27^th January 2013

 

Hi again, it’s me, Peggy

 

My aim here is again to prove to you that the medics have been trying at all times to discredit me and refusing to treat me when them knowing at all times the true source of my problem.

 

I am now going to show you evidence that the bony lesion (as removed from my Right knee on 22/11/2002) was actually in my knee in 1988. This being the case after it was left in my knee during the operation to remove my patella (kneecap) in September 1987.

 

See copied below an extract taken from my Medical Records at the Rotherham District General Hospital. In the Clinic Note for October 1988 you can see that it states that I had informed the consultant of my knee gave way (it felt unstable) and my knee locked occasionally. Whenever my knee locked I had problems with straightening my painful Right leg after such an occurrence.

 

It is written in the Clinic Notes for ??/10/88 see below:

 

 

Below is an extract taken from a book on Orthopaedic Trauma, Injuries of the knee joint 5^th Edition (Library Ref: WE870 (s) photocopies were obtained from the Sheffield Northern General Hospital library. You will see from reading the extract that a piece of bone shears off either the patella or the tibia when the patient suffers recurrent dislocation of the patella, as was the case in my case!

 

Page 302

MEDIAL ASPECT PATELLA

M E D I A L TANGENTIAL

OSTEOCHONDRAL F R A C T I R E

(ENDOGENOUS)

 

This fracture (Kroner, 1905} in acute form is a common and important complication of traumatic dislocation (see Ch. 2).

 

Pathological anatomy. In the course of dislocation the quadriceps contracting in an attempt to recover the situation, exerts considerable compression force which, as the patella passes over the margin of the lateral condyle. shears off a portion of the articular cartilage together with a wedge-shaped fragment of the underlying canellous tissue from the inframedial margin of the articular surface (Figs 10.24 to 10.2" Sometimes it is the margin of the condyle and occasionally both margin of patella and margin of femur are fractured (Figs 2.SO to 2.S3).

 

This fracture of the patella differs from the lateral marginal fracture in the absence of splinting by soft tissue. The fragment is therefore displaced into the joint immediately or is cast into the synovial cavity as a loose body of mysterious origin at a later date.

 

Clinical features. In acute form as a complication of a traumatic dislocation which has been reduced it is difficult, if not impossible, to diagnose on clinical examination: only suspected.

It may not be seen in antero-posterior and lateral radiographs; and the painful knee cannot be flexed to obtain "skyline" views. This is why exploration is indicated in such cases. (Ch. 2).

 

In the form complicating recurrent dislocation its presence in axial radiograph is useful confirmative evidence of the diagnosis (Figs 10.24 to 10.27). The fracture rarely exists as a separate entity. The clinical features are those of the condition it complicates. Sometimes retro-patella symptoms and tenderness located to the medial aspect may be the presenting features. Occasionally locking produced by a loose body, the site origin of which may not be immediately evident, is the first incident which calls attention to a recurrent dislocation.

 

Treatment: At the exploratory operation for traumatic dislocation a large defect is repaired (Fig 10.28 to 10.31).  Experience at the second operation to remove the means of internal fixation shows that the restoration indistinguishable from normal can be attained. If the fragment is small it is removed and the margins of the defect smoothed as occasion demands………………

 

On the 9^th of January 1990 at the time I was admitted to the Sheffield Northern General Hospital with my knee locked in a bent position, Mr Saleh (Orthopaedic Surgeon) brutally straitened my very painful leg without first administering any pain killers or pain-killing injection. It was nothing less than torture. It had been arranged for this to be done in theatre under a general anaesthetic but when Mr Saleh had read through my notes and saw that there was pending litigation against Mr Majumdar, a colleague of his, I allege that this was his way of paying me back.

 

However, this no less than brutal action by Mr Saleh had actually propelled the bony lesion out of the knee joint and into soft tissues in the medial aspects of my knee, and it remained there until it was removed in November 2002, some 12-years later.

 

I did have x-rays taken of my Right knee on arrival at SNGH A/E on 9/1/1990, and my medical records as held at the Sheffield Northern General Hospital (Now Sheffield Teaching Hospital Trust) record this fact. However, when I sought disclosure of my medical records and they failed to disclose my x-rays them at the SNGH contended that no x-rays were taken of my knee on 9/1/1990. A letter from Chief Executive Mr Andrew Cash wrote to me directly saying that x-rays were not taken of my knee on the attendance at his hospital on 9/1/1990 yet it states in my medical records “Radio-logically” there is no bony injury. That proves x-rays were taken but I was being denied them.

 

When I sought copies of my knee x-rays as taken at Newmarket General Hospital on 28/11/1989, they wrote back to me saying they had been destroyed. I allege that the bony lesion, in accordance with the recurrent dislocation of the patella, had been propelled into the knee joint and x-rays dated 28/11/1989 and 9/1/1990 would have proved that to be the case beyond a shadow of doubt.

 

The x-rays that were taken at the Bassetlaw Hospital on 19/08/1991 (those I have in my possession) show that bony lesion to be situated on the medial aspects of my Right knee.

 

I approached Mr Kieran Colton in January 1997, the then Medical Records Manager, at the Bassetlaw Hospital and explained that Mr Zeraati, the Orthopaedic Surgeon at the Bassetlaw had identified a 19/08/91 LAT VIEW x-ray of my Right knee and the bony lesion that could be clearly seen on the medial aspects of my knee in that film and I asked him to keep it safe as my x-rays had a habit of going missing. Mr Colton confirmed that he would. Subsequently those at the Bassetlaw Hospital denied that that particular x-ray had existed.

 

At a meeting with Mr Colton and when discussing that I was not able to get treatment, he advised me that I would not be able to obtain treatment for my knee because I was on “Patient Tracking”. Whatever that means?

 

Mr Colton, at the time Mills Kemp & Brown Solicitors were instructed on my Clinical Negligence case did deliver-up to MKB (eventually and after months of wrangling) the original x-rays dated 19/08/1991. However, in a recorded meeting, with Solicitor Mr J Brain at MKB, Mr Brain told me that Mr Colton had specifically ordered Mr Brain not to let Mrs Barnes have sight of those x-rays. Why not???

 

In late 2005 I had requested the return of my x-rays and MRI scans that I had loaned to MKB whilst they had conduct of my case together with those that had been obtained from the various hospitals whilst pursuing my case. I was refused the return of those films by MKB. However, In December 2005 (and I have this fact in a sound recording and also in a copy letter dated 15/12/2005) that Mr Nigel Clifton (the then Chief Executive) at Bassetlaw Hospital, himself requested of Mr Brain at MKB Solicitors that he send my x-rays to him direct. This Mr Brain did, including x-rays and MRI scans that I had obtained and paid for myself. The MRI and scans had cost me around £900.00 at the time of me having the scans done in February 1998.

 

I made an application to the Sheffield Combined Court to have my x-rays returned to me from the Bassetlaw Hospital but the Court refused to make an Order to have those films returned to me. Strange, very strange, what??

 

The act of Mr Brain of MKB disclosing my personal data (in the form of x-rays, those I had obtained from the various hospitals where I had sought treatment) without first obtaining my consent (which I most certainly would NOT have given him) was in fact a Breach of confidentiality and of the Data Protection Act.    

 

This true story continues …… watch this space