Medical error: Expat mom rejects SR2.4m compensation for son

August 23, 2015

Jeddah, Aug 23: A 40-year-old Ethiopian mother, whose son was totally paralyzed more than nine years ago as a result of a botched operation at one of Jeddah’s leading hospitals, has rejected SR2.4 million in compensation awarded to her by a special committee of the Health Ministry.

Expat mom“I am not interested in money,” said a tearful and distraught Halima Muzzamil Hussain, an Ethiopian national whose husband works in Makkah in the hospitality industry. “My son, Mohammed Abdul Aziz Yahya, walked into the hospital on his own feet on a February morning in 2006. He was four years old and full of life. Full of spirits and cheerful. I want my son back on his feet.”

Halima clings to her son who lies motionless in Room No. 2129 of Soliman Fakeeh Hospital in Jeddah. She wept softly as she told Arab News of the pain and sadness she has had to endure for nine traumatic years. All kinds of life support equipment are attached to Mohammed. The only signs of life, however, are his breathing and his constantly blinking eyelids.

Halima and her husband have been legal residents in the Kingdom for more than 25 years. They are from Addis Ababa and they have always been based in Makkah. Mohammed is their second child. Their first is a daughter, Naeema, who is now 16.

The son was born in Makkah and had a normal childhood. When he was 4, he had a problem with breathing and his parents brought him to Jeddah for the best possible medical attention. The pediatrician did not raise any alarm. They visited him twice. On the second visit, the doctor, whose name Halima does not remember, said that Mohammed needed an adenoidectomy which is a minor operation on the nose.

“It will be a 10-minute procedure and your son will be out of the hospital in a few hours,” she recalled the doctor as saying. Mohammed did not have insurance so he was a cash patient. The doctor said the operation had to be performed by a specialist and that an appointment had to be made. The procedure was set to be performed on Feb. 9, 2006, by Dr. Mohammed Ismail Zawji, an Egyptian.

“We came from Makkah at the appointed hour in the morning of that day. Mohammed was at his chirpy best,” recalled his mother, tears rolling down her cheeks.

What happened next is a very sad story. What was to be a 10-minute operation turned out to be a long nightmare. For Mohammed. For Halima. For Mohammed’s father. For the hospital. And everyone else.

According to the medical report, after the operation, the child was transferred from the operating room to a normal room. “In the following few hours, the child arrested and Code Blue was called. He was successfully resuscitated and transferred to an intensive care unit. He was ventilated and given intensive therapy to reduce brain edema and control seizures,” said the report, a copy of which was made available to Arab News by the mother. (In medical terminology, Code Blue is generally used to indicate a that a patient requires resuscitation or is in need of immediate medical attention.)

None of this made any sense to Halima who stayed in the hospital waiting for the news of Mohammed’s recovery.

“One day passed, and then two, three, four ... Days then turned into months. And months into years,” said Halima. “My son did not come back to us. He remained in bed with no life in his limbs. Only his eyes kept blinking. He went into a deep sleep and I am still waiting for him to wake up.”

The hospital, and more specifically its founder, the late Dr. Soliman Fakeeh himself, sympathized with Halima. “He assured us of all help. He regularly visited my son and always told me that my son would be all right,” she said. “He was a good man.”

Initially, she made daily trips from Makkah to Jeddah to be at her son’s side. The daily trips soon became a problem and so she rented a place in Jeddah; later the hospital provided her with accommodation in a rest house on the hospital premises. The family was financially well off but their situation began to change. The husband could not possibly leave his job in Makkah. In fact, he had to shoulder the extra financial burdens in view of the changed circumstances. However, it must be stated that the hospital did not charge them a single halala.

Three years after the botched operation and with no end in sight, Halima approached the Health Ministry. She alleges that her file had begun to gather dust when someone suggested that she approach the Ethiopian Consulate and so she did. “The consulate approached the Makkah Governorate through a good prince and it directed the matter to the Health Ministry,” Vice Consul Yalelet Getachew Ashenafi told Arab News last week. “Once the papers went from the governorate, the ministry sprang into action and the old file was dusted off.”

A commission, consisting of six eminent doctors from the best government hospitals and departments, was established to look into the case. It was headed by Dr. Mohammed Nasser Al-Sulami. “This was six years ago,” said Halima. “The commission delivered its report two months ago — on June 16, 2015, to be precise.”

According to the findings of the commission, the hospital is 100 percent accountable for the mistake. The commission’s report, a copy of which is in the possession of Arab News, ordered the hospital to pay SR2.4 million compensation for the medical error. It also fined the hospital SR100,000 for procedural lapses. The report directs that the hospital not charge the patient anything.

Both parties were called in and both rejected the commission’s decision according to the report that concluded by stating that both parties reserved the right to appeal within two months. Halima, through the consulate, has lodged an appeal.

According to Halima, the hospital has agreed to pay SR2.4 million. “But I don’t need this. What will I do with it? The hospital has set a condition that once we accept the SR2.4 million, we will have to take our son out,” she said.

The Ethiopian vice consul termed the compensation inadequate. “Once Mohammed is out of the hospital, he will not be able to survive for one month with that money,” said Ashenafi. “They have already forced Halima to vacate the rest house that was provided to her by the hospital on its premises. She is on her own now. Community members chip in to help with her daily needs. The husband is doing all he can to sustain the family. Mohammed’s sister, Naeema, is in Makkah with her father. The whole family has suffered terribly.”

The mother wants the hospital to arrange medical help from abroad in order to revive her child. “They should try. There must be some way out. I have a feeling he hears me,” she said.

Medical experts that Arab News approached said unless a miracle happened, the child’s chances of recovery are remote. “Who is going to tell this to the mother?” said Hassan M. Jaber, a close friend of the family. “You and I can understand. She cannot. She wants her child back. All that can be done should be done. If outside help can be arranged, it should be. The hospital or the government should help the devastated mother.”

Like any mother for whom a child is a precious gift, Halima remains hopeful. “Allah, the Almighty, will come to my aid. My son will walk out of this hospital hale and hearty. I only pray that no mother should have to endure the kind of agony that I have experienced. Waiting nine years is too much,” she said, hiding her tears. “Too much.”

The heavy silence that ensues is suddenly broken by a beep of one of the machines attached to Mohammed.

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News Network
April 22,2020

Dubai, Apr 22: Saudi Arabia's Health Ministry registered 1141 new Coronavirus cases, 172 new Recoveries and 5 new deaths in the last 24 hours by 22nd April 2020 (3:40 PM), Most of  the Corona infected patients are in stable condition, while 82 cases are on critical condition and are being treated in various hospital's Intensive Care Unit, All the confirmed and suspected cases are isolated and are being treated in the country, the Total Covid-19 cases as of Today are as follows
 
Infections : 12772
Recovered : 1812
Deaths : 114
Active Cases : 10846
Critical : 82

-  The Spokesperson of Ministry of Health said Total laborartory tests exceeded 200,000. 

-  You should continue to socialize and stay at home, especially for those aged 65 and over or who suffer from chronic diseases.

-  Half a million field assessments under active survey, 50 government agencies involved in anti-virus efforts, 150 field teams participating in the active examination in the Kingdom.

- The Health Ministry said, Maintaining hand-washing and keeping away from gatherings is an important step, and we should all be responsible.

- Worldwide Covid-19 infection details as of Today (22nd April) are

Infections : 2,580,729
Recovered : 693,093
Deaths : 178,371

- Among the 1141 new infections, most of the cases are on active survey results, 868 cases from new infections are discovered from active survey field testing. The city wise total active cases excluding recoveries and deaths by 22nd April are

Makkah : 2472
Madina : 1944
Riyadh : 1762
Jeddah : 1679
Dammam : 678
Hofuf : 507
Taif : 131
Tabuk : 128
Jubail : 97
Qatif : 73
Buraidah : 46
Khamis Musaith : 44
Khobar : 38
Dhahran : 36
Yanbu : 36
Khalis : 24
Ar Ar : 16
Khafji : 15
Ras Tanura : 12
Zulfi : 11
Onaiza : 9
Al Maqwat : 9
Al Dariya : 8
Al Kharj : 8
Samita : 8
Bisha : 7
Najran : 7
Al Khanfadah : 7
Hail : 6
Al Baha : 6
Sabit Alaya : 5
Muhayil Asir : 5
Ahad Rafidah : 4
Muwiya : 4
Ar Ras : 4
Al Qurayyat : 3
Al Muzilaf : 3
Sharura : 3
Al Jafar : 2
Al Lais : 2
Al Hanakiya : 2
AlMabraz : 2
Al Qawiya : 2
Al Tawal : 2
Al Misan : 2
Al Qariya : 2
Hada : 2
Rabig : 2
Sabia : 2
Saihat : 2
Azam : 1
Al Aiz : 1
Al Bakariya : 1
Al Dawadmi : 1
Al Majmaah : 1
Al Mada : 1
Al Shamli : 1
Al Ala : 1
Al Wajha : 1
Al Arida : 1
Beesh : 1
Diba : 1
Sakaka : 1
Sariban : 1
Sharura : 1
Riyad Al Khabra : 1

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Agencies
August 2,2020

Dubai, Aug 2: The United Arab Emirates (UAE) announced on Saturday that it has started operations in the first of four reactors at the Barakah nuclear power station - the first nuclear power plant in the Arab world.

Emirates Nuclear Energy Corporation (ENEC), which is building and operating the plant with Korea Electric Power Corporation (KEPCO) said in a press release that its subsidiary Nawah Energy Company "has successfully started up Unit 1 of the Barakah Nuclear Energy Plant, located in the Al Dhafrah Region of Abu Dhabi".

That signals that Unit 1, which had fuel rods loaded in March, has achieved "criticality" - a sustained fission chain reaction.

"The start-up of Unit 1 marks the first time that the reactor safely produces heat, which is used to create steam, turning a turbine to generate electricity," said ENEC.

Barakah, which was originally scheduled to open in 2017, has been dogged by delays and is billions of dollars over budget. It has also raised myriad concerns among nuclear energy veterans who are concerned about the potential risks Barakah could visit upon the Arabian Peninsula, from an environmental catastrophe to a nuclear arms race.

Paul Dorfman, an honorary senior research fellow at the Energy Institute, University College London and founder and chair of the Nuclear Consulting Group, has criticised the Barakah reactors' "cheap and cheerful" design that he says cuts corners on safety.

Dorfman authored a report (PDF) last year detailing key safety features Barakah's reactors lack, such as a "core catcher" to literally stop the core of a reactor from breaching the containment building in the event of a meltdown. The reactors are also missing so-called Generation III Defence-In-Depth reinforcements to the containment building to shield against a radiological release resulting from a missile or fighter jet attack.

Both of these engineering features are standard on new reactors built in Europe, says Dorfman.

There have been at least 13 aerial attacks on nuclear facilities in the Middle East - more than any other region on earth.

The vulnerability of critical infrastructure in the Arabian Peninsula was further laid bare last year after Saudi Arabia's oil facilities at Abqaiq and Khurais were attacked by 18 drones and seven cruise missiles - an assault that temporarily knocked out more than half of the kingdom's oil production.

On Saturday, Dorfman reiterated his concern that there is no regional protocol in place to determine liability should an accident or incident at Barakah result in radioactive contamination spreading from the UAE to its neighbours. 

"Given Barakah has started up, because of all the well-rehearsed nuclear safety and security problems, it may be critically important that the Gulf states collectively evolve a Nuclear Accident Liability Convention, so that if anything does go wrong, victim states may have some sort of redress," Dorfman told Al Jazeera. 

The UAE has substantial oil and gas reserves, but it has made huge investments in developing alternative energy sources, including nuclear and solar.

Experts though have questioned why the UAE - which is bathed in sunlight and wind - has pushed ahead with nuclear energy - a far more expensive and riskier option than renewable energy sources.

When the UAE first announced Barakah in 2009, nuclear power was cheaper than solar and wind. But by 2012 - when the Emirates started breaking ground to build the reactors - solar and wind costs had plummeted dramatically.

Between 2009 and 2019, utility-scale average solar photovoltaic costs fell 89 percent and wind fell 43 percent, while nuclear jumped 26 percent, according to an analysis by the financial advisory and asset manager Lazard.

There are also concerns about the potential for Barakah to foment nuclear proliferation in the Middle East - a region rife with geopolitical fault lines and well-documented history of nuclear secrecy.

The UAE has sought to distance itself from the region's bad behaviour by agreeing not to enrich its own uranium or reprocess spent fuel. It has also signed up to the United Nation's nuclear watchdog's Additional Protocol, significantly enhancing inspection capabilities, and secured a 123 Agreement with the United States that allows bilateral civilian nuclear cooperation.

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News Network
January 12,2020

Tehran, Jan 12: Iranian police dispersed students chanting “radical” slogans during a Saturday gathering in Tehran to honour the 176 people killed when an Ukrainian airliner was mistakenly shot down, Fars news agency reported.

News agency correspondents said hundreds of students gathered early in the evening at Amir Kabir University, in downtown Tehran, to pay respects to those killed in the air disaster. The tribute later turned into an angry demonstration.

The students chanted slogans denouncing "liars" and demanded the resignation and prosecution of those responsible for downing the plane and allegedly covering up the accidental action.

Iran said Saturday that the Ukraine International Airlines Boeing 737 was “unintentionally” shot down on Wednesday shortly after taking off from Tehran's main airport. All 176 people on board died, mostly Iranians and Canadians, many of whom were students.

Fars, which is close to conservatives, said the protesting students chanted “destructive” and “radical” slogans. The news agency said some of the students tore down posters of Qasem Soleimani, the Iranian general killed on January 3 in a US drone strike on Baghdad.

Fars published pictures of demonstrators gathered around a ring of candles during the tribute and a picture of a torn poster bearing the image of a smiling Soleimani. It said that police "dispersed" them as they left the university and blocked streets, causing a traffic jam.

In an extremely unusual move, state television mentioned the protest, reporting that the students shouted "anti-regime" slogans.

A video purportedly of the protest circulated online showing police firing tear gas at protesters and a man getting up after apparently being hit in the leg by a projectile. It was not possible to verify the location of the video, or when it was filmed.

Iran's acknowledgement on Saturday that the plane had been shot down in error came after officials had for days categorically denied Western claims that it had been struck by a missile. The aerospace commander of Iran's Revolutionary Guards accepted full responsibility.

But Brigadier General Amirali Hajizadeh said the missile operator acted independently, shooting down the Boeing 737 after mistaking it for a "cruise missile".

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