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Opinion

Medical blunders at Hong Kong hospitals point to overstretched public health care system

Albert Cheng says while those responsible for the mistake that contributed to Tang Kwai-sze’s liver failure must be held accountable, Hong Kong must also try to address the wider issue of critical staff shortages in public hospitals

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United Christian Hospital chief executive Dr Chui Tak-yi (right) and Dr Kung Kam-ngai, chief of service at the hospital’s department of medicine and geriatrics, attend a press conference on May 9. The hospital publicly admitted making a mistake in the treatment of Tang Kwai-sze, one month after it first discovered the issue. Photo: Dickson Lee
Albert Cheng
Last month, 43-year-old Tang Kwai-sze made headlines after she underwent a liver transplant at Hong Kong’s Queen Mary Hospital to save her from acute liver failure. The donor was a stranger who read about how Tang’s teenage daughter had been prevented from donating part of her organ to her dying mother because she was three months too young.
This was the classic, heart-warming tale of a Good Samaritan. However, there is a twist to the tale. Last week, it was revealed that Tang had slipped into a life-threatening condition in the first place because of a medical blunder.

Two specialist doctors at the United Christian Hospital in Kwun Tong, both with 10 years of experience, had apparently failed to check her medical history thoroughly when she was being treated there for kidney disease. They prescribed a high dose of steroids for Tang, who suffered from hepatitis B, but did not give her the needed antiviral drugs to prevent devastating side effects.

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It was only after the transplant team at Queen Mary spotted the irregularity and informed the patient’s family that the United Christian management admitted the mistake. United Christian found out about the blunder on April 6. Yet, two weeks passed before it notified the Hospital Authority of the mistake, on April 20, after Tang’s family started asking questions. This violated the authority’s protocol of flagging serious incidents within 24 hours.

Panels to investigate if Hong Kong hospital and doctors covered up liver patient blunder

The daughter of patient Tang Kwai-sze meets the media on May 9 to talk about her mother’s condition. Photo: Felix Wong
The daughter of patient Tang Kwai-sze meets the media on May 9 to talk about her mother’s condition. Photo: Felix Wong

Patient’s daughter slams hospital for informing family of medical blunder only after she demanded answers

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