Before tomorrow’s session.. Details of accusing the anesthesiologist for causing the death of a child in Alexandria
Tomorrow, Saturday, the Raml first misdemeanor court in Alexandria will hear the case of the child Ayoub Ayman, who died in a private hospital in Alexandria, for which the anesthesiologist Tamer Ghoneim and two doctors are accused, after the court’s forensic report. has been received and studied, and it is expected that the court will listen to the defense lawyers and refute the opinion of the forensic medicine, and it is attributed to him, especially after the case became a topic of public opinion, due to the solidarity of a large number of people with the family of the child Ayman, and a large number of others with the accused doctor, praising him and his work and throwing accusations at other doctors, and it became a matter of public opinion, as a sign of broad solidarity with the family of the child Ayoub and Dr. Tamer Ghoneim.
Court proceedings
The general secretary of the Medical Union, Dr. Mohamed Farid, lawyers of the Union, members of the sub-union council in Alexandria, and a large number of doctors and those in solidarity with him, except the family of the child, Ayman Ayoub, will be present tomorrow.
It is planned to organize a silent protest with a picture of Dr. Tamer Ghoneim, demanding his release and calling those responsible for the medical error to account.
The beginning of the case with Job’s death
The facts of the case began at the end of May, when the one-and-a-half-year-old child Ayoub Ayman was admitted to a private hospital east of the city, based on the diagnosis and recommendation of the doctor Nader Fasih, who treated the child, for an operation to remove a foreign body that had become stuck. in the respiratory tract, and he died in the operating room, which is why his family filed a complaint In Al-Raml police station, bearing no. 2840/2022, in which the family accused the attending physician Nader Fasih, the surgeon and owner of the hospital Wahid Othman, and then the anesthesiologist Tamer Ghoneim.
The report was forwarded to the prosecutor’s office investigating the incident, which heard three doctors and hospital staff, and anesthesiologist Tamer Ghoneim handed over to the prosecutor’s office a series of reports about the operation that, a full month later, the hospital accused him of stealing.
The Trouble with the Talking Mother
Last July, Hadeer Al-Rifai, the mother of the child, Ayouba, posted a plea on Facebook recounting the incident and seeking his justice, saying that her son died in a breast and heart treatment center, after performing a laparoscopy for adults and not for children, explaining that the hospital is not equipped with the necessary facilities, and that the doctors are manually reviving her baby’s heart without using modern equipment.
The mother added that her child was allowed into surgery without rumors or tests or checking to see if there was anything in him, because the doctor convinced her that Ayoub had swallowed the nuts that caused the legal proceedings.
Tomorrow, the General Secretary of the Medical Union, Dr. Mohamed Farid, lawyers of the Union, members of the sub-union council in Alexandria, and a large number of doctors and those in solidarity with him, in addition to the child’s family, will come tomorrow. Ayman Ayoub, will be present.
It is planned to organize a silent protest with a picture of Dr. Tamer Ghoneim, demanding his release and calling those responsible for the medical error to account.
The Trouble with the Talking Mother
Last July, Hadeer Al-Rifai, the mother of the child, Ayouba, posted a plea on Facebook recounting the incident and seeking his justice, saying that her son died in a breast and heart treatment center, after performing a laparoscopy for adults and not for children, explaining that the hospital is not equipped with the necessary facilities, and that the doctors are manually reviving her baby’s heart without using modern equipment.
The mother added that they put her child into surgery without rumours, analysis and checking if there was anything in him, because the doctor assured her that Ayoub had swallowed nuts that caused his fatigue and was going to the surgery, but he did not reveal this during the operation: “Malqoush is tired and the operation is being done. He had an endoscope, but he didn’t find it during the operation: “They didn’t need anything when they entered the first telescope, so they analyzed the money and put the second telescope, and then they didn’t come out to calm my heart, even didn’t even talk to me. They left my son in the room and let me see him inside the surgery. They brought him into the room again.”
And she continued: “I considered Ayoub with God, but restore my son’s rights,” demanding that those responsible be held accountable and close the hospital because it is not equipped with a telescope or a resuscitation device, she said. He said.
Call the DA and jail Tamer Ghoneim
Over the past month, the prosecution has gone back and subpoenaed doctors, including Dr. Tamer Ghoneim, an anesthesiologist, who confirmed that there were medical errors during the operation, blaming the attending physician, the surgeon and the hospital. for what happened, but was surprised by his conversion from a witness to a defendant in a medical malpractice case and the theft of papers related to the incident after the complaint was filed. The hospital filed a complaint against him at the end of June, a month after the incident, and a forensic report on the case was received, which refutes the medical errors that occurred, and it was decided to close him in case no.2840 from 2022, registered under no. 779 from 2022 of forensic medicine He was referred to the misdemeanor court, imprisoned
Broad solidarity with Tamer Ghoneim
After Dr. Tamer Ghoneim was jailed, a broad campaign of solidarity with him was launched, creating a page on a social network called “No to jailing doctors. Tamer Ghoneim is oppressed” and emphasizing that he is not responsible for what happened to the child Ayoub Ayman and pointing pointing the finger at the doctor, surgeon and hospital and showing greater solidarity with him. From 15 sub-unions of doctors and the Faculty of Medicine of the University of Alexandria and the issuance of a report by specialists in the fields of forensic medicine and pediatric surgery, confirming that the medical errors mentioned in the forensic examination are not the responsibility of the anesthesiologist, and disputing the finding and confirming its invalidity for several reasons, including the formed and biased commission on at the end of the complaint against the anesthesiologist
A pediatric surgery and endoscopy conference at the Alexandria University School of Medicine witnessed widespread solidarity with Dr. Tani Ghoneim, and child Karim Muhammad, one of the children with congenital differences, held up a picture of Tamer Ghoneim in solidarity with him, and his mother gave a speech in to whom she told that her son had been entering the operating room for one day since he was born and that he had undergone a complex operation at the Department of Pediatric Surgery at the El-Shatby Hospital, and he was under anesthesia for all the operations. skilled physician, Dr. Tamer Ghoneim.
Many children like Karim need Dr. Tamer Ghoneim for his experience and excellence in pediatric anesthesia.
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Forensic report
The forensic report of the deceased child Ayoub Ayman revealed that the left lung weighed 129 grams and measured 9 x 6 x 5. It is unusual that the weight of the child’s left lung should have been only 64 grams, while the right lung weighed 42 grams and had dimensions of 7 x 5. x3 x3.
The report stated that a suspicious foreign body was observed inside the trachea at the navel of the left lung, which is contrary to what the doctor and surgeon said they removed the “peanut” foreign body, and the report confirmed that there was an obstruction of the airway by a plant object of a strange it looks like it slipped into the mucosa of the left lung wing.
The report stated that what happened to the child was the result of eating peanuts about twelve days before the operation, which was aggravated by acute bronchitis of the left lung, which required a bronchoscopy.
The report concluded that the child’s condition witnessed low blood levels and increased carbon dioxide, which led to a delay in the return of spontaneous blood circulation.
The report adds that the heart was activated by adrenaline in a way contrary to what medical references admit, and this may be the result of tension and urgency – by changing the laryngeal tube and placing it in the right place in the trachea, measurements improved and the heart responded to resuscitation after it was too late.
And that the anesthesiologist was constantly with the patient and invested the maximum effort and knowledge as he could in an attempt to perform cardiopulmonary resuscitation.
According to the Quartet report, the decrease in the percentage of blood oxygen saturation and cardiac muscle arrest are most likely caused by laryngeal spasm and lack of oxygen supply to the lungs during flexible fiber optics. with an endoscope through a laryngeal mask or tracheal intubation, which had a negative impact on the child’s life, and that the possible causes of death are hypoxia of the body as a result of laryngospasm and the inability to supply the child with oxygen during the insertion of a flexible fiberoptic endoscope after the anesthesia wears off and until tracheal intubation.
According to the final opinion of the report, judging from the above, there are 7 main points
1
The report clarified whether what happened to the above in terms of the medical intervention represented in the performance of the bronchoscopy was justified and whether it was carried out in accordance with recognized sound medical principles.
The listed complications, such as lack of oxygen and a drop in heart rate, are among the possible complications.
The report confirmed that what happened to the aforementioned before and during the anesthesiological surgery was in accordance with recognized and recognized sound medical principles, and the problem is in dealing with the patient in the period after the surgical procedure, and the person responsible for this is the anesthesiologist, and there is a conflict of statements between the doctor and the request to stop the surgical intervention through the rigid bronchoscope, then allow the flexible telescope to enter, and see and assume what happened to the child who died after the surgical intervention with the rigid bronchoscope was completed and while the child was recovering from anesthesia and trying to introduce the flexible telescope, the child had a spasm in the larynx and the laryngeal tube accidentally entered the esophagus.
The consultant anesthesiologist at the Department of Forensic Medicine also found, as stated in the report of the Quartet Committee, that the decrease in the percentage of blood oxygen saturation and cardiac arrest most likely results from the appearance of spasms in the larynx and the lack of oxygen supply to the lungs during the introduction of a flexible fiberoptic scope through the laryngeal mask or intubation of the trachea with its death. The effect of anesthesia and with the continuation of cardiopulmonary resuscitation. and in the presence of a laryngeal tube in the esophagus, the child was exposed to increased hypoxia, increased blood acidity and high carbon dioxide, which in turn led to a delay in the return of spontaneous blood circulation.
