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Widow sues hospital for failing to provide critical transfusion
By Ran Reznick
Tags: Israel, blood transfusion 

The Sheba Medical Center, at Tel Hashomer, was sued this week by a widow who says her husband, a leukemia patient, died in the hospital 12 hours after a life-saving blood transfusion was prescribed but not administered.

The 57-year-old was diagnosed with extreme anemia, in which red blood cells are rapidly destroyed, as well with myocardial infarction caused by the extreme shortage of platelets, as well as renal failure. Emergency room doctors and doctors in the internal medicine ward at Sheba ordered the transfusion of three units of blood. However, for 12 hours, Merat Hermetz did not receive the critical blood transfusion, and he died at Sheba in August 2005 "as a result of an extreme shortage of blood and after he was inconceivably not given the infusion that would have saved his life."

Hermetz's widow filed a civil suit in Tel Aviv Magistrate's Court this week demanding that the hospital and the Health Ministry pay compensation for what she calls the negligence that caused her husband's death.
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The civil suit relies on the opinion of Beilinson Hospital's chief of internal medicine, who has examined Hermetz's medical file and determined the patient died of "extreme untreated anemia. His death was the result of medical failure throughout the chain of care from the hematologist, through the emergency room doctors and including the doctors in the internal medicine ward. His death could have been prevented at most stages of treatment, had even one link in the chain provided care that met a reasonable medical standard. His life was shortened by at least nine years."

Merat Hermetz, a violinist with the Rishon Letzion Orchestra, was diagnosed in January 2004 with leukemia and began care at Sheba's hematology clinic. The lawsuit states that his "daily function was completely normal and he continued to work." On August 4, 2005, Hermetz saw the hematology clinic's Dr. Avraham Kellner due to a feeling of weakness. Kellner diagnosed a rapid drop in Hermetz's hemoglobin levels and prescribed steroids.

The following morning, Hermetz went to the emergency room complaining of weakness, pallor and chest pains. The ER diagnosed extremely low hemoglobin levels and, at about 1 P.M. prescribed a three-unit transfusion; however, the medical orders did not note the urgency of the matter.

At about 3 P.M., the patient was hospitalized in an internal medicine ward, and while he was being examined upon arrival in the ward, he was diagnosed with low blood pressure and heart rates, and was considered to be in critical condition. Hours later, close to midnight, Hermetz's condition deteriorated, and he was resuscitated and intubated.

According to the lawsuit, only then was he given the prescribed blood transfusion. However, his situation deteriorated and he died at about 4 A.M. on August 5, 2005.

The suit also charges that Hermetz's family did not receive information about his medical condition from the doctors throughout his hospitalization.

The medical opinion on which the lawsuit relies indicates that Hermetz "died from a rare cause these days - untreated anemia - there is no doubt that the patient needed an immediate, life-saving blood transfusion. However, nothing was done... his death stemmed from a system-wide failure of all the doctors treating him with no exception: Dr. Kellner should have better assessed the condition of the patient who had extreme anemia. He should have hospitalized him and given him an immediate infusion. The emergency room care was highly unreasonable as was the treatment he received in the internal medicine ward upon his hospitalization."

Sheba Medical Center stated the hospital "extends its condolences to the family. The patient suffered from a terminal illness of the blood and repeated instances of anemia. The extreme anemia was diagnosed in the emergency room... and to our regret, his condition in the emergency room was already untreatable. Hermetz later died of organ failure." The hospital also stated that it will respond in depth to the civil suit in court after it has studied the suit fully.
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