A GP has been found in violation of the Patient’s Rights Act for failing to properly advise a patient of deteriorating renal function, or to implement a plan to manage his condition. (file image)
A doctor was warned after failing for five years to properly inform the man that his kidney function was deteriorating.
The man is now in Fourth stage kidney failure You may need a transplant.
On Monday, Deputy Commissioner for Health and Disability Morag McDowell found the GP violated the Patient Rights Act due to “deficiencies” in patient care and recommended that the Medical Board consider whether a review of his competence was warranted.
McDowell’s report, released Monday, said the patient, in his 30s, saw his GP for an annual check-up in July 2015.
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The patient asked for Brufen (Anti-inflammatoryor NSAID) for chronic back pain.
Tests showed abnormal kidney (kidney) function, which Dr. B thought was linked to the patient’s use of NSAIDs – but there was no evidence that the patient had an abnormal result.
the kidneys Cleansing the blood of toxins and convert waste into urine. NSAIDs can decrease blood flow to the kidneys, which can lead to kidney injury.
The report said a July 2015 test indicated the patient had chronic kidney disease, but the GP “failed to understand the true or potential severity” at the time, or at subsequent consultations.
Claire Christie had two failed kidney transplants and required several blood and plasma transfusions.
Test results in June 2016 showed that the patient’s kidney function was “chronically impaired but stable”.
However, there was no documented discussion of these results with the patient. There was also no discussion about the risks of continued use of NSAIDs – which is what the GP was still prescribing.
A February 2017 test showed further deterioration, but it wasn’t until July that the doctor documented that they “discussed kidney function.”
The patient told the Health and Disability Committee that he recalled a conversation with his GP about kidney dysfunction, in which the GP said he “has two kidneys for a 60-year-old” and that the situation would be monitored. However, he was not alerted to the significance of the test results.
The GP ordered kidney function tests eight times between July 2015 and October 2019. Five tests were completed.
In November 2019, the patient was sent to the emergency department, where he was finally diagnosed with stage IV kidney disease.
People with stage 4 kidney disease have advanced kidney damage and likely need it Dialysis Or a future kidney transplant.
McDowell said a “number of errors” contributed to the delay in diagnosis.
These included failure to advise the patient of deteriorating renal function, failure to further investigation of impaired renal function (including staging of deterioration) and failure to have a management plan in place.
The report also found that the GP had no formal tracking of managing test results.
While the complaint wouldn’t change the outcome, the patient’s wife said, “if we had found out five years ago what it would have been such a shocker.”
“We could have made lifestyle changes to slow the progression of the disease…and most of all, we could have appreciated life and our small family…while [my husband] He was good enough to do that.”
McDowell considered the GP faults to be “individual failures” and not indicative of systems problems at the medical center.
The report said that Dr. B was very sorry that his patient had been harmed.
“If I can cure this for [him]I certainly will. “
McDowell recommended that the GP provide a written apology to the patient and his family and conduct an audit to ensure his clinical documentation was “of an appropriate standard”.
He also advised the medical center to apologize.
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