Today While we were discussing the topic of Insulinoma in our surgical floor,  Dr. M. Arshad Cheema (FRCS) showed us a real life scenario when a patient of  Insulioma fell prey to medical malpractice.

Who was Resposible?

 A psychiatry Department, The pateint was in usual state of health some days back when he became mentally abnormal. The relatives of the pateinet consulted a community psyciatrist as they thought he has become mentally retarted. The doctor sent the patient to Mayo  hospital Lahore.  Where he was admitted to the psyciatry department and remained there for one month. No drug was effective as the diagnosis was wrong from the day one.

A Neurology Department, came to be the part of whole Medical Malpractice when he was referred to Neurology ward by psyciatry department. They  started the treatment of epilespy as there were fits as his presenting complaint.  Oneday while he was in the Neurology ward he become fully unconscious for a long peroid of time.

When He was Lucky?

Luckily, he was referred to medical emergency for uncounsciousness. As a routine investigation ( Which was missing from the day one) ,  his blood glucose levels were advised as a standard approach for unconscious patients. The blood sugar was found to be 35 mg/dl and labelled as in severe  hypoglycemia. On investigations like Xray abdomin and CT scan he was rightly diagnosed as Insulinoma. ultimately his surgery was planned and he was operated for Insulinoma.

Why he was still not Lucky enough after right surgical operation?

 The Pathology department was responsible for another added medical Malpractice.  As 90% of insulinoma cases are benign he was falsely reported as benign insuinoma on histopathology. Actually he was suffering from a malignant disease and was a candidate for rediotherapy and chemotherapy.

What was the end result?

As a result he presented with spread of malignant disease  to liver and about 30 secondaries there. He lost his life miserably in the hands of best doctors in Pakistan who were practicing nothing more than a medical malpractice.

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