Transplants 5 HIV-Infected Organs

One of Taiwan's best regarded hospitals transplanted organs from an HIV carrier into five patients, a hospital official said Monday, in what appears to be one of the most egregious examples of medical negligence in the island's modern history.
The five are now being treated with anti-AIDS drugs, said the official at National Taiwan University Hospital in Taipei.
The official spoke on condition of anonymity because she is not authorized to deal with the media.
In a posting on its website over the weekend, the hospital said the mistake occurred because a transplant staffer believed he heard the English word "non-reactive" on the donor's standard HIV test, which means negative, while the word "reactive" was actually given.
The hospital added that the information on the test result was given over the telephone and was not double-checked, as required by standard operating procedures.
"We deeply apologize for the mistake," the hospital said.
Shih Chung-liang, a Health Department official, said a department team will look into the mistaken transplants and decide on possible penalties for NTUH.
The donor was a 37-year-old man who fell into a coma on Aug. 24 and his heart, liver, lungs and two kidneys were transplanted to five patients on the same day. The heart transplant was conducted at another hospital, while the four other transplants were conducted at NTUH, according to NTUH.
The donor's mother, who was not identified, told cable news stations that she felt terrible about the transplants and had not been aware of her son's ailment. She said he died after "falling from a high spot," without providing details.
Yao Ke-wu, who heads the health department of Hsinchu city, where the donor resided, decried the NTUH transplants as "appalling negligence."
He said NTUH staffers could have avoided the mistake by asking his department about the donor's medical history in advance, and deplored that such inquiries were not mandatory in Taiwan.
Yao said the five organ receivers will very likely contract HIV, and their anti-AIDS treatment will be further complicated because they also have to take medication to modify rejection of the new organs.
There are also concerns among the physicians and nurses who conducted the transplants that they too may contract HIV.
Lee Nan-yao, a physician with the National Chengkung University Hospital, which performed the heart transplant, told the United Daily News that some physicians and nurses who had conducted the transplant "were depressed, and on the verge of panic."

Online Consultations

Patients will be able to hold online consultations with doctors as part of plans to technologically revolutionise the health service, according to the medical director of the NHS.
Professor Sir Bruce Keogh said that IT will "completely change the way we deliver medicine" making access to GPs at any time a reality and giving patients the ability to talk to specialists anywhere in the country.
The health expert told The Times newspaper he was looking at using online services such as Skype to make the NHS more convenient for users.
"I am looking at how we can put levers into the system to encourage doctors to do online consultations," he said.
"Once you have online consultations, it breaks down geographical boundaries. It opens up the spectre of 24/7 access."
Sir Bruce said that the health service had a long way to go before it caught up with the technological progress of recent decades, arguing that the service had to change to make use of new technology.
Doctors leaders and patient groups warned the internet should not become a means to cut access to GPs or transfer out-of-hours care to overseas call centres, but admitted budget cuts could force the NHS to rethink the way services are provided.
Katherine Murphy, chief executive of the Patients Association told The Times that patients would "embrace" the proposals "in the right setting".
"There is scope for initiatives like this. If you child has a rash, your GP could look at it and say 'you need to come in' or 'you need to go to hospital'. It may speed up the process."
But she added: "We would be concerned that it could translate to more frustration for patients. People are already concerned that they are spending less time with their GP and we wouldn't want this to be a way of reducing that further. It should always be the choice of the individual."

Kanimozhi's kindness

Sent to prison in the 2G case, Kanimozhi has upgraded herself to 4G. All for a good cause.
The DMK Rajya Sabha member has got Tihar jail authorities to double her weekly prison allowance from Rs 2,000 (two grand or 2G as the Americans would say) to Rs 4,000.
She is using the money to treat the children of fellow women inmates to snacks and soft drinks from the jail canteen.
Under jail norms, an undertrial ' but not a convict ' is allowed a maximum of Rs 2,000 a week as "pocket money" from his or her family members. They cannot be given the money directly but only in the form of canteen coupons bought by their families.
"This allows them to buy articles like shampoo, soap, bakery products, soft drinks, fruits, sweets, snacks, towels and other items of daily use from the jail canteen," said Sunil Gupta, the law officer of Asia's biggest prison.
He confirmed that the jail authorities had increased Kanimozhi's allowance after several requests from her.
"She told us she needed more money to buy snacks and other food items for the children of women prisoners. She has become very attached to them and visits them regularly," Gupta said. Jail sources said the authorities had the discretion to increase the allowance, but added that this had never been done at Tihar before the high-profile 2G accused arrived.
Now the authorities have allowed increased "pocket money" not only for Kanimozhi but also for other 2G accused such as former telecom minister A. Raja and telecom company bosses, a prison official said.
"The other 2G undertrials too had requested the allowance hike to buy articles of daily use," the jail official said, adding the accused had "made friends" inside the jail.
"They treat fellow inmates to soft drinks and snacks, and in return, these prisoners are always ready to help them in any need," he said. Sources said these inmates regularly wash the clothes of the 2G accused or give them a massage.
But Kanimozhi seems earnest about helping the women prisoners' children, officials said. The MP has a school-going son and had cited her "motherhood" in her bail plea but the court had said parental responsibilities could not be considered while deciding bail.
Jail No. 6, which houses female prisoners, has a cr�che and a nursery where their children are taught by trained workers. The jail department also provides the children with medical care apart from clothes, food and a bed.
When the children reach the age of six years, they are admitted to boarding school with their mothers' consent.
"Kanimozhi visits the cr�che regularly and spends a lot of time with the children on weekends when there is no court hearing. She buys a lot of food items and fruits for them. She is very popular among the children, who call her 'auntie'. Her fellow inmates respect her for her generosity," the jail official said.
He added that the MP was also taking an interest in the candle-making unit at the women's ward, and was learning how to make candles.
Candle-making is one of the vocational courses run at Tihar to impart skills to the prisoners that would help them earn a living after their release. The candles made by the prisoners are sold.