Patient sues hospital after treatment leaves him badly burned



ABU DHABI // Hours after Saoud al Mansouri received ultraviolet therapy at Sheikh Khalifa Medical City for his pigmentation disorder, he felt a burning sensation in his skin. He soon discovered he had been given 10 times the prescribed radiation dose, and the result was first- and second-degree burns. Now, he is suing the hospital for compensation. Mr al Mansouri, 28, started a course of UVB therapy in September for his vitiligo, a skin whitening disease. According to documents obtained by The National, he underwent five sessions without incident.

But the sixth, on October 11, apparently went badly wrong. "The planned dose was 0.24 joules/cm²," a medical evaluation by a dermatologist at Sheikh Khalifa Medical City (SKMC) said. "Based on human error, the machine was set to 2.4 joules/cm2." According to the report, within hours of the treatment Mr al Mansouri felt burning on his skin, "and he developed severe redness and some blistering on areas which were exposed to UV light".

He was immediately treated for the burns over much of his body. A doctor's assessment noted that Mr al Mansouri would recover from the burns "within a few days, and most probably no residual signs or symptoms will remain". But the burns did not disappear and he complained to the doctors that his eyesight was affected. His eyesight was tested and the results were "20/20 without correction". A separate report by SKMC said that Mr al Mansouri has "a background history of previous allergic eye disease," a statement refuted by Mr al Mansouri and his lawyer, Nashwa al Qubaissi.

"My client has no history of any allergies in his eye and we have the documents to prove it," Mrs al Qubaissi said. On October 15, SKMC officials, as well as the doctors and nurses involved in the case, met Mr al Mansouri and his family. Two days later, Mr al Mansouri filed a formal complaint at SKMC. Hours later he checked out of SKMC and went to Al Noor Hospital. According to hospital records, he was treated for first and second-degree burns. He has since been flown to Germany to have several operations. He could not be reached for comment.

SKMC, according to the family and attorney, has not replied to his request for an investigation. SKMC declined to comment due to the privacy of its patient. It is also not known if SKMC wants to settle the case out of court. Dr Jamal al Kaabi, one of the head investigators at the Health Authority-Abu Dhabi, said he was aware of the case, but declined to comment on it due to patient confidentiality. Dr al Kaabi said the case in HAAD has been closed.

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What is the FNC?

The Federal National Council is one of five federal authorities established by the UAE constitution. It held its first session on December 2, 1972, a year to the day after Federation.
It has 40 members, eight of whom are women. The members represent the UAE population through each of the emirates. Abu Dhabi and Dubai have eight members each, Sharjah and Ras al Khaimah six, and Ajman, Fujairah and Umm Al Quwain have four.
They bring Emirati issues to the council for debate and put those concerns to ministers summoned for questioning. 
The FNC’s main functions include passing, amending or rejecting federal draft laws, discussing international treaties and agreements, and offering recommendations on general subjects raised during sessions.
Federal draft laws must first pass through the FNC for recommendations when members can amend the laws to suit the needs of citizens. The draft laws are then forwarded to the Cabinet for consideration and approval. 
Since 2006, half of the members have been elected by UAE citizens to serve four-year terms and the other half are appointed by the Ruler’s Courts of the seven emirates.
In the 2015 elections, 78 of the 252 candidates were women. Women also represented 48 per cent of all voters and 67 per cent of the voters were under the age of 40.
 

Mercer, the investment consulting arm of US services company Marsh & McLennan, expects its wealth division to at least double its assets under management (AUM) in the Middle East as wealth in the region continues to grow despite economic headwinds, a company official said.

Mercer Wealth, which globally has $160 billion in AUM, plans to boost its AUM in the region to $2-$3bn in the next 2-3 years from the present $1bn, said Yasir AbuShaban, a Dubai-based principal with Mercer Wealth.

Within the next two to three years, we are looking at reaching $2 to $3 billion as a conservative estimate and we do see an opportunity to do so,” said Mr AbuShaban.

Mercer does not directly make investments, but allocates clients’ money they have discretion to, to professional asset managers. They also provide advice to clients.

“We have buying power. We can negotiate on their (client’s) behalf with asset managers to provide them lower fees than they otherwise would have to get on their own,” he added.

Mercer Wealth’s clients include sovereign wealth funds, family offices, and insurance companies among others.

From its office in Dubai, Mercer also looks after Africa, India and Turkey, where they also see opportunity for growth.

Wealth creation in Middle East and Africa (MEA) grew 8.5 per cent to $8.1 trillion last year from $7.5tn in 2015, higher than last year’s global average of 6 per cent and the second-highest growth in a region after Asia-Pacific which grew 9.9 per cent, according to consultancy Boston Consulting Group (BCG). In the region, where wealth grew just 1.9 per cent in 2015 compared with 2014, a pickup in oil prices has helped in wealth generation.

BCG is forecasting MEA wealth will rise to $12tn by 2021, growing at an annual average of 8 per cent.

Drivers of wealth generation in the region will be split evenly between new wealth creation and growth of performance of existing assets, according to BCG.

Another general trend in the region is clients’ looking for a comprehensive approach to investing, according to Mr AbuShaban.

“Institutional investors or some of the families are seeing a slowdown in the available capital they have to invest and in that sense they are looking at optimizing the way they manage their portfolios and making sure they are not investing haphazardly and different parts of their investment are working together,” said Mr AbuShaban.

Some clients also have a higher appetite for risk, given the low interest-rate environment that does not provide enough yield for some institutional investors. These clients are keen to invest in illiquid assets, such as private equity and infrastructure.

“What we have seen is a desire for higher returns in what has been a low-return environment specifically in various fixed income or bonds,” he said.

“In this environment, we have seen a de facto increase in the risk that clients are taking in things like illiquid investments, private equity investments, infrastructure and private debt, those kind of investments were higher illiquidity results in incrementally higher returns.”

The Abu Dhabi Investment Authority, one of the largest sovereign wealth funds, said in its 2016 report that has gradually increased its exposure in direct private equity and private credit transactions, mainly in Asian markets and especially in China and India. The authority’s private equity department focused on structured equities owing to “their defensive characteristics.”

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