Tag Archives: inappropriate

Oncologist Accused of Inappropriate Treatment ‘Provided Exceptional Care’

MANCHESTER—Leading oncologist Professor Justin Stebbing has told a medical tribunal he provided “exceptional standards of care” to a cancer patient he’s accused of giving chemotherapy when there was no evidence it would bring any benefit.

Prof Stebbing, a cancer medicine and oncology professor at Imperial College London with a private practice in Harley Street, claimed the patient would have died without the chemotherapy and  immunotherapy treatment led to him living for another 2 years.

He’s appearing before a Medical Practitioners Tribunal Service (MPTS) fitness to practise hearing and is accused of failing to provide good clinical care to 12 patients between March 2014 and March 2017.

In some cases, Prof Stebbing is accused of inappropriately treating patients given their advanced cancer or poor prognosis, overstating life expectancy and the benefits of chemotherapy, and continuing to treat patients when it was futile and they had just weeks to live.

The 36 charges – 21 of which he’s admitted – also include failing to keep proper records and failing to gain informed consent for treatment from patients.

Oncologist Accused of Inappropriate Treatment 'Provided Exceptional Care'

Patient B

Prof Stebbing’s international reputation for innovative treatments has led to wealthy, terminally ill cancer patients from around the world turning to him in the hope of extending their lives.

The tribunal heard about one lung cancer patient – known only as Patient B – from Spain he treated between May 2014 and October 2015.

Prof Stebbing is accused of offering doublet chemotherapy to the patient beyond six cycles, despite evidence emerging he was developing impaired renal function.

He’s also accused of continuing the treatment at a higher dose after 10 cycles despite a “lack of efficacy” and “evidence of harm emerging”.

It’s alleged the chemotherapy would have exposed the patient to risks “without any conceivable prospect of improving health”.

However, Prof Stebbing defended his actions saying he’d explained to the patient that if he stopped chemotherapy at any time “his disease would progress rapidly and he would die”.

He said immunotherapy “typically took 3 months to work” and because the patient’s lung cancer hadn’t progressed it was evidence the chemotherapy had worked.

It was possible to provide chemotherapy in cases of renal failure, he said, and he’d only given it in small doses.

“This is one of two patients in the bundle who has an exceptional standard of care,” he said.

“If you look at the problem with his kidneys, this was the minimus in my terms.

“I think I made some very, very difficult decisions that other people may not have made but I got them right and, as a result, he lived very happily for another 2 years.”

‘Guidelines Are a Guide’

But Sharon Beattie, for the GMC (General Medical Council), claimed he’d ignored guidelines and there was no data to support the position he’d taken.

Prof Stebbing replied: “The guidelines are a guide, they are helpful, they do not replace the skill of an individual doctor.

“There were no guidelines for a patient like this. I’m absolutely amazed you’re saying, ‘You should have just let him die because there were no guidelines.'”

Ms Beattie pointed out that Prof Stebbing had accepted that he’d stopped the chemotherapy treatment in October 2015 because it was clear there was evidence of “toxicity and waning efficacy”.

But he claimed there were only “grade one” levels of toxicity and “mild” disease progression.

At that stage, he said, he realised he was approaching the “end of the line’ with the treatment and he was “thinking out of the box” to get immunotherapy for the patient.

Earlier, Prof Stebbing said the chemotherapy had been “a bridge” to the patient’s immunotherapy treatment but it had “never been clear” it would be available.

He said: “The whole point of the extended duration chemotherapy was to try to get him to immunotherapy if it was available.

“It was a very exciting, new possibility. I didn’t know if it was going to be available but I wanted the patient to have every chance of it being available.

“The longer he lived for with stable disease the more likelihood it had of becoming available.”

Prof Stebbing denies failing to discuss the risks and benefits of chemotherapy with the patient and failing to maintain adequate records.

He told the tribunal that he had discussed both the chemotherapy and immunotherapy but he accepted he’d had “problems” with documenting his decisions.

The tribunal continues.

Ian Leonard is a freelance journalist experienced in covering MPTS hearings.

Author: Ian Leonard
Read more here >>> Medscape Medical News

Santa Clara U. President Resigns After Inappropriate Behavior, Officials Say

Santa Clara U. President Resigns After Inappropriate Behavior, Officials Say

A Jesuit priest who delivered the homily at a Mass for the inauguration of President Biden has resigned as the president of Santa Clara University after he engaged in inappropriate behavior, university officials said on Wednesday.

An investigation by the Jesuits West Province found that the priest, the Rev. Kevin O’Brien, “engaged in behaviors, consisting primarily of conversations, during a series of informal dinners with Jesuit graduate students that were inconsistent with established Jesuit protocols and boundaries,” the chairman of the university’s board of trustees said in a statement to the university community.

“The Province also advised the Board that alcohol was involved and that no inappropriate behavior was found in any settings outside of these dinners,” the statement said.

The statement, which did not elaborate further on the behavior, said that Father O’Brien, who had been placed on leave in March, notified the board of trustees that he was resigning on Sunday, and that the board accepted his resignation on Monday.

“The Board of Trustees takes this situation very seriously and fully supports those who came forward to provide their accounts,” said the statement from the board chairman, John M. Sobrato.

Mr. Sobrato said the province had directed Father O’Brien to remain on leave and to enroll in a four- to six-month “therapeutic outpatient program, which he has now begun, to address related personal issues, including alcohol and stress counseling.”

Father O’Brien could not be immediately reached for comment on Wednesday night.

A former practicing lawyer who was ordained to the priesthood in 2006, Father O’Brien had served as dean of Santa Clara University’s Jesuit School of Theology since 2016 and was named president of the Jesuit university in 2019. Before that, he had served for eight years at Georgetown University, including five years as vice president for mission and ministry, according to Santa Clara University.

Father O’Brien has also served on the boards of four Jesuit universities: Fordham University, Seattle University, Marquette University and Boston College, according to his biography at Santa Clara University.

On Jan. 20, Inauguration Day, he celebrated a Roman Catholic Mass for President Biden, Vice President Kamala Harris and congressional leaders at the Cathedral of St. Matthew the Apostle in Washington. Father O’Brien had been friends with the Biden family for nearly 15 years, since serving at Georgetown University, according to the Jesuits.

In his homily, Father O’Brien compared Mr. Biden’s upcoming inaugural message to the words of Jesus.

“Your public service is animated by the same conviction,” he said, “to help and protect people and to advance justice and reconciliation, especially for those who are too often looked over and left behind.”

The Rev. Scott Santarosa, provincial of the Jesuits West, said that the university and Father O’Brien were “in our prayers during this time of transition.”

“This is a challenging time for Santa Clara, but Father O’Brien has shown both generosity and freedom in wanting to do what is best for the university,” Father Santarosa said in a statement. “With care for the faculty, staff, students and entire Santa Clara community, he has decided to step down.”

Mr. Sobrato said that while the board begins the process of searching for a new president, Lisa Kloppenberg, the university provost, would continue to serve as acting president, a role she assumed in March after Father O’Brien was placed on leave. At the time, Mr. Sobrato said that Father O’Brien had agreed to cooperate fully with the investigation.

“I realize that a development like this can bring up many feelings — I humbly ask everyone to give each other grace and space as we collectively absorb the news of Father O’Brien’s resignation,” Ms. Kloppenberg wrote in a message to the university community on Wednesday. “I am grateful that you will stay focused on your responsibilities to our students, other stakeholders and each other as we finish out this academic year and continue preparations for a return to campus in the fall.”

Azi Paybarah contributed reporting.

Author: Michael Levenson
This post originally appeared on NYT > U.S. News

Boom Bust asks when the former president be allowed back on facebook

Boom Bust asks when the former president be allowed back on facebook

Facebook’s oversight board on Wednesday upheld the social platform’s ban of former US president Donald Trump but said the company was wrong to make the suspension indefinite.

They gave Facebook six months to determine a “proportionate response.”

While the board said the term ‘indefinite’ was inappropriate because it violated Facebook’s own publishing guidelines, the company didn’t give a clear timeline of when his suspension might be lifted, RT’s Boom Bust co-host Ben Swann explains.

“The board says, ‘You can keep him suspended right now but you have to make a ruling on how long it will be’ – is it a temporary suspension, then for how long, if not, then it’s a permanent suspension, which means you’re gone forever.” 

Swann continues: “I have a suspicion here that what you’re not going to see is Trump being allowed to return before the 2022 midterm elections. I think it’s very unlikely they would allow him back before that, but in the event they do, it would have to be sometime relatively soon cause you’re not going to say ‘three and a half years’… How long is it actually going to be? We just don’t know.”

For more stories on economy & finance visit RT’s business section

Author: RT
This post originally appeared on RT Business News

Adam Henson: Countyfile host frustrated at vicious and inappropriate response from vegans 

Adam Henson: Countyfile host frustrated at vicious and inappropriate response from vegans 

The TV farmer believes trolls find it easier to say mean remarks online, as they can “hide behind their screens”. 

He continued: “They are hiding behind their screens, being really quite vicious towards me. 

“Making all sorts of assumptions and using language that is totally inappropriate. I find that, not hurtful, but really frustrating.

“Surely we need to have a sensible, adult conversation. I’m quite prepared to change my views, but I’m not going to do it if people are vicious,” he stated.