WEBVTT - Episode 7: Cover It Up

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<v Speaker 1>My name is Hedley Thomas. Sick to Death is based

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<v Speaker 1>on my book of the same name, and it's the

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<v Speaker 1>true story of doctor Jan Patel's lies and manipulation and

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<v Speaker 1>the herculean effort it took to finally stop him. We've

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<v Speaker 1>used voice actors throughout this series, and on occasion the

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<v Speaker 1>real people from the story have read their words for us.

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<v Speaker 1>It is brought to you by Me and the Australian.

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<v Speaker 1>Chapter twenty nine, Make or Break, eighteen March two thousand

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<v Speaker 1>and five. The two lane road from Bunderberg to Seaside

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<v Speaker 1>Baghara was one Tony Hoffman had traveled often. Its red

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<v Speaker 1>dirt shoulders give way to waving fields of sugarcane, strawberry plantations,

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<v Speaker 1>acres of beans, and roadside produced stalls with hand lettered signs.

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<v Speaker 1>The nurse noticed none of these as she gripped the

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<v Speaker 1>wheel of her Burgundy red miss and pulsar and sped

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<v Speaker 1>through a storm and fierce rain to rob Messenger's office.

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<v Speaker 1>Hoffman was going outside the secretive Queensland health system by

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<v Speaker 1>approaching a local parliamentarian. She didn't know if he could

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<v Speaker 1>be trusted. She didn't know if he would believe her.

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<v Speaker 1>Her anxiety mounted as the familiar scenery flew by. She

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<v Speaker 1>felt sadness, anger, fear and tension. After Jayan Pttel's boastful

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<v Speaker 1>announcement that his contract at the hospital had been extended,

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<v Speaker 1>Hoffman and the nurses who supported her felt helpless. She

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<v Speaker 1>had made up her mind to ring Messenger to set

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<v Speaker 1>up an appointment afterwards, reflecting on what she had briefly

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<v Speaker 1>told him in that first tentative telephone conversation, she feared

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<v Speaker 1>that Rob Messenger would believe she was unhinged. She confided

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<v Speaker 1>her plan to Karen Fox, telling.

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<v Speaker 2>Her, you know, I'm ringing him up and saying patients

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<v Speaker 2>are dying at the hospital and he's probably thinking this

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<v Speaker 2>woman's crazy. This can't be happening, but it is happening.

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<v Speaker 1>Messenger's staff had gone home. By the time Tony Hoffman

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<v Speaker 1>arrived about five point thirty pm at Chop seven Bagara Plaza.

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<v Speaker 1>Her makeup was streaked by tears. He sat her down

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<v Speaker 1>with a mini recorder, his preferred tool when receiving sensitive

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<v Speaker 1>complaints from constituents or sources. You could never be too

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<v Speaker 1>careful in the cut and thrust of Queensland politics. You

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<v Speaker 1>to state your name, please, Messenger started like a copper

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<v Speaker 1>conducting a record of interview with a criminal, except his

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<v Speaker 1>delivery was gentle and patient.

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<v Speaker 3>Tony Hoffman, Tony, do you want to claim whistleblower status?

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<v Speaker 1>Messenger hoped that the nurse would seek the limited protection

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<v Speaker 1>afforded to public servants making a serious disclosure to a

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<v Speaker 1>local politician.

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<v Speaker 3>Yes, have you come to me because you believe that

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<v Speaker 3>doctor Patel is incompetent in killing people?

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<v Speaker 1>Yes?

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<v Speaker 2>Yes I do.

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<v Speaker 1>There it was done. She would not turn back now

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<v Speaker 1>for the next ninety minutes. Hoffman let Messenger know the

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<v Speaker 1>entire dreadful story. Messenger asked her if she was fearful.

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<v Speaker 2>She replied, I guess I'm more distressed than scared, because

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<v Speaker 2>I've watched patients sty I feel that every time I

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<v Speaker 2>see him walk in the unit, I feel sick because

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<v Speaker 2>I just think, who's going to kill an?

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<v Speaker 1>Now?

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<v Speaker 4>What's it going to do?

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<v Speaker 1>Now?

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<v Speaker 2>And we all feel like that. All of the nurses

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<v Speaker 2>feel like that, they feel physically ill when he walks

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<v Speaker 2>in because they just know that he's going to try

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<v Speaker 2>and interfere with something, operate on someone, cause more of

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<v Speaker 2>a problem and a complication, or stop a transfer which

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<v Speaker 2>has been arranged. He says he trained in the United States.

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<v Speaker 2>We did a search on the net because there's a

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<v Speaker 2>site there that you can look up physicians qualifications, and

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<v Speaker 2>it says that he trained in India in nineteen seventy

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<v Speaker 2>three and that he has a general qualification. He continually

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<v Speaker 2>tells us all sorts of things, like he's been a

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<v Speaker 2>trauma surgeon for twenty five years and that he's been

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<v Speaker 2>a cardiothoracic surgeon for about fifteen years. He seems to

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<v Speaker 2>have a new qualification every time he talks about it,

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<v Speaker 2>but we've not seen any of that. He also stated

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<v Speaker 2>he studied medicine who's only fifteen years old. So you know,

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<v Speaker 2>like we sort of don't believe very much what he

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<v Speaker 2>says because you know, it's just impossible.

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<v Speaker 1>Messenger wanted to know about the culture of the hospital.

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<v Speaker 1>He had his views about how a moribund or incompetent

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<v Speaker 1>management might be impotent to act against a dangerous doctor.

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<v Speaker 1>Those views were about to be strongly reinforced.

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<v Speaker 2>I think of all the places I've worked, Jim, I've

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<v Speaker 2>never worked in a place like this. There's bullying, intimidation.

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<v Speaker 2>You can't trust that anybody is going to tell the truth.

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<v Speaker 2>The nurses hold the hospital together, and there's some great doctors,

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<v Speaker 2>but these few people hold the hospital together, and the

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<v Speaker 2>district manager takes the credit for it.

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<v Speaker 1>Messengers quietly effective interviewing style had been honed as a

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<v Speaker 1>commentator behind the microphone in the local ABC radio studios.

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<v Speaker 3>You say, in some of that literature that I've read,

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<v Speaker 3>doctor Patel insists on keeping patients longer than what the

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<v Speaker 3>unit is equipped to keep. Can you explain that?

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<v Speaker 1>Well?

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<v Speaker 2>As I said, we only keep patients for twenty four

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<v Speaker 2>to forty eight hours, we do try and keep them

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<v Speaker 2>for longer, and we often do keep them for longer,

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<v Speaker 2>and we substitute our staffing with overtime. But Dr Pitateell

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<v Speaker 2>refused to transfer his patients to Brisbane. He said he

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<v Speaker 2>wasn't going to practice medicine like that, and he would

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<v Speaker 2>go up to Doctor Keating and throw a tantrum and

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<v Speaker 2>say he was leaving or resigning, or just refuse to

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<v Speaker 2>transfer them out. Sometimes we would have a bed in

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<v Speaker 2>Brisbane for a patient, especially if they were quite sick,

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<v Speaker 2>and then Dr Pittell would stop the transfer, and then

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<v Speaker 2>we would lose the bed because Brisbane would need the bed.

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<v Speaker 2>For someone else, so he consistently would interfere and stop

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<v Speaker 2>the patients from being transferred to Brisbane, which caused enormous

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<v Speaker 2>problems for us as nurses. I mean, we were continually

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<v Speaker 2>putting people on overtime. It blew out our budget for

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<v Speaker 2>the first time in four years because we had patients.

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<v Speaker 2>We kept patients for so long. And the thing is

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<v Speaker 2>the patients weren't getting the care that they needed anyway,

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<v Speaker 2>because he's not a good doctor. The complication rate was

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<v Speaker 2>so high that all these patients all had huge complications

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<v Speaker 2>that weren't being addressed properly. What we've tried to do

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<v Speaker 2>through Queensland Health is go through the right channels and

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<v Speaker 2>address this properly, but it doesn't seem to have worked.

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<v Speaker 2>I've come to you because I guess as the last resort,

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<v Speaker 2>because we didn't know what else to do. I mean,

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<v Speaker 2>I'm here not only as a representative for my own concerns,

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<v Speaker 2>but I'm here representing the concerns of a lot of

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<v Speaker 2>people who were too scared to come. We've been told

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<v Speaker 2>that we're not allowed to come and see you. We

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<v Speaker 2>literally are at the point where we are just about

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<v Speaker 2>throwing ourselves over the top of the patients to protect

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<v Speaker 2>them from this man, you know, and this is just crazy,

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<v Speaker 2>It's just ridiculous. This is two and this should not

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<v Speaker 2>be happening.

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<v Speaker 3>You know.

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<v Speaker 2>We've got this code of conduct that exists in Queen's

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<v Speaker 2>on Health and we're supposed to have all these things

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<v Speaker 2>that protect us and the patients in place, and nothing's working.

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<v Speaker 2>And that's why I guess I'm here. I'm asking you,

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<v Speaker 2>who has nothing to do with the hospital whatsoever, to

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<v Speaker 2>try and do something to save these patients from this man.

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<v Speaker 2>We don't know what to do or where to go, Like,

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<v Speaker 2>who else can we tell? You know, we joked about

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<v Speaker 2>it the other day and said what else can we do?

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<v Speaker 2>Strip naked and hang from the tree outside the red

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<v Speaker 2>Rooster and scream out to Bunderberg, this is what's happening

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<v Speaker 2>at the hospital. So this is what I hope that

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<v Speaker 2>he gets stood down while there's a proper investigation done.

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<v Speaker 1>It was dark outside, still pouring with rain. It was

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<v Speaker 1>almost seven point thirty pm. Messenger had everything he needed.

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<v Speaker 1>It was sensational, more powerful than any of the information

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<v Speaker 1>brought to him in the past by people wronged by

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<v Speaker 1>the hospital where his mother had given birth. To him

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<v Speaker 1>where his mother died. There was something else, perhaps serendipity. Whatever.

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<v Speaker 1>It was a year to the day since his maiden

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<v Speaker 1>speech in State Parliament, when he pledged to campaign on health.

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<v Speaker 1>He had ended the speech with a comment about evil

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<v Speaker 1>prospering while good men remained silent. Now he wanted to

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<v Speaker 1>shout the Betel disaster from the rooftops, he reassured Hoffman.

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<v Speaker 1>The desperate woman, a lifetime Labor Party loyalist who had

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<v Speaker 1>not voted for Messenger and had never supported his National Party,

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<v Speaker 1>looked a wreck from worry and sleeplessness. Okay, we'll leave

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<v Speaker 1>it there. I know what to do. Hoffman eyed the

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<v Speaker 1>dark rain streaked windows and sighed as she prepared to

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<v Speaker 1>go back at into the storm. Chapter thirty Political Football

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<v Speaker 1>nineteen to twenty two March two thousand and five. In

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<v Speaker 1>a booming electorate that few expected him to hold after

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<v Speaker 1>his surprise two thousand and four triumph, Rob Messenger was

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<v Speaker 1>run off his feet. The needs and expectations of working

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<v Speaker 1>class families and sea change for tirees were constant. He

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<v Speaker 1>and his constituents were fortunate. Messenger had great stamina, patience,

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<v Speaker 1>a methodical personality, and dedicated staff. He had been shaken

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<v Speaker 1>by the intensity of the secret meeting with Tony Hoffman

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<v Speaker 1>and her shocking revelations. The documentation she handed to him

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<v Speaker 1>was extensive and worrying. It corroborated her motive story. He

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<v Speaker 1>had been told by too many staff and patients that

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<v Speaker 1>Bunderberg Based Hospital was a house of horrors. He had

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<v Speaker 1>witnessed his own mother's battle with cancer there. He intuitively

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<v Speaker 1>knew often was right, but he had to play it safe.

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<v Speaker 1>A bad call now could stall his political career within

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<v Speaker 1>his own beleagued National Party. One or two colleagues envied

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<v Speaker 1>his increasing popularity. They would not mind seeing him trip up.

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<v Speaker 1>His speeches and press releases highlighting the problems at the

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<v Speaker 1>hospital were routinely used against him by the Labour Party's

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<v Speaker 1>Nisa Cunningham, the elected representative for the adjoining seat, for

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<v Speaker 1>hammering the local hospital and revealing its ills. He was

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<v Speaker 1>regularly accused of demoralizing the staff and worsening the problems.

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<v Speaker 1>If he publicly took on the director of surgery would

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<v Speaker 1>be picking his biggest fight. Yet it was conceivable that

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<v Speaker 1>the man would resign. A messenger knew this, who would

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<v Speaker 1>be around to repair the worn out knees perform the

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<v Speaker 1>colonoscopies cut away the cancer, and if Patel were not

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<v Speaker 1>as bad as Hoffman claimed, the community would be up

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<v Speaker 1>in arms. If Messenger forced an innocent surgeon out of

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<v Speaker 1>the hospital, the politician's head would be on the chopping

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<v Speaker 1>block and the voters would lop it off pronto. After

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<v Speaker 1>asking his staff to transcribe the record of his interview

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<v Speaker 1>with Tony Hoffman, he went to the country town of

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<v Speaker 1>Calliope and then to Gladstone on the coast for National

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<v Speaker 1>Party business. By Sunday evening, when he checked for email,

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<v Speaker 1>every word of his conversation with Hoffman two days prior

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<v Speaker 1>was at his fingertips. He read it again on his

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<v Speaker 1>computer screen, shaking his head at the seriousness of it all.

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<v Speaker 1>As he rolled the text, he spoke to Mike Koran,

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<v Speaker 1>the reliable parliamentarian from too Womba, west of Brisbane. Hawan

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<v Speaker 1>had been a health minister in a former coalition government.

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<v Speaker 1>He listened intently to Rob Messenger's version of the meeting

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<v Speaker 1>with Hoffman. Mike Koran gravely told the young understudy he

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<v Speaker 1>had a duty to act with urgency before meeting his

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<v Speaker 1>political colleagues to explain the bombshell and work out a

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<v Speaker 1>strategy on how best to drop it. Messenger called doctor

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<v Speaker 1>Martin Strawn, a highly qualified physician in Bunderberg. Strawn was

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<v Speaker 1>known to Messenger. In the confidential October two thousand and

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<v Speaker 1>four memo which Tony Hoffman had written to Peter let

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<v Speaker 1>setting out the concerns over Patel. She specifically related one

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<v Speaker 1>of her conversations with Strawn. It followed the death of

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<v Speaker 1>des Bramich rob Messenger read the passage in the memo again.

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<v Speaker 2>After the patient's death. When I thought he had safely

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<v Speaker 2>been transferred to Brisbane, doctor Strawn came to talk to

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<v Speaker 2>me in the office and found me very distressed. He

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<v Speaker 2>offered to talk to some of the other doctors and

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<v Speaker 2>get back to me as a representative of the AMA

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<v Speaker 2>in Bunderberg. He did this. He stated, there is widespread concern,

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<v Speaker 2>but at the moment no one is willing to stick

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<v Speaker 2>their neck out. He urged me to keep stats on

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<v Speaker 2>my concerns.

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<v Speaker 1>Messenger dialed Strawn's number. It was a confidential query, Messenger

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<v Speaker 1>explained to the doctor, before candidly revealing how he had

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<v Speaker 1>received statements and information about Patel and the serious concerns

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<v Speaker 1>over his competence. He asked Strawn, a dry humored Seventh

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<v Speaker 1>Day Adventist who disliked unhealthy habits like smoking and drinking,

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<v Speaker 1>about the chain smoking wine loving incompetent surgeon. Did other

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<v Speaker 1>doctors at the hospital, all the visiting medical officers who

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<v Speaker 1>had contact with Patel and his patients share the concerns

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<v Speaker 1>about the director of surgery. Rob Messenger wanted to know.

0:15:11.520 --> 0:15:16.440
<v Speaker 1>Martin Strawn replied, yes, I know about doctor Patel. We

0:15:16.520 --> 0:15:18.760
<v Speaker 1>think he's going to resign in June, and we'd like

0:15:18.840 --> 0:15:22.880
<v Speaker 1>this matter to go away quietly. However, if this man

0:15:23.040 --> 0:15:25.680
<v Speaker 1>was to stay on for another twelve months, we'd have

0:15:25.840 --> 0:15:33.640
<v Speaker 1>serious concerns. The response flawed. Rob Messenger, knowing that the

0:15:33.680 --> 0:15:38.200
<v Speaker 1>matters were under review by Queensland Health Doctor Martin Strawn,

0:15:38.680 --> 0:15:43.160
<v Speaker 1>a former secretary and president of the Bunderberg and District

0:15:43.200 --> 0:15:48.120
<v Speaker 1>Local Medical Association, urged the politician not to go public

0:15:48.200 --> 0:15:54.280
<v Speaker 1>with the issue. If Messenger outed Patel, Strawn added, every

0:15:54.440 --> 0:15:57.600
<v Speaker 1>patient who had been operated on by the director of

0:15:57.640 --> 0:16:03.400
<v Speaker 1>surgery would be anxious. Messenger found this attitude hard to comprehend,

0:16:04.200 --> 0:16:08.960
<v Speaker 1>and later he would be furious. Martin Strawn was effectively

0:16:09.040 --> 0:16:13.840
<v Speaker 1>corroborating the story about Patel being dangerous. Messenger did not

0:16:14.040 --> 0:16:18.280
<v Speaker 1>know what was worse, the confirmation or the reluctance of

0:16:18.360 --> 0:16:23.400
<v Speaker 1>the doctors to act. He decided to smash their protective nexus.

0:16:24.320 --> 0:16:28.120
<v Speaker 1>If nobody said anything and Patell left quietly, he would

0:16:28.160 --> 0:16:31.160
<v Speaker 1>wreak more damage at the next hospital he went to.

0:16:32.440 --> 0:16:36.040
<v Speaker 1>Rob Messenger became excited and a little apprehensive as his

0:16:36.120 --> 0:16:40.320
<v Speaker 1>opportunity to go public with the scandal learned. He planned

0:16:40.320 --> 0:16:45.040
<v Speaker 1>to rely on parliamentary privilege, the protection afforded elected politicians.

0:16:45.680 --> 0:16:49.440
<v Speaker 1>It permitted him to speak without fear of legal retribution.

0:16:50.640 --> 0:16:55.120
<v Speaker 1>It was a permanent immunity. He would get his chance soon.

0:16:56.040 --> 0:16:59.960
<v Speaker 1>On twenty two March, State Parliament would convene for then

0:17:00.000 --> 0:17:04.200
<v Speaker 1>even sitting day of two thousand and five. Messenger began

0:17:04.320 --> 0:17:08.560
<v Speaker 1>rehearsing his questions. The plan he had developed in the

0:17:08.600 --> 0:17:13.000
<v Speaker 1>political party room would be a double act to reinforce

0:17:13.119 --> 0:17:16.680
<v Speaker 1>the seriousness of the issue and lend support. The party's

0:17:16.720 --> 0:17:21.600
<v Speaker 1>shadow Health Minister, Stuart Copeland would join in. In that way,

0:17:21.800 --> 0:17:24.280
<v Speaker 1>it would be harder for the media or the minister

0:17:24.400 --> 0:17:27.240
<v Speaker 1>to write it off as the baseless outpourings of an

0:17:27.280 --> 0:17:36.919
<v Speaker 1>inexperienced politician suffering relevance deprivation syndrome. The day began unpromisingly

0:17:37.000 --> 0:17:41.080
<v Speaker 1>for Messenger. As he took his seat on the opposition benches,

0:17:41.560 --> 0:17:45.400
<v Speaker 1>waited for the moment of truth, and mentally reworked his speech.

0:17:45.680 --> 0:17:49.840
<v Speaker 1>He was jolted to attention. At nine thirty a m.

0:17:50.080 --> 0:17:53.879
<v Speaker 1>The Speaker of Parliament, Ray Hollis, went to his grand chair.

0:17:54.960 --> 0:17:58.440
<v Speaker 1>The journalists in the gallery above milled around with notepads

0:17:58.480 --> 0:18:02.159
<v Speaker 1>as media officers handed out press releases and briefing notes.

0:18:02.720 --> 0:18:07.520
<v Speaker 1>But already one of the Beatty government's more experienced headkickers

0:18:07.680 --> 0:18:13.159
<v Speaker 1>was on his feet, accusing Rob Messenger of line. Robert Schwarten,

0:18:13.359 --> 0:18:17.040
<v Speaker 1>the Minister for Public Works, Housing and Racing, put the

0:18:17.080 --> 0:18:21.200
<v Speaker 1>boot in. The issue turned on claims of bungling over

0:18:21.240 --> 0:18:24.720
<v Speaker 1>the installation of air conditioners in a Bunderberg public school.

0:18:25.480 --> 0:18:29.000
<v Speaker 1>Messenger had raised it in Parliament a fortnight earlier, and

0:18:29.040 --> 0:18:31.720
<v Speaker 1>now Rob Schwarten was questioning his honesty.

0:18:32.760 --> 0:18:37.199
<v Speaker 5>Schwarten funded, it is important that honorable members in this

0:18:37.320 --> 0:18:41.320
<v Speaker 5>Parliament reflect accurately the facts and not mislead the house.

0:18:42.840 --> 0:18:46.359
<v Speaker 1>If it was a preemptive attack with the specific aim

0:18:46.440 --> 0:18:50.480
<v Speaker 1>of undermining Messenger's credibility, before he went public with Patel.

0:18:50.920 --> 0:18:55.040
<v Speaker 1>It meant something had leaked. It would indicate a plot

0:18:55.240 --> 0:18:59.399
<v Speaker 1>or a setup. The parliamentary session that morning featured the

0:18:59.520 --> 0:19:03.480
<v Speaker 1>usual verbal fisticuffs between members of the opposition and those

0:19:03.560 --> 0:19:10.000
<v Speaker 1>of the Betty government. Emergency Services Minister Chris Cummins was wounded. Cummins,

0:19:10.080 --> 0:19:13.200
<v Speaker 1>one of the lightweights in cabinet, was exposed by National

0:19:13.200 --> 0:19:16.760
<v Speaker 1>Party leader Lawrence Springborg for trying to dodge payment of

0:19:16.840 --> 0:19:21.960
<v Speaker 1>parking fines. Liddy Clark, the former ABC Play School presenter

0:19:22.000 --> 0:19:25.159
<v Speaker 1>who had been sacked after a brief stint as Indigenous

0:19:25.160 --> 0:19:30.280
<v Speaker 1>Affairs Minister, resented Springborg for describing her as less than truthful.

0:19:31.000 --> 0:19:35.800
<v Speaker 1>She called him an absolute grub. Beattie sang the praises

0:19:35.840 --> 0:19:38.760
<v Speaker 1>of the smart state of Queensland, and he trumpeted that

0:19:38.840 --> 0:19:43.479
<v Speaker 1>Queensland's public hospital waiting times for elective surgery were the

0:19:43.560 --> 0:19:48.560
<v Speaker 1>best in Australia. Health Minister Gordon Nuttle pledged improvements at

0:19:48.560 --> 0:19:52.800
<v Speaker 1>the crisis torn John Tong Center, where thousands of forensic

0:19:52.880 --> 0:19:57.240
<v Speaker 1>samples needed urgently by police and the courts were awaiting

0:19:57.320 --> 0:20:02.159
<v Speaker 1>scrutiny by too few overwork signed. It was a story

0:20:02.240 --> 0:20:05.159
<v Speaker 1>I had been writing after a helpful leak from the

0:20:05.200 --> 0:20:10.560
<v Speaker 1>embattled staff. There, Rob Messenger tents as Stuart Copeland stood

0:20:10.680 --> 0:20:11.280
<v Speaker 1>and spoke.

0:20:12.760 --> 0:20:15.920
<v Speaker 6>My question is to the Minister for Health. I refer

0:20:16.040 --> 0:20:19.879
<v Speaker 6>to the fact finding process conducted by doctor Fitzgerald, the

0:20:20.000 --> 0:20:24.720
<v Speaker 6>Chief Health Officer, into serious allegations made about the clinical

0:20:24.800 --> 0:20:29.920
<v Speaker 6>and surgical competence of doctor Patel, a surgeon operating at

0:20:29.960 --> 0:20:36.000
<v Speaker 6>Bunderberg based Hospital. The allegations involve approximately fourteen patients who

0:20:36.080 --> 0:20:42.200
<v Speaker 6>have suffered serious post operative complications, including death, following surgery

0:20:42.320 --> 0:20:46.520
<v Speaker 6>performed by doctor Patel. As the findings of the process

0:20:46.560 --> 0:20:50.080
<v Speaker 6>have not been released publicly to date, and to ensure

0:20:50.119 --> 0:20:54.080
<v Speaker 6>that first class patient care is provided at Bunderberg Based Hospital,

0:20:54.680 --> 0:20:58.920
<v Speaker 6>will the Minister now release these findings. Will the Minister

0:20:59.040 --> 0:21:04.439
<v Speaker 6>have the allegation independently investigated. Will doctor Patel be stood

0:21:04.480 --> 0:21:07.000
<v Speaker 6>aside while he is under investigation?

0:21:08.280 --> 0:21:12.399
<v Speaker 1>Health Minister Nuttle, who had no idea what Stewart Copeland

0:21:12.480 --> 0:21:14.960
<v Speaker 1>was talking about, try it a stalling tactic.

0:21:16.160 --> 0:21:19.119
<v Speaker 4>In relation to the issues raised by the honorable member,

0:21:19.600 --> 0:21:22.359
<v Speaker 4>they are matters for the Medical Board. I'm not aware

0:21:22.400 --> 0:21:25.440
<v Speaker 4>of the issues raised by the honorable Member. I am

0:21:25.440 --> 0:21:29.240
<v Speaker 4>more than happy as the Minister responsible to investigate those matters.

0:21:29.840 --> 0:21:32.119
<v Speaker 4>I will meet with the CEO of the Medical Board

0:21:32.119 --> 0:21:35.360
<v Speaker 4>today and speak with him about those issues. I'm more

0:21:35.400 --> 0:21:37.520
<v Speaker 4>than happy to give the member the details of what

0:21:37.600 --> 0:21:40.119
<v Speaker 4>I find out from the CEO of the Medical Board.

0:21:41.680 --> 0:21:47.320
<v Speaker 1>Mike Horan, a parliamentary ally to Messenger, exploded, you should

0:21:47.320 --> 0:21:51.080
<v Speaker 1>have known about this. There were deaths a one hundred

0:21:51.119 --> 0:21:55.480
<v Speaker 1>percent strike rate. By noon, Rob Messenger was ready for

0:21:55.520 --> 0:21:59.480
<v Speaker 1>his speaking part on Patel. He wanted to make sure

0:21:59.640 --> 0:22:03.360
<v Speaker 1>no misunderstood the significance for.

0:22:03.359 --> 0:22:06.720
<v Speaker 7>The protection of patients at the Bunderberg Base Hospital Intensive

0:22:06.760 --> 0:22:09.480
<v Speaker 7>Care Unit and the well being of the medical staff.

0:22:10.040 --> 0:22:12.720
<v Speaker 7>I make public and table a letter from the Nurse

0:22:12.800 --> 0:22:17.680
<v Speaker 7>Unit manager of the Bunderberg Base Hospital ICU. This letter

0:22:17.760 --> 0:22:21.600
<v Speaker 7>alleges serious concerns relating to the behavior and the clinical

0:22:21.680 --> 0:22:26.200
<v Speaker 7>competence of doctor Patel, an overseas trained surgeon working at

0:22:26.240 --> 0:22:30.840
<v Speaker 7>the Bunderberg Base Hospital ICU. The letter, submitted to the

0:22:30.880 --> 0:22:33.879
<v Speaker 7>management of the Bunderberg Base Hospital on or around the

0:22:33.960 --> 0:22:37.600
<v Speaker 7>twenty second of October two thousand and four, lists the

0:22:37.640 --> 0:22:41.920
<v Speaker 7>cases of approximately fourteen former patients of the Bunderberg Base

0:22:42.080 --> 0:22:47.879
<v Speaker 7>Hospital ICU, who the writer believed required formal investigations. I

0:22:47.920 --> 0:22:51.040
<v Speaker 7>am astounded that the Minister for Health, as witnessed by

0:22:51.080 --> 0:22:54.400
<v Speaker 7>his reply this morning to a question without notice from

0:22:54.400 --> 0:22:57.920
<v Speaker 7>the Shadow Health Minister, was ignorant of the investigation.

0:23:00.080 --> 0:23:04.399
<v Speaker 1>Again, reading aloud paragraphs of Hoffman's October two thousand and

0:23:04.520 --> 0:23:08.840
<v Speaker 1>four letter to Peter Leck, he emphasized how doctor Petel

0:23:09.000 --> 0:23:12.720
<v Speaker 1>was feared by nursing and medical staff as very powerful,

0:23:13.160 --> 0:23:16.320
<v Speaker 1>and that anyone who tried to alert the authorities about

0:23:16.359 --> 0:23:21.480
<v Speaker 1>their concerns would lose their jobs. Messenger issued a plea

0:23:21.640 --> 0:23:24.640
<v Speaker 1>to Gordon Nuttle to release the findings of Chief Health

0:23:24.640 --> 0:23:29.240
<v Speaker 1>Officer Jerry Fitzgerald's clinical audit report and start a thorough

0:23:29.280 --> 0:23:32.760
<v Speaker 1>review of the entire hospital and its administration.

0:23:33.880 --> 0:23:37.000
<v Speaker 7>I challenged the Minister to guarantee that all staff members

0:23:37.000 --> 0:23:40.480
<v Speaker 7>who choose to give evidence be afforded full whistleblower status

0:23:41.000 --> 0:23:44.440
<v Speaker 7>and that they be protected from any vindictive administrative action

0:23:45.200 --> 0:23:49.120
<v Speaker 7>pending the results of this investigation. The Minister must immediately

0:23:49.160 --> 0:23:53.679
<v Speaker 7>stand aside and suspend from work surgeon doctor Patel and

0:23:53.840 --> 0:23:58.560
<v Speaker 7>senior administrative staff Peter Leck and doctor Darren Keating the

0:23:58.600 --> 0:24:01.920
<v Speaker 7>staff of the Bunderberg Base Hospital ICU are desperate.

0:24:03.440 --> 0:24:06.840
<v Speaker 1>After Rob Messenger sat down the Liberal leader Bob Quinn

0:24:06.920 --> 0:24:10.480
<v Speaker 1>lamented a government that does nothing to address emerging problems

0:24:10.560 --> 0:24:15.480
<v Speaker 1>until those problems become full blown crises. Health, according to

0:24:15.520 --> 0:24:19.720
<v Speaker 1>Bob Quinn, was one of those crises. Malcolm Cole, the

0:24:19.800 --> 0:24:22.960
<v Speaker 1>Courier Mal's political correspondent, was on the telephone and the

0:24:23.000 --> 0:24:27.400
<v Speaker 1>Parliamentary Press gallery. He half heard the attack launched by

0:24:27.560 --> 0:24:30.840
<v Speaker 1>Rob Messenger, whose credibility was yet to be proved to

0:24:30.960 --> 0:24:35.439
<v Speaker 1>some of the journalists covering politics. We'll need to file

0:24:35.480 --> 0:24:39.399
<v Speaker 1>on this, Malcolm said to his colleague Grocemary Odgers. She

0:24:39.640 --> 0:24:43.919
<v Speaker 1>too had heard the attack. Odg just doubted the veracity

0:24:43.960 --> 0:24:47.760
<v Speaker 1>of the story. Still, the Courier Mail was the paper

0:24:47.800 --> 0:24:52.560
<v Speaker 1>of record, she decided to write a few paragraphs. Behind

0:24:52.600 --> 0:24:56.840
<v Speaker 1>the scenes, the political machinery began to move. By the

0:24:56.880 --> 0:25:01.520
<v Speaker 1>time Rob Messenger had finished his parliamentary sprat, Gordon Nuttle

0:25:01.600 --> 0:25:04.879
<v Speaker 1>was close to having a ministerial meltdown for being left

0:25:04.960 --> 0:25:09.320
<v Speaker 1>out of the loop by his top departmental staff. He

0:25:09.400 --> 0:25:13.000
<v Speaker 1>furiously ordered his staff to find the Chief Health Officer

0:25:13.160 --> 0:25:18.199
<v Speaker 1>and demand answers fast. So much for the policy of

0:25:18.400 --> 0:25:22.960
<v Speaker 1>no surprises. Gordon Nuttle seed as he relived the embarrassment

0:25:23.000 --> 0:25:26.320
<v Speaker 1>of being ambushed by Stuart Copeland and Rob Messenger.

0:25:27.080 --> 0:25:30.880
<v Speaker 4>He demanded what is going on at Bunderberg Hospital.

0:25:31.720 --> 0:25:36.560
<v Speaker 1>Paul dal Alba, the senior Departmental liaison officer, telephoned Jerry

0:25:36.600 --> 0:25:40.639
<v Speaker 1>Fitzgerald and explain the questions that had been asked in Parliament.

0:25:41.440 --> 0:25:45.400
<v Speaker 1>At ten fifty three am, dal Alba emailed the Chief

0:25:45.440 --> 0:25:46.160
<v Speaker 1>Health Officer.

0:25:47.280 --> 0:25:51.159
<v Speaker 8>Mister Copeland stated that you were investigating post operative complications

0:25:51.200 --> 0:25:53.399
<v Speaker 8>and asked if the Minister would release the report and

0:25:53.440 --> 0:25:56.720
<v Speaker 8>suspend doctor Patel. Can you please provide some dot points

0:25:56.760 --> 0:25:59.479
<v Speaker 8>by return email to allow the Director General to verbally

0:25:59.520 --> 0:26:02.439
<v Speaker 8>brief them Minister this afternoon. We may then need to

0:26:02.520 --> 0:26:05.679
<v Speaker 8>organize a parliamentary question time brief for tomorrow so the

0:26:05.720 --> 0:26:07.880
<v Speaker 8>Minister can respond to the question in parliament.

0:26:08.960 --> 0:26:12.320
<v Speaker 1>Dal Alba was ordered to summon Fitzgerald to a six

0:26:12.400 --> 0:26:15.720
<v Speaker 1>pm meeting with Gordon Nuttle at Room A three to

0:26:15.880 --> 0:26:17.359
<v Speaker 1>seven in Parliament House.

0:26:18.320 --> 0:26:20.720
<v Speaker 8>Glenna Viner will meet you at the main entrance to

0:26:20.760 --> 0:26:21.520
<v Speaker 8>Parliament House.

0:26:22.680 --> 0:26:26.840
<v Speaker 1>Dalle Alba asked David Potter, the media manager for Gordon Nuttle,

0:26:26.920 --> 0:26:31.560
<v Speaker 1>to transmit the Parliamentary Hansard transcript and the statements tabled

0:26:31.600 --> 0:26:36.560
<v Speaker 1>by Messenger to Queensland Helps two media managers Lisa Schildtz

0:26:36.840 --> 0:26:41.480
<v Speaker 1>and Phil Nickerson. Peter Leck was also to receive the material.

0:26:42.440 --> 0:26:47.680
<v Speaker 1>Paranoid about the probable media interest, dal Alba then briefed Schiltz,

0:26:48.040 --> 0:26:52.240
<v Speaker 1>Nickerson and another public relations flack, Paul Michaels.

0:26:53.280 --> 0:26:55.480
<v Speaker 8>Due to the nature of the statements made, it is

0:26:55.600 --> 0:26:59.000
<v Speaker 8>likely that media attention will result. The Director General has

0:26:59.040 --> 0:27:02.320
<v Speaker 8>advised that Queensland Health response should be along the following lines.

0:27:03.000 --> 0:27:06.800
<v Speaker 8>District Manager has sought assistance in evaluating the appropriateness of

0:27:06.840 --> 0:27:11.080
<v Speaker 8>surgical services at Bunderberg. This review is underway and Queensland

0:27:11.119 --> 0:27:13.560
<v Speaker 8>Health will consider recommendations when complete.

0:27:14.560 --> 0:27:18.920
<v Speaker 1>In his naturally disarming manner, Chief Health Officer Jerry Fitzgerald

0:27:18.920 --> 0:27:23.119
<v Speaker 1>explained to Steve Buckland, the Director General of Queensland Health,

0:27:23.400 --> 0:27:27.600
<v Speaker 1>the background to the Bunderberg udit and its preliminary indications

0:27:27.600 --> 0:27:33.080
<v Speaker 1>of Patel's competence. The Chief Health Officer told Buckland.

0:27:32.800 --> 0:27:35.200
<v Speaker 5>He's not as good as some, but he's not as

0:27:35.200 --> 0:27:35.960
<v Speaker 5>bad as others.

0:27:37.160 --> 0:27:41.440
<v Speaker 1>Fitzgerald, who was waiting on comparative figures for wound breakdowns,

0:27:41.560 --> 0:27:46.119
<v Speaker 1>complications and organ injuries, confirmed that Jayon Pateel had a

0:27:46.200 --> 0:27:51.159
<v Speaker 1>high infection rate and attempted too many complex procedures. He

0:27:51.240 --> 0:27:56.960
<v Speaker 1>hoped to finalize his report in the next forty eight hours. Already, however,

0:27:57.200 --> 0:28:00.600
<v Speaker 1>Jerry Fitzgerald should have been alarmed by some of the findings.

0:28:01.400 --> 0:28:07.320
<v Speaker 1>One stood out. Too many patients had suffered bile duct

0:28:07.320 --> 0:28:13.200
<v Speaker 1>injuries after routine surgery by Patel. The procedure laparoscopic colos

0:28:13.200 --> 0:28:17.400
<v Speaker 1>systectomy involves the removal of the gall bladder via tubes

0:28:17.480 --> 0:28:22.280
<v Speaker 1>inserted through small incisions in the abdominal war. It is

0:28:22.320 --> 0:28:27.440
<v Speaker 1>a common and uncomplicated operation for people in pain from gallstones.

0:28:28.520 --> 0:28:31.920
<v Speaker 1>Before Patel arrived at the hospital, the rate of bile

0:28:32.040 --> 0:28:37.840
<v Speaker 1>duct injury was zero. Over the ensuing eighteen months, Patel's

0:28:37.920 --> 0:28:41.440
<v Speaker 1>patients appeared to have suffered bile duct injuries at an

0:28:41.480 --> 0:28:47.200
<v Speaker 1>alarming rate twenty eight times the national average for someone

0:28:47.280 --> 0:28:51.440
<v Speaker 1>supposedly as experienced and senior as the director of surgery.

0:28:51.880 --> 0:28:56.920
<v Speaker 1>It was horrendous. At his desk, Jerry Fitzgerald produced a

0:28:57.000 --> 0:29:00.360
<v Speaker 1>document for the Minister, Gordon Nuttle, to rely on if

0:29:00.360 --> 0:29:04.680
<v Speaker 1>he were asked more questions by Rob Messenger. The first

0:29:04.720 --> 0:29:08.200
<v Speaker 1>part of the document was confidential and not for public release.

0:29:09.160 --> 0:29:13.880
<v Speaker 5>It told Nuttle procedures have been performed at Bunderberg, which

0:29:13.880 --> 0:29:17.720
<v Speaker 5>are beyond the capacity and facilities of the Bunderberg Hospital.

0:29:18.640 --> 0:29:23.040
<v Speaker 5>The significant issue regarding the competency of doctor Patel appears

0:29:23.080 --> 0:29:26.040
<v Speaker 5>to relate to his preparedness to take on cases which

0:29:26.080 --> 0:29:30.120
<v Speaker 5>are beyond the capacity of the Bunderberg Hospital and possibly

0:29:30.200 --> 0:29:33.800
<v Speaker 5>beyond his personal capacity. There is no evidence that his

0:29:34.000 --> 0:29:37.640
<v Speaker 5>general surgical skills are inappropriate or incompetent.

0:29:39.280 --> 0:29:42.040
<v Speaker 1>The Chief Health Officer prepared the second part of the

0:29:42.080 --> 0:29:48.160
<v Speaker 1>document for public release under the heading suggested response. He

0:29:48.160 --> 0:29:51.960
<v Speaker 1>hopefully provided a page of points setting them out so

0:29:52.040 --> 0:29:55.480
<v Speaker 1>they would sound like Nuttle's handiwork should he read the

0:29:55.520 --> 0:29:59.960
<v Speaker 1>page in parliament. To fend off Messenger, it stated.

0:30:00.720 --> 0:30:03.840
<v Speaker 4>I have now been informed of concerns raised by staff

0:30:03.840 --> 0:30:07.520
<v Speaker 4>at the Bunderberg Hospital in regard to some general surgical

0:30:07.560 --> 0:30:12.400
<v Speaker 4>services provided at the hospital. The Chief Health Officer, Doctor

0:30:12.440 --> 0:30:16.560
<v Speaker 4>Jerry Fitzgerald, has undertaken a review of clinical outcomes at

0:30:16.560 --> 0:30:21.320
<v Speaker 4>the hospital and is currently finalizing his report. Doctor Fitzgerald

0:30:21.360 --> 0:30:24.000
<v Speaker 4>has identified a number of issues of concern at the

0:30:24.000 --> 0:30:28.120
<v Speaker 4>hospital and will be making recommendations in regard to those concerns.

0:30:28.560 --> 0:30:31.320
<v Speaker 4>There is insufficient evidence at this time to take any

0:30:31.360 --> 0:30:35.480
<v Speaker 4>particular action against any individual and to suspend anyone would

0:30:35.480 --> 0:30:39.960
<v Speaker 4>be unjust and inappropriate. The Lunderberg Hospital has taken certain

0:30:40.000 --> 0:30:43.240
<v Speaker 4>action to limit the scope of some general surgery performed

0:30:43.280 --> 0:30:46.320
<v Speaker 4>at the hospital, which should address the majority of issues

0:30:46.400 --> 0:30:50.720
<v Speaker 4>raised by staff. The report will also make recommendations regarding

0:30:50.760 --> 0:30:54.920
<v Speaker 4>the management of staff conflict at the hospital. However, the

0:30:55.000 --> 0:30:57.960
<v Speaker 4>report has also identified that there is a relatively high

0:30:58.040 --> 0:31:02.360
<v Speaker 4>satisfaction amongst patients and at waiting times for elective surgery

0:31:02.600 --> 0:31:06.800
<v Speaker 4>have been reduced considerably in recent times. Junior staff have

0:31:06.880 --> 0:31:10.040
<v Speaker 4>been very complimentary in regard to the teaching and guidance

0:31:10.120 --> 0:31:14.840
<v Speaker 4>provided to them. However, doctor Fitzgerald has raised concerns about

0:31:14.840 --> 0:31:18.560
<v Speaker 4>the clinical judgment exercised by one member of staff and

0:31:18.600 --> 0:31:22.440
<v Speaker 4>will be referring these concerns to the medical Board for consideration.

0:31:26.160 --> 0:31:29.840
<v Speaker 1>Later in the day, after his documents had been emailed

0:31:29.880 --> 0:31:34.120
<v Speaker 1>to dal Alba, the Chief Health Officer briefed Gordon Nuttle personally.

0:31:35.160 --> 0:31:38.280
<v Speaker 1>Back in the office, I watched the six pm TV

0:31:38.440 --> 0:31:41.760
<v Speaker 1>News which featured the silliness of Chris Cummins in his

0:31:41.880 --> 0:31:46.760
<v Speaker 1>efforts to evade parking fines. My colleagues Des Howden and

0:31:46.880 --> 0:31:50.479
<v Speaker 1>Jamie Walker, watching with me in the office, made jokes

0:31:50.520 --> 0:31:57.240
<v Speaker 1>at Cummins's expense. Rob Messenger's revelations went unnoticed. Paul dal

0:31:57.360 --> 0:32:01.080
<v Speaker 1>Alba knew the Bunderberg News Mail would run the Patel story.

0:32:01.800 --> 0:32:05.120
<v Speaker 1>Peter Leck told him the Newsmail's reporter had a copy

0:32:05.160 --> 0:32:08.600
<v Speaker 1>of the document Hoffman had compiled in October two thousand

0:32:08.640 --> 0:32:12.240
<v Speaker 1>and four when she detailed the Patel concerns and the

0:32:12.320 --> 0:32:27.480
<v Speaker 1>bad outcomes for patients, Chapter thirty one, Natural Justice. Twenty

0:32:27.520 --> 0:32:33.120
<v Speaker 1>three March two thousand and five, Bunderberg's Newsmail had a

0:32:33.160 --> 0:32:38.719
<v Speaker 1>splash headline on its front page, Truck off Bridge. The

0:32:38.760 --> 0:32:42.120
<v Speaker 1>news report described how a fifty six year old man

0:32:42.200 --> 0:32:45.440
<v Speaker 1>who survived a five meter fall in his truck and

0:32:45.520 --> 0:32:49.520
<v Speaker 1>then two hours trapped in the cabin was very, very lucky.

0:32:50.920 --> 0:32:55.160
<v Speaker 1>Rob Messenger had tipped off the Newsmail's Dan Nancarrow about

0:32:55.200 --> 0:33:00.400
<v Speaker 1>the Jayant Patel allegations. The young reporter's two articles were

0:33:00.440 --> 0:33:04.400
<v Speaker 1>relegated to page five under the heading taking an in

0:33:04.480 --> 0:33:07.800
<v Speaker 1>depth look at issues of interest to people in our area.

0:33:08.880 --> 0:33:11.160
<v Speaker 1>Peter Leck had told Nan Caro.

0:33:12.040 --> 0:33:14.760
<v Speaker 9>It is important doctor Batel receives natural justice and he's

0:33:14.760 --> 0:33:17.400
<v Speaker 9>given the opportunity to respond to any allegations that have

0:33:17.440 --> 0:33:18.040
<v Speaker 9>been made.

0:33:19.640 --> 0:33:23.240
<v Speaker 1>In the Courier Mail. The story barely rated mension, just

0:33:23.320 --> 0:33:27.640
<v Speaker 1>a brief summary under the heading fast news. Blink and

0:33:27.800 --> 0:33:31.120
<v Speaker 1>you would have missed it. I saw the item while

0:33:31.240 --> 0:33:34.560
<v Speaker 1>scanning the newspaper at home. When I went to work

0:33:34.560 --> 0:33:39.080
<v Speaker 1>and logged onto the parliamentary website, I felt distinctly uneasy.

0:33:39.920 --> 0:33:43.040
<v Speaker 1>I pointed the item out to the Courier Mail's news editor,

0:33:43.280 --> 0:33:46.960
<v Speaker 1>Graham Lloyd. I told him that I believed we had

0:33:47.080 --> 0:33:51.560
<v Speaker 1>seriously underplayed the story. I said, look at the allegations

0:33:51.840 --> 0:33:56.240
<v Speaker 1>an incompetent surgeon whose patients are dying. It all came

0:33:56.280 --> 0:34:01.200
<v Speaker 1>out in Parliament. I told Graham Lloyd of my earlier

0:34:01.280 --> 0:34:05.120
<v Speaker 1>contact with a concerned nurse. I explained how I had

0:34:05.160 --> 0:34:08.400
<v Speaker 1>wanted to launch a proper investigation when a yellow A

0:34:08.600 --> 0:34:12.600
<v Speaker 1>four envelope containing several statements arrived a few weeks earlier,

0:34:13.520 --> 0:34:16.320
<v Speaker 1>but I had been unable to see my way clear

0:34:16.440 --> 0:34:20.760
<v Speaker 1>of other stories. Lloyd knew what to do. He said

0:34:20.800 --> 0:34:24.960
<v Speaker 1>he would ask Ryan Heffernan, a tenacious newsroom colleague, to

0:34:25.040 --> 0:34:29.960
<v Speaker 1>follow the story. In the meantime, when Gordon Nuttle spoke

0:34:30.000 --> 0:34:33.200
<v Speaker 1>in State Parliament at ten twenty am, he went on

0:34:33.239 --> 0:34:38.319
<v Speaker 1>the front foot describing Rob Messinger as totally irresponsible for

0:34:38.400 --> 0:34:44.360
<v Speaker 1>airing the Betel matters while Jerry Fitzgerald's clinical audit was incomplete.

0:34:44.840 --> 0:34:50.160
<v Speaker 1>Rob Messenger, according to Health Minister Nuttle, had circumvented all

0:34:50.280 --> 0:34:53.920
<v Speaker 1>natural justice processes to vilify a health professional.

0:34:55.480 --> 0:34:58.000
<v Speaker 4>I can tell the House that some of the allegations

0:34:58.239 --> 0:35:01.480
<v Speaker 4>made by the Member for Burnett not only inaccurate, but

0:35:01.520 --> 0:35:05.719
<v Speaker 4>could also be considered deliberately misleading. Should any issues be

0:35:05.840 --> 0:35:09.920
<v Speaker 4>raised regarding the professional performance of an individual clinician as

0:35:09.920 --> 0:35:14.120
<v Speaker 4>a result of the clinical audit into surgical Services, these

0:35:14.200 --> 0:35:17.000
<v Speaker 4>will be referred to the Medical Board to be investigated.

0:35:17.800 --> 0:35:20.480
<v Speaker 4>I am advised that at the conclusion of the audit

0:35:20.520 --> 0:35:24.960
<v Speaker 4>of Surgical Services, the Director General will refer any outstanding

0:35:25.000 --> 0:35:28.160
<v Speaker 4>issues which are appropriate to the powers and function of

0:35:28.200 --> 0:35:30.160
<v Speaker 4>the Medical Board to that board.

0:35:32.200 --> 0:35:37.239
<v Speaker 1>The incomplete response from Nuttle omitted Fitzgerald's own advice that

0:35:37.280 --> 0:35:43.000
<v Speaker 1>he had formed concerns over Patel's clinical judgment, despite everything

0:35:43.080 --> 0:35:47.240
<v Speaker 1>the nurses had told Jerry Fitzgerald, despite the figures showing

0:35:47.320 --> 0:35:51.560
<v Speaker 1>the remarkable complication rates, despite the failure of the Bunderberg

0:35:51.640 --> 0:35:56.200
<v Speaker 1>Hospital administration to ensure that Patel had been credentialed. The

0:35:56.320 --> 0:36:00.239
<v Speaker 1>Director of surgery was still safe. He was still operating,

0:36:00.719 --> 0:36:04.600
<v Speaker 1>still being given the benefit of the doubt. When Tony

0:36:04.640 --> 0:36:08.520
<v Speaker 1>Hoffman saw doctor Martin Strawn in the intensive care unit,

0:36:08.640 --> 0:36:11.439
<v Speaker 1>he told her, you'll be lucky to keep your job

0:36:11.480 --> 0:36:17.000
<v Speaker 1>after this. As the hospital seethed with rumors, Martin Strawn

0:36:17.280 --> 0:36:21.600
<v Speaker 1>also visited Peter Leck, divulging the telephone call he had

0:36:21.640 --> 0:36:26.080
<v Speaker 1>received from Rob Messenger. Strawn told Leck that no doctor

0:36:26.120 --> 0:36:29.799
<v Speaker 1>would have stooped so low in leaking details about a

0:36:29.880 --> 0:36:35.360
<v Speaker 1>fellow medical practitioner to a parliamentarian. The clear implication was

0:36:35.400 --> 0:36:40.440
<v Speaker 1>that the culprit must be a nurse. Strawn, who already

0:36:40.520 --> 0:36:45.000
<v Speaker 1>suspected Hoffman, also tipped off Lek about something Rob Messenger

0:36:45.280 --> 0:36:49.239
<v Speaker 1>had indicated that the information was leaked to him by

0:36:49.280 --> 0:36:53.600
<v Speaker 1>a nurse. Doctor Patel, who had been briefed by Lek

0:36:53.719 --> 0:36:57.640
<v Speaker 1>about the outcry in Distant Brisbane, past Hoffman in the

0:36:57.719 --> 0:37:02.239
<v Speaker 1>corridor and stared straight ahead. He was full of swagger

0:37:02.440 --> 0:37:05.600
<v Speaker 1>and confidence as he walked to the operating theater to

0:37:05.680 --> 0:37:09.839
<v Speaker 1>wield the scalpel again. One of his patients that day

0:37:09.920 --> 0:37:16.440
<v Speaker 1>would suffer an avoidable complication. Gail Almer considered Patel's rhinoceros

0:37:16.600 --> 0:37:20.680
<v Speaker 1>thick hide she would have had a grudging respect for

0:37:20.719 --> 0:37:24.279
<v Speaker 1>the man so stoic in the face of adversity, had

0:37:24.280 --> 0:37:29.560
<v Speaker 1>she not already decided he was a psychopathic narcissist. With

0:37:29.800 --> 0:37:33.720
<v Speaker 1>Lynda Mulligan away on holidays, the acting director of nursing,

0:37:34.239 --> 0:37:38.120
<v Speaker 1>Diane Walls, was in the hot seat. She called a

0:37:38.160 --> 0:37:42.120
<v Speaker 1>meeting of the staff of the intensive care unit. Tony

0:37:42.160 --> 0:37:46.040
<v Speaker 1>Hoffman had devoured the brief reports in the newsmail and

0:37:46.160 --> 0:37:49.160
<v Speaker 1>fretted over the lack of attention by the courier mail.

0:37:50.080 --> 0:37:53.239
<v Speaker 1>When she heard of the upcoming meeting, she felt her

0:37:53.320 --> 0:37:57.960
<v Speaker 1>worries and fears easing. Hoffman had a message for the

0:37:58.000 --> 0:37:58.720
<v Speaker 1>other nurses.

0:37:59.520 --> 0:38:02.880
<v Speaker 2>We're going to be supported now. Everything will be fine.

0:38:04.360 --> 0:38:07.399
<v Speaker 1>She called in those nurses who were on days off.

0:38:08.120 --> 0:38:11.920
<v Speaker 1>Hoffman wanted all who had joined her in raising concerns

0:38:11.960 --> 0:38:16.240
<v Speaker 1>to come in to receive the support from management. After

0:38:16.320 --> 0:38:20.879
<v Speaker 1>Hoffman and nurses Karen Jenner, Jan Marks, Karen Fox, and

0:38:21.040 --> 0:38:25.640
<v Speaker 1>Vivian Tapiolas went to the tea room in ICU, Diane

0:38:25.760 --> 0:38:30.680
<v Speaker 1>Walls arrived with Peter Leck. The district manager, was visibly

0:38:30.719 --> 0:38:34.239
<v Speaker 1>furious as he waived around documentation and spoke of the

0:38:34.320 --> 0:38:39.960
<v Speaker 1>severe consequences of leaks the nurses believed that the papers

0:38:40.000 --> 0:38:43.239
<v Speaker 1>he held were sections of the Health Services Act and

0:38:43.280 --> 0:38:46.640
<v Speaker 1>the Code of Conduct, setting out the penalty of two

0:38:46.800 --> 0:38:52.880
<v Speaker 1>years imprisonment for staff who leaked information. The official jargon states.

0:38:53.360 --> 0:38:56.359
<v Speaker 10>In the course of their work, health service staff come

0:38:56.440 --> 0:39:00.840
<v Speaker 10>in contact with information that must be kept confidential at

0:39:00.880 --> 0:39:06.560
<v Speaker 10>all times. All employees are reminded that irresponsible discussion of

0:39:06.640 --> 0:39:12.160
<v Speaker 10>any matters regarding the health services facilities, staff, and most importantly,

0:39:12.600 --> 0:39:15.880
<v Speaker 10>the patience, is regarded as an offense.

0:39:18.160 --> 0:39:18.880
<v Speaker 9>I'm appalled.

0:39:20.520 --> 0:39:24.800
<v Speaker 1>Leck repeatedly condemned the handover of statements to Rob Messenger,

0:39:25.280 --> 0:39:29.280
<v Speaker 1>saying very high sources had confirmed that it came from

0:39:29.400 --> 0:39:31.000
<v Speaker 1>an ICU staffer.

0:39:31.840 --> 0:39:34.279
<v Speaker 9>I have good information as to who this person is.

0:39:35.120 --> 0:39:38.319
<v Speaker 1>Peter Leck added that the leaker had brought shame to

0:39:38.400 --> 0:39:43.280
<v Speaker 1>the hospital. Tony Hoffman was paralyzed with shock and fear.

0:39:44.120 --> 0:39:47.880
<v Speaker 1>She had only told one person, Karen Fox, about her

0:39:47.960 --> 0:39:52.560
<v Speaker 1>meeting with Rob Messenger. Lex's claim to know the source

0:39:52.760 --> 0:39:56.080
<v Speaker 1>was almost as worrying as his failure to address the

0:39:56.160 --> 0:40:02.520
<v Speaker 1>issues of patients dying unnecessarily. Did politicians operate? Hoffman wondered

0:40:03.160 --> 0:40:06.040
<v Speaker 1>was it all a big game? Did they just rat

0:40:06.080 --> 0:40:10.080
<v Speaker 1>on their sources when Lek claimed that the airing of

0:40:10.120 --> 0:40:13.720
<v Speaker 1>the Betel issues had caused a rift between the medical

0:40:13.800 --> 0:40:18.560
<v Speaker 1>and nursing staff. Karen Jenner was astonished. In her two

0:40:18.680 --> 0:40:21.200
<v Speaker 1>years as a nurse at the hospital, she had not

0:40:21.400 --> 0:40:25.360
<v Speaker 1>met Lek until now. She could not recall him visiting

0:40:25.400 --> 0:40:30.040
<v Speaker 1>the ICU. Shortly before the one thirty pm meeting, she

0:40:30.120 --> 0:40:33.400
<v Speaker 1>had been told by Jan Marx that the Patel story

0:40:33.600 --> 0:40:38.759
<v Speaker 1>was on the radio. Hoffman had worn several nurses that

0:40:38.840 --> 0:40:42.920
<v Speaker 1>the media might try to contact those nurses whose names

0:40:42.960 --> 0:40:47.680
<v Speaker 1>were on the document tabled in parliament. Karen Jenner, who

0:40:47.840 --> 0:40:51.480
<v Speaker 1>hurriedly read the newsmail before going to the tea room,

0:40:51.600 --> 0:40:54.560
<v Speaker 1>figured that Lek had come to give advice on dealing

0:40:54.600 --> 0:40:59.440
<v Speaker 1>with any journalists who might call for comment. She expected

0:40:59.480 --> 0:41:04.200
<v Speaker 1>his back, not a barrage of vitriol. There was no

0:41:04.400 --> 0:41:07.759
<v Speaker 1>chance to ask him questions or put another side of

0:41:07.800 --> 0:41:12.120
<v Speaker 1>the story. Immediately after the outburst, he got up and left.

0:41:13.040 --> 0:41:14.960
<v Speaker 1>Karen Jennis said at the time.

0:41:15.239 --> 0:41:17.080
<v Speaker 11>How dare he speak to us like that.

0:41:18.200 --> 0:41:21.879
<v Speaker 1>Dianne Walls, who had no prior knowledge of the complaints

0:41:21.920 --> 0:41:24.879
<v Speaker 1>and the depth of feeling in the Intensive care unit

0:41:24.960 --> 0:41:29.480
<v Speaker 1>over Patel, told the nurses that management had spoken let

0:41:29.520 --> 0:41:33.879
<v Speaker 1>it go now, she said. At two thirty pm, Peter

0:41:34.000 --> 0:41:37.520
<v Speaker 1>Lek fronted another meeting in the conference room outside the

0:41:37.600 --> 0:41:42.520
<v Speaker 1>executive officers. He berated the more senior nurses. This time

0:41:43.400 --> 0:41:46.520
<v Speaker 1>Robin Pollock, the nurse in charge of the renal unit,

0:41:46.680 --> 0:41:50.840
<v Speaker 1>learned by email that attendance was mandatory. She was a

0:41:50.840 --> 0:41:56.319
<v Speaker 1>few minutes late. When she arrived, Lek was admonishing her colleagues.

0:41:57.320 --> 0:42:00.640
<v Speaker 1>Pollock wanted to say that if management had handled this

0:42:00.680 --> 0:42:04.479
<v Speaker 1>matter appropriately and dealt with the complaints about PTEL back

0:42:04.480 --> 0:42:07.760
<v Speaker 1>when they were made, we wouldn't be in this position now.

0:42:08.680 --> 0:42:13.440
<v Speaker 1>But Peter Leck's anger was intimidating for her. He said

0:42:13.480 --> 0:42:17.320
<v Speaker 1>the leaker was a nurse. One of the nurses asked,

0:42:17.440 --> 0:42:22.680
<v Speaker 1>are you sure. How do you know that? Peter Leck replied, I.

0:42:22.640 --> 0:42:25.120
<v Speaker 9>Have it from a reliable source, but it is not

0:42:25.239 --> 0:42:27.640
<v Speaker 9>just one source. I have two or three people that

0:42:27.680 --> 0:42:28.880
<v Speaker 9>can verify it as a nurse.

0:42:30.320 --> 0:42:34.600
<v Speaker 1>Nurse Gail Alma bridled at the accusatory tone in Lex's

0:42:34.640 --> 0:42:39.560
<v Speaker 1>furious diatribe. She resented being blamed over the leak, and

0:42:39.680 --> 0:42:44.400
<v Speaker 1>she felt powerless to defend herself and her colleagues. She

0:42:44.600 --> 0:42:47.160
<v Speaker 1>feared a nurse would be made a scapegoat for the

0:42:47.239 --> 0:42:50.440
<v Speaker 1>leak when the bigger issue was the lethal incompetence of

0:42:50.520 --> 0:42:54.200
<v Speaker 1>a surgeon. What sort of mixed up management? Shot the

0:42:54.239 --> 0:42:58.200
<v Speaker 1>messenger and ignored the message. Are you going to track

0:42:58.239 --> 0:43:02.319
<v Speaker 1>this person down? One of the nurses asked Lek. Lek

0:43:02.440 --> 0:43:07.000
<v Speaker 1>said something about that not being his immediate priority. At

0:43:07.080 --> 0:43:11.040
<v Speaker 1>the end of the tirade, he stormed out. The afternoon

0:43:11.239 --> 0:43:15.680
<v Speaker 1>was filled with tension to the nurses. Patel appeared unmoved,

0:43:16.280 --> 0:43:20.000
<v Speaker 1>but the surgeon seized the opportunity to confront Lek and

0:43:20.080 --> 0:43:24.640
<v Speaker 1>demanded his complete backing. Leck could see that Patel was

0:43:24.800 --> 0:43:29.399
<v Speaker 1>incensed at the questioning of his competence. Unless you send

0:43:29.400 --> 0:43:31.880
<v Speaker 1>a letter of support to the Bunderberg Newsmill in relation

0:43:31.960 --> 0:43:36.200
<v Speaker 1>to my work, I will resign. The director of surgery

0:43:36.320 --> 0:43:39.879
<v Speaker 1>pledged to quit within twenty four hours if he did

0:43:39.960 --> 0:43:44.840
<v Speaker 1>not see signs of rock solid backing from management. Patel

0:43:44.960 --> 0:43:48.920
<v Speaker 1>spoke about launching legal action against everyone involved in what

0:43:49.040 --> 0:43:52.799
<v Speaker 1>he saw as a plot to oust him. When Lek

0:43:52.880 --> 0:43:55.880
<v Speaker 1>could get a word in, he tried to placate Patel

0:43:56.000 --> 0:44:02.000
<v Speaker 1>by apologizing. Despite his grave concerns about the surgeon's incompetence,

0:44:02.400 --> 0:44:06.040
<v Speaker 1>Leck was worried about the need to continue working through

0:44:06.040 --> 0:44:10.400
<v Speaker 1>the waiting lists. Later, Let gave an explanation to the

0:44:10.600 --> 0:44:14.320
<v Speaker 1>senior departmental liaison officer Paul dal Alba.

0:44:15.760 --> 0:44:18.799
<v Speaker 9>He acknowledges to support provided so far by myself, the

0:44:18.880 --> 0:44:23.280
<v Speaker 9>minister and others, but once some further backing. I'm adviser

0:44:23.320 --> 0:44:25.759
<v Speaker 9>doctor Pateell as the only general surgeon who will be

0:44:25.800 --> 0:44:29.200
<v Speaker 9>in Bundenberg over the coming Easter weekend. His departure at

0:44:29.239 --> 0:44:31.600
<v Speaker 9>this time would be critical to service delivery.

0:44:32.920 --> 0:44:36.360
<v Speaker 1>Leck told his colleague that he found only one patient

0:44:36.440 --> 0:44:40.440
<v Speaker 1>letter of complaint relating to doctor Pateell, from a family

0:44:40.440 --> 0:44:45.279
<v Speaker 1>whose father was treated mainly by another surgeon. Peter Lex

0:44:45.440 --> 0:44:48.480
<v Speaker 1>sent to Paul dal Alba a draft of the letter

0:44:48.520 --> 0:44:51.000
<v Speaker 1>that he would soon dispatch to the news Mail.

0:44:52.080 --> 0:44:54.640
<v Speaker 9>I refer to the article of March twenty three concerning

0:44:54.640 --> 0:44:57.880
<v Speaker 9>allegations made against doctor J. Pettel. The fact that a

0:44:57.960 --> 0:45:00.680
<v Speaker 9>number of alligators have been made public without completion of

0:45:00.719 --> 0:45:04.200
<v Speaker 9>a review process designed to ensure the application of natural

0:45:04.360 --> 0:45:08.360
<v Speaker 9>justice is reprehensible. At this time I received no advice

0:45:08.400 --> 0:45:11.880
<v Speaker 9>indicating that the allegations have been substantiated. A range of

0:45:11.920 --> 0:45:14.799
<v Speaker 9>systems are in place to monitor patient safety and the

0:45:14.840 --> 0:45:17.520
<v Speaker 9>community can be assured that we are constantly working to

0:45:17.520 --> 0:45:21.400
<v Speaker 9>improve our service delivery. Doctor Patel is an industrious surgeon

0:45:21.440 --> 0:45:23.880
<v Speaker 9>who has spent many years working to improve the lives

0:45:23.920 --> 0:45:27.120
<v Speaker 9>of ordinary people in both the United States and Australia.

0:45:27.560 --> 0:45:31.640
<v Speaker 9>He deserves a fair go. Peter Leck, District Manager, Bunderberg

0:45:31.680 --> 0:45:32.800
<v Speaker 9>Health Service District.

0:45:34.640 --> 0:45:38.200
<v Speaker 1>A little while later, Leck went to the evening meeting

0:45:38.239 --> 0:45:40.640
<v Speaker 1>of the district Health Council, which was part of a

0:45:40.719 --> 0:45:45.480
<v Speaker 1>Queensland Health public relations exercise to pretend it was interested

0:45:45.560 --> 0:45:50.920
<v Speaker 1>in the input of hand picked community members. Its chairman, Vivchase,

0:45:51.080 --> 0:45:54.960
<v Speaker 1>who was cranky and in poor health with diabetes, received

0:45:54.960 --> 0:46:00.000
<v Speaker 1>a nominal five hundred dollars a year to attend meetings.

0:46:00.440 --> 0:46:04.600
<v Speaker 1>No longer wielded much influence, certainly nothing like when he

0:46:04.760 --> 0:46:07.800
<v Speaker 1>was the local mayor, but this evening he was prepared

0:46:07.840 --> 0:46:11.400
<v Speaker 1>to take a stand. Rob Messenger was at it again,

0:46:11.680 --> 0:46:15.480
<v Speaker 1>running down the local hospital. Chase knew little about what

0:46:15.680 --> 0:46:19.319
<v Speaker 1>was really going on in the hospital. Peelect simply did

0:46:19.360 --> 0:46:23.279
<v Speaker 1>not bother briefing him on the sensitive issues. In his

0:46:23.440 --> 0:46:27.520
<v Speaker 1>ignorance of the situation, Vivchase had become sick and tired

0:46:27.560 --> 0:46:33.160
<v Speaker 1>of the constant carping by Messenger. As Joan Dooley, Lex's

0:46:33.239 --> 0:46:36.879
<v Speaker 1>secretary took the minutes of the meeting, Leck gave an

0:46:36.880 --> 0:46:41.280
<v Speaker 1>overview of the Patel issues. One of the members, Doctor

0:46:41.320 --> 0:46:45.600
<v Speaker 1>Denise Powell, the president of the local Medical Association, briefed

0:46:45.680 --> 0:46:51.319
<v Speaker 1>everyone on the media interest, including TV follow ups. Dr

0:46:51.400 --> 0:46:56.080
<v Speaker 1>Powell stressed that the local medical community was standing behind Patel.

0:46:57.200 --> 0:47:00.920
<v Speaker 1>There was no mistaking the mood of the meeting. Whatever

0:47:01.000 --> 0:47:04.680
<v Speaker 1>the significance of the allegations, the patients ran a poor

0:47:04.760 --> 0:47:09.520
<v Speaker 1>second to the interests of Batel. The meeting gave Powell

0:47:09.560 --> 0:47:13.080
<v Speaker 1>the green light to speak to Rob Messenger. Perhaps a

0:47:13.200 --> 0:47:17.840
<v Speaker 1>chat could reassure the Maverick parliamentarian or quieten him down,

0:47:18.800 --> 0:47:22.160
<v Speaker 1>and everyone on the District Health Council was in favor

0:47:22.200 --> 0:47:30.399
<v Speaker 1>of providing a letter of support to Patel. Chapter thirty two,

0:47:31.080 --> 0:47:39.280
<v Speaker 1>Damage Control, twenty four March two thousand and five. Beryl

0:47:39.360 --> 0:47:42.440
<v Speaker 1>Crosby is the type of down to earth person described

0:47:42.440 --> 0:47:48.160
<v Speaker 1>by TV reporters and producers as great talent. Although unknown

0:47:48.320 --> 0:47:51.160
<v Speaker 1>in the media world, she had a story that might

0:47:51.320 --> 0:47:54.880
<v Speaker 1>make or break a ratings night for the nine networks,

0:47:54.960 --> 0:47:58.720
<v Speaker 1>A current affair in its perennial war with sevens Today

0:47:58.760 --> 0:48:03.040
<v Speaker 1>Tonight her story and picture on the front page of

0:48:03.120 --> 0:48:06.880
<v Speaker 1>the News Mail and on an inside page of the Courier.

0:48:06.920 --> 0:48:12.040
<v Speaker 1>Mail had excited Paul Ransley, Queensland chief of a current affair.

0:48:13.040 --> 0:48:15.359
<v Speaker 1>The News Mail had reported it like this.

0:48:16.719 --> 0:48:20.120
<v Speaker 10>Beryl Crosby was organizing her own funeral when she found

0:48:20.200 --> 0:48:24.400
<v Speaker 10>out being diagnosed with cancer had been a medical mistake.

0:48:24.920 --> 0:48:28.680
<v Speaker 10>Missus Crosby claims the doctor responsible was Jay aunt Petel,

0:48:29.160 --> 0:48:32.800
<v Speaker 10>the man at the center of malpractice allegations read out

0:48:32.800 --> 0:48:36.800
<v Speaker 10>in state Parliament by Member for Burnett Rob Messenger this week.

0:48:38.120 --> 0:48:39.120
<v Speaker 4>I thought it was a one.

0:48:38.920 --> 0:48:41.600
<v Speaker 1>Off case, Eryl Crosby said.

0:48:42.040 --> 0:48:43.959
<v Speaker 10>I hope by not taking action back then, I didn't

0:48:43.960 --> 0:48:45.280
<v Speaker 10>add to anyone else's grief.

0:48:46.880 --> 0:48:51.640
<v Speaker 1>Paul Ransley, a former investigative journalist with the Sunday Program,

0:48:51.800 --> 0:48:55.920
<v Speaker 1>hoped the morbidly fascinating story would beat whatever today Tonight

0:48:56.040 --> 0:49:01.160
<v Speaker 1>might serve up. Its sharp new producer Karen Cooper was

0:49:01.280 --> 0:49:05.640
<v Speaker 1>closing the gap in the ratings. Paul held an early

0:49:05.680 --> 0:49:10.000
<v Speaker 1>morning phone conference with his counterparts in Sydney. They liked

0:49:10.000 --> 0:49:13.040
<v Speaker 1>the angle. It was one of those back from the

0:49:13.120 --> 0:49:18.680
<v Speaker 1>dead stories with universal appeal. Ramsley asked his veteran foot

0:49:18.680 --> 0:49:21.560
<v Speaker 1>in the door reporter David Margan and a crew to

0:49:21.719 --> 0:49:26.919
<v Speaker 1>rush to Bunderberg and interview Crosby. Crosby seemed excited as

0:49:26.920 --> 0:49:29.040
<v Speaker 1>she did her first TV walk.

0:49:29.760 --> 0:49:32.800
<v Speaker 10>Oh my god, it's like a friggin' movie.

0:49:32.880 --> 0:49:36.600
<v Speaker 1>The crew needed footage of her strolling spelling the roses.

0:49:37.120 --> 0:49:42.200
<v Speaker 1>It was part of the package. Beryl Crosby's transition from

0:49:42.239 --> 0:49:47.439
<v Speaker 1>obscurity to public limelight had happened quickly. It started after

0:49:47.520 --> 0:49:51.440
<v Speaker 1>her daughter saw the first day of local headlines about Patel.

0:49:52.239 --> 0:49:55.279
<v Speaker 1>She called her mum and told her to buy the newspaper.

0:49:56.320 --> 0:50:00.520
<v Speaker 1>Beryl sat transfixed as she read the brief stories. She

0:50:00.719 --> 0:50:04.680
<v Speaker 1>wondered if her own brush with Patel was relevant. A

0:50:04.760 --> 0:50:08.719
<v Speaker 1>sales representative who was between jobs, she plucked up the

0:50:08.800 --> 0:50:12.560
<v Speaker 1>courage to call Rob Messenger's office at Bagara and she

0:50:12.680 --> 0:50:17.040
<v Speaker 1>explained how Patel had treated her. She was told to

0:50:17.120 --> 0:50:20.440
<v Speaker 1>expect a call from Messenger, who was still in Brisbane

0:50:20.480 --> 0:50:26.040
<v Speaker 1>attending state Parliament. When Beryl Crosby explained how Patel had

0:50:26.160 --> 0:50:32.359
<v Speaker 1>misdiagnosed cancer, Messenger cried. He still grieved for his mother.

0:50:33.640 --> 0:50:37.080
<v Speaker 1>Just recalling her death at the hospital after a fight

0:50:37.160 --> 0:50:41.320
<v Speaker 1>with cancer reduced him to tears. It was the moment

0:50:41.440 --> 0:50:45.640
<v Speaker 1>Crosby decided that Rob Messinger was a good man. She

0:50:45.800 --> 0:50:47.800
<v Speaker 1>felt she could trust him.

0:50:48.360 --> 0:50:50.359
<v Speaker 7>When I come back out, I would love to come

0:50:50.400 --> 0:50:51.520
<v Speaker 7>and see you.

0:50:51.520 --> 0:50:53.960
<v Speaker 1>You should get a damn good lawyer and sue them

0:50:54.000 --> 0:50:59.440
<v Speaker 1>for everything than god. Messenger was a pragmatist. He knew

0:50:59.480 --> 0:51:02.600
<v Speaker 1>that Crossby's story would help to validate some of the

0:51:02.760 --> 0:51:07.160
<v Speaker 1>concerns about Patel. It might also ease the pressure he

0:51:07.280 --> 0:51:12.360
<v Speaker 1>was under for naming Patel in Parliament. He asked Crosby

0:51:12.440 --> 0:51:15.560
<v Speaker 1>if she would do some media. He wanted her to

0:51:15.640 --> 0:51:19.879
<v Speaker 1>tell her story to the newspaper and TV reporters. He

0:51:19.920 --> 0:51:23.960
<v Speaker 1>offered to make the arrangements. A short time later, the

0:51:24.040 --> 0:51:28.400
<v Speaker 1>crew from the News Mail arrived on Crosby's doorstep. My

0:51:28.600 --> 0:51:32.400
<v Speaker 1>colleague Ryan Heffernan from the Courier Mail had also telephoned

0:51:32.400 --> 0:51:35.520
<v Speaker 1>Beryl Crosby and that was just the start of the

0:51:35.600 --> 0:51:39.799
<v Speaker 1>media interest. The print articles were like bait for the

0:51:39.840 --> 0:51:44.400
<v Speaker 1>follow ups by a current affair and today tonight, the

0:51:44.400 --> 0:51:47.960
<v Speaker 1>pressure on Patel, on his bosses in Bunderberg and the

0:51:48.040 --> 0:51:53.279
<v Speaker 1>bureaucracy in Brisbane mounted with each new headline. Patel had

0:51:53.320 --> 0:51:57.120
<v Speaker 1>it out with Peter Leck, again accusing the district manager

0:51:57.160 --> 0:52:01.719
<v Speaker 1>of failing to rally robust support, Patel walked off in

0:52:01.840 --> 0:52:03.320
<v Speaker 1>a rage.

0:52:03.520 --> 0:52:06.279
<v Speaker 9>Dr Pateel has just resigned effective immediately.

0:52:07.160 --> 0:52:11.200
<v Speaker 1>Leck wrote to Dan Bergen, the Queensland Health Zonal manager,

0:52:11.440 --> 0:52:15.000
<v Speaker 1>and to Paul Michaels, one of their media advisors, just

0:52:15.080 --> 0:52:15.760
<v Speaker 1>after lunch.

0:52:16.800 --> 0:52:19.040
<v Speaker 9>He has indicated that he plans to take legal action

0:52:19.400 --> 0:52:22.600
<v Speaker 9>against a variety of staff as well as Queensland Health

0:52:22.880 --> 0:52:26.239
<v Speaker 9>for failing to stop the leak of confidential information and

0:52:26.320 --> 0:52:29.640
<v Speaker 9>for not providing definitive support in relation to the allegations.

0:52:30.160 --> 0:52:33.719
<v Speaker 9>There are no general surgeons in Bunderberg privately or publicly

0:52:34.280 --> 0:52:37.400
<v Speaker 9>as from eight am this morning, except Dodor Bittel.

0:52:38.640 --> 0:52:43.000
<v Speaker 1>As the media scrambled to reach Bunderberg, Jerry Fitzgerald, having

0:52:43.080 --> 0:52:47.080
<v Speaker 1>received the data he needed to verify Petel's off the

0:52:47.200 --> 0:52:51.319
<v Speaker 1>scale rate of complications, gave his final report to the

0:52:51.400 --> 0:52:57.000
<v Speaker 1>Director General of Queensland Health, doctor Steve Buckland. They meant

0:52:57.080 --> 0:53:01.120
<v Speaker 1>to talk about it the clinical order with carnage on

0:53:01.200 --> 0:53:03.960
<v Speaker 1>a grand scale, yet it was written in such a

0:53:03.960 --> 0:53:09.240
<v Speaker 1>way that the reader might not be immediately alarmed. Fitzgerald's

0:53:09.239 --> 0:53:10.919
<v Speaker 1>report began like this.

0:53:12.120 --> 0:53:15.719
<v Speaker 5>Bunderberg is a progressive, modern city with a population of

0:53:15.800 --> 0:53:19.440
<v Speaker 5>forty four thousand, six hundred and seventy where residents are

0:53:19.440 --> 0:53:24.799
<v Speaker 5>catered for with excellent shopping, medical services, education facilities, and

0:53:24.880 --> 0:53:30.239
<v Speaker 5>a diversity of recreational pursuits and experiences, including the Coralisles

0:53:30.600 --> 0:53:31.640
<v Speaker 5>coast and country.

0:53:32.760 --> 0:53:37.439
<v Speaker 1>On page seven, the report states.

0:53:36.120 --> 0:53:39.800
<v Speaker 5>In general, staff have enjoyed their work at Bunderberg Hospital

0:53:40.200 --> 0:53:45.320
<v Speaker 5>and only recently have issues arisen which have caused concern. However,

0:53:45.920 --> 0:53:49.720
<v Speaker 5>as well as raising concerns, some staff made complementary comments

0:53:49.760 --> 0:53:54.000
<v Speaker 5>about the divisional director's commitment to teaching and mentoring of

0:53:54.120 --> 0:53:58.120
<v Speaker 5>junior medical staff. In addition, there has been a significant

0:53:58.160 --> 0:54:02.640
<v Speaker 5>improvement in efficiency, especially in the operating theater and in

0:54:02.719 --> 0:54:07.560
<v Speaker 5>meeting elective surgery targets, with significant reductions in waiting times

0:54:07.600 --> 0:54:09.160
<v Speaker 5>for surgery.

0:54:09.600 --> 0:54:13.000
<v Speaker 1>Doctor Fitzgerald compiled the report with regard to what was

0:54:13.040 --> 0:54:18.400
<v Speaker 1>known as a no blame protocol. Doctor Bateell's name did

0:54:18.480 --> 0:54:21.840
<v Speaker 1>not even appear in the report. He was referred to

0:54:21.960 --> 0:54:24.000
<v Speaker 1>by title, with comments such.

0:54:23.800 --> 0:54:28.080
<v Speaker 5>As the Director of Surgery has high standards and this

0:54:28.120 --> 0:54:30.640
<v Speaker 5>has led to some degree of conflict with staff.

0:54:32.040 --> 0:54:35.880
<v Speaker 1>Only by reading between the lines and analyzing the figures

0:54:35.920 --> 0:54:39.239
<v Speaker 1>on complications at the back of the report would have

0:54:39.320 --> 0:54:43.600
<v Speaker 1>been possible to ascertain the seriousness of the matter, but

0:54:43.680 --> 0:54:47.160
<v Speaker 1>as the report remained under a strict veil of secrecy,

0:54:47.600 --> 0:54:50.840
<v Speaker 1>none of the patients or staff of the hospital would know.

0:54:52.040 --> 0:54:57.360
<v Speaker 1>Steve Buckland, however, received an additional piece of advice. Doctor

0:54:57.400 --> 0:55:02.839
<v Speaker 1>Fitzgerald had attached a confident memorandum to the report, and

0:55:02.880 --> 0:55:07.320
<v Speaker 1>the memorandum was alarming for Buckland's eyes only.

0:55:07.600 --> 0:55:12.160
<v Speaker 5>It stated in February this year, I was asked to

0:55:12.280 --> 0:55:17.800
<v Speaker 5>undertake a clinical audit of general surgical services at Bunderberg Hospital.

0:55:18.400 --> 0:55:21.360
<v Speaker 5>As you are aware, the events which trigger this audit

0:55:21.760 --> 0:55:25.360
<v Speaker 5>have now been the subject of questions in Parliament. The

0:55:25.440 --> 0:55:29.120
<v Speaker 5>report of the clinical audit is now complete and I

0:55:29.200 --> 0:55:33.120
<v Speaker 5>have attached a copy to this memorandum. There are issues

0:55:33.160 --> 0:55:36.040
<v Speaker 5>which I need to bring to your attention. There is

0:55:36.080 --> 0:55:39.759
<v Speaker 5>evidence that the Director of Surgery at Bunderberg Hospital has

0:55:39.760 --> 0:55:44.359
<v Speaker 5>a significantly higher surgical complication rate than the peer group rate.

0:55:45.080 --> 0:55:48.920
<v Speaker 5>In addition, he appears to have undertaken types of surgery

0:55:48.960 --> 0:55:52.680
<v Speaker 5>which in my view are beyond the capability of Bunderberg

0:55:52.719 --> 0:55:57.400
<v Speaker 5>Hospital and possibly beyond his own skills and experience. Although

0:55:57.440 --> 0:56:01.640
<v Speaker 5>his surgical competence has not been examined in detail, I

0:56:01.680 --> 0:56:05.760
<v Speaker 5>believe his judgment both in undertaking these procedures and also

0:56:05.880 --> 0:56:09.279
<v Speaker 5>delaying the transfer of patients to a higher level facility,

0:56:09.640 --> 0:56:13.239
<v Speaker 5>is below that which is expected by Queensland Health. I

0:56:13.280 --> 0:56:16.000
<v Speaker 5>would recommend that these matters should be examined by the

0:56:16.040 --> 0:56:19.919
<v Speaker 5>Medical Board and have written to the Executive Officer, Mister

0:56:20.000 --> 0:56:24.640
<v Speaker 5>Jimo Dempsey, bringing the matter to his attention. The audit

0:56:24.719 --> 0:56:28.080
<v Speaker 5>report also identified that there has been a failure of

0:56:28.120 --> 0:56:30.880
<v Speaker 5>systems at the hospital which has led to a delay

0:56:31.080 --> 0:56:35.040
<v Speaker 5>in the resolution of these matters. The Credentials and Clinical

0:56:35.080 --> 0:56:40.360
<v Speaker 5>Privileges Committee has not appropriately considered or credentialed the doctor concerned.

0:56:41.080 --> 0:56:44.320
<v Speaker 5>The executive management team at the hospital does not appear

0:56:44.360 --> 0:56:47.719
<v Speaker 5>to have responded in a timely or effective manner to

0:56:47.800 --> 0:56:50.840
<v Speaker 5>the concerns raised by staff, some of which were raised

0:56:50.880 --> 0:56:54.640
<v Speaker 5>over twelve months ago. While the report makes a number

0:56:54.680 --> 0:56:59.000
<v Speaker 5>of recommendations for system improvements, I would recommend that some

0:56:59.080 --> 0:57:03.600
<v Speaker 5>discussion should ocur with the hospital management, reminding them of

0:57:03.640 --> 0:57:07.720
<v Speaker 5>their responsibilities to put such systems in place and ensure

0:57:08.120 --> 0:57:14.279
<v Speaker 5>they respond appropriately to reasonable clinical quality concerns. Doctor Jerry Fitzgerald,

0:57:14.520 --> 0:57:18.120
<v Speaker 5>Chief Health Officer, twenty fourth of March two thousand and five.

0:57:19.440 --> 0:57:23.680
<v Speaker 1>Fitzgerald wrote also to the Medical Board's head GMO Dempsey,

0:57:24.800 --> 0:57:25.560
<v Speaker 1>I wish to.

0:57:25.440 --> 0:57:28.840
<v Speaker 5>Formally bring to your attention and seek assessment of the

0:57:28.840 --> 0:57:32.280
<v Speaker 5>performance of doctor Giant Patel, who is the director of

0:57:32.320 --> 0:57:34.400
<v Speaker 5>surgery at Bunderberg Hospital.

0:57:35.520 --> 0:57:39.440
<v Speaker 1>Fitzgerald advised the Medical Board of Evidence that the outcomes

0:57:39.440 --> 0:57:42.720
<v Speaker 1>of complex operations performed by Patel.

0:57:42.440 --> 0:57:46.400
<v Speaker 5>Were relatively poor, with at least two of the patients

0:57:46.480 --> 0:57:51.080
<v Speaker 5>dying in the immediate post operative period. In addition, data

0:57:51.160 --> 0:57:55.320
<v Speaker 5>produced during the audit demonstrated a significantly higher rate of

0:57:55.320 --> 0:57:59.720
<v Speaker 5>complications than the peer group average. However, we have not

0:57:59.760 --> 0:58:03.600
<v Speaker 5>been able to exclude the impact of differential severity on

0:58:03.720 --> 0:58:04.960
<v Speaker 5>this complication rate.

0:58:08.480 --> 0:58:12.040
<v Speaker 1>But doctor Fitzgerald did not send his report to the

0:58:12.080 --> 0:58:15.320
<v Speaker 1>Medical Board, nor did he send it to Peter leck

0:58:15.400 --> 0:58:21.040
<v Speaker 1>in Bunderberg, and despite the preliminary findings, neither Buckland nor

0:58:21.120 --> 0:58:26.320
<v Speaker 1>Fitzgerald considered suspending Patel based on what he knew at

0:58:26.320 --> 0:58:30.680
<v Speaker 1>that time. Steve Buckland, the man in overall charge of

0:58:30.760 --> 0:58:34.720
<v Speaker 1>all the hospitals and staff in Queensland Health, would not

0:58:34.960 --> 0:58:38.320
<v Speaker 1>have permitted Patel to come near him with a scalpel,

0:58:39.360 --> 0:58:44.800
<v Speaker 1>but Buckland's priority was to keep Patel operating. When Buckland

0:58:44.880 --> 0:58:48.400
<v Speaker 1>spoke to Lek in the late afternoon, Patel was still

0:58:48.480 --> 0:58:53.920
<v Speaker 1>threatening to sue everyone, including his employer. Patel also knew

0:58:53.960 --> 0:58:57.120
<v Speaker 1>that without him there would be no surgeon on duty

0:58:57.200 --> 0:59:00.320
<v Speaker 1>over the Easter break, when thousands of families would be

0:59:00.400 --> 0:59:06.200
<v Speaker 1>on the roads. There were always smashes, broken and twisted,

0:59:06.240 --> 0:59:10.680
<v Speaker 1>limbs damaged, organs. Hospital staff would be run off their feet,

0:59:10.760 --> 0:59:13.600
<v Speaker 1>and the nightly news could be counted on to grimly

0:59:13.720 --> 0:59:18.040
<v Speaker 1>update the road toll each evening it was the hospital's

0:59:18.120 --> 0:59:22.000
<v Speaker 1>most critical time of need. By threatening to refuse to

0:59:22.080 --> 0:59:26.439
<v Speaker 1>work unless certain conditions were met, Patel put Leck, who

0:59:26.480 --> 0:59:30.000
<v Speaker 1>was not coping well under the pressure, into a state

0:59:30.040 --> 0:59:34.320
<v Speaker 1>of dread. In his time of need, Patel was also

0:59:34.440 --> 0:59:39.080
<v Speaker 1>being flattered by fellow doctors who rushed to defend him.

0:59:39.600 --> 0:59:43.560
<v Speaker 1>Doctor keyes Nidham wrote a public declaration of support.

0:59:44.680 --> 0:59:48.240
<v Speaker 11>I would have no hesitation of having this highly qualified

0:59:48.280 --> 0:59:52.680
<v Speaker 11>surgeon operate on any member of my family or myself.

0:59:54.000 --> 0:59:57.240
<v Speaker 1>Nightham regarded the primary role of newspapers to be the

0:59:57.280 --> 1:00:01.920
<v Speaker 1>publisher of comics and his letters. Furious with the nurses,

1:00:02.360 --> 1:00:05.600
<v Speaker 1>keyes Nidam, who was in the chair as acting director

1:00:05.640 --> 1:00:10.320
<v Speaker 1>of medical services when Patel was first employed at the hospital,

1:00:10.400 --> 1:00:15.280
<v Speaker 1>said he was vacillating between sadness and disgust over the

1:00:15.320 --> 1:00:20.640
<v Speaker 1>public shaming. As president of the local Medical Association, Doctor

1:00:20.680 --> 1:00:24.280
<v Speaker 1>Denise Powell was urged to show her support for Patel,

1:00:24.920 --> 1:00:28.280
<v Speaker 1>and she said the organization felt he had made a

1:00:28.320 --> 1:00:33.760
<v Speaker 1>positive contribution to the community in Brisbane. The big guns

1:00:33.840 --> 1:00:38.680
<v Speaker 1>lined up against Messenger they had the politician in their sites.

1:00:39.560 --> 1:00:45.320
<v Speaker 1>Doctor David mlloy, president of the Australian Medical Association's Queensland branch,

1:00:45.400 --> 1:00:50.080
<v Speaker 1>said Patel had spent many years training and practicing in

1:00:50.120 --> 1:00:53.760
<v Speaker 1>the United States. Doctor mlloy said.

1:00:54.480 --> 1:00:57.600
<v Speaker 11>There is every probability that there was no negligence involved

1:00:57.600 --> 1:01:00.360
<v Speaker 11>in the surgeon's practice, and the issue before the Medical

1:01:00.360 --> 1:01:03.520
<v Speaker 11>Board mostly relates to the scope of surgery being completed

1:01:03.560 --> 1:01:07.440
<v Speaker 11>in a country center. The opposition has acted irresponsibly by

1:01:07.480 --> 1:01:11.640
<v Speaker 11>accusing a Bunderberg surgeon of professional incompetence in the interests

1:01:11.640 --> 1:01:14.640
<v Speaker 11>of cheap political gain and perverting the course of justice.

1:01:15.760 --> 1:01:19.880
<v Speaker 1>At five point twenty five pm, the relentless Rob Messenger

1:01:20.000 --> 1:01:25.400
<v Speaker 1>launched another broadside in state Parliament against Gordon Nuttle, accusing

1:01:25.440 --> 1:01:29.280
<v Speaker 1>the Minister of instructing his department to run Queensland Health

1:01:29.360 --> 1:01:32.600
<v Speaker 1>with the pretend I am a mushroom approach.

1:01:33.760 --> 1:01:36.480
<v Speaker 7>If we listen to the Minister, everything is rosy and

1:01:36.560 --> 1:01:40.320
<v Speaker 7>fine with the Bunderberg Hospital. There are no shonky surgeons,

1:01:40.360 --> 1:01:43.440
<v Speaker 7>no access block, no shortage of beds and no mental

1:01:43.440 --> 1:01:47.439
<v Speaker 7>health crisis. And nurses and hospital employees are not being

1:01:47.480 --> 1:01:51.000
<v Speaker 7>bullied or vilified by the administration. But the facts of

1:01:51.000 --> 1:01:53.840
<v Speaker 7>the matter are quite different. I repeat my call that

1:01:53.960 --> 1:01:59.680
<v Speaker 7>not only should surgeon doctor Pittilby suspended administrators, mister Peter

1:02:00.400 --> 1:02:03.800
<v Speaker 7>and doctor Darren Keating should also be suspended. They have

1:02:03.920 --> 1:02:06.760
<v Speaker 7>lost the confidence of the staff and the patients of

1:02:06.840 --> 1:02:10.920
<v Speaker 7>the Bunderberg Hospital. The Minister can trust me not to

1:02:11.000 --> 1:02:14.160
<v Speaker 7>hide the reality of what is happening in our wards

1:02:14.200 --> 1:02:15.400
<v Speaker 7>and operating theaters.

1:02:16.480 --> 1:02:19.960
<v Speaker 1>In an angri aside not recorded by the reporters of

1:02:20.000 --> 1:02:25.280
<v Speaker 1>Parliament's Proceedings, Gordon Nuttle shouted at Messenger across the chamber.

1:02:26.520 --> 1:02:30.360
<v Speaker 4>I hope you're satisfied that he's resigned. You are responsible

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<v Speaker 4>for the lack of a surgeon in Bunderberg. Over the

1:02:33.000 --> 1:02:34.000
<v Speaker 4>easter break.

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<v Speaker 1>Peter Leck dashed off an email to Steve Bucklin to

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<v Speaker 1>update him on Patel's latest demands. He had changed his

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<v Speaker 1>mind about quitting and was weighing a new offer of

1:02:45.200 --> 1:02:48.800
<v Speaker 1>a four month contract from one April two thousand and five.

1:02:50.000 --> 1:02:53.960
<v Speaker 1>His current contract would finish in six days on thirty

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<v Speaker 1>one March. In his email, Lex said.

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<v Speaker 9>I offered support by suggesting he'd take a few days

1:03:01.360 --> 1:03:05.040
<v Speaker 9>leave to consider his position and the future. Doctor Pateel

1:03:05.120 --> 1:03:07.640
<v Speaker 9>indicated that he'd been doing that and was prepared to

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<v Speaker 9>return to work tomorrow if he was offered a contract

1:03:10.800 --> 1:03:14.400
<v Speaker 9>of fifteen hundred to two thousand dollars a day. He

1:03:14.440 --> 1:03:17.520
<v Speaker 9>wants something close to two thousand dollars from one April

1:03:17.560 --> 1:03:20.800
<v Speaker 9>three to July. He also wants the organization to fully

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<v Speaker 9>support him, but was no longer explicit in his demand

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<v Speaker 9>that we back him in relation to all the procedures

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<v Speaker 9>he has undertaken in Bunderberg.

1:03:29.040 --> 1:03:33.680
<v Speaker 1>Buckland's day was worsening. The story on a current affair

1:03:33.840 --> 1:03:38.680
<v Speaker 1>had given the Patel fiasco a national profile. It suggested

1:03:38.760 --> 1:03:42.960
<v Speaker 1>the surgeon was about to quit. Messenger's latest attack had

1:03:42.960 --> 1:03:47.400
<v Speaker 1>made Nuttle even angrier, and the pr Flax were under pressure.

1:03:48.200 --> 1:03:51.360
<v Speaker 1>The loss of a patient's life was of far less

1:03:51.400 --> 1:03:56.919
<v Speaker 1>concern to the organization than damaging headlines. According to Queensland

1:03:57.000 --> 1:04:02.080
<v Speaker 1>Health Little Known Risk Matrix a policy developed by a

1:04:02.200 --> 1:04:07.800
<v Speaker 1>senior bureaucrat strictly for internal use. An adverse clinical incident

1:04:08.000 --> 1:04:13.600
<v Speaker 1>is weighted as major if someone dies, but publicity that

1:04:13.760 --> 1:04:19.200
<v Speaker 1>significantly damages the organization's reputation, however, has a heavier weighting

1:04:19.360 --> 1:04:26.560
<v Speaker 1>of extreme. Apart from Bunderberg Hospital, Steve Buckland had another problem.

1:04:27.040 --> 1:04:29.800
<v Speaker 1>It was my story that day in the Courier Mail

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<v Speaker 1>disclosing how Queensland held staff at the John Tong Forensic

1:04:34.120 --> 1:04:38.040
<v Speaker 1>Laboratories were being threatened with imprisonment over the leak about

1:04:38.200 --> 1:04:44.280
<v Speaker 1>serious testing problems and maladministration. Nuttle went on Morning Radio

1:04:44.320 --> 1:04:48.600
<v Speaker 1>to attempt damage control, and he expressed surprise at the

1:04:48.640 --> 1:04:55.000
<v Speaker 1>suggestions that his organization, Queensland Health, was secretive, Although no

1:04:55.240 --> 1:04:59.880
<v Speaker 1>patience details were disclosed. The DNA scientists had been worn

1:05:00.080 --> 1:05:04.160
<v Speaker 1>by senior staff that an internal investigation would be followed

1:05:04.200 --> 1:05:08.040
<v Speaker 1>by a police robe which could lead to criminal charges.

1:05:09.600 --> 1:05:13.320
<v Speaker 1>They were told to get independent legal advice and prepare

1:05:13.360 --> 1:05:19.240
<v Speaker 1>for questioning. The crackdown terrified. Tony Hoffman. Queensland Health issued

1:05:19.280 --> 1:05:23.800
<v Speaker 1>a bland statement saying it was usual practice to investigate

1:05:23.920 --> 1:05:29.000
<v Speaker 1>any unauthorized release of confidential documents, as such actions are

1:05:29.080 --> 1:05:33.680
<v Speaker 1>breaches of the Code of conduct. Meanwhile, Buckland told Leck

1:05:33.800 --> 1:05:37.120
<v Speaker 1>that the surgical service had to be supported over the

1:05:37.160 --> 1:05:41.160
<v Speaker 1>yeas to break they needed to keep Patel operating.

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<v Speaker 12>Buckland said, I think he should work over Eester and

1:05:45.960 --> 1:05:48.160
<v Speaker 12>we would look at his contract from April first during

1:05:48.200 --> 1:05:51.080
<v Speaker 12>next week. The offer of two thousand dollars per day

1:05:51.160 --> 1:05:53.600
<v Speaker 12>is unacceptable. That would never be supported.

1:05:56.160 --> 1:05:59.600
<v Speaker 1>Patel, Larger than Life, was out for dinner at a

1:05:59.640 --> 1:06:04.480
<v Speaker 1>popular restaurant overlooking the ocean at Bagara, with its stylish

1:06:04.600 --> 1:06:08.600
<v Speaker 1>timber fittings and furniture and a vast menu cases was

1:06:08.640 --> 1:06:13.680
<v Speaker 1>a local favorite. Patel loudly talked up his surgical skills

1:06:14.720 --> 1:06:19.160
<v Speaker 1>his dinner companion, Doctor Asher Curtis, a bright young intern

1:06:19.240 --> 1:06:22.640
<v Speaker 1>on secondment from the Martyr Hospital in Brisbane, wanted the

1:06:22.680 --> 1:06:28.080
<v Speaker 1>ground to swallow her up. Two months earlier, Pettel's sexual

1:06:28.120 --> 1:06:31.880
<v Speaker 1>advances almost caused her to quit her stint in Bunderberg.

1:06:32.800 --> 1:06:37.320
<v Speaker 1>Curtis was sure she had not misinterpreted Patel's crude repertoire.

1:06:38.240 --> 1:06:40.880
<v Speaker 1>The man had said he wanted to marry her and

1:06:40.960 --> 1:06:45.800
<v Speaker 1>start a new life. Before the tolling of any wedding bells.

1:06:45.880 --> 1:06:49.840
<v Speaker 1>He promised to write glowing reports about her surgical performance,

1:06:50.680 --> 1:06:54.360
<v Speaker 1>but there was a catch. He wanted sexual favors in

1:06:54.400 --> 1:06:58.880
<v Speaker 1>the meantime. When he had come on strongly in January,

1:06:59.080 --> 1:07:02.360
<v Speaker 1>Curtis was worried about how to reject Patel without offending

1:07:02.440 --> 1:07:07.920
<v Speaker 1>him and jeopardizing her career. She quietly sought advice and

1:07:07.960 --> 1:07:12.360
<v Speaker 1>support from Judy O'Connor, the Medical Education Officer, and doctor

1:07:12.440 --> 1:07:18.280
<v Speaker 1>keyes Nidam. Curtis decided that she would politely decline Patel's suggestions,

1:07:18.320 --> 1:07:22.760
<v Speaker 1>and she toughed it out. After Rob Messenger had slammed

1:07:22.800 --> 1:07:26.160
<v Speaker 1>Patel in Parliament, Curtis heard rumors that he was going

1:07:26.200 --> 1:07:30.160
<v Speaker 1>to quit and return to the United States. She felt

1:07:30.200 --> 1:07:33.560
<v Speaker 1>sorry for him and accepted his offer of dinner, but

1:07:33.680 --> 1:07:37.840
<v Speaker 1>she soon regretted it. Patel was coming on stronger than ever.

1:07:38.720 --> 1:07:41.480
<v Speaker 1>Over a couple of glasses of wine, he was offering

1:07:41.600 --> 1:07:47.200
<v Speaker 1>further inducements. The next morning, Doctor Aisha Curtis decided to

1:07:47.320 --> 1:07:51.320
<v Speaker 1>terminate her contract early. She did not want to wait

1:07:51.400 --> 1:08:02.760
<v Speaker 1>to find out if Patel was staying or leaving. Sick

1:08:02.800 --> 1:08:06.360
<v Speaker 1>to Death is written and presented by me Headley Thomas,

1:08:06.520 --> 1:08:11.680
<v Speaker 1>the Australian's national Chief correspondent. Claire Harvey is the Australian's

1:08:11.840 --> 1:08:17.240
<v Speaker 1>editorial director, Audio editing, production and music have been done

1:08:17.280 --> 1:08:22.600
<v Speaker 1>by Jasper Leik, with assistance from Leah Sammaglu and Neil Sutherland.

1:08:23.080 --> 1:08:28.040
<v Speaker 1>Our producer is Christen Amias. Production management by Stephanie Coombs.

1:08:28.720 --> 1:08:34.200
<v Speaker 1>Artwork by Sean Callanan. Thanks to Ryan Osland, Matthew Condon,

1:08:34.479 --> 1:08:41.160
<v Speaker 1>Karina Berger, Ellie Dudley, David Murray, Dominique McDermott, Zach Sculander

1:08:41.479 --> 1:08:45.280
<v Speaker 1>and all our family, friends and colleagues who helped in

1:08:45.320 --> 1:08:50.120
<v Speaker 1>this series and contributed voice acting and special thanks to

1:08:50.120 --> 1:08:55.719
<v Speaker 1>Tony Hoffman and Rob Messinger. Subscribers to The Australian here

1:08:55.960 --> 1:08:59.840
<v Speaker 1>new episodes of Sick to Death first at Sick to

1:09:00.120 --> 1:09:05.160
<v Speaker 1>Death podcast dot com and on Apple Podcasts. You can

1:09:05.200 --> 1:09:10.960
<v Speaker 1>get exclusive access to photographs, videos, timelines and more at

1:09:11.000 --> 1:09:29.040
<v Speaker 1>the website