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Cervicalcheck is it time to listen to the fecking doctors

  • 11-12-2020 12:18am
    #1
    Registered Users, Registered Users 2 Posts: 152 ✭✭


    https://www.thejournal.ie/cervicalcheck-director-screening-service-trust-letter-5295114-Dec2020/

    Think some advocates took the stage so much we aren’t listening to the doctors about screening.

    Independent review said our system as good as UKs which is on the go years and the gold standard.

    Programme ended up damaged. People thinking there’s blame where it’s actually part of screening. It can never be 100%. Media lead us to believe it was fault in system. And no one wants to contradict someone with cancer. It was like the country went one way on it.


Comments

  • Moderators, Category Moderators, Social & Fun Moderators, Society & Culture Moderators Posts: 24,381 CMod ✭✭✭✭Ten of Swords


    Moved to Current Affairs


  • Registered Users, Registered Users 2 Posts: 586 ✭✭✭glen123


    They changed the test itself this year. They no longer look at abnormal cells unless you have HPV.

    As far as I know, you can have abnormal cells without HPV.


    http://www.cervicalcheck.ie/news-and-events/information-for-healthcare-professionals-from-cervicalcheck-latest-update.14910.html#:~:text=HPV%20cervical%20screening%20will%20be,laboratory%20in%20the%20same%20way.


  • Registered Users, Registered Users 2 Posts: 19,218 ✭✭✭✭Bannasidhe


    Caledonia wrote: »
    https://www.thejournal.ie/cervicalcheck-director-screening-service-trust-letter-5295114-Dec2020/

    Think some advocates took the stage so much we aren’t listening to the doctors about screening.

    Independent review said our system as good as UKs which is on the go years and the gold standard.

    Programme ended up damaged. People thinking there’s blame where it’s actually part of screening. It can never be 100%. Media lead us to believe it was fault in system. And no one wants to contradict someone with cancer. It was like the country went one way on it.

    Listen to doctors like Gabriel Scully?
    The system for cervical cancer screening in Ireland was “doomed to fail at some point” and had problems that were “redolent of a whole system failure,” an independent inquiry has concluded.

    The scoping review by Gabriel Scully was set up in the wake of a crisis in the country’s cervical screening programme, CervicalCheck, when it emerged that women who developed cancer had not been told of earlier smear tests which were wrongly interpreted.
    https://www.bmj.com/content/362/bmj.k3912

    The central issue was women were not told that they had incorrectly been given the all clear, and when the mistake was uncovered the decision was made to not inform the women.


  • Registered Users, Registered Users 2 Posts: 2,312 ✭✭✭paw patrol


    Bannasidhe wrote: »
    The central issue was women were not told that they had incorrectly been given the all clear, and when the mistake was uncovered the decision was made to not inform the women.


    This 1000%


    Mistakes will happen , nobody disagrees .
    It's the lies and the cover up. Women died and are dying because they were going about their lives thinking all was good when they could have been told and gotten earlier treatment or more tests - with much better prospects.


    The fault isn't so much with the process it's shameful behavior of the HSE / Civil Service bureaucracy in covering up these mistakes and lack of understanding of this cohort that they work for the people not the other way round.


  • Registered Users, Registered Users 2 Posts: 81,220 ✭✭✭✭biko


    I don't think the doctors were a problem in this scandal.


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  • Moderators, Society & Culture Moderators Posts: 12,548 Mod ✭✭✭✭Amirani


    paw patrol wrote: »
    This 1000%


    Mistakes will happen , nobody disagrees .
    It's the lies and the cover up. Women died and are dying because they were going about their lives thinking all was good when they could have been told and gotten earlier treatment or more tests - with much better prospects.

    This isn't what happened, and the Scally report is categorical on this.


  • Registered Users, Registered Users 2 Posts: 3,811 ✭✭✭joe40


    Bannasidhe wrote: »
    Listen to doctors like Gabriel Scully?

    https://www.bmj.com/content/362/bmj.k3912

    The central issue was women were not told that they had incorrectly been given the all clear, and when the mistake was uncovered the decision was made to not inform the women.

    A screening doesn't give you the all clear, it is not diagnostic in that way. I agree it was terrible not to inform women of the full facts earlier, but I don't think there were any situations where results were with held and affecting potential treatment.

    My understanding was the women involved were going through treatment when the screening issues came to light.

    I could be wrong, that's my understanding.


  • Registered Users, Registered Users 2 Posts: 19,802 ✭✭✭✭suicide_circus


    Tony does not approve this thread.


  • Moderators, Society & Culture Moderators Posts: 12,548 Mod ✭✭✭✭Amirani


    joe40 wrote: »
    A screening doesn't give you the all clear, it is not diagnostic in that way. I agree it was terrible not to inform women of the full facts earlier, but I don't think there were any situations where results were with held and affecting potential treatment.

    My understanding was the women involved were going through treatment when the screening issues came to light.

    I could be wrong, that's my understanding.

    This is all correct. All of the women who were not told were receiving treatment.

    The audit and review of slides was only done on women who were receiving treatment for cervical cancer, it wasn't just random. They should have been told about their slides being misread, but it did not impact their treatment or their prognosis.


  • Registered Users, Registered Users 2 Posts: 152 ✭✭Caledonia


    Bannasidhe wrote: »
    Listen to doctors like Gabriel Scully?

    https://www.bmj.com/content/362/bmj.k3912

    The central issue was women were not told that they had incorrectly been given the all clear, and when the mistake was uncovered the decision was made to not inform the women.
    It’s not a mistake though. It’s part of screening.


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  • Registered Users, Registered Users 2 Posts: 1,542 ✭✭✭crossman47


    paw patrol wrote: »
    This 1000%


    Mistakes will happen , nobody disagrees .
    It's the lies and the cover up. Women died and are dying because they were going about their lives thinking all was good when they could have been told and gotten earlier treatment or more tests - with much better prospects.


    The fault isn't so much with the process it's shameful behavior of the HSE / Civil Service bureaucracy in covering up these mistakes and lack of understanding of this cohort that they work for the people not the other way round.

    That is not true. The only people whose results were audited werer women already being treated for cance. That is the fundamental misunderstanding fed by crusading politicians.


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