Roman Hasil and the Whanganui DHB - Health and Disability ...

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Health and Disability Commissioner Dr A explained that photographs are taken during the operation so that if a woman falls pregnant, it can be determined whether the clip is in the correct place. Dr B explained that the photograph is “to document medico-legally that the clips are properly applied”, but that “there’s no real clinical reason for doing it”. If the photograph defines the anatomy, it is possible to see exactly where the clip has been placed. Dr B’s usual practice during the operation is to take a close-up photograph of the Fallopian tube and clip, and then turn the Fallopian tube up the other way to demonstrate that it has been completely occluded by the clip. Dr B takes four photographs in total, two on each side — two close-up and two panoramic shots. Dr B often asks other members of the operating team to view the monitor to look at the placement of the clips. He explained that, whether or not a photograph is taken, the pause gives the surgeon some extra time to carefully check the placement of the clip. 148 February 2008
Opinion 07HDC03504 APPENDIX 10: INDEPENDENT ADVICE TO COMMISSIONER The following expert advice was obtained from Dr Ian Brown, a former obstetrician and gynaecologist then working as Director of Medical Services at Northland District Health Board. “I have been asked to provide an opinion to the Health and Disability Commissioner on case number 07/03504. I have read and agree to follow the Commissioner’s Guidelines for Independent Advisors. My qualifications are: MB.BS 1967, London MRCOG 1972 FRCOG 1983 FRANZCOG 1998 MRACMA 2004 My employment history following vocational registration is outlined below: Aug 2005–Present Director Medical Services Northland District Health Board 2001–2005 Chief Medical Officer Counties Manukau District Health Board 1999–2001 Deputy Chief Medical Officer Counties Manukau District Health Board 1997–2001 Clinical Director — Women’s Health Counties Manukau District Health Board Honorary Associate Professor University of Auckland 1993–1997 Clinical Director — Obstetrics & Gynaecology King Fahad Armed Forces Hospital, Saudi Arabia 1992–1993 Visiting Professor, Department of Obstetrics & Gynaecology University of Bristol, United Kingdom 1985–1992 Obstetrician & Gynaecologist Private Practice, Harare, Zimbabwe Honorary Senior Lecturer, University of Zimbabwe February 2008 149
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