Valium was prescribed on 'order by superior'
A junior doctor gave a potentially fatal dose of Valium to an asthmatic immigrant on direct orders from her superior, despite fearing the consequences, a court heard yesterday.
The young doctor flagged the fact that asthmatics should not be administered Valium, after receiving instructions to give a 5mg dose to sedate an Eritrean who became aggressive due to pain. She said at least she should give him a half dose but her superior insisted: "Do as I say because I know what I am doing".
The exchange was revealed by the testimony given by Mario Scerri and Prof. Joseph Cacciatolo who were appointed by the court to gather evidence in the case.
The female doctors, aged 28 and 31 and whose names cannot be published by court order, were working at St Luke's Hospital on the night of February 6, 2005 when Eritrean national Sagid Iisraquay Tegualde died a few hours after being administered the tranquilliser.
Dr Scerri said the patient had been doing fine during the afternoon but at one point took a turn for the worse. However, it remains unclear when the Valium was administered.
However, a police officer stationed with him said that between 9 p.m. and midnight the man became increasingly agitated as he tried to cope with increasing pain to the chest. The policeman managed to calm him down but the man eventually lost consciousness. The officer called in help and five medics rushed in and tried to resuscitate the patient but he eventually died.
Dr Scerri and Prof. Cacciatolo pointed out that no tests were carried out to ascertain the change in character during the long lapse of time before the Eritrean's death.
Police Inspector Joseph Agius prosecuted.
Lawyers Michael Schiriha and Anna Mallia appeared for the doctors.
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lgalea
Dec 18th 2009, 13:03
MARGARET RICHARDS
MUCH MORE THAN YOU DO MARGARET.
AS THEY SAY, CHARITY BEGINS AT HOME.
MARGARET RICHARDS
Dec 18th 2009, 11:23
RACISM AT ITS BEST - THERE ARE ESPECIALLY 2 BLOGGERS WHO ARE THE DAILY EXPERTS. DO YOU KNOW THE MEANING OF CHRISTMAS???
lgalea
Dec 18th 2009, 10:44
A Cassar
Illegal immigrants are that. ILLEGAL. But this has nothing to do with my opinion about them. This is about two young doctors who had to obey their senior who had to deal with an illegal immigrant who was being VIOLENT and had a VIOLENT past Cassar. So should a VIOLENT ILLEGAL immigrant come before two of your own country citizens who are being persecuted no doubt because he was an ILLEGAL immigrant?
A Farrugia I have no doubt that it is you who should be ashamed. So can you elucidate us on how they had to deal with a VIOLENT illegal immigrant who was being VIOLENT? Do not obey an order? Tell that to the army. As for despising I don't want my country to continue as a haven for ILLEGAL immigrants of whatever creed or color.
margaret richards As usual it seems that for you everything done by any Maltese citizen is wrong but anything done by an ILLEGAL immigrant is good.
Raymond Cachia
Dec 18th 2009, 02:47
Why all this fuss because an illegal immigrant died because of a pre-existing condition?
The Maltese should take a good look at North America, where mentally ill and homeless people, citizens of the country, are left out on the streets to fend for themselves! Many in fact die each year frozen to death in big cities where the temperature can get to -40 C at night. In Canada they use the excuse of the Charter of Rights, that is unless a mentally ill adult willingly wants to stay in a mental institution, no Court, doctor or even the family can commit them, with the result that these mentally unbalances individuals are out in the streets to fend for themselves and many die on the streets when the weather gets very cold. In other words, the authorities took a good thing, the Charter of Rights, and made it an instrument to get rid of the unfit or defectives (shades of Nazi Germany anyone?).
In the US alone, approximately, 46,000 person die each year because they cannot afford Medical Insurance or to pay for a doctor.
Perhaps this will help the Maltese authorities put things in perspective.
A Cassar
Dec 17th 2009, 19:08
@l galea You must be the biggest racist on the face of the earth!! I remembered your previous comments about a doctor who told a lady that probably her foetus is not alive, and if confirmed in a week she would need to have it removed. She repeated the ultrasound, and the baby was fine. And the comment made by you towards the medical profession were.....very....very different from today's Ahhh yes....she wasn't an illegal immigrant. That's why!!
A Cassar
Dec 17th 2009, 18:26
@M Vella So you would excuse anything an overworked doctor does to you?? I am a doctor, and I would gladly take you on as a patient....since you seem to be willing to excuse any harm I do to you, even if it is the result of negligence!!!! We doctors are a bit unlucky, in that a small mistake can result in death. It pains us when sometimes we are blamed for things which are not our fault. As sometimes, despite all our good intentions, things go wrong. Every procedure has its risk, every decision, and every drug you give. However, we are not above the law and DON'T EXPECT to be above the law. You don't know anything about the case and have already made a decision!! I know the case in detail, and think it was just a bad decision in a difficult situation, with lack of experience. But it is the court's decision, not mine. It is the police and the prosecution's job to take people to court.....and you must be grossly intolerant or racist to think that the police did not have a case!!
A Farrugia
Dec 17th 2009, 13:13
@lgalea
It is you who should be ashamed!!!
1) One of the doctors prosecuted is the "senior doctor" who gave the order.
2) You can never obey an "order" if you know it is wrong
In this case the patient was violent because of brain hypoxia caused by severe asthma. When your white brain lacks oxygen you become confused and aggressive, and the same happens to black brains which you despise so much!
Despite all this, I think that the poor doctors were in a catch 22 situation where they could not treat the patient appropriately unless they managed to calm him down
@Norman Tonna
Because in Malta we think that the accused is innocent before proven guilty it is totally understandible that a doctor accused of manslaughter would not want his name published, there is no need to harm a doctor's reputation if he ends up being found innocent!
margaret richards
Dec 17th 2009, 13:02
"The young doctor flagged the fact that asthmatics should not be administered Valium, after receiving instructions to give a 5mg dose to sedate an Eritrean who became aggressive due to pain." It seems as if know it all I. Galea absently forgot to read the words aggresive due to pain.
Phil Press
Dec 17th 2009, 12:58
Have these two doctors, still been practicing, since 2005 ?.
M. Vella
Dec 17th 2009, 12:36
Totally agree with I Galea
This is the thanks these overworked people get!
lgalea
Dec 17th 2009, 10:44
Norman Tonna
Why should names be published Tonna when they are being made the proverbial sacrificial lambs?
Shame on the authorities for persecuting two young promising doctors who had to obey their superior. Shame and shame again.
Also do not forget that the illegal immigrant had a history of violence and was being violent.
c.caruana
Dec 17th 2009, 10:38
Just imagine what have happened if the victim was maltese!!
Norman Tonna
Dec 17th 2009, 10:11
As always and only in Malta, the names cannot be published by court order. Heard it all before. Nevertheless, what are the suspected doctors afraid of?