"Conflict of interest" in medical practice
- A doctor must always be vigilant in identifying and cautious in avoiding "conflict of interest" while discharging professional duties, especially those that carry dual responsibilities
- In case of transplant, true and correct medical condition of the donor should be disclosed to the recipient-patient and documented
The patient was suffering from chronic renal failure (CRF), with congenital heart disease for which he was operated with a history of gout and a past history of Steven-Johnson Syndrome. The patient was advised renal transplant by the nephrologist and it was conducted successfully but was readmitted and died after 73 days of transplant.
Death certificate mentioned ARDS with encephalomyelitis and GB syndrome as the cause of death.
Subsequently, it was revealed that the donor of the kidney was a 17-year-old boy suffering from GB syndrome and it was admittedly not disclosed to the recipient-patient.
- The urologist, who performed the transplant surgery, was also the secretary of a transplant committee and so there was a conflict of interest.
- The urologist was unable to prove how the patient could receive the donation by bypassing 10 patients in line before him.
- He also violated guidelines while deciding eligibility of the patient to receive the donation