Sunday, August 5, 2007

More than Malpractice in Case of Patriarch Teoctist Surgery and Death

After careful and hard work investigation jurnalists Luciana Pop and Victor Roncea from Ziua, a prominent daily newspapers in Romania, concluded that the Prof. Dr. Sinescu surgery team broke even the most elementary medical rules and the right of pacient.

1. First, Dr. Sinescu took a sugery decision without even making the main elementary set of blood, lungs, heart, and extra urine analysis.
2. Second, he did not anounced MD. Prof. Dr. Ursea, the personal doctor of the Patriarch about hospital enter. MD. Prof. Dr. Ursea said that the Patriarch received three weeks before a treatment for a urinary infection.
3. Dr. Sinescu was brought to the Patriarch by parish priest Gheorghe Pop, not a staff member of the Patriarchal Administratin. Father Pop refused to give any comentary about himself acting like a middleman between Dr. Sinescu and the Patriarch. He said: I would not make any comment without approval from Bishop Vincentiu Ploiesteanu, the Secretary of the Holy Sinod. 4. Although Dr. Sinescu said that the intervention was urgently necessay the public aparances of Teoctist prove the contrary. At the Eastern Lithurgy this spring he served without missing not even a minute hours and hours until 3:00 AM, yet some younger clegy left the Liturgy for few minutes than came back. At other public events that took hours and hours, as most of the Orthodox Services, was the same, the Patriarch did not lleft the service for restroom.
5. Dr. Udrea already recommended to Teoctist treatment for the infection and if necessary afterall a clinic in Germany.
6. The Patriarch was not informed about general anestezia but something similar with dentistry anestezia, said his personal driver who was with him all the time before surgery.
7. The necessary tretment for pacient stabilization before surgery was not at alll considered although Teoctist was 92 old.
8. Cardiological check-up was not done and no cardiologist was part of the surgery team.
9. When at 12:30 Monday morning M.D. Prof Dr. Ursea heard that the Patriarch is in the hospital he called Dr. Sinescu and asked what is the situation of the Patriarch and if Sinescu performed the surgery already, Sinescu said to Ursea that he did not yet begun the surgery. Ursea asked Sinescu to call him also in case after evaluation would decide to make surgery intervention and Sinescu promise he will do so. In fact the surgery begun at 8: 30 and ended at 10:00 when the Patriarch was moved to the intensive therapy hall.
10. Around 11:00 – 11:30, Costel Calapod the personal driver of the Patriarch after being informed that the intervention was succesful, he have seen general agitation, doctors and nurses whitening faces and he tried to enter to see in the intensive therapy room to see what is happening with the Patriarch. He was stoped and held by the doctors and few minutes later a bodygurad was posted at the door to restrict the drivers acces.
11. There was no INFORMED CONSENT procedure and sign up, Dr. Sinescu said that he did not want “to psichologically influence that pacient before surgery” or “offend the Patriarch”.
12. Dr. Sinescu also offically declared that the surgery took place from 8:30 to 10:30. Other specialist declared to investigation jurnalist that this tipe of intervention coul not take more than one hour.
13. Asked by Jurnalists Dr. Sinescu recognized that there could have been other more simple, without risk solution: medicatio for the prostate and and a citostome or a sonda. Ten of thousand people in Romania are living with this adaptable sysetms.
14. Although Dr. Sinescu said to Dr. Ursea at the phone that at 12:00 he did not even begun the surgery in the offical death communique Dr. Sinescu said that at 12:00 the Patriarch begun to heve heart problems, coughing and expectoration with blood, and the team started resuscitation work.
15. This above communique is against a previous one from 2007-07-30 given to the MediaFax Press agency by a staff of Dr. Sinescu team at 15:30 and spread in the news flux by Stefan Pricop at 16:03:45”.
16. Other sources from the hospital, kept for the moment anonimous by the journalist, declared that the Patriarch never awake from anestezia and than coma.
17. At 16:16:54” the Romanian Patriarchate sent to the media agencies a communique stating that they heve been informed form the hospital that at that very moment the Patriarch is in good standing.
18. At 17:17 Hour in press conference Dr. Constantin Popa, Fundeni Hospital Director [he was not informed about hospitalization of Teoctist, but only at 14:00 hours] declared that according to the Medical Commission Sinescu – Tulbure after heart complications the death was declared and documented at 17:00.
19. Thus from 17:00 to 17:17 the
a. doctors established the death of the pacient
b. leave the medical tools
c. wash hands and sanitize
d. take of the surgery wear
e. go to director office
f. held meeting and decide how and what to write in the communique
g. give to secretary to write, write and print it
h. verify and sign
i. walk to the elevator
j. call the elevator
k. go down to floor 0
NB :
After time measuring the experts said "this is not
possible".
The press was already anounced as Fundeni Hospital is
about 8 km from Bucharest downtown

20. Ministry of Health found about it one hour later
21. Prof. Dr. Ursea declared that it seems to him that Sinescu-Tulbure held him intentionaly aside and did not consult with him but even lie to him and misinformed. He also said the this urgency and the intentional misinformation are inexplicable as the case of Patriarch Teoctist was not an emergency and there was enough time for a professional medical evaluation.

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