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Surgeon facing jail after admitting he killed patient [Doc posed for photo in OR]
Scotsman.com ^ | 18 Jun 2004 | RHIANNON EDWARD

Posted on 06/18/2004 11:07:47 AM PDT by aculeus

A DISGRACED surgeon was warned yesterday that he faces jail after he admitted killing a woman during an operation.

Steven Walker, 47, a consultant, dramatically changed his plea to guilty during the fifth week of his Old Bailey trial for manslaughter.

Judge Sir Stephen Mitchell remanded him on bail for sentencing on Wednesday.

But he said Walker should not "misinterpret" the move. Sir Stephen said: "The options are open. There is no indication whatsoever of there being a non-custodial sentence."

Sir Stephen said Walker had pleaded guilty on the basis that "a difficult operation became an even more hazardous one" when he decided to go on with removing a liver tumour after discovering it was larger than he expected.

Walker, of Camberley, Surrey, had denied the manslaughter of Dorothy McPhee, 71, at the Blackpool Victoria Hospital in 1995.

He had also denied the manslaughter of Jean Robinson, 66, following an operation in the same year, stealing a hospital log and perverting justice. Rebecca Poulet, QC, prosecuting, said it had been decided that it would not be in the public interest to continue with the cases, and they would lie on file.

A similar decision had been made about a second trial alleging manslaughter of another patient, Margaret Wilson, 63, in 1998.

The change of plea followed legal rulings made by the judge on Wednesday.

Walker had already been found guilty of serious professional misconduct by the General Medical Council, following a series of botched operations which left four women dead and others maimed.

Mrs McPhee died following a risky operation to remove a large cancerous tumour from her liver. She lost 36 pints of blood following the operation, which, the court was told, should not have been performed by him. Consultant anaesthetist Helen Matheson said: "The haemorrhage can only be called torrential. Three of us were working full-out to get blood into her.

"It was a very sudden dramatic event. We could not keep up with the blood loss."

The court was told Walker turned his back on Mrs McPhee as she bled on the operating table to have his photograph taken with the dissected liver.

Mrs Robinson, who was also from the Blackpool area, was given an emergency operation after a colonoscopy procedure produced a tear in 1995.

She died three weeks later, following a second operation to reduce an infection and during which the doctor decided to remove most of her bowel. The trial heard evidence from medical experts who said that Walker should not have attempted the procedures.

Ms Poulet said: "His standard of care fell so far short of what could be expected of a reasonably competent surgeon of Mr Walker’s level of training and experience that it makes him criminally liable.

"A patient is entitled to expect that all doctors should recognise the limits of their professional competence."

Walker became a consultant at the hospital in 1995, but was suspended in January 1999 after a final operation during which Mabel Saville, 86, lost huge amounts of blood. She died three months later.

The GMC’s disciplinary panel was told that 16 anaesthetists at the hospital refused to work with Walker. He was struck off the medical register in November 2001 after a number of complaints of botched operations were proved.

The GMC said he had performed surgery "beyond the limit" of his confidence and skill. One patient said she felt "like a freak" after he attempted to rebuild her breast following a mastectomy.

The hearing was told that Walker had used sticky tape during one operation to try to get a woman’s breasts level.

But Walker appealed, and a year later the GMC restored his name to the register on condition that he did not operate.

But a coroner had ordered a police investigation and Walker was again suspended in July 2003 after he was charged.


TOPICS: Extended News; United Kingdom
KEYWORDS: doctorbutcher; socializedmedicine; stevenwalker; stevenwalkermd
The court was told Walker turned his back on Mrs McPhee as she bled on the operating table to have his photograph taken with the dissected liver.
1 posted on 06/18/2004 11:07:48 AM PDT by aculeus
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To: aculeus

doctors kill 90,000 + people a year + get away with it, so what's the fuss?


2 posted on 06/18/2004 11:09:19 AM PDT by no_problema
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To: aculeus

A consultant is someone who has been through all the training and whatnot, is that not the case? So he would have been training to be a doctor for many years, gone through internship/residency etc. at this point?


3 posted on 06/18/2004 11:11:28 AM PDT by ikka
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To: ikka; MadIvan
A consultant is someone who has been through all the training and whatnot, is that not the case?

Let's ask a Brit.

4 posted on 06/18/2004 11:13:51 AM PDT by aculeus
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To: ikka

A consultant surgeon in UK is the same as an attending surgeon in USA. They have finished their training and are Fellows of the Royal College of Surgeons (FRCS) which is equivalent to being board certified in the USA. This guy was most likely through with his training for 15 years.


5 posted on 06/18/2004 11:17:47 AM PDT by junaid
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To: junaid

I once sat in the cockpit of a fighter airplane.


6 posted on 06/18/2004 11:25:38 AM PDT by Old Professer (lust; pure, visceral groin-grinding, sweat-popping, heart-pounding staccato bursts of shooting stars)
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To: no_problema

"doctors kill 90,000 + people a year + get away with it, so what's the fuss? "

Never mind that most of them were already extremely sick and would have died WITHOUT doctors intervention... Right?


7 posted on 06/18/2004 11:36:44 AM PDT by adam_az (Call your State Republican Party office and VOLUNTEER!!!!)
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To: no_problema

Clearly, we should ban doctors. Then we'd live forever.


8 posted on 06/18/2004 11:40:49 AM PDT by 1rudeboy
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To: aculeus

Ah, the joys of socialized medicine...

I've heard that non-British insurance companies have private planes standing by to rescue their subscribers should they fall ill while visiting the UK.


9 posted on 06/18/2004 11:46:21 AM PDT by mvpel (Michael Pelletier)
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To: adam_az

Actually, he's referring to the figure for deaths by "medical misadventure," not ordinary fatalities despite the best efforts of the practitioner.


10 posted on 06/18/2004 11:47:45 AM PDT by mvpel (Michael Pelletier)
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To: aculeus
If 16 anesthetists refused to work with him, that should have had lots of bells and whistles going off within the staffing and credentialing offices. I'd imagine the anesthetist would have come around the screen to choke him herself, if she hadn't been so busy hanging 30 something units of blood. One of my favorite anesthesiologist to surgeon comments (during a tense trauma situation with 3 people pumping blood as fast as possible) was..."are you going to control the bleeding down there or should I just dump this unit directly onto the floor?"

Trying to come up with some explanation, maybe back in 1995 when this happened he'd recently finished residency (or the British equivalent). It's not too uncommon for new attending physicians to come out of training feeling pretty invincible. A couple of years in the real world of non-ivory tower medicine can provide a lot in the way of realistic judgment.

But even trying to give him that benefit of the doubt, I can't imagine a surgeon walking away from the table with active bleeding like that.

And it sounds like his judgment didn't improve as time passed. What set of circumstances led to him being able to continue to practice is a real mystery.
11 posted on 06/18/2004 11:52:54 AM PDT by not_apathetic_anymore
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To: not_apathetic_anymore
If 16 anesthetists refused to work with him, that should have had lots of bells and whistles going off within the staffing and credentialing offices.

Rule Number One in Government Bureaucracy: Don't rock the boat.

Rule Number One in Government Bureaucracy: See rule number One.

12 posted on 06/18/2004 11:59:03 AM PDT by mvpel (Michael Pelletier)
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To: adam_az
""Never mind that most of them were already extremely sick and would have died WITHOUT doctors intervention... Right?"".....

I beg to differ. At the peak of health, I was told I had lung cancer. 1st opinion, 2nd opinion 3rd opinion plus a panel of doctors and techs at a teaching hospital. All insisted I needed immediate surgery. Not only did I not have cancer, but nearly died in intensive care 8days after a totally botched surgery and post op care. I was nearly a year before I could even leave the house on my own. It's been six years to claw my way back to a semblance of health. I avoid doctors now.

I've come to the conclusion that doctors PRACTICE medicine because they really have no idea what they're doing.
13 posted on 06/18/2004 12:17:14 PM PDT by pizzalady
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To: pizzalady

I'm sorry about your trials, but one anecdote does not indict the entire medical profession.

Fallacy Of Composition:

assuming that a whole has the same simplicity as its constituent parts. In fact, a great deal of science is the study of emergent properties. For example, if you put a drop of oil on water, there are interesting optical effects. But the effect comes from the oil/water system: it does not come just from the oil or just from the water.

Another example: "A car makes less pollution than a bus. Therefore, cars are less of a pollution problem than buses."

Another example: "Atoms are colorless. Cats are made of atoms, so cats are colorless."


14 posted on 06/18/2004 12:40:05 PM PDT by adam_az (Call your State Republican Party office and VOLUNTEER!!!!)
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To: adam_az

His is an example of the kind of "medical misadventure" to which the "90,000 deaths" figure is referring.


15 posted on 06/18/2004 1:18:45 PM PDT by mvpel (Michael Pelletier)
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To: 1rudeboy
Clearly, we should ban doctors. Then we'd live forever

Not if Big Food has anything to do with it. (sarcasm)

16 posted on 06/18/2004 1:52:03 PM PDT by yankeedame ("Born with the gift of laughter & a sense that the world was mad.")
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To: adam_az
""I'm sorry about your trials, but one anecdote does not indict the entire medical profession.""

Well adam_az, You jest. Unfortunately the experience I had was not the first or only with incompetent doctors, including dentists But it will be the last. I went into a dentists office with a chip in a tooth and walked out with only a chip of a tooth left.
At 60, I've had many encounters with many doctors and would give only three my confidence. And two of those have died of old age. Perhaps you are a doctor. I mean no insult to you, but way too many doctors believe they are infallible.

Just last week my husband had outpatient surgery, and I was speechless when a nurse informed me that my husband was re-sedated in post op because he didn't know where he was when asked after surgery. When asked, my husband made a big mistake in joking that he was at a local biker bar. So he was sedated again while attempting to emerge from anesthesia. This was a 45 min surgery. He was in the hospital for 11 hours. We should have run when admitting put the wrong name on his files and wrist ID bracelet.

So, you may have had a few encounters with the best of the best, but a few anecdotes do not redeem the entire medical profession. "Fallacy Of Composition"
17 posted on 06/18/2004 1:53:11 PM PDT by pizzalady
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To: adam_az

You are the one avoiding the hard number - 90,000 KILLED - eahc year.

That's KILLED.

Not "not saved."

KILLED.

Medicine is rotten. The AMA has got to go.


18 posted on 06/18/2004 1:54:26 PM PDT by eno_
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