When Medicine and Neglect Both Pointed to Silence: Who Stole Andrew's Hearing?
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When Medicine and Neglect Both Pointed to Silence: Who Stole Andrew's Hearing?
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概要
The idea that a single syringe could change a child's life is terrifying: a prescribed 10,000 units of intrathecal penicillin became roughly 300,000 units, and by Christmas Eve the boy was profoundly and permanently deaf. Which was responsible - the overdose everyone admitted, or the pneumococcal meningitis that is a well-documented cause of hearing loss - and who, if anyone, can be held to account?
In this episode, we tell the case of Andrew from the first GP prescription through his hospital treatment, the admitted dosing error, and the years of legal struggle that followed, asking whether medicine's uncertainty could answer the courtroom's question.
Person: Andrew
Date (admission of error): 29 November
Diagnosis: Pneumococcal meningitis
Dose prescribed: 10,000 units intrathecal penicillin
Dose administered: approximately 300,000 units intrathecal penicillin
- The syringe contained roughly thirty times the prescribed intrathecal dose on 29 November.
- The hospital admitted the overdose without contest to the courts.
- Laboratory confirmation of pneumococcal meningitis was received on 29 November.
- By 24 December (Christmas Eve) Andrew was discharged with profound bilateral permanent deafness.
- A comprehensive literature search found no recorded case of intrathecal penicillin overdose causing deafness, while many sources documented hearing loss from pneumococcal meningitis.
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