Doctors and private hospitals refuse to receive patients due to court ruling in favor of a child who had her limbs amputated Parent Hassan Tannous praises ‘honest judiciary’ BEIRUT: All Lebanese doctors have stopped working from Monday until the end of the week in protest against a court verdict. The medical profession in Lebanon is protesting against the judicial decision to pay high compensation to Ella Tannous, who had her limbs amputated due to a medical error six years ago. The protesting doctors have been joined by private hospitals, which have stopped receiving patients, except in emergency cases. The girl’s father Hassan Tannous, however, praised the “honest judiciary.” Many doctors, including the head of Lebanese Order of Physicians, Dr. Sharaf Abu Sharaf, and the head of the Syndicate of Private Hospital Owners, Suleiman Haroun, staged a sit-in in front of the Palace of Justice in Beirut, calling the ruling “unfair.” The Tannous case goes back to February 2015, when she was admitted to Hôpital Notre Dame des Secours in Jbeil due to her high temperature.​ Ella was diagnosed with a cold at the time, but her condition deteriorated and the child suffered septic shock, which led to gangrene that caused the amputation of her limbs. The girl’s father had taken her to the Hotel Dieu Hospital, which refused to receive her. He transferred her to the American University of Beirut Medical Center, where doctors decided to save her life by amputating her four limbs. The tragedy led her parents to file a complaint in March 2015 before the Lebanese Order of Physicians against the doctor who examined her and Hôpital Notre Dame des Secours in Jbeil, on charges of neglecting the child’s health and not providing her with the necessary care. More than one doctor was arrested and released on bail. Those involved in the case exchanged accusations for years. The girl’s family objected to a medical report issued by the medical committee of the Lebanese Order of Physicians two months after the incident, calling it a “distortion of the facts.” The final ruling, issued unanimously at the end of last week, by the Beirut Appeals Court, headed by Tarek Bitar, gave the girl’s family a positive surprise, while the Lebanese medical profession reacted to the ruling in a state of amazement and condemnation. The ruling obligated the American University of Beirut Medical Center in Beirut, Hôpital Notre Dame des Secours in Jbeil and the two doctors — Essam M. and Rana Sh. — “to pay in joint and several liabilities to the child Tannous an amount of LBP 9 billion ($5.9 million) for damages, in addition to a monthly income for life estimated at four times the minimum wage.” The ruling also stipulated “obliging the convicts to pay in joint and several liabilities an amount of LBP 500 million to the father of the child and LBP 500 million to her mother in exchange for damages.” Medical errors committed against patients have often resulted in settlements. Some cases are still pending in the courts. The head of the National Health Authority, Dr. Ismail Sukkarieh, told Arab News that the judicial ruling “is based more on emotions than wisdom, justice and scientific facts.” Sukkarieh added: “The judiciary focused on the tragedy of the child’s condition, which cannot be compensated with money, without checking the stages of the disease and the accumulation of its causes.” He said: “Hôpital Notre Dame des Secours in Jbeil was not equipped with intensive care for children. As for the doctors who saved the child through the amputation, they were spiritually affected.” Hassan Tannous said that although the ruling “does not compensate for the loss of Ella to her limbs, it is a moral compensation.” The father said the ruling “is a very strong message in the face of the perpetrators of medical errors, that there is an honest judiciary capable of restoring the rights of the owners.” The girl’s family moved to France for her rehabilitation but continued to pursue the lawsuit until the end. “It is a public rights issue to protect all Lebanese children from medical neglect,” said Hassan. During the sit-in at the Palace of Justice on Monday, Dr. Abu Sharaf said: “There are complications that occur as a result of the medicines, and mistakes happen sometimes, but the doctors have no criminal intent. After today, no doctor will dare to work on difficult and rare cases.” Dr. Ashraf called for “work to remove the effect of the judicial decision, and to establish a body specialized in medical matters in the judiciary to study medical problems.” Hotel Dieu Hospital de France announced that it would stop receiving patients in all its departments and private clinics. “It is unacceptable for doctors to pay the price for a health policy that does not exist in the first place,” said Elias Shallal, head of the hospital’s medical committee. “It is unacceptable to applaud doctors for their role in the fight against coronavirus and after the Beirut Port explosion, and then attack them because of a medical error.” The administration of Hôpital Notre Dame des Secours in Jbeil described the ruling as “unfair.” It stopped receiving patients except in emergency cases. The American University Medical Center in Beirut closed its clinics until further notice and stopped receiving patients, except for emergency cases.