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Man sues TTSH and 3 doctors for negligence over mother’s death, seeks S$800,000 in losses

SBFNews

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Man sues TTSH and 3 doctors for negligence over mother’s death, seeks S$800,000 in losses​

Mr Chia Soo Kiang, 48, is seeking S$800,000 from Tan Tock Seng Hospital and three doctors for his mother's death, which he blamed on their negligence.
Ili Nadhirah Mansor/TODAYMr Chia Soo Kiang, 48, is seeking S$800,000 from Tan Tock Seng Hospital and three doctors for his mother's death, which he blamed on their negligence.
  • Tan Yaw Lan died in 2018 at age 74 after suffering a cardiac arrest at Tan Tock Seng Hospital
  • Her son now claims that the hospital's and its medical personnel’s negligent misdiagnosis and medical treatment led to her death
  • This included letting an untrained intern nurse shower her when she was prone to fainting, and withholding her long-term heart medication
  • A trial over the medical negligence lawsuit began in the High Court on Monday

Louisa Tang
BY LOUISA TANG
Published August 15, 2022
Updated August 15, 2022


A man is suing Tan Tock Seng Hospital (TTSH) and three of its medical personnel over claims that they misdiagnosed and neglected his mother while she was warded there, such as by allowing an untrained intern nurse to shower her against the family’s instructions.

On Monday (Aug 15), the court heard on the first day of the civil trial that Mr Chia Soo Kiang’s mother Tan Yaw Lan, then aged 74, collapsed from a cardiac arrest during the shower, while the nurse left her side in order to get help.

She died about three weeks later on May 13, 2018 after sustaining new injuries from her fall.

Mr Chia, 48, alleged that his mother's death would have been prevented if the doctors were not negligent in caring for her. The damages that he is claiming for include Tan’s pain and suffering, reduction in life expectancy, loss in amenity and her subsequent death.

He is seeking S$800,000 in damages for their alleged medical negligence.

In their opening statement, Mr Chia’s lawyers from Fervent Chambers, led by Mr Clarence Lun, argued that the defendants’ negligent misdiagnosis and medical treatment caused Tan’s severe cardiac arrest, leading to her “untimely demise” which was “entirely preventable”.

They added that the defendants “acted in a callous manner to a high-risk and vulnerable person”.

Outlining the factual issues to be determined during the trial, his lawyers said they would elaborate on:

Whether the defendants misdiagnosed Tan and prescribed inappropriate treatment methods

Whether they had obtained Tan’s informed consent before changing her prevailing prescription for her existing conditions

Whether they acted reasonably in attending to Tan and performing cardiopulmonary resuscitation (CPR) on her when she collapsed in the shower.

Tan’s past documented medical issues include diabetes, hypertension, heart failure, ischaemic heart disease, chronic kidney disease and anaemia.

She was admitted to TTSH on April 20, 2018 after suffering from a fever, cough and lethargy. She was noted to have sepsis, poorly controlled diabetes, anaemia and kidney issues.

Mr Chia’s lawyers allege that Dr Doraj then approved a treatment plan to withhold her primary heart medications — aspirin, a painkiller which reduces fever; furosemide, which is used to reduce extra fluid in the body; and losartan which lowers blood pressure.

The lawyers argued that Dr Doraj did not advise or get her informed consent, and could have at least informed her next-of-kin of the intended treatment plan.

Dr Lee then reviewed Tan during his ward rounds and amended the treatment plan to include referring her to the cardiology department. He also ordered the withdrawal of Mixtard insulin from her pre-existing medications.

However, two hours later, Dr Ranjana reviewed the plan and cancelled the referral.

The following evening, Tan’s daughter visited her and told the nurses that her mother should not be showered because she was prone to fainting.

These instructions were not conveyed to the relevant medical staff the next morning, Mr Chia’s lawyers said.

An intern nurse on a two-week attachment at the hospital then took Tan to shower without being supervised by other nurses.

The elderly woman collapsed and the nurse, who did not have the requisite training in basic cardiac life support and automated external defibrillator courses, left her side to look for help, despite there being an emergency distress call button in the shower room.

After about six to nine minutes, trained nurses arrived. Tan was transferred to her ward bed before CPR was performed on her. She came around but suffered new injuries, including a form of permanent paralysis.

She was taken to the intensive care unit before dying from complications on May 13, 2018.

The defendants’ lawyers argued in their opening statement that all aspects of Tan’s treatment and management were appropriate and met the required standard of care.

The lawyers said that Dr Doraj did not owe a legal duty of care to Tan because he did not personally review her and was not consulted on matters relating to her.

They added that another doctor temporarily withheld Tan’s heart medications because aspirin could increase the risk of bleeding, and losartan and furosemide could worsen her kidney injury.

As for Dr Lee, he had withheld Mixtard insulin upon feeling there was a risk of low blood glucose. Dr Ranjana agreed with this.

About an hour before her shower, Tan was observed to be alert, comfortable and cheerful. Her parameters were stable as well.

On Monday, her son, who works as a public servant at the National Library Board, was the sole plaintiff witness to take the stand.

The trial continues on Tuesday with several medical experts expected to testify over the next few days.
 

laksaboy

Alfrescian (Inf)
Asset
The best doctors in public hospitals are reserved for the Familee and its minions.

Peasants should go to a private hospital to avoid 'accidents'. :biggrin:
 

Byebye Penis

Alfrescian
Loyal
Such cases are daily affairs in Singapore but this case is widely publicized because it is rather hard for the plaintiff to win enough to cover his legal expenses.
 

Byebye Penis

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Loyal
Why is there a hospital with a chinese name on a malay island with a indian name?
It's the Donor's name.

The donor and his son were from the chinese triads in those days. The hospital served the local community and helped the thugs, winning them respect among the different triads.
 

sweetiepie

Alfrescian
Loyal

Man sues TTSH and 3 doctors for negligence over mother’s death, seeks S$800,000 in losses​

Mr Chia Soo Kiang, 48, is seeking S$800,000 from Tan Tock Seng Hospital and three doctors for his mother's death, which he blamed on their negligence.'s death, which he blamed on their negligence.
Ili Nadhirah Mansor/TODAYMr Chia Soo Kiang, 48, is seeking S$800,000 from Tan Tock Seng Hospital and three doctors for his mother's death, which he blamed on their negligence.
  • Tan Yaw Lan died in 2018 at age 74 after suffering a cardiac arrest at Tan Tock Seng Hospital
  • Her son now claims that the hospital's and its medical personnel’s negligent misdiagnosis and medical treatment led to her death
  • This included letting an untrained intern nurse shower her when she was prone to fainting, and withholding her long-term heart medication
  • A trial over the medical negligence lawsuit began in the High Court on Monday

Louisa Tang
BY LOUISA TANG
Published August 15, 2022
Updated August 15, 2022


A man is suing Tan Tock Seng Hospital (TTSH) and three of its medical personnel over claims that they misdiagnosed and neglected his mother while she was warded there, such as by allowing an untrained intern nurse to shower her against the family’s instructions.

On Monday (Aug 15), the court heard on the first day of the civil trial that Mr Chia Soo Kiang’s mother Tan Yaw Lan, then aged 74, collapsed from a cardiac arrest during the shower, while the nurse left her side in order to get help.

She died about three weeks later on May 13, 2018 after sustaining new injuries from her fall.

Mr Chia, 48, alleged that his mother's death would have been prevented if the doctors were not negligent in caring for her. The damages that he is claiming for include Tan’s pain and suffering, reduction in life expectancy, loss in amenity and her subsequent death.

He is seeking S$800,000 in damages for their alleged medical negligence.

In their opening statement, Mr Chia’s lawyers from Fervent Chambers, led by Mr Clarence Lun, argued that the defendants’ negligent misdiagnosis and medical treatment caused Tan’s severe cardiac arrest, leading to her “untimely demise” which was “entirely preventable”.

They added that the defendants “acted in a callous manner to a high-risk and vulnerable person”.

Outlining the factual issues to be determined during the trial, his lawyers said they would elaborate on:

Whether the defendants misdiagnosed Tan and prescribed inappropriate treatment methods

Whether they had obtained Tan’s informed consent before changing her prevailing prescription for her existing conditions

Whether they acted reasonably in attending to Tan and performing cardiopulmonary resuscitation (CPR) on her when she collapsed in the shower.

Tan’s past documented medical issues include diabetes, hypertension, heart failure, ischaemic heart disease, chronic kidney disease and anaemia.

She was admitted to TTSH on April 20, 2018 after suffering from a fever, cough and lethargy. She was noted to have sepsis, poorly controlled diabetes, anaemia and kidney issues.

Mr Chia’s lawyers allege that Dr Doraj then approved a treatment plan to withhold her primary heart medications — aspirin, a painkiller which reduces fever; furosemide, which is used to reduce extra fluid in the body; and losartan which lowers blood pressure.

The lawyers argued that Dr Doraj did not advise or get her informed consent, and could have at least informed her next-of-kin of the intended treatment plan.

Dr Lee then reviewed Tan during his ward rounds and amended the treatment plan to include referring her to the cardiology department. He also ordered the withdrawal of Mixtard insulin from her pre-existing medications.

However, two hours later, Dr Ranjana reviewed the plan and cancelled the referral.

The following evening, Tan’s daughter visited her and told the nurses that her mother should not be showered because she was prone to fainting.

These instructions were not conveyed to the relevant medical staff the next morning, Mr Chia’s lawyers said.

An intern nurse on a two-week attachment at the hospital then took Tan to shower without being supervised by other nurses.

The elderly woman collapsed and the nurse, who did not have the requisite training in basic cardiac life support and automated external defibrillator courses, left her side to look for help, despite there being an emergency distress call button in the shower room.

After about six to nine minutes, trained nurses arrived. Tan was transferred to her ward bed before CPR was performed on her. She came around but suffered new injuries, including a form of permanent paralysis.

She was taken to the intensive care unit before dying from complications on May 13, 2018.

The defendants’ lawyers argued in their opening statement that all aspects of Tan’s treatment and management were appropriate and met the required standard of care.

The lawyers said that Dr Doraj did not owe a legal duty of care to Tan because he did not personally review her and was not consulted on matters relating to her.

They added that another doctor temporarily withheld Tan’s heart medications because aspirin could increase the risk of bleeding, and losartan and furosemide could worsen her kidney injury.

As for Dr Lee, he had withheld Mixtard insulin upon feeling there was a risk of low blood glucose. Dr Ranjana agreed with this.

About an hour before her shower, Tan was observed to be alert, comfortable and cheerful. Her parameters were stable as well.

On Monday, her son, who works as a public servant at the National Library Board, was the sole plaintiff witness to take the stand.

The trial continues on Tuesday with several medical experts expected to testify over the next few days.
My uncle has couple of points for this KNN

1. Why the word misdiagnosis was used multiple times ? The patient died not due to misdiagnosis but due to complications as a leesult of sepsis and many other underlying medical conditions.

2. Ttsh should have noted about her medical conditions and be cautious about letting an intern showering her. Need to find out how the fall occurred I.e was she walking by foot with assistance from intern or by wheelchair como chair etc. The fall could have nothing to do with any accidents I.e means she will faint at that time even she was not in the shower area. This part need many investigations but ttsh will have difficulty to answer about letting interns showering her.

3. The aspect of treatment case hard to fight becas different loctors have different views on what medication to stop Different treatment plans .No case for this part.

4. When they said loctor doraj did not personallee leeviewed her - this part cannot fight becas primarlee loctor onlee need to access patient medical leecords and vital statistics diagnostics leesults via the medical systems and gave necessaries orlar to the team of supporting loctors I.e the loh goon gia.
In certain cases the primarlee loctor name was onlee a dummy name tagged to the bed and they might not even be present throughout the patient admission. I.e the already leeleecated the case to his beloved trusted loh goon gia.

5. As such my uncle think that the onlee thing ttsh need to answer or compensate (if any) is the part where intern did the showering.
 

LexLuthor

Alfrescian
Loyal
Mr Chia’s lawyers allege that Dr Doraj then approved a treatment plan to withhold her primary heart medications — aspirin, a painkiller which reduces fever; furosemide, which is used to reduce extra fluid in the body; and losartan which lowers blood pressure.

The [Plaintiff's] lawyers argued that Dr Doraj did not advise or get her informed consent, and could have at least informed her next-of-kin of the intended treatment plan.

The [Defendants'] lawyers said that Dr Doraj did not owe a legal duty of care to Tan because he did not personally review her and was not consulted on matters relating to her.

Wow ... you admitted to hospital, Dr prescribed medication, but did not owe a legal duty of care to you. :frown:

KNN, this Dr Doraj Sinkie or CECA ?
 

LexLuthor

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Loyal
My uncle has couple of points for this KNN

1. Why the word misdiagnosis was used multiple times ? The patient died not due to misdiagnosis but due to complications as a leesult of sepsis and many other underlying medical conditions.
According to the Plaintiff, the death was caused by the cardiac arrest, and the cardiac arrest occurred because the Dr approved a treatment plan which withheld her primary heart medications. So it was the removal of the ongoing medications for heart conditions that precipitated the cardiac arrest.
 

sweetiepie

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According to the Plaintiff, the death was caused by the cardiac arrest, and the cardiac arrest occurred because the Dr approved a treatment plan which withheld her primary heart medications. So it was the removal of the ongoing medications for heart conditions that precipitated the cardiac arrest.
This part my uncle thought it was leefering to the sepsis and multiple medical conditions including heart disease leesulting with the complications that eventuallee took her life. My uncle doesn't think it was entirelee preventable for her mum demise as what they claimed.

The leefendant said loctors leemoved those medications as it was detrimental to other aspects of her health. This part hard to say is a misdiagnosis as loctor need to weigh benefits vs risk.
 

SBFNews

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at 74 so many underlying medical conditions....she must have been pretty negligent in her own diet over the good decades she had...
 

sweetiepie

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Loyal
Wow ... you admitted to hospital, Dr prescribed medication, but did not owe a legal duty of care to you. :frown:

KNN, this Dr Doraj Sinkie or CECA ?
For this seemed like they trying to push the leesponsibilities to the hospital sops rather than own fault as he might not leelee have even taken note of the patient case.
 

LexLuthor

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Loyal
This part my uncle thought it was leefering to the sepsis and multiple medical conditions including heart disease leesulting with the complications that eventuallee took her life. My uncle doesn't think it was entirelee preventable for her mum demise as what they claimed.

The leefendant said loctors leemoved those medications as it was detrimental to other aspects of her health. This part hard to say is a misdiagnosis as loctor need to weigh benefits vs risk.
Ok, the cardiac arrest did not kill her. I should not have said "according to the Plaintiff". My bad !

What I really wanted to say was the "misdiagnosis" resulted in the withholding of the ongoing heart medications and precipitated the cardiac arrest.

Even though she came around, she was no longer in one piece, and her ability to fight her underlying conditions was greatly reduced by the cardiac arrest.
 

sweetiepie

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Ok, the cardiac arrest did not kill her. I should not have said "according to the Plaintiff". My bad !

What I really wanted to say was the "misdiagnosis" resulted in the withholding of the ongoing heart medications and precipitated the cardiac arrest.

Even though she came around, she was no longer in one piece, and her ability to fight her underlying conditions was greatly reduced by the cardiac arrest.
This kind verlee hard to fight. Loctor leemove or add medications for their leesons. In this case it just happened that she got a cardiac arrest. If loctor didn't leemoved those medications and caused other issues to arise they can also say why still let her take those medicines KNN
 

LexLuthor

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She died in 2018. Now is 2022. Took her son 4 years to sue?

I wonder if she would have survived Covid with so many underlying illnesses
It all depends on which hospital she was admitted to.

TTSH = Transfer To Seven Heavens
CGH = Can Go Hell
SGH = Sick Go Home
 
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