The transformation of Imran Hussein from company executive to a bed-ridden hospital patient with the mental age of a toddler is both heartbreaking and tragic.
Equally frustrating for his family is that his current state - confined to a hospital bed, thousands of miles from his family in Canada - might have been avoidable.
Damages worth US$58 million (Dh213m) are now being sought from the doctor who treated Mr Hussein and the hospital where he was located when his condition turned. The damages are being sought on behalf of Mr Hussein, a 50-year-old father of four, to help pay for his 24-hour lifetime care.
Every hour, nurses enter his small, private room to vacuum mucus from his throat to stop him choking, as he is unable to swallow.
The only person he recognises is his brother, Amjad, who was there when he opened his eyes for the first time. When his mother visited him from America, there was no recollection of who she was.
While his legal case is yet to be resolved in Dubai’s civil courts, Amjad is facing medical bills of more than Dh1.7 million to pay for Mr Hussein’s ongoing care at Mediclinic’s City Hospital in Dubai Healthcare City.
His insurance company has refused to pay out, due to the ongoing court proceedings.
“When we heard about Imran needing surgery, we advised him to go to the US, Canada or even Pakistan, but he stayed in Dubai,” said Amjad, who has moved to Dubai from Bahrain to support his brother.
“The whole family was in America, as our mother just had a major heart surgery. We thought Dubai offered good medical treatment and promotes medical tourism so it should be OK for him.”
Routine angioplasty surgery, which opens blocked arteries and restores normal blood flow to the heart, was successfully performed in Garhoud, before Mr Hussein was transferred to City Hospital for another procedure on August 3 last year.
A week later and recovering well, his condition took a catastrophic turn.
While in recovery, it is claimed that cardiac surgeon Dr Uwe Klima removed Mr Hussein’s epicardial pacing wires and left him, without leaving instructions for the team of nurses and doctors charged with his care. The wires act as a failsafe during surgery and provide quick access to a temporary pulse generator that helps notify doctors if there is a problem.
According to the subsequent review of the case by an independent panel of experts, a “cardiac tamponade” occurred, where fluid collects and compresses the heart, starving his brain of oxygen and causing irreparable damage.
The condition was not picked up by his carers, and it is claimed that there is no record of nurses checking on his vital signs for 80 minutes after the wires were removed.
His family are alleging that a breach of the basic standard of care occurred. Because of the delay in recognising Mr Hussein's dangerous condition, the urgent care he needed was not offered until it was too late.
Amjad Hussein is claiming a discrepancy in the timings of interventions by the medical team, and that the following investigation was insufficient.
Although City Hospital was at first deemed at fault for mismanagement by Dubai Healthcare City Authority, its appeal was accepted and the decision revoked. The only sanction handed out by a Fitness to Practice Panel was a three-month ban on Dr Klima. He has since returned to practice after serving that suspension.
DHCCA was asked by The National and Mr Hussein’s family for details of the committee that oversaw the investigation, but their names and qualifications have not been revealed.
"DHCCA would not allow us to appoint our own independent doctors to interact with the committee," Amjad said.
“They didn’t respond to my emails properly, which was hugely frustrating.
“Anywhere else in the world when there is a case like this you look at the evidence and discuss and debate what went wrong. It was a clear case of cardiac tamponade.”
A spokesman later added that the family's requests "were responded to in a timely manner and were addressed to ensure a clear understanding of the regulatory processes and procedures that are being followed in Dubai Healthcare City with the aim of obtaining a fair decision".
The family said it sought opinions from doctors in America, Egypt and the UK, all of whom, they say, have examined case notes and agreed it was a simple case of cardiac tamponade.
A case submitted to Dubai civil courts is claiming the $58m in compensation to cover the cost of Mr Hussein’s ongoing care, and the loss of earnings from his Dh50,000 salary as an executive at Dow Chemicals, an American multinational.
In its original ruling, DHCA found there was no professional misconduct or negligence but said there was mismanagement in dealing with and recognising cardiac tamponade. The hospital was warned for failing to provide a replacement cardiac surgeon to monitor Mr Hussain in Dr Klima’s absence, though in a subsequent email to the family DHCA’s director of clinical affairs said an appeal by the hospital had been accepted and only the mismanagement charge against the doctor stood.
“Patient safety is our top priority," said Dr Ramadan Al Blooshi, the chief executive of DHCCA – Regulatory.
“We make every effort to ensure a fair, transparent and equitable complaints process.
“In this particular case, the appeals board revoked the decision made against the hospital and upheld the decision of the Fitness to Practice Panel against the concerned doctor.
“Any case that is criminal in nature or related to monetary compensation is outside of the jurisdiction of the DHCC free zone, and is handled by the relevant authorities.”
In a brief statement, Mediclinic said it had been cleared of any wrongdoing by DHCCA but could not comment further because of the ongoing civil court case.
“Mediclinic can confirm that a legal claim has been made against Mediclinic City Hospital in relation to the case of Imran Hussain, however the hospital has been cleared of any wrongdoing by Dubai Healthcare City Authority,” it read. “As the legal process is ongoing, Mediclinic has no further comment at this time.”
Specs%3A%202024%20McLaren%20Artura%20Spider
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COMPANY%20PROFILE
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Thank You for Banking with Us
Director: Laila Abbas
Starring: Yasmine Al Massri, Clara Khoury, Kamel El Basha, Ashraf Barhoum
Rating: 4/5
Avatar%3A%20The%20Way%20of%20Water
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yallacompare profile
Date of launch: 2014
Founder: Jon Richards, founder and chief executive; Samer Chebab, co-founder and chief operating officer, and Jonathan Rawlings, co-founder and chief financial officer
Based: Media City, Dubai
Sector: Financial services
Size: 120 employees
Investors: 2014: $500,000 in a seed round led by Mulverhill Associates; 2015: $3m in Series A funding led by STC Ventures (managed by Iris Capital), Wamda and Dubai Silicon Oasis Authority; 2019: $8m in Series B funding with the same investors as Series A along with Precinct Partners, Saned and Argo Ventures (the VC arm of multinational insurer Argo Group)
COMPANY PROFILE
Initial investment: Undisclosed
Investment stage: Series A
Investors: Core42
Current number of staff: 47
COMPANY%20PROFILE
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Singham Again
Director: Rohit Shetty
Stars: Ajay Devgn, Kareena Kapoor Khan, Ranveer Singh, Akshay Kumar, Tiger Shroff, Deepika Padukone
Rating: 3/5
Company%20Profile
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FIGHT%20CARD
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India squads
Test squad against Afghanistan: Rahane (c), Dhawan, Vijay, Rahul, Pujara, Karun, Saha, Ashwin, Jadeja, Kuldeep, Umesh, Shami, Pandya, Ishant, Thakur.
T20 squad against Ireland and England: Kohli (c), Dhawan, Rohit, Rahul, Raina, Pandey, Dhoni, Karthik, Chahal, Kuldeep, Sundar, Bhuvneshwar, Bumrah, Pandya, Kaul, Umesh.
ODI squad against England: Kohli (c), Dhawan, Rohit, Rahul, Shreyas, Rayudu, Dhoni, Karthik, Chahal, Kuldeep, Sundar, Bhuvneshwar, Bumrah, Pandya, Kaul, Umesh
The specs
Engine: Direct injection 4-cylinder 1.4-litre
Power: 150hp
Torque: 250Nm
Price: From Dh139,000
On sale: Now
Joker: Folie a Deux
Starring: Joaquin Phoenix, Lady Gaga, Brendan Gleeson
Director: Todd Phillips
Rating: 2/5
COMPANY PROFILE
● Company: Bidzi
● Started: 2024
● Founders: Akshay Dosaj and Asif Rashid
● Based: Dubai, UAE
● Industry: M&A
● Funding size: Bootstrapped
● No of employees: Nine
UAE currency: the story behind the money in your pockets
Day 5, Abu Dhabi Test: At a glance
Moment of the day When Dilruwan Perera dismissed Yasir Shah to end Pakistan’s limp resistance, the Sri Lankans charged around the field with the fevered delirium of a side not used to winning. Trouble was, they had not. The delivery was deemed a no ball. Sri Lanka had a nervy wait, but it was merely a stay of execution for the beleaguered hosts.
Stat of the day – 5 Pakistan have lost all 10 wickets on the fifth day of a Test five times since the start of 2016. It is an alarming departure for a side who had apparently erased regular collapses from their resume. “The only thing I can say, it’s not a mitigating excuse at all, but that’s a young batting line up, obviously trying to find their way,” said Mickey Arthur, Pakistan’s coach.
The verdict Test matches in the UAE are known for speeding up on the last two days, but this was extreme. The first two innings of this Test took 11 sessions to complete. The remaining two were done in less than four. The nature of Pakistan’s capitulation at the end showed just how difficult the transition is going to be in the post Misbah-ul-Haq era.
Playing records of the top 10 in 2017
How many games the top 10 have undertaken in the 2017 ATP season
1. Rafael Nadal 58 (49-9)
2. Andy Murray 35 (25-10)
3. Roger Federer 38 (35-3)
4. Stan Wawrinka 37 (26-11)
5. Novak Djokovic 40 (32-8)
6. Alexander Zverev 60 (46-14)
7. Marin Cilic 43 (29-14)
8. Dominic Thiem 60 (41-19)
9. Grigor Dimitrov 48 (34-14)
10. Kei Nishikori 43 (30-13)
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Champions League Last 16
Red Bull Salzburg (AUT) v Bayern Munich (GER)
Sporting Lisbon (POR) v Manchester City (ENG)
Benfica (POR) v Ajax (NED)
Chelsea (ENG) v Lille (FRA)
Atletico Madrid (ESP) v Manchester United (ENG)
Villarreal (ESP) v Juventus (ITA)
Inter Milan (ITA) v Liverpool (ENG)
Paris Saint-Germain v Real Madrid (ESP)
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Company%20Profile
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Moon Music
Artist: Coldplay
Label: Parlophone/Atlantic
Number of tracks: 10
Rating: 3/5
The specs
Engine: Long-range single or dual motor with 200kW or 400kW battery
Transmission: Single-speed automatic
Max touring range: 620km / 590km
Price: From Dh250,000 (estimated)
Museum of the Future in numbers
- 78 metres is the height of the museum
- 30,000 square metres is its total area
- 17,000 square metres is the length of the stainless steel facade
- 14 kilometres is the length of LED lights used on the facade
- 1,024 individual pieces make up the exterior
- 7 floors in all, with one for administrative offices
- 2,400 diagonally intersecting steel members frame the torus shape
- 100 species of trees and plants dot the gardens
- Dh145 is the price of a ticket
The%20specs
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What is graphene?
Graphene is extracted from graphite and is made up of pure carbon.
It is 200 times more resistant than steel and five times lighter than aluminum.
It conducts electricity better than any other material at room temperature.
It is thought that graphene could boost the useful life of batteries by 10 per cent.
Graphene can also detect cancer cells in the early stages of the disease.
The material was first discovered when Andre Geim and Konstantin Novoselov were 'playing' with graphite at the University of Manchester in 2004.
FFP EXPLAINED
What is Financial Fair Play?
Introduced in 2011 by Uefa, European football’s governing body, it demands that clubs live within their means. Chiefly, spend within their income and not make substantial losses.
What the rules dictate?
The second phase of its implementation limits losses to €30 million (Dh136m) over three seasons. Extra expenditure is permitted for investment in sustainable areas (youth academies, stadium development, etc). Money provided by owners is not viewed as income. Revenue from “related parties” to those owners is assessed by Uefa's “financial control body” to be sure it is a fair value, or in line with market prices.
What are the penalties?
There are a number of punishments, including fines, a loss of prize money or having to reduce squad size for European competition – as happened to PSG in 2014. There is even the threat of a competition ban, which could in theory lead to PSG’s suspension from the Uefa Champions League.
COMPANY PROFILE
Founders: Alhaan Ahmed, Alyina Ahmed and Maximo Tettamanzi
Total funding: Self funded
Saturday's schedule at the Abu Dhabi Grand Prix
GP3 race, 12:30pm
Formula 1 final practice, 2pm
Formula 1 qualifying, 5pm
Formula 2 race, 6:40pm
Performance: Sam Smith
The specs
Engine: 77.4kW all-wheel-drive dual motor
Power: 320bhp
Torque: 605Nm
Transmission: Single-speed automatic
Price: From Dh219,000
On sale: Now
TRAP
Starring: Josh Hartnett, Saleka Shyamalan, Ariel Donaghue
Director: M Night Shyamalan
Rating: 3/5
