"Bordered by misogynism" – a doctor accused of scandalous report on the CervicalCheck scandal says that "someone should say sorry"



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Dr. Gabriel Scally photographed at the briefing. Photo: Frank McGrath
Dr. Gabriel Scally photographed at the briefing. Photo: Frank McGrath

Eilish O 'Regan

Women who fight against cancer have been subjected to a series of harmful, hurtful and offensive behaviors by some doctors in the cervical cancer scandal.

In his long-awaited report, health expert Dr. Gabriel Scally drew bitter conclusions about the state of the national cervical cancer screening service.

The author of the new report on CervicalCheck's debacle described it as so badly managed that it was "doomed to failure" and said some of the treatment of women "confined to misogynism".

The pain and distress suffered by the 221 women who developed cervical cancer – and the families of 18 deceased victims – have been worsened by some doctors.

These doctors transmitted very late audit reports telling them for the first time that they had had a wrong result.

But a woman who asked her oncologist what a free disclosure meant was blocked.



Stephen Teeap and Lorraine Walsh spoke at a press conference on Dr. Gabriel Scally's exploratory investigation report on the CervicalCheck screening program at the Buswells Hotel in Dublin. Photo: Frank McGrath


Stephen Teeap and Lorraine Walsh spoke at a press conference on Dr. Gabriel Scally's exploratory investigation report on the CervicalCheck screening program at the Buswells Hotel in Dublin. Photo: Frank McGrath

"He brought me out the door without support," she said.

In another case, a woman remained in distress when the doctor who did not transmit the audit report showing that the result of her test was incorrect was simply "sitting in her chair".

She recalled that his attitude was that he "could not give two loaths".

A bereaved family who lost their mother was horrified to be told, "Nuns do not contract cervical cancer."

The doctor reminded them that she was a smoker.

Another doctor excused his inability to convey the audit, claiming that he "was lost in his record".

A doctor told a patient that he had not told him because he "did not know the protocol".

Other women noticed that the attending physician "could not look me in the eye".

When a woman asked her doctor how she would be informed from that time, he said to "look at the information".

A clearly upset patient was shocked to have attended the doctor for years, but he remained silent about his audit report. "So, I'm just a number?" she wondered.

Dr. Scally became moved by remembering the stories of women with cervical cancer, but was kept in the dark for years about verifications showing that the results their tests were wrong. "They kept me honest," he said.

He believes that there is a tradition of viewing women's health as "secondary". The experiences of women led to the conclusion that "paternalism is doing well".

Dr. Scally said women felt particularly betrayed by the fact that doctors kept audit reports from them. He said, "I would really like someone to say sorry and someone who wants to say sorry."

Her conversations with women were rarely, if ever, short and some were painful and emotional.

Its 170-page report, which includes 50 recommendations, highlights the failures of the system and revealed that no one was responsible for CervicalCheck.

"The current open disclosure policy and practice is deeply contradictory and unsatisfactory," he said.

Open disclosure should imply that the patient is informed promptly that he has been the victim of harm caused by a health service or doctor.

But currently, "clinicians are not obliged to disclose" and the Medical Council, the regulator that should hold them ethically accountable, has little guidance.

Dr. Scally stated that he had found no reason why CervicalCheck should not continue to use the three laboratories that are currently screening, one in the United States and the other two at Dublin.

The report, written with force and the way he analyzed the failures of CervicalCheck, were well received by many of the victims.

Vicky Phelan, the mother of two children in Limerick, whose High Court case revealed the presence of secret verifications, said she felt "justified" by the report.

But she echoed the call of Stephen Teap, Cork's father of two young boys who lost his wife Irene to cervical cancer, that the recommendations should not be left to the dust.

Health Minister Simon Harris said the failure to disclose the findings of the audit to the victims was a "breach of trust". He said the attempt to disclose audits to victims was "sloppy".

Dr. Scally found that the CervicalCheck Medical Advisory Committee has met only once in the last 10 years.

For every 1,000 women screened, about 20 women will have precancerous changes. The traditional cervical test will identify about fifteen of these women.

According to the report, the HPV test, which will be introduced next year, will be followed by 18 tests.

Responding to the Scally Report, the Royal College of Physicians of Ireland said it would take time to "fully examine" those recommendations that will guide medical education and training programs.

Irish Independent

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