Women in the fight against cancer have been subjected to a series of harmful, offensive and offensive behavior by some doctors in the cervical cancer scandal.
In his highly anticipated report, the health expert, dr. Gabriel Scally, expressed sharp conclusions on the state of the national cervical cancer screening service.
The author of the new report in the CervicalCheck debacle described him as mismanaged was "doomed to fail" and said that some of the care of women "bordered on misogynist".
The pain and anguish suffered by the 221 women who developed the cervical scandal – and the families of 18 victims who died – was exacerbated by doctors.
These doctors passed very late audit reports telling them for the first time that they had obtained an incorrect test result.
But a woman who asked her oncologist what open disclosure meant being out of tune.
"He got me out of the door without support", he said
In another case, a woman was distressed when the doctor who had not transmitted the verification report showed the test result was wrong "he sat back in his chair".
He recalled that his attitude was that "he could not give two whistles".
A grieving family who lost their mother was horrified when they were told: "Sisters don" t cervical cancer. "
The doctor reminded them that he was a smoker.
Another doctor apologized for his inability to pass the audit, saying he" got lost in his file. "
A doctor has told a patient that he did not tell her why he "did not know the protocol."
Other women observed that the doctor who cared for them "could not look me in the eye".
When a woman asked her doctor how she would be He was informed from that moment on, he said to "watch the news".
A clearly troubled patient was shocked that she had been attending the doctor for years but remained silent for having her review report. "So I'm just a number? "
Dr. Scally became emotional as he recalled the testimonies of women who had a tumor in the neck of the uterus, but were kept obscure for years about the audits showing that their test results were wrong. "They have me honest, "he said.
He believes there is a tradition of considering women's health as "secondary". The experiences of women led him to conclude: "paternalism is alive and well".
Dr. Scally said that women felt particularly betrayed by the fact that doctors kept control reports from them. He said: "I would really like someone to apologize and someone who wanted to say sorry."
His conversations with women were rarely, if ever, brief and some were heart-rending and emotional.
report on the page, which contains 50 recommendations, highlights system-wide failures and notes that nobody was responsible for CervicalCheck.
"The current policy and practice in relation to open disclosure is profoundly contradictory and unsatisfactory," he said.
Open disclosure should result in a patient being promptly informed that he or she has been the victim of a medical or health service.
But at the moment "there is no compelling obligation on the part of doctors to disclose" and little guidance even from the Medical Council, the body regulation that should ethically take them into consideration.
Dr. Scally said he did not find any reason why CervicalCheck should not continue using the three laboratories that are currently screening, one in the United States and the other two in Dublin.
The highly written report and the way in which it has deepened the failures in CervicalCheck has been accepted by many of the victims.
Vicky Phelan, Limerick's mother to two whose case of the High Court discovered the presence of secret audits, said she felt "confirmed" by the report.
But he echoed the call from Stephen Teap, Cork's father of two young boys who lost his wife Irene to cervical cancer, that the recommendations should not be allowed to collect dust.
Health Minister Simon Harris said that failure to disclose the findings of the audit to the victims is tantamount to a "breach of trust". He said the attempt to release the audits to the victims was "failed".
Dr. Scally discovered that the CervicalCheck Medical Advisory Committee met only once in the last 10 years.
Every 1,000 women screened, about 20 women have precancerous changes. The traditional cervical test will identify about 15 of these women.
The HPV test, which will be presented next year, will take 18, according to the report.
Responding to the Scally report, the Royal College of Physicians of Ireland said it will take some time to "fully consider" those recommendations that will inform training and medical education programs.