The Ella Tannous vs Dr. Issam Maalouf case

[JustLeb]

PLease listen to this


What will you hear ?
الإحتكام إلى القضاء

If this is true then why are you complaining about the arrest of the doctor and taking the lebanese people hostage ?
It is the prosecutor who arrested the doctor not Marcel Ghanem (doesn't mean I like the guy)

Not in the video:
حسونة: لا نبرر الخطأ بحق الطفلة ايلا لكن لا داعي للمحاكمات في الاعلام

اكد نقيب الاطباء انطوان البستاني "استمرار الدعم للطبيب عصام معلوف مهما كان حكم القضاء في قضية الطفلة ايلا طنوس"، مشيرا الى ان "الطبيب ليس معصوماً عن الخطأ وإذا حصل خطأ فالإجراءات القانونية وجدت لتأخذ مجراها".

So if i Understand well, you admit there was an error (unlike what the you said in your initial report) and you accept the legal procedures.

If this is true then why are doing this piece of theater.
Solve this issue in court and without this comedy...

But here is a news for you. The legal procedures have already started but you are nagging about it. The media didn't invent this story it only unearthed it and showed your filth to the public

Bottom line I have one thing to tell:
You are sincerely and deeply F*CKED UP people

 

[JustLeb]

بدء استجواب الطبيب معلوف بقضية الطفلة إيلا طنوس
الأربعاء 10 حزيران 2015 - 11:01

باشر قاضي التحقيق في بيروت جورج رزق في تمام الساعة الحادية عشرة من قبل ظهر اليوم، باستجواب الطبيب الموقوف "عصام معلوف" في ما اسند اليه من التسبب بإيذاء الطفلة ايللا طنوس عن غير قصد، في حضور وكيله المحامي صخر الهاشم وممثل نقابة الاطباء الدكتور جان بولس.
​

Would have been better if the LOP avoided all this masra7ieh and stick to the legal procedure instead.
If the doctor is not guilty of any wrong doing he will be released.

 

[JustLeb]

بيـان صادر عن نقيب الأطباء البروفسور انطوان بستاني

بتاريخ 9 حزيران 2015 وبناء لدعوة من نقيب الأطباء في بيروت البروفسور أنطوان البستاني عقد الأطباء من النواب والوزراء والنقباء الحاليين والسابقين إجتماعاً في بيت الطبيب للتداول بقضية الطفلة إيلا طنوس وتوقيف الطبيب البروفسور عصام معلوف.

وبنتيجة اللقاء، أبدى المجتمعون ما يلي:​

1- تعاطفهم مع الطفلة إيلا طنوس وعائلتها.
2- تأييدهم إطلاق سراح الطبيب الموقوف البروفسور عصام معلوف.
3- التأكيد على دور القضاء في تطبيق القانون وتحقيق العدالة.
4- وجوب وقف الحملات الإعلامية المسيئة إلى سمعة الطب في لبنان والعالم.
5- إصدار التشريعات الملائمة التي توفر للمريض والطبيب على حد سواء الضمانات والحقوق
اللازمة.
​

Are these people nuts or what?
How does this fit with their strike until the release of the doctor ?!!

 

[nonsense]

It is a sacred profession whether you agree or not. You don't get decide on the matter with all due respect. Medicine is the noblest profession in human history, and doctors need be protected if to provide the best care possible for their patients.

I agree with most of what you said of course!

But I very much disagree with the above. Whatever sacredness was attached to it belonging to a couple of generations ago. Not today anymore where everything has gotten monetized.

Even if we want to think in terms of 'responsibility' of lives (which is by no means a golden measure), a pilot in 5 years has responsibility over more lives than a very busy doctor in 40 years. What of parents, without whom all children would probably nor survive, is that not a role as well...even if not a formalized profession.

Medicine is not more sacred or noble than any other profession. Do not fall for the rants of our elders. It is life that is sacred, that is all. We need to break free from this and other illusions that place people on pedestals because of their money, their power or their job. And we need to help our society do that as well.

 

[JustLeb]

14:25 وكيل الطبيب معلوف: معلوف اكد علميا أنه لم يخطئ في التشخيص ولم يرتكب اي خطأ وقاضي التحقيق احال الملف لابداء الرأي بالتوقيف او الترك
14:15 انتهاء التحقيق مع الدكتور عصام معلوف والقاضي يحيل الملف على النيابة العامة لإبداء الرأي بشأن اخلاء السبيل
------------------------------------------------------------------​

يبدو أن القضاء سيخلي سبيل الطبيب. فلماذا افتعال كل هذه الضجة وأكل الهوى
أما كان من الأجدر متابعة القضية قضائياً من دون هرج ومرج ومسرحيات وأخذ رهائن !!!؟؟؟

 

[JustLeb]

15:14 القاضي رزق أخلى سبيل الطبيب عصام معلوف مقابل كفالة مالية
​

So I understand that he was not cleared of any wrong doing and that a trial is to be expected

@vegojimbo see it did not take 2 months as you said

 

[Venom]

Whether the doctor did a mistake or not , I think his career is over.

 

[JustLeb]

15:45 قاضي التحقيق في بيروت طلب تشكيل لجنة طبية من اختصاصيين وايداعه تقريرا مفصلا عن حال الطفلة ايلا طنوس​

 

[JustLeb]

ترك الطبيب معلوف مقابل كفالة 100 مليون ولجنة طبية لدراسة الملف
الأربعاء 10 حزيران 2015 - 02:26

قرر قاضي التحقيق في بيروت جورج رزق ترك الطبيب عصام معلوف مقابل كفالة مالية قدرها مائة مليون ليرة ويطلق سراحه بعد سدادها، سندا الى المادة 111 من اصول المحاكمات الجزائية التي تجيز لقاضي التحقيق الاستعاضة عن التوقيف بفرض كفالة مالية.

كما قرر القاضي رزق تعيين لجنة طبية من اطباء من مختلف الاختصاصات ولا سيما الامراض الجرثومية، الطوارىء وطب الاطفال لمعاينة الطفلة ودراسة الملف ووضع تقرير عن معاينتها السريرية.

وقد نقل المعلوف بعد انتهاء استجوابه من مكتب القاضي رزق مخفورا الى مستشفى الحياة.​

If I am not mistaken it appears that the judge was not fully convinced by Dr. Maalouf version.
The bail is huge 66k$

 

[ForeverOrange]

​

If I am not mistaken it appears that the judge was not fully convinced by Dr. Maalouf version.
The bail is huge 66k$

$66,000 bail for a pediatrician!
Lebanon is a banana republic. Not a single news outlet has a medical editor who is a physician. They all give us ideas and opinions all day as to how this young girl should've been treated and how she could've been saved. Yet they don't have a single physician on their payroll.

And here's a judge who levees $66,000 bail on a pediatrician who charges $30 a consultation. Why? Because the patient had an expected outcome, albeit terrible. It reminds me of when a patient's family used to destroy emergency rooms because their loved ones died. The doctor is a scapegoat. Ella should not have had this infection. He could've saved her. He didnt use his godly powers!

 

[JustLeb]

$66,000 bail for a pediatrician!
Lebanon is a banana republic. Not a single news outlet has a medical editor who is a physician. They all give us ideas and opinions all day as to how this young girl should've been treated and how she could've been saved. Yet they don't have a single physician on their payroll.

And here's a judge who levees $66,000 bail on a pediatrician who charges $30 a consultation. Why? Because the patient had an expected outcome, albeit terrible. It reminds me of when a patient's family used to destroy emergency rooms because their loved ones died. The doctor is a scapegoat. Ella should not have had this infection. He could've saved her. He didnt use his godly powers!

Lebanon is a banana country that is a certainty.
I also see the bail is huge especially that so far we don't know if he is guilty or not and the panel of experts should decide on that.

All I want to know is that if he has moved her to AUB on sunday she would have been saved.
I REALLY want to know if she had a fighting chance in this case.

 

[neutral]

ترك الطبيب معلوف مقابل كفالة 100 مليون ولجنة طبية لدراسة الملف
الأربعاء 10 حزيران 2015 - 02:26

قرر قاضي التحقيق في بيروت جورج رزق ترك الطبيب عصام معلوف مقابل كفالة مالية قدرها مائة مليون ليرة ويطلق سراحه بعد سدادها، سندا الى المادة 111 من اصول المحاكمات الجزائية التي تجيز لقاضي التحقيق الاستعاضة عن التوقيف بفرض كفالة مالية.

كما قرر القاضي رزق تعيين لجنة طبية من اطباء من مختلف الاختصاصات ولا سيما الامراض الجرثومية، الطوارىء وطب الاطفال لمعاينة الطفلة ودراسة الملف ووضع تقرير عن معاينتها السريرية.

وقد نقل المعلوف بعد انتهاء استجوابه من مكتب القاضي رزق مخفورا الى مستشفى الحياة.​

If I am not mistaken it appears that the judge was not fully convinced by Dr. Maalouf version.
The bail is huge 66k$

Had he planted a bomb or shot at the army or was considered ka2ed me7war, his bail would have been set at 500K liras. w balad

 

[ForeverOrange]

Aounist: here's an article from australia of 12 kids who presented with invasive group A strept infection.
1 required amputation of both lower limbs.

Does anybody know the email of Dr. Bustany?
I would like to send him few articles in pubmed about kids who required amputation due to GAS infection in the first world.

please pass me his email if you know it.
--------------------------------------------------------------

J Paediatr Child Health. 2014 Sep;50(9):687-92. doi: 10.1111/jpc.12601. Epub 2014 Jun 9.
Severe group A streptococcal infections in a paediatric intensive care unit.
Lithgow A1, Duke T, Steer A, Smeesters PR.
Author information
Abstract
AIM:
To describe the clinical presentation, management and outcomes for children with invasive group A streptococcal (GAS) infection in a paediatric intensive care unit (PICU).

METHODS:
We reviewed the clinical and laboratory records of patients admitted to a PICU in Melbourne with invasive GAS infection from April 2010 to April 2013. Outcomes recorded included survival, organ failure, need for extracorporeal support, renal replacement therapy and prolonged neuromuscular weakness.

RESULTS:
Twelve cases of invasive GAS infection were identified. The most common clinical presentations were pneumonia (n=5), bacteraemia with no septic focus (n=4) and septic arthritis (n=3). Necrotising fasciitis occurred in one patient and another patient presented with ischaemic lower limbs requiring amputation. Of the eight isolates with available emm typing results, the most common emm type was emm1 (n=4) followed by emm4, 12 and 22. Nine patients had multi-organ failure. Ten patients required mechanical ventilation for a median duration of 8 days. Nine patients required inotropic and/or vasopressor support and four patients extracorporeal membrane oxygenation support. Eleven patients survived. A prolonged period of neuromuscular weakness following the initial severe illness was common (n=5), but most children returned to normal or near normal neurological function.

CONCLUSIONS:
Invasive GAS disease in children may cause severe multi-organ failure with resultant prolonged intensive care stay and significant morbidity. However, a high rate of survival and return to normal functioning may be achieved with multi-system intensive care support and multi-disciplinary rehabilitation.

 

[ForeverOrange]

Aounist: Here's another case treated at Columbia University and published in the journal of pediatrics. The 4 month old was left with all 10 toes and 7 fingers amputated.

Does anybody know the email of Dr. Bustany?



Purpura fulminans caused by group A β-hemolytic Streptococcus sepsis ☆ ☆☆ ★ ★★

• Kavita Dhodapkar, MD,
• Selim Corbacioglu, MD,
• Mary Wu Chang, MD,
• Margaret Karpatkin, MD,
• Donna DiMichele, MD

CASE REPORTS
Patient 1
A 4-month-old male child presented with a 1-day history of high-grade fever and lethargy. Initial laboratory studies included a normal hemogram and normal results of cerebrospinal fluid analysis. Intravenous administration of cefotaxime was begun as treatment for suspected sepsis. Twelve hours after admission, he developed purpuric skin lesions on his extremities, which prompted transfer to New York University Medical Center.

At the time of transfer, he was hypotensive and in respiratory distress and required intubation and vasopressor support with dopamine and epinephrine. His extremities were cold and purple distal to his elbows and knees. He had extensive purpuric and ecchymotic lesions involving all his extremities, ears, groin, and scrotum (Figure, A ).
Figure. A, Extensive ecchymoses and purpuric skin lesions at initial presentation. B, Resolving lesions 1 week after therapy.

Figure options
Laboratory studies are noted in the Table.A diagnosis of acute infectious purpura fulminans was made. Blood and spinal fluid cultures, obtained in the referring hospital, later grew group A β-hemolytic streptococci, and the antibiotics were changed to penicillin G and clindamycin. Anticoagulation with intravenous heparin was initiated at the time of admission. However, a therapeutic anti-factor Xa level could not be maintained because of multiple discontinuations in therapy secondary to bleeding at the insertion site of the intravenous catheter and gross hematuria. He required multiple units of packed red blood cells and platelets. In addition, he received daily infusions of fresh frozen plasma (FFP) and antithrombin III concentrate.


Thirty-two hours after admission, his extremities remained cold, and the necrotic areas progressed. Heparin therapy was stopped. The patient received 1.25 mg/kg tissue plasminogen activator intravenously over 4 hours, followed by reinstitution of heparin therapy. This was associated with warming of his extremities and a brisk increase in urine output (from 6 to 12 mL/kg/h). A second dose of t-PA was administered 3 days later, in an attempt to salvage impending digit loss. Thrombolytic therapy was well tolerated with the exception of bleeding at the site of the intravenous line and mild hematuria. By day 8 of hospitalization, his transfusional requirements ceased, and protein C levels had normalized. Heparin therapy was discontinued 2 days later. There was a significant improvement in his skin lesions and areas of impending gangrene, including his scrotum (Figure, B ). However, all of his toes and 7 fingers were autoinfarcted. At discharge, 12 weeks after admission, he was neurologically intact and developmentally appropriate for age. His coagulation and hematologic measurements and renal function were normal. Thrombophilia workup of both parents for inherited predisposition to thrombosis was negative.

 

[ForeverOrange]

All I want to know is that if he has moved her to AUB on sunday she would have been saved.
I REALLY want to know if she had a fighting chance in this case.

it would not have made a difference.
period.

 

[JustLeb]

Aounist: Here's another case treated at Columbia University and published in the journal of pediatrics. The 4 month old was left with all 10 toes and 7 fingers amputated.

Does anybody know the email of Dr. Bustany?



Purpura fulminans caused by group A β-hemolytic Streptococcus sepsis ☆ ☆☆ ★ ★★

• Kavita Dhodapkar, MD,
• Selim Corbacioglu, MD,
• Mary Wu Chang, MD,
• Margaret Karpatkin, MD,
• Donna DiMichele, MD

CASE REPORTS
Patient 1
A 4-month-old male child presented with a 1-day history of high-grade fever and lethargy. Initial laboratory studies included a normal hemogram and normal results of cerebrospinal fluid analysis. Intravenous administration of cefotaxime was begun as treatment for suspected sepsis. Twelve hours after admission, he developed purpuric skin lesions on his extremities, which prompted transfer to New York University Medical Center.

At the time of transfer, he was hypotensive and in respiratory distress and required intubation and vasopressor support with dopamine and epinephrine. His extremities were cold and purple distal to his elbows and knees. He had extensive purpuric and ecchymotic lesions involving all his extremities, ears, groin, and scrotum (Figure, A ).
Figure. A, Extensive ecchymoses and purpuric skin lesions at initial presentation. B, Resolving lesions 1 week after therapy.

Figure options
Laboratory studies are noted in the Table.A diagnosis of acute infectious purpura fulminans was made. Blood and spinal fluid cultures, obtained in the referring hospital, later grew group A β-hemolytic streptococci, and the antibiotics were changed to penicillin G and clindamycin. Anticoagulation with intravenous heparin was initiated at the time of admission. However, a therapeutic anti-factor Xa level could not be maintained because of multiple discontinuations in therapy secondary to bleeding at the insertion site of the intravenous catheter and gross hematuria. He required multiple units of packed red blood cells and platelets. In addition, he received daily infusions of fresh frozen plasma (FFP) and antithrombin III concentrate.


Thirty-two hours after admission, his extremities remained cold, and the necrotic areas progressed. Heparin therapy was stopped. The patient received 1.25 mg/kg tissue plasminogen activator intravenously over 4 hours, followed by reinstitution of heparin therapy. This was associated with warming of his extremities and a brisk increase in urine output (from 6 to 12 mL/kg/h). A second dose of t-PA was administered 3 days later, in an attempt to salvage impending digit loss. Thrombolytic therapy was well tolerated with the exception of bleeding at the site of the intravenous line and mild hematuria. By day 8 of hospitalization, his transfusional requirements ceased, and protein C levels had normalized. Heparin therapy was discontinued 2 days later. There was a significant improvement in his skin lesions and areas of impending gangrene, including his scrotum (Figure, B ). However, all of his toes and 7 fingers were autoinfarcted. At discharge, 12 weeks after admission, he was neurologically intact and developmentally appropriate for age. His coagulation and hematologic measurements and renal function were normal. Thrombophilia workup of both parents for inherited predisposition to thrombosis was negative.

"A 4-month-old male child presented with a 1-day history of high-grade fever and lethargy. Initial laboratory studies included a normal hemogram and normal results of cerebrospinal fluid analysis. Intravenous administration of cefotaxime was begun as treatment for suspected sepsis. Twelve hours after admission, he developed purpuric skin lesions on his extremities, "

Probably if Ella was correctly diagnosed and treated early on, they wouldn't have to cut large portions of her limbs. Losing her toes is much better than her complete legs.

The doctor failed to figure our her case even on monday! according to her mother he said that the purple spots that started to appear were normal

 

[HannaTheCrusader]

Had he planted a bomb or shot at the army or was considered ka2ed me7war, his bail would have been set at 500K liras. w balad

Akid and Ahel al Sunna would be insulted if otherwise

 

[JustLeb]

وكيل الطفلة ايلا طنوس تبلغ قرار اخلاء سبيل الطبيب عصام معلوف وهو بصدد تقديم استئناف خلال 24 ساعة​

 

[JustLeb]

بلد يتهاوى: نقابة الأطباء نموذجاً!
الخميس 11 حزيران 2015 - 06:19
غسان حجار
النهار

من المعيب ما ذهبت اليه المواجهة بين الاطباء والناس أجمعين، وخصوصا الاعلام، وهي معركة خاسرة بالنسبة الى الاطباء لانهم فتحوا عليهم ابواباً من الانتقادات والشكاوى التي لا تُحصى. فالناس يعانون من التعامل الفوقي لاطباء، ومن التسعيرات المبالغ فيها، ومن الانتظار الطويل دونما احترام للمواعيد ولارتباطات المرضى وانشغالاتهم. والناس يعانون من لامبالاة بعض الأطباء وإهمالهم مرضاهم وغيابهم عنهم اياما، ومن التجارة التي دخلت على المهنة لناحية طلب صور اشعاعية وفحوص غير ضرورية، لا تهدف الا الى تحقيق منفعة يتقاسمها الطبيب مع ادارة المستشفى.

يمكن الاعلام ان يفتح صفحاته وأثيره للناس لنقل شكاواهم وتسمية الاطباء بأسمائهم، وإلحاق الضرر بهم. والواقع ان كثيرين من الاطباء يستحقون التشهير لارتكابهم اخطاء جسيمة في حق مرضاهم، بل يستحقون المحاكمة. والخضوع للقضاء ليس عيبا، ولا ضرورة للحصانة اذا تجاوز طبيب دوره أو اخطأ بما يؤدي الى قتل نفس بشرية أو قطع اطراف مريض أو التسبب له بعاهة، بل ان قمة الاحترام في الخضوع للقوانين بما يساوي بين الناس، ولو أطباء ومحامين وصحافيين، لان القانون وجد لتنظيم حياة المواطنين وعلاقتهم بعضهم بالبعض الآخر.​

لا لإدانة الطبيب عصام معلوف، ولا لتوقيفه احتياطا، بل يمكن الطلب اليه عدم السفر لمنعه من الهروب إذا ثبتت إدانته، لأننا حريصون على كرامته، كما على كرامتنا في تعاملنا معه ومع زملائه، والتشهير به وادانته في الاعلام، ضرب من تجاوز الحدود المسموح بها. لكن أي خطأ إعلامي أو إداري يمكن أن يرتكب، لا يعالج بخطأ أفظع منه. وردّة فعل الاهل المتألمين لمصابهم وهم يشاهدون طفلتهم وقد فقدت يديها ورجليها، لا يمكن أن تقابل بردة فعل خالية من كل شعور انساني ورسالي.
والاصطفاف العشائري القبلي للاطباء مع زميلهم لم يكن تضامناً لأنه تجاوز حدوده الى قلة التهذيب كما شاهدنا عبر التلفزيون، وقيلت فيه عبارات لا تليق بتلك الطبقة المتعلمة، والمثقفة مبدئياً. أما النقيب انطوان البستاني فحدّث ولا حرج، فإن السكوت عنه جريمة، لأنه لم يرقَ الى مستوى المركز الذي يتبوأ، ولا تمكن من معالجة المشكلة انطلاقا من موقعه وسلطته، أو حتى لجوئه الى القضاء لنقض امر التوقيف بحق الطبيب، أو تفنيد ما ذهب اليه بعض الاعلام في ما اعتبره الاطباء تحاملا أو ارتكابا لخطيئة، ذلك ان طريقة الرد افقدت القضية احقيّتها، واستعماله عبارات ملتبسة في مضمونها ومعناها، وتنحو الى الاثارة، جعلت محاولة استمالة التعاطف خطة معاكسة اثارت قرفا واشمئزازا واستنكارا وتكتلا في وجه النقابة.
لا لمزيد من الاثارة، بل على النقابة ان تحسن التصرف، وان تقيم لجنة للتحقيق في الاخطاء الطبية، تُطعَّم بأحد القضاة، تمارس دورها بفاعلية فلا تترك مجالا للّبس وتوزيع التهم واثارة الشكوك.​

​

 

[eLad]

ومن التجارة التي دخلت على المهنة لناحية طلب صور اشعاعية وفحوص غير ضرورية، لا تهدف الا الى تحقيق منفعة يتقاسمها الطبيب مع ادارة المستشفى.

khod ba2a