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MEDICAL

‘Worst doctor in Norway’ working in Sweden

A surgeon who lost the right to operate in Norway after 29 cases of malpractice is working unhindered at a hospital in northern Sweden, where managers were previously unaware of her error-strewn past.

Danish doctor Johanne Krogh, 62, has become synonymous in Norway with medical malpractice after a series of high profile incidents that changed patients’ lives for the worse.

In one case, she stormed out on a bleeding patient in the middle of a surgical procedure after losing her temper with a colleague in the operating theatre. The incident necessitated two further corrective operations for the patient, who later died after a wound became infected.

Also, several of her hip patients reported her to the authorities after emerging from the operating room with legs differing in length by up to four centimetres.

Krogh’s errors have so far cost the Norwegian patient insurance system 13 million kronor ($1.7 million).

Krogh has worked at Hudiksvall Hospital since July 2007. But her Swedish employers were unaware of the Danish doctor’s many medical missteps, having only carried out basic checks on her background. Instead, the matter was brought to the hospital’s attention by Norwegian public radio broadcaster NRK.

“I understand that people have come to harm and that’s something we have to respect, which is why I think it’s important that information of this kind is exchanged between countries,” said Kjell Norrman, divisional manager for the Gävleborg county health service which employed Krogh.

But Norrman added that she had done a good job as a surgeon at the Swedish hospital.

The Norwegian patient insurance system has received 42 reports of malpractice pertaining to Krogh’s work, 29 of which have led to insurance pay-outs. Two cases are awaiting arbitration.

”We consider the cases to be of a serious nature,” said Øydis Ulrikke Castberg, spokeswoman for the Norwegian System of Compensation to Patients (Norsk pasientskadeerstatning – NPE).

NPE decided to revoke Krogh’s orthopedic and surgical licences after the first twenty reports of serious medical malpractice, which prevented her from performing surgery in the country.

But there was nothing to prevent her from working in neighbouring Sweden, where she is free to continue operating.

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MEDICAL

Spanish fertility doctors behind world’s first ‘three-person’ baby

A team of Greek and Spanish doctors announced Thursday the birth of a baby using DNA from three people after a controversial fertility treatment that has provoked intense ethical debate

Spanish fertility doctors behind world's first 'three-person' baby
Photo: AllaSerebrina/Depositphotos

The team used an egg from the infertile mother, the father's sperm and another woman's egg to conceive the baby boy, transferring genetic material with chromosomes from the mother to the egg of a donor whose own genetic material had been removed in a process its creators hailed as a medical “revolution”.

A similar DNA-switching technique was used in Mexico in 2016 to avoid transmission of a mother's hereditary illness to her child.   

But the case in Greece is the first time an IVF (in vitro fertilisation) technique using DNA from three people has been deployed to allow a mother otherwise unable to conceive to have a child. 

The baby, born Thursday and weighing in at 2.96 kilos (6.5 pounds), was delivered by a 32-year-old Greek woman who had undergone several unsuccessful attempts at in vitro fertilisation, Greece's Institute of Life said in a statement.

Institute of Life president Dr Panagiotis Psathas, stated: “Today, for the first time in the world, a woman's inalienable right to become a mother with her own genetic material became a reality.

“As Greek scientists, we are very proud to announce an international innovation in assisted reproduction, and we are now in a position to make it possible for women with multiple IVF failures or rare mitochondrial genetic diseases to have a healthy child.”

Dr Psathas added: “Our commitment is to continue to help even more couples facing fertility issues to have children with their own DNA, without having recourse to egg donors.” 

'Will help countless women'

His scientific collaborator of the Institute of Life, Dr Nuno Costa-Borges, also hailed the news.

“The completely successful and safe implementation of the Maternal Spindle Transfer method — for the first time in medical history — is a revolution in assisted reproduction,” Dr Costa-Borges said.

He added that “this exceptional result will help countless women to realise their dream of becoming mothers with their own genetic material.”   

In the Mexican case, the mother had been suffering from Leigh syndrome, a rare illness which affects the developing nervous system and can be fatal. In her case, the disorder had previously caused the deaths of two of her children. 

Using the triple DNA technique to aid in infertility cases raises complex ethical issues, however.

Tim Child, Oxford University professor and medical director of the Fertility Partnership, expressed his concern.   

“I'm concerned that there's no proven need for the patient to have her genetic material removed from her eggs and transferred into the eggs of a donor.

“The risks of the technique aren't entirely known, though may be considered acceptable if being used to treat mitochondrial disease, but not in this situation,” said Child.

 By AFP's Chantal Valery 

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