Victim of botched surgery wants new lung

Ian Tollemache Photo: RNZ / Nick Monro
Ian Tollemache Photo: RNZ / Nick Monro
By Victor Waters of RNZ

A cancer patient who lost a lung in a botched surgery believes he should get a life-changing transplant.

Ian Tollemache was an unnamed patient mentioned in last month's Health and Disability Commissioner report who had the wrong part of his lung cut out by a surgeon.

Corrective surgery eight days later removed the cancerous tumour along with his whole left lung but meant the cancer that had since developed in his remaining lung was inoperable.

The 65-year-old has come forward to share his story.

"I think that the medical profession and system owes me a lung and I should get a lung but I can't get on the list," Tollemache said.

"If anyone knows a way that I can get on the list and get a lung then I'd be happy to find out," he said.

Tollemache said he had been told due to his age and cancer status he was not eligible for a transplant.

The business software computer programmer said he was not satisfied with the official explanation of how the accident happened.

"I'd like to get some answers more than what they've given us around what happened at the hospital," Tollemache said.

"If they'd cut that (the lower lobe), I'd be back at work in a week and instead he cut the upper lobe and left a lung with cancer in it and no blood supply."

According to the HDC report, the doctor (referred to as Dr B) claimed their error was a result of the lung rotating during surgery, citing a medical phenomenon called lung torsion.

That was despite independent clinical advice from Dr Richard Bunton who said this was the first reported case he had seen where the wrong lobe had been removed.

"It is a little difficult to understand why 'alarm bells' did not ring when after dividing the inferior pulmonary vein (to the lower lobe), which (Dr B) clearly did, he went on to divide the upper lobe," Bunton said in the report.

"This vein is situated in the anterior-superior position of the hilum and clearly not related to the lower lobe."

This medical mishap was not made clear to the patient until after the second surgery was completed.

The report said there were also documented concerns from the associate charge nurse, who said the patient had "no clear understanding" as to what occurred during the first surgery.

"My dad was not informed of his right to a second surgeon," said the man's daughter, Dr Cherie Tollemache.

"The investigation found the many nurses on site knew that an accident had happened and that he needed a second life-saving operation."

The Health and Disability Commissioner found Dr B in breach of Right 4(1), Right 6(2), and Right 7(1) of the code.

That included every consumer having the right to have services provided with reasonable care and skill, having the right to information needed to make an informed choice or give informed consent and services only being provided to a consumer who made an informed choice and gave informed consent.

The doctor apologised unreservedly to Tollemache and his family.

"After the second operation he was so distraught that he was virtually crying and you could see the mistake had messed with him," said Tollemache.

"I loathe the fact it happened, but s... happens.

"You just have to make sure you're out of range of the fan when it moves around. I have to get on with my life and if I want to live a reasonable remainder of my life, I have to things I enjoy doing, hating him doesn't help me."

Tollemache's family said he had since lost income and quality of life as a result of a painful recovery period.

"I can't sleep through a night because every time I wriggle those muscles get engage and the pain wakes me up. I wake up 10 times a night," Tollemache said.

"Those drugs they give me to help me sleep mind destroyed me, I've lost me.

"My whole career was about being able to use my mind to solve problems and it was business software that I did," he said.

Tollemache was told he could return to work a few weeks after surgery, instead he had been unable to continue his career due to the pain and powerful medication.

It resulted in a loss of income and quality of life for a man who loved motorbikes and being active.

His child Dani Riekwel, said their father detected the cancer early after undergoing screening.

"If he hadn't of gotten checked early, he could have lived a nice happy life without pain and then found out later," Riekwel said.

"Then could have lived for like a year with radiation and chemo before passing away with no pain and an income."