Tuesday, October 3, 2023

The doctor sent the woman home – she died four days later

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A woman who was sent home after being checked out from an emergency clinic died four days later from a ruptured aorta.

A female entrepreneur from central Finland applied to the emergency clinic of Jokiläkoso Hospital in Jämsa on Epiphany Eve 2019. Her upper back pain became so severe that the woman went to the hospital with her adult daughter.

The woman was examined in the emergency department by a doctor born in 1988. They examined the woman for a heart attack but did not find any warning signs of other ailments and sent the woman home after the tests. Four days later, the lining of the woman’s aorta ruptured and she died suddenly.

When registering for the appointment, in addition to back pain, the woman’s treatment plan noted that her left arm was numb and she also had symptoms of radiation in her left leg. According to the treatment plan, the pain in the sternum had spread to the back.

The male doctor who examined the woman was charged with murder on Wednesday. According to the prosecutor’s summons application, due to the negligence and carelessness of the doctor, the rupture of the aortic aneurysm of the female entrepreneur was not diagnosed in time. Had the symptoms experienced by the woman been properly investigated and treated, perhaps the death could have been avoided.

In his preliminary written reply to the district court, the doctor denied the allegation. According to him, the woman had only complained of back pain at the reception.

Only the accompanying daughter had told the nurses about numbness in the left arm and other problems related to heart symptoms, thus eliminating information in the treatment plan. The doctor did not see the daughter during the emergency visit. According to the doctor, the woman herself did not tell the nurses about the problem.

According to the doctor’s written answer, the patient was in good health and the blood pressure, which was significantly increased on examination, was explained by pain and stress at the reception. As per the doctor’s assessment, the film of the patient’s heart was also normal. The woman had previously suffered from back symptoms, and at that time the problem subsided with pain relievers and treatment by a joint repair specialist.

According to the summons application, based on the written evidence and his evidence subjects, the treatment of the patient had failed on several points. Experts found shortcomings, for example, in the scope of the study and in monitoring symptoms and the effectiveness of treatment.

In his own written reply, the doctor reminded that aortic dissection is a dangerous disease, and even with appropriate specialized medical treatment, the patient’s survival is not certain. The District Court of Central Finland will later issue its decision on the matter as the Chancellor’s decision.

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