart rate, respiratory rate and body temperature. Tribunal chairman Robin Ince noted that by 5pm there were 'several high-risk indicators' as set out in the Nice guidelines relating to sepsis. He said: 'These changes collectively indicated a sudden and significant deterioration for no clearly identified reason…it was evident that by around 5pm the clinical condition of Martha justified escalation to PICU (paediatric intensive care unit) and this opportunity was not taken.' The duty registrar called Prof Thompson again at 8.30pm because of ongoing concerns over Martha's fever, but she was kept on the ward despite the continued presence of moderate to high-risk indicators and the absence of meaningful clinical improvement, said the tribunal. Mr Ince said: 'The tribunal notes that Professor Thompson expressed a preference to prearrange any PICU involvement, rather than having PICU clinicians arrive unexpectedly and cause distress to Martha's parents. 'While the tribunal understands the desire to manage the family anxiety sensitively, this did not, in its view, justify withholding or delaying a clinically indicated escalation of care.' He added: 'The tribunal therefore concluded that the GMC (General Medical Council) has proved its case that Professor Thompson failed to take more aggressive intervention from 12 noon onwards in that he did not escalate Martha to the PICU team for a direct clinical review.' The tribunal also ruled that Prof Thompson should have conducted a direct in-person review and assessment of Martha, including the developing rash, from 5pm, which would have been 'beneficial'. Mr Ince said: 'He would no doubt have discovered that no observations had been taken in respect of Martha from 2pm to at least 4.45pm. 'The tribunal notes that one of the advantages of escalating a patient to PICU would have been an increased level of monitoring. 'Although no explanation has been given to the tribunal for the failure to monitor Martha between 2pm and 4.45pm, this absence of monitoring on the ward would no doubt have been a significant factor in justifying such an escalation.' The tribunal cleared Prof Thompson of the GMC's allegations that he gave 'outdated, misleading' information on Martha's condition to a consultant colleague in the intensive care unit, and that he failed to mention her rash. Martha collapsed on August 30 and was moved to intensive care, before she was transferred to London's Great Ormond Street Hospital, where she died in the early hours of August 31. At a 2022 inquest into her death a coroner ruled Martha would most likely have survived if doctors had identified the warning signs and transferred her to intensive care earlier. Martha's mother, Merope Mills, an editor at The Guardian, said she and her husband, Paul Laity, raised concerns about Martha's deteriorating health a number of times but these were not acted on. The couple later successfully campaigned for Martha's Rule to give patients, families and carers the chance to easily request a second opinion from a senior doctor in the same hospital in the event of a suspected deterioration or serious concern. The MPTS hearing in Manchester continues as the tribunal considers whether Prof Thompson's fitness to practise is impaired.
Telegraph
17-04-2025
- Health
- Telegraph
Doctor used picture with patient's ‘exposed brain' on dating site
A doctor who used a picture of himself taking part in a brain surgery on a dating profile is facing a ban from medicine. Dr Sayed Talibi, from Tamworth, Staffordshire, described himself as a '28-year-old brain surgeon' and uploaded the image which showed the exposed brain of a patient without their consent. It was among a string of complaints upheld by a medical tribunal against him, including making racist statements towards others, assaulting a woman and behaving 'in a threatening, abusive and sexually motivated manner towards her'. He was also pictured with banned weapons, including a large number of knives and an axe. The Medical Practitioners Tribunal Service (MPTS) found his fitness to practise was impaired due to his misconduct. A decision on what sanctions to impose on Dr Talibi will be decided over the summer. 'I hate white people' The ruling said the doctor carried out an attack on a woman, identified only as Ms A, when she had not consented. He also subjected her to violence and threatened to waterboard her, it was heard. Detailing its findings, the Service said Dr Talibi had used racist language to describe others. It was determined and proven he said 'I do not like Afghan culture, I hate Afghan culture,' as well as 'I hate kuffar and white people' and 'I hate this country, I hate Afghan people equally.' He was also banned from Asda after failing to scan his shopping at a supermarket and tried to offer money to a security guard to halt a probe. The panel found he lied about an energy bill he blamed on a tenant and illegally made an audio recording of a court hearing. In a ruling, the service's panel, sitting in Manchester, told him: 'Your actions and the course of conduct risked bringing the profession into disrepute. 'And that by reason of the matters set out above, your fitness to practise is impaired because of your misconduct.'
Yahoo
17-04-2025
- Health
- Yahoo
Doctor used picture with patient's ‘exposed brain' on dating site
A doctor who used a picture of himself taking part in a brain surgery on a dating profile is facing a ban from medicine. Dr Sayed Talibi, from Tamworth, Staffordshire, described himself as a '28-year-old brain surgeon' and uploaded the image which showed the exposed brain of a patient without their consent. It was among a string of complaints upheld by a medical tribunal against him, including making racist statements towards others, assaulting a woman and behaving 'in a threatening, abusive and sexually motivated manner towards her.' He was also pictured with banned weapons, including a large number of knives and an axe. The Medical Practitioners Tribunal Service (MPTS) found his fitness to practise was impaired due to his misconduct. A decision on what sanctions to impose on Dr Talibi will be decided over the summer. The ruling said the doctor carried out an attack on a woman, identified only as Ms A, when she had not consented. He also subjected her to violence and threatened to waterboard her, it was heard. Detailing its findings, the Service said Dr Talibi had used racist language to describe others. It was determined and proven he said 'I do not like Afghan culture, I hate Afghan culture,' as well as 'I hate kuffar and white people' and 'I hate this country, I hate Afghan people equally.' He was also banned from Asda after shopping was not scanned at a supermarket and tried to offer money to a security guard to halt a probe. The panel found he lied about an energy bill he blamed on a tenant and illegally made an audio recording of a court hearing. In a ruling, the Service's panel, sitting in Manchester, told him: 'Your actions and the course of conduct risked bringing the profession into disrepute. 'And that by reason of the matters set out above your fitness to practise is impaired because of your misconduct.' Broaden your horizons with award-winning British journalism. Try The Telegraph free for 1 month with unlimited access to our award-winning website, exclusive app, money-saving offers and more.
BBC News
16-04-2025
- Health
- BBC News
Tamworth doctor who shared surgery image on dating profile
A doctor has been found guilty by a tribunal of making racist statements about others, assaulting a woman and behaving "in a threatening, abusive and sexually motivated manner towards her."The Medical Practitioners Tribunal Service (MPTS) found that Sayed Talibi, from Tamworth, also uploaded a picture of himself operating on a patient to his dating profile, without the patient's MPTS determined on Wednesday that Dr Talibi's fitness to practise was impaired. A decision on what sanctions will be taken is due to be made in August. Dr Talibi's tribunal began with a three-week hearing in April 2024 after the General Medical Council (GMC) brought a case against him.A further hearing took place the following November and December, with another in January this year. The tribunal found that Dr Talibi:between 2016 and 2017, behaved in a threatening or abusive manner towards a woman, including stating that he would subject her to waterboardingbetween 2016 and 2017, physically assaulted the womanin 2017, intentionally penetrated the woman without her consentcontacted the woman in 2018 in breach of a non-molestation orderuploaded an inappropriate picture of himself to a dating website in September 2017, which showed him performing brain surgery and included the exposed brain of the patient, without the patient's permissionillegally recorded his own hearing at Birmingham Magistrates' Court in January 2017 when he was due to be sentenced for driving offencesbetween January 2016 and August 2017, made racist or derogatory statements including "I hate Afghan culture" and "I hate kuffar [non-Muslims] and white people", or words to that effectposed for photographs between 2007 and 2017 while holding guns, knives and an axeon more than one occasion downloaded and/or viewed video footage of beheadings and killings and an image of a waterboarding devicestole £23.50 worth of milk powder from a branch of Asda in Tamworth in May 2017provided false information to his energy provider over a £770 energy bill in June 2017The MPTS found that Dr Talibi's behaviour risked bringing the profession into disrepute and determined that his fitness to practise was tribunal is due to reconvene on 6 August, when Dr Talibi could be banned from practising medicine or have his medical registration MPTS may also choose to take no further action against him. Follow BBC Stoke & Staffordshire on BBC Sounds, Facebook, X and Instagram.
