A DUBLIN-based doctor who bootless to backpack out an ECG analysis on a accommodating with chest pains who died a few canicule afterwards has had a award of poor able achievement fabricated adjoin him.
he Irish Medical Council’s fitness-to-practise board begin above reasonable agnosticism that Dr Ammar Alhassan of the Saggart Medical Centre in Saggart, Co Dublin, had bootless to backpack out or align a analysis for Noel Mannix, who had alternate to his dispensary in November 2016 for a additional time aural a ages with complaints of chest pains.
The committee additionally fabricated two added allegation of poor able achievement adjoin Dr Alhassan over his abortion to additionally accredit Mr Mannix for an burning cardiac appraisal and to accumulate able medical annal of his consultations with the patient.
Dr Alhassan, who able as a doctor in Iraq in 1994 and who has formed in Ireland aback 2004, had contested the allegations of poor able achievement fabricated on bottom of a complaint from the patient’s widow, Annie Mannix.
Mr Mannix (56), a above gym adviser in the Air Corps who was alive as a disciplinarian for the Korean Ambassador, died from a abrupt affection advance at his home in Newcastle, Co Dublin, on November 19, 2016.
The analysis heard there was a cogent history of affection problems in his family, while he had additionally been on medication for aerial claret burden and aerial cholesterol levels.
It was told there was a altercation amid Ms Mannix and Dr Alhassan over what referrals had been fabricated during her husband’s aftermost appointment to his surgery.
Ms Mannix claimed he was alone referred to the Hermitage Medical Dispensary for a ambit on his stomach, while Dr Alhassan maintains he had additionally provided a barometer to the Beacon Hospital for a CT angiogram.
The board chairperson, Marina Lynch, said it accustomed the affirmation of Ms Mannix whom she declared as “a credible, accurate and honest witness.”
Ms Lynch said the allegation represented a austere abortion by Dr Alhassan to accommodated the standards of adequacy accustomed from a GP.
The committee’s recommended sanctions are not fabricated public.
In evidence, Ms Mannix said Dr Alhassan had assigned her bedmate with medication for abdomen problems afterwards he visited his dispensary in October 2016 afterwards accusatory of chest pains.
Ms Mannix said she accompanied her bedmate to the dispensary aback he alternate to appointment Dr Alhassan aural a ages with continuing chest pains as she was anxious he had not been diagnosed properly.
She said Dr Alhassan had told her a affection analysis could be baleful and alarming aback she had asked for one to be agitated out on her husband.
“When I heard that it chock-full me in my tracks,” she recalled.
Ms Mannix said the doctor had assigned a altered medication for abdomen problems as he capital to annihilate that afore application of affection issues.
She durably alone the advancement that Dr Alhassan had provided them with a barometer letter for a affection analysis in the Beacon Hospital.
Ms Mannix recalled her bedmate demography her face in his easily alfresco the anaplasty and saying: “Please Annie, no added worrying. We’re activity to assurance the doctor now.”
Fighting aback tears, she added: “I so ambition we hadn’t.”
Under assay by Andrew Feighery BL for Dr Alhassan, Ms Mannix bidding abruptness at a advertence in the doctor’s medical addendum about bloom allowance for an angiogram.
Ms Mannix said she could not explain the agenda as afar from prescribing a altered medicine, Dr Alhassan had alone brash her bedmate to stop demography aspirin.
An able witness, Dr Zachary Johnson, said not accustomed out an ECG analysis represented a austere abortion in the circumstances.
“I would accede it the accustomed of care, decidedly aback addition comes aback a additional time with the aforementioned symptoms,” said Dr Johnson.
He told the analysis that Dr Alhassan should accept prioritised investigations into cardiac issues over abdomen problems.
“It would accept fabricated added faculty to prioritise the cardiac investigations, alike if they about-face out to be unnecessary, but you don’t appetite to absence article that is potentially life-threatening,” said Dr Johnson.
He said Dr Alhassan’s medical annal did not certificate an able appraisal of Mr Mannix including his ancestors history and accident factors.
Dr Johnson said it was a austere amount if Dr Alhassan had recorded authoritative a barometer aback he did not, although he accustomed there was adverse affirmation on the issue.
Mr Feighery said it was “unacceptable” that a doctor with acceptable continuing who had never ahead appear to the absorption of the Irish Medical Board should accept the accurateness of his medical addendum questioned.
He additionally said no inference should be taken from his client’s accommodation not to accord evidence.
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