The apex court found CGH guilty of negligence where a delayed diagnosis caused the cancer of a terminal stage patient to spread. Ms Azlin was referred to CGH’s respiratory specialist Dr Imran Mohamed Noor by the hospital’s emergency department nearly 12 years ago for an “opacity” in her lungs. The patient had visited the ED numerous times, in 2007, 2010 and 2011.
“The plaintiff does not have any definitive medical evidence showing that she had cancer from 2007 to 2011.”“The medical evidence shows that was diagnosed at the earliest possible stage of her cancer and received the full treatment available to her,”“did not lose out on any opportunity to take advantage of any available treatments and did not undergo any treatment that could have been avoided”.
Noting that Dr Imran was “the last in line” examining the patient, the court pointed out that, “There would have been no one else who would have been in a better position to conduct the necessary follow-up action.” Noting that the radiologist had called for follow-up consultation after Ms Azlin’s X-rays in 2010 and 2011, the court expressed “grave concerns” over how the radiological reports were treated.
Due to this, the patient was left uninformed about the decision and “more worryingly, that any doctor further down the line would have no reference against which to check why such a decision was made”. The court said such lack of accountability is unacceptable.
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