Mesh implants and “fully informed consent”

Since my last post on PE1571, Polypropylene Mesh Medical Devices, there has been further consideration of this petition, with evidence given by Dr Wael Agur and the petitioners Elaine Holmes and Olive McIlroy:

What follows are some of my reflections on the parliamentary committee session of the 28th September 2017:

Before the committee began I suggested to interested colleagues:

“The petition on Mesh implants will start taking further evidence today. This could potentially be a watershed moment for the Scottish Government’s Department of Health?”

Dr Agur was extremely good in giving evidence. He came across to me as open, genuine, careful, scientific and reflective. Dr Agur disabuses the stereotypical notion that surgeons struggle to combine pragmatism with philosophy.

Dr Agur was entirely open about his declarations. Here he is an exemplar.

However I retain the concern that manufacturers may have had a greater share in “shared decision making” on Mesh surgery than we are currently able to determine?

The Mesh survivors spoke incredibly well, and thankfully more openly and candidly than any of those in the systems of power that surround us.

The cross-party questions to Dr Agur and the petitioners explored the issues extremely well.

I have no idea what will happen from here on – but I support all the recommendations of this Parliamentary committee.

I dislike over-simplified summaries and yet I now offer one:

We should be especially open to the consideration of what might constitute “fully informed consent”. I do hope the Chief Medical Officer follows through on Realistic Medicine including the potential for science to be distorted, and patients harmed, by vested interests.

The above statement was part of a longer statement made by the 
Chief Medical Officer for Scotland in giving  evidence on PE1571 
on the 18th May 2017.

 

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