MEDICAL FRAUD  and the criminal assault of boys


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Lack of post-surgery info angers grieving parents With a baby son dead, they want care after circumcisions clarified
 
Suzanne Fournier
The Province
Tanna McWillis and daughter Mac-kenna. McWillis's son, Ryan, died from complications following circumcision.
CREDIT: Special to The Province
Tanna McWillis's son, Ryleigh Roman Bryan McWillis, died in August 2002.
CREDIT: Special to The Province

The tragic death of their infant son after a routine circumcision in August 2002 still haunts a Vernon couple -- who say they weren't properly informed about the signs of danger to watch out for in post-operative care.

A coroner's report released this week into the death of one-month-old Ryleigh McWillis notes that the Penticton Regional Hospital where the circumcision was done has significantly improved the information pamphlet it gives out to all parents, and has changed both follow-up care and documentation for all circumcisions.

But Tanna McWillis says she and her husband, Brent, a medical professional who worked at the hospital at the time of his son's death, are disappointed that coroner Chico Newell made no other recommendations.

"The coroner could have recommended that the hospital and doctor clearly tell parents, 'Any bleeding's bad,' and warn us what to look for. I didn't realize a baby can die from losing as little as one ounce of blood," McWillis said.

Brent McWillis, a lab technologist, transferred away from the

Penticton hospital after the death. The couple, who also have a five-year-old daughter, relocated to Vernon.

"Brent still finds it too painful to talk about," said his 34-year-old wife. "The nurses were our friends and a couple of them who tried so hard to save our baby felt so badly they quit."

The Canadian Pediatric Society takes the position that male circumcision exposes children to risk with no real

medical benefits.

Circumcision is no longer covered by medicare in Canada and the numbers of male babies circumcised have been rapidly dropping, down from a decade ago when 60 to 90 per cent of all male babies born in North America were routinely circumcised shortly after birth.

At B.C. Children's Hospital, only 180 male babies were circumcised of the 3,656 boys born in 2002-03, down from the 274 circumcisions done of 3,544 boys born the previous year, said hospital spokeswoman Marisa Nichini.

Dennis Harrison of the Association for Genital Integrity has asked Amnesty International to protest male circumcision as "unnecessary pain and suffering."

Doctors Against Circumcision has demanded a total ban on circumcision.

But circumcision is required in the Muslim and Jewish faiths, and Jewish mohels use a rapid and safe technique.

Tanna McWillis herself says she and her husband would probably circumcise another male child.

"I was told a lot of people opposed to circumcision would grandstand about my son's death, but we would do it again.

"If I had been better informed on how to look after my baby, it would never have happened."

Ryleigh Roman Bryan McWillis, born July 21, 2002, was a healthy, normal baby when his parents decided -- "just because of family history," says Tanna -- to have him circumcised on Aug. 20.

The doctor used a slightly different procedure than the one described in hospital pamphlets, so the McWillis family wasn't given written information to take home.

Ryleigh was still bleeding at the hospital, but was checked by the doctor and sent home.

He was fussy all that day and a diaper that evening was soaked with blood.

"It was pinkish because it was diluted by pee and they hadn't told me what to watch out for," says Tannis.

Tannis sat up all night holding Ryleigh. When Brent got up at 5 a.m., the baby's diaper was full of blood.

Ryleigh's parents rushed him to the Penticton hospital. By noon, he had to be evacuated by air ambulance to B.C. Children's Hospital. Despite transfusions of blood, saline and antibiotics, the tiny baby was limp, pale and failing.

Ryleigh's "prognosis was grim," notes the coroner's report, and his parents were told of the "seriousness of his situation." Despite "massive volume resuscitation," Ryleigh's organs and heart began to shut down.

And, says his mother, "I unplugged his life support at 5 a.m. on the 22nd of August, one month and one day after he was born."

sfournier@png.canwest.com

© The Vancouver Province 2004


 

Commentary in response to the above article.

 Ryleigh McWillis's Death  Was No Accident

Incredibly - Parents state that they would do it again.

 

 I was deeply disturbed after reading the coroner's report  which described   events which culminated in the tragic death of Ryleigh McWillis.   Perhaps more disturbing was the statement made by the child's mother, Tanna McWillis, in which she stated  that if they had another child that they would also circumcise him. Her ridicule of opponents of circumcision who may use her son’s death to  "grandstand" their opposition to circumcision is incredible.  Regardless of  how horrific the consequences of circumcision, advocates of circumcision  always insist on defending the practice.

 

I  would like to offer the parents my deepest sympathy;  however, I fail to understand  why they would subject another son to the risk of death after such as tragic experience. With all due respect -  and regardless of new safety measures  which may be put in place - is their anyone who could guarantee that  another child would not suffer a similar consequence?

 

I just received a phone call from  a mother who had her son circumcised in BC. She recalled the horror she experienced at hearing her child's convulsive screaming during circumcision. Her child also bled for a number of days and the wound took months to heal causing him much unnecessary pain and distress. Other complications  resulted which made it difficult for her son to urinate properly for several years. Another circumcision was subsequently required to correct the initial damage. She informed me that had she been aware that this was such a horrific procedure she would never have permitted her son to undergo circumcision  for any reason.

 

She also informed me that her current partner lost part of his glans as a result of infant circumcision". These are just a few of the many tragic consequences of circumcision.  Most circumcised males  are too embarrassed   to reveal the results of botched circumcisions which they are forced to endure  the rest of their lives.

 

It  is  a fact that circumcision removes  essential, vital, healthy, erogenous part of a male’s body. No medical organization recommends circumcision for which there is no medical necessity. And the possibility that a person may have problems in the future is also an unacceptable reason. If it were – how many body parts  might we remove to prevent future problems?

 

Recently the Saskatchewan College of Physicians and Surgeons  sent a memo warning all doctors that they are not obliged to perform  circumcisions merely at the request of the parent.  "You can, and should, respectfully decline to perform the procedure  just as you should respectfully decline to carry out other requested  medical acts that you regard to be inappropriate," they stated.

 

Perhaps doctors who circumcise, and parents who request  it, should indicate where under any medical code of ethics is there a mandate to amputate normal, healthy body tissue on non consenting individuals for which there is no medical necessity.  In Canada, female circumcision (regardless of severity, religious or cultural reasons) is a criminal offence.  Because males (regardless of age) are guaranteed equality under the Charter, are they also not provided equal protection under the law? If so let's enforce the law and prevent a future generations of males from undergoing this barbaric and mutilating procedure.

 

Circumcision for whatever reason, has no place in a civilized and democratic society. It is time that the College of Physicians and Surgeons in BC honoured its policy  "to protect patients" as stated  on their web site. It is the patient’s right which needs to be protected – not the parent’s right. Had the doctor in question done adhered to ethical medical principles and refused to do non medically indicated surgery, Ryleigh Willis would have been alive today.

 

Even one death as a result of circumcision - for whatever reason -  is unacceptable. Nor is it ethical to seek methods to  ameliorate  complications or disasters while performing unethical medical procedures or participating in criminal acts. It is time that doctors adhere to the medical code of ethics  as is required of individuals in  any other profession. Ryleigh's death was not an accident - just an accident in waiting.

 

John Sawkey

 

Director of Medical Ethics Network

 

   

 

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