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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Agencies
July 28,2020

Dubai, Jul 28: Abu Dhabi Commercial Bank (ADCB) (ADCB.AD) is letting go hundreds of employees, sources said, the latest in a round of lay-offs by regional banks as pressure mounts to cut costs amid lower oil prices and the coronavirus crisis.

The UAE’s third-biggest lender is laying off 400 employees, two sources familiar with the matter said, after it had committed to not cutting staff because of the crisis.

In a statement, a spokesman said ADCB had pursued efficiency over the last decade by managing out its lowest underachievers after regular reviews, while ensuring talent was deployed in high-growth areas, such as digital banking.

“A certain number of redundancies are therefore expected every year in the normal course of business,” the bank spokesman added.

The sources said the cuts would involve ADCB’s consumer business and several in top management were among those being let go. One source said the bank was looking to close 20 branches.

In March, ADCB had declared, “No employee will be made redundant during 2020 as a result of the COVID-19 pandemic.”

UAE banks have been hit by government measures to rein in the spread of the virus, forcing many businesses to shut temporarily.

Last week, Dubai’s largest bank, Emirates NBD, reported a slump of 58% in profits. In June, sources told Reuters the bank started a new round of hundreds of lay-offs.

In May, ADCB reported a fall of 84% in first-quarter net profit as it took impairments of $292 million on debt exposure to troubled hospital operator NMC Health and payments group Finablr.

It was a major lender, with an exposure of about $981 million, to NMC Health, which went into administration this year after months of turmoil following questions over financial reporting.

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News Network
January 16,2020

Abu Dhabi, Jan 16: The number of people being killed by terrorism activities worldwide has decreased significantly over the recent years, according to the latest Global Terrorism Index.

The 2019 Global Terrorism Index, which was presented at a forum in Abu Dhabi on Wednesday also showed that the UAE improved its ranking in the index by coming down to 130th rank among the 163 countries. The terrorism impact in the UAE is categorised as 'very low'. In the UAE, only two terrorism incidents were reported over the past decade - one in 2010 and another in 2014 - and there were no casualties.

Commenting on the report, Mansour Al Mansouri, director of the UAE National Media Council (NMC) said: "These findings rightly show the UAE as one of the safest countries in the world in terms of terror threat."

The index showed that the total number of deaths from terrorism declined for the fourth consecutive year in 2018, falling by 15.2 per cent to 15,952 deaths. This represents a 53 per cent reduction since its peak in 2014 when 33,555 people were killed in terrorist attacks.

The index published for the seventh year in a row, ranks 163 countries across the globe according to the relative impact of terrorism. This takes into account the number of terrorist incidents, deaths caused by terror and total value of property damage.

The latest results saw three Middle East countries - Iraq, Syria and Yemen - continue in the top 10 positions of the index.

The findings also showed Taleban overtaking Daesh as the deadliest terrorist group in the world, accounting for 38 per cent of all terrorist deaths. This is an increase of 71 per cent. Afghanistan is the country most affected by terrorism in 2018 followed by Iraq, Nigeria, Syria and Pakistan, according to the report. The least impacted nations were Belarus, Guinea-Bissau, Oman, The Gambia and North Korea.

During his presentation of the key findings of the index at the Foreign Correspondent's Club of the UAE (FCC), Serge Stroobants, director of Europe and Mena at the Institute of Economics and Peace, said lesser people were now being killed in terrorism activities.

"There have been long-term trends in global terrorism, with deaths caused by terror down by 52 per cent compared to high point of 2014, which saw Daesh and Boko Haram at their peak," said Stroobants attributing the decrease in the deaths to the increase in security measures and cooperation among nations in the fight against terrorism.

In contrast to this, there has been a 320 per cent increase in far-right terrorist incidents in the West, with political ideology being the driving force behind an increased proportion of terror motivation.

"There has been an increase in far-right terrorism in Western Europe, North America and Oceania for the third consecutive year," said Stroobants.

Terrorism still remains a global security threat, according the index, with 71 countries recording more than one death - the second highest number of countries since 2002.

Stroobants said conflicts remain the main cause of terrorism with 90 per cent of terrorist incidents occurring in places where there are conflicts or insurgencies.

The report said the global economic impact of terrorism was $33 billion in 2018, a substantial decrease of 38 per cent from the previous year.

Boko Haram was responsible for 80 per cent of all female suicide attacks, said the terrorism index.

Global Terrorism Index: Most affected countries

>Afghanistan (7379 deaths)

>Iraq (1,054 deaths)

>Nigeria (2,040 deaths)

>Syria (662 deaths)

>Pakistan (537 deaths)

>Somalia (646 deaths)

>India (350 deaths)

>Yemen (301 deaths)

>The Philippines (297 deaths)

>Democratic Republic of the Congo (410 deaths)

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News Network
January 6,2020

Dubai, Jan 6: Iran announced a further rollback of its commitments to the troubled international nuclear accord Sunday amid anger over the US killing of a top commander which also prompted Iraq's parliament to demand the departure of American troops.

While vast crowds gathered in Iran's second city of Mashhad as Qasem Soleimani's remains were returned home, the Tehran government said it would forego the "limit on the number of centrifuges" it had pledged to honour in the 2015 agreement which was already in deep trouble.

The announcement was yet another sign of the fallout from Friday's killing of Soleimani in Baghdad in a drone strike ordered by President Donald Trump, which has inflamed US-Iraqi relations and among the rival camps in Washington.

Iran's 2015 nuclear accord with the United Nations Security Council's five permanent members -- Britain, China, France, Russia and the United States -- plus Germany has been hanging by a thread since the US withdrew unilaterally from it two years ago.

European countries have been pushing for talks with Iran to salvage the deal, inviting Iranian Foreign Minister Mohammed Javad Zarif to Brussels for talks, but the prospect of progress seemed remote after the government's statement on Sunday night.

"Iran's nuclear programme no longer faces any limitation in the operational field", said the statement.

This extends to Iran's capacity for enriching uranium, the level of enrichment carried out, the amount enriched, and other research and development, it said.

"As of now Iran's nuclear programme will continue solely based on its technical needs," it added.

Europe urges Iran to rethink

Until now, Iran has said it needs to enrich uranium up to a level of five percent to produce fuel for electricity generation in nuclear power plants.

Tehran said it would continue cooperating "as before" with the International Atomic Energy Agency but the leaders of Germany, France and Britain reacted by urging Iran to rethink its announcement.

"We call on Iran to withdraw all measures that are not in line with the nuclear agreement," Chancellor Angela Merkel, President Emmanuel Macron and Prime Minister Boris Johnson said in a joint statement.

The European leaders also urged Iran to refrain from taking "further violent actions or support for them."

"It is crucial now to de-escalate. We call on all the players involved to show utmost restraint and responsibility."

The Europeans have been among the chorus of voices urging restraint in the aftermath of the drone strike which killed Soleimani, the veteran commander of the Revolutionary Guards' foreign operations.

But as his remains were paraded through the streets of Mashhad, cries of "Revenge, Revenge" echoed through the streets while mourners threw scarves onto the roof of the truck carrying his coffin.

Soleimani's remains had been returned before dawn to the southwestern city of Ahvaz, where the air resonated with Shiite chants and shouts of "Death to America".

Some 5,200 US soldiers are currently stationed across Iraqi bases to support local troops preventing a resurgence of the Islamic State jihadist group.

But the government could be poised to demand they leave after a vote in the Baghdad parliament where caretaker prime minister Adel Abdel Mahdi joined 168 lawmakers -- just enough for quorum -- to discuss a motion to force US troops.

"The parliament has voted to commit the Iraqi government to cancel its request to the international coalition for help to fight IS," speaker Mohammed Halbusi announced.

The cabinet would have to approve any decision but the premier indicated support for an ouster in his speech.

'Iraqi people want the US'

US Secretary of State Mike Pompeo reacted by saying he would "take a look at what we do when the Iraqi leadership and government makes a decision" but indicated that he felt American troops were still welcome.

"We are confident that the Iraqi people want the United States to continue to be there to fight the counterterror campaign," Pompeo said on Fox News.

Two rockets hit near the US embassy in Baghdad late Sunday, the second night in a row that the Green Zone was hit and the 14th time over the last two months that US installations have been targeted.

Pompeo defended the decision to kill Soleimani while insisting that any further US military action against Iran would conform to international law.

Trump triggered accusations that he had threatening a war crime by declaring cultural sites as potential targets in a Tweet on Saturday night.

Zarif drew parallels with the Islamic State group's destruction of the Middle East's cultural heritage following Trump's tweets that sites which were "important to... Iranian culture" were on a list of 52 potential US targets.

"We'll behave lawfully," Pompeo told the ABC network.

House Speaker Nancy Pelosi has been leading the backlash against the Soleimani strike, an operation that Trump only officially informed Congress about after the event.

But Trump made light of the calls for him to get Congressional approval in the future, saying such notice was "not required" -- and then saying his tweet would serve as prior notification if he did decide to strike against Iran again.

"These Media Posts will serve as notification to the United States Congress that should Iran strike any US person or target, the United States will quickly & fully strike back, & perhaps in a disproportionate manner," Trump wrote.

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