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In 1995, Neela was diagnosed as having cysts in her lungs,
and attended the Defendant hospital in July 1999 to have them
surgically removed, when medical therapy had failed.
During the operation, a tear was inadvertently made in
the aorta (the large artery taking blood from the heart to
the rest of the body), and the surgeon decided to clamp above
and below the tear, in order to repair it. The procedure took
in the region of 67 minutes, which meant that the blood going
to the rest of NJ's body (particularly the spine) was severely
compromised for that time. As a result, Neela has been left
with grossly impaired lower spinal cord function. Her legs
are weak and she needs to use a frame to walk. Her legs cannot
feel pain or temperature, and her bladder and bowel function
are impaired. It is likely that she will be wheelchair bound
by the time that she is 50 - 60.
We obtained an expert report, which confirmed that the surgeon
should have checked the amount of blood going to the rest
of NJ's body during the clamping time. If he had done this,
on balance of probability he would have discovered that blood
flow was insufficient, and he would have then had the opportunity
of performing bypass surgery to allow oxygenated blood through
to the rest of Neela's body.
Witness statements were exchanged, with the Defendants providing
statements from the two surgeons who were performing the operation,
the anaesthetist, the consultant cardio-thoracic surgeon who
provided advice over the telephone, and the registered nurse.
Our only witness statement was from the Claimant herself.
After exchange of expert statements, we applied for permission
from the court to instruct a further expert, on the basis
that the surgeons/anaesthetist involved in the operation were
likely to give evidence based on their opinion as well as
on fact. The Defendants would therefore in effect have 5 experts
commenting on treatment, compared to our one.
Needless to say, the application was vigorously defended
by the Defendants, but after 2 hearings, the Master agreed
that a further expert report could be obtained on behalf of
the Claimant. Shortly after, a "round-the-table negotiation"
was arranged between both sets of legal representatives, which
Neela attended as well. The Defendants made a low offer, which
was rejected, however, over the course of the next few days
they were encouraged to increase this offer and this was accepted.
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