") no-repeat center center;background-size:10px 16px;content:' '}@media(min-width:768px){.gBkjJh::before{display:none}}@media(min-width:1000px){.iZwHvr .taboola{display:none}}.iZwHvr:has(#taboola-carousel-thumbnails){min-height:426px}.iZwHvr:has(#taboola-mid-article-thumbnails-crime){min-height:405px}@media(min-width:1000px){.iZwHvr:has(#taboola-carousel-thumbnails),.iZwHvr:has(#taboola-mid-article-thumbnails-crime){min-height:0}}.jImJId .tp-container-inner,.jImJId .sc-1suqprf-0{position:relative;box-shadow:0 -22px 16px 22px rgba(255,255,255,0.95)}.jImJId.closed{display:none}.jNXFXZ{width:32px;color:#3b5998}@media(min-width:768px){.jNXFXZ.mobile-only{display:none}}.jNXFXZ:hover{color:#2f4779}.ksPZud{width:32px;color:#000}@media(min-width:768px){.ksPZud.mobile-only{display:none}}.ksPZud:hover{color:#4e4e4e}.SVrrg{width:32px;color:#25d366}@media(min-width:768px){.SVrrg.mobile-only{display:none}}.SVrrg:hover{color:#1da851}.pOgFh{width:32px;color:#ec1a2e}@media(min-width:768px){.pOgFh.mobile-only{display:none}}.pOgFh:hover{color:#ac2a2c}.dJrOFo{display:flex;gap:12px}.eZumoJ{position:fixed;top:0;left:0;z-index:2147483644;background:rgba(0,0,0,0.5);cursor:pointer;opacity:0;transition:opacity 300ms ease-in-out}.eZumoJ.overlay-background--open{width:100vw;height:100vh;opacity:1}.dRVLpc{--trans:300ms ease-in-out;position:fixed;top:0;left:0;z-index:2147483645;width:100vw;height:100vh;opacity:0;pointer-events:none;transform:translateY(-24px);transform-origin:top center;transition:transform var(--trans),opacity var(--trans)}.dRVLpc.overlay--open{opacity:1;transform:translateY(0);transition-delay:150ms}.dRVLpc.overlay--open>:first-child{pointer-events:auto}.cWTSTp .sc-17yxc4y-0{display:none}.cWTSTp:hover .sc-17yxc4y-0,.cWTSTp.bookmark-button-saved .sc-17yxc4y-0{display:block}.cWTSTp:hover .sc-17yxc4y-1,.cWTSTp.bookmark-button-saved .sc-17yxc4y-1{display:none}.cWTSTp.bookmark-button-saved .sc-17yxc4y-0{display:block}.cWTSTp.bookmark-button-saved .sc-17yxc4y-1{display:none}.cWTSTp.bookmark-button-saved:hover .sc-17yxc4y-0{display:none}.cWTSTp.bookmark-button-saved:hover .sc-17yxc4y-1{display:block}.eoIBc{--margin-x:12px;--modal-width:calc(100% - (var(--margin-x) * 2));--modal-max-width:351px;--padding:60px 16px 42px;--line-height:1.25;display:flex;position:fixed;top:50%;left:50%;overflow:auto;width:var(--modal-width);max-width:var(--modal-max-width);max-height:100vh;box-sizing:border-box;flex-direction:column;align-items:center;justify-content:center;padding:var(--padding);background-color:#eaf2f2;box-shadow:0 1px 1px rgba(0,0,0,0.5);line-height:var(--line-height);transform:translate(-50%,-50%)}@media(min-width:768px){.eoIBc{--modal-width:600px;--modal-max-width:none;--padding:72px 80px 64px;--line-height:1.2}}@media(min-width:1000px){.eoIBc{--modal-width:635px}}.fNhASP{--close-button-margin:16px;position:absolute;top:var(--close-button-margin);right:var(--close-button-margin)}@media(min-width:768px){.fNhASP{--close-button-margin:24px}}.caBZHW{width:100%;max-width:437px;margin-bottom:20px}@media(min-width:768px){.caBZHW{margin-bottom:18px}}.dgWryu{position:absolute;overflow:hidden;width:.01em;height:.01em;padding:0;border:0;clip:rect(0,0,0,0);white-space:nowrap}.eUOcMf{width:100%;margin:0}.dEYNzg{margin:0 0 30px;font:bold 26px/1.15 'Indy Serif','Indy Serif Fallback',serif}@media(min-width:768px){.dEYNzg{font:bold 28px/1.15 'Indy Serif','Indy Serif Fallback',serif}}.itdeLI{display:block;width:100%;padding:0;margin:0 0 30px;font:normal 16px/1.44 'Indy Sans','Indy Sans Fallback',sans-serif}@media(min-width:768px){.itdeLI{font:normal 20px/1.44 'Indy Sans','Indy Sans Fallback',sans-serif}}.funPAy{display:block;margin-top:30px;color:#222;font:normal 16px/normal 'Indy Sans','Indy Sans Fallback',sans-serif}.bXVQbr{padding:0}.GwNrt{display:inline-block;width:32px;height:32px;color:#337e81}.cJKiex{display:flex;flex-direction:row;justify-content:center;gap:12px}.frITsM{display:flex;position:relative;justify-content:center}@media(min-width:768px){.frITsM{justify-content:flex-end;padding-top:12px;margin:0}}.frITsM.amp-social-share svg{width:60%;height:60%;margin:20%;fill:#fff}.frITsM.amp-social-share [type='facebook'] svg,.frITsM.amp-social-share [title='bookmark'] svg{width:100%;height:100%;margin:0}.frITsM.amp-social-share amp-social-share{margin:0 6px;border-radius:50%;background:0;outline:0}.frITsM.amp-social-share amp-social-share:first-of-type{margin-left:0}.frITsM.amp-social-share amp-social-share:last-of-type{margin-right:0}@media(min-width:768px){.frITsM.amp-social-share .share-mobile-only{display:none}}.frITsM.amp-social-share .amp-social-share-bookmark svg{display:block;width:100%;height:100%;margin:0}.frITsM.amp-social-share .amp-social-share-bookmark:hover{opacity:.85}.frITsM.amp-social-share .amp-social-share-facebook{background:#3b5998}.frITsM.amp-social-share .amp-social-share-facebook:hover{background:#2f4779}.frITsM.amp-social-share .amp-social-share-twitter{--color:#000;--color-alt:#4e4e4e;background:var(--color)}.frITsM.amp-social-share .amp-social-share-twitter:hover{background:var(--color-alt)}.frITsM.amp-social-share .amp-social-share-whatsapp{background:#25d366}.frITsM.amp-social-share .amp-social-share-whatsapp:hover{background:#1da851}.frITsM.amp-social-share .amp-social-share-whatsapp svg{width:70%;height:auto;margin:15%}.frITsM.amp-social-share .amp-social-share-email{background:#ec1a2e}.frITsM.amp-social-share .amp-social-share-email:hover{background:#ac2a2c}.frITsM.amp-social-share .amp-social-share-email svg path{stroke:#fff}.kdvWjb{display:flex}.sticky .kdvWjb{flex-direction:column}.bfkmcy{overflow:hidden;height:23px;margin-bottom:8px;border-bottom:0;clear:both}@media(min-width:768px){.bfkmcy{height:25px}}.fczuIa{display:inline-block;flex-shrink:0;margin:0 12px 0 0;font:bold 14px/normal 'Indy Sans','Indy Sans Fallback',sans-serif}.fczuIa::after{content:':'}.IOUwh{display:inline-block;margin-right:12px;margin-bottom:4px;color:#222;font:normal 14px/1.29 'Indy Sans','Indy Sans Fallback',sans-serif;text-decoration:underline}.IOUwh::first-letter {text-transform:capitalize}@media(min-width:1000px){.subscribed .bwpCMN{margin-top:-184px}.article-feature:not(.article-feature-video) .subscribed .bwpCMN{margin-top:-407px}}.bwpCMN>p{margin:16px 0}.article-premium .bwpCMN>p{line-height:27px}.bwpCMN>h2{font-size:21px}.article-climate .bwpCMN>h2{color:#ec1a2e}.article-sgi .bwpCMN>h2{color:#ec1a2e}.bwpCMN>p:first-child{margin-top:0}.bwpCMN span:first-child~p:first-of-type{margin-top:0}.hQjaQn{display:flex;position:relative;max-width:100%;min-height:600px;justify-content:center;margin:0 auto;background-color:transparent;clear:both}@media(min-width:1000px){.hQjaQn{min-height:450px}}.teads .hQjaQn{display:block}.hQjaQn [data-mpu]{position:sticky;top:16px}@media(min-width:1000px){.jZcooN{display:none}}.jZcooN[data-mpu1]{min-height:600px}.jZcooN.pb-20{padding-bottom:20px}.hlPMMm{margin:0 0 24px;font:normal 16px/20px 'Indy Sans','Indy Sans Fallback',sans-serif}.euTVax{font:bold 16px/20px 'Indy Sans','Indy Sans Fallback',sans-serif}.jBfdop{overflow:hidden;width:100%;box-sizing:border-box;margin-bottom:16px}@media(min-width:768px){.jBfdop{max-width:634px}}@media(min-width:1250px){.jBfdop{max-width:622px}}.hKRbzg{width:100%;box-sizing:border-box;padding:8px 12px 12px;border-top:8px solid #ec1a2e;background-color:#fde8ea}@media(min-width:768px){.hKRbzg{padding-top:4px;padding-bottom:12px}}.cKIkhp{font:bold 22px/26px 'Indy Serif','Indy Serif Fallback',serif;margin:0 0 12px;text-align:center}@media(min-width:768px){.cKIkhp{font:bold 30px/34px 'Indy Serif','Indy Serif Fallback',serif;letter-spacing:-0.048px;margin-bottom:12px;text-align:left}}.feSJtK{display:block;margin-bottom:12px}@media(min-width:768px){.feSJtK{display:none}}.bErStG{display:flex;width:100%;box-sizing:border-box;align-items:center;justify-content:center;gap:4px;background-color:#fde8ea;color:#ec1a2e}@media(min-width:768px){.bErStG{width:auto;justify-content:flex-start}}.vaVnf{display:block;font:bold 14px/20px 'Indy Sans','Indy Sans Fallback',sans-serif;text-decoration-line:underline;margin-block:0;text-align:center}.jWuFRk{display:inline-flex;align-items:center;justify-content:center;gap:4px}.jWuFRk:hover .sc-hez36s-5,.jWuFRk:hover .sc-a5wy94-0{color:#ac2a2c}.hKrnEq{font:normal 16px/20px 'Indy Sans','Indy Sans Fallback',sans-serif}.dWUzhG{display:flex;width:100%;flex-direction:column}@media(min-width:768px){.dWUzhG{display:flow-root;gap:24px;transition:margin-bottom .3s ease-in-out}}.bDgIJb{display:flex;width:100%;flex-direction:column;align-items:center;justify-content:center}@media(min-width:768px){.bDgIJb{position:relative;z-index:1;width:212px;flex-shrink:0;justify-content:flex-start;margin-left:24px;float:right}}.EYumw{display:none;flex-direction:row;align-items:center;justify-content:center;gap:8px;margin-top:8px}@media(min-width:768px){.EYumw{display:flex;margin-top:12px}}.kCOwPr{display:flex;width:100%;align-items:center;justify-content:center;gap:8px;margin-top:8px;margin-bottom:12px}@media(min-width:768px){.kCOwPr{display:none}}.iGXncB{display:flex;overflow:hidden;height:0;flex-direction:column;gap:8px;opacity:0;transition:all .3s ease-in-out}@media(min-width:768px){.iGXncB{display:flex;position:relative;width:auto;height:40px;order:-1;opacity:1;transition-behavior:allow-discrete}.iGXncB::after{--fade-from:rgba(253,232,234,0);--fade-to:#fde8ea;position:absolute;bottom:0;left:0;z-index:1;width:100%;height:40px;background-image:linear-gradient(to bottom,var(--fade-from),var(--fade-to));content:'';opacity:1;transition:opacity 150ms ease-out}}@media(min-width:768px){.doTReP{order:-1}}.ggPDxB{display:none;padding-top:8px;margin-top:16px;border-top:1px solid #919191}@media(max-width:767px){.ggPDxB{display:flex}}.gibhIT{display:none}@media(min-width:768px){.gibhIT{display:flex;position:relative;align-items:flex-start;margin-top:12px}}.dxwzhm{display:flex;min-height:600px;justify-content:center}@media(min-width:1000px){.dxwzhm{min-height:450px}}.gHNATZ{min-height:600px}@media(min-width:1000px){.gHNATZ{min-height:450px}}.gHNATZ.mobile-only{display:block}@media(min-width:1000px){.gHNATZ.mobile-only{display:none}}.gHNATZ.desktop-only{display:none}@media(min-width:1000px){.gHNATZ.desktop-only{display:block;margin-bottom:16px}}.gHNATZ.desktop-only+p{margin-top:0}.gHNATZ .third-party-ad{position:sticky;top:16px}.bJycyU{width:100%;flex-grow:1}.bJycyU .amp-article-content[amp-access][amp-access-hide]{display:block;overflow:hidden;max-height:360px}.bJycyU .amp-article-content[amp-access][amp-access-hide] .social-share{display:none}.bJycyU .amp-article-content[amp-access][amp-access-hide].show-all-content{max-height:100%}@media(max-width:594px){.bJycyU .amp-article-content[amp-access][amp-access-hide]{max-height:530px}}.bJycyU .amp-newsletter-reg-gate{position:relative;left:-12px;width:calc(100% + 24px)}.bJycyU .social-share{width:100%;padding-top:10px;padding-bottom:20px}@media(min-width:768px){.bJycyU .social-share{justify-content:flex-start}}.bJycyU .social-share.sticky{display:none}@media(min-width:1000px){.bJycyU .social-share.sticky{display:flex;position:sticky;top:14px;width:34px;flex-direction:column;padding-top:0;margin-top:0;margin-left:-25%}.bJycyU .social-share.sticky amp-social-share,.bJycyU .social-share.sticky .sc-mgcah7-0{margin:0 0 16px}.article-feature-video .bJycyU .social-share.sticky{margin-top:0}.article-feature:not(.article-feature-video) .bJycyU .social-share.sticky{margin-top:35%}}.bJycyU.sponsored-article img,.bJycyU.sponsored-article video{width:100%;max-width:602px;height:auto}.bJycyU.sponsored-article iframe{max-width:602px;max-height:400px}.bJycyU .under-article-prompt-donations{padding-bottom:8px;margin-top:-3px}.bJycyU .big-letter{--color:#222;display:flex;position:relative;width:0;height:0;align-items:center;justify-content:center;padding:40px;margin-top:22px;margin-right:12px;border:1px solid var(--color);float:left;font:normal 52px/1 'Indy Serif','Indy Serif Fallback',serif;text-transform:uppercase}.bJycyU .big-letter:first-child{margin-top:6px}.bJycyU .big-letter::before{position:absolute;top:0;left:0;width:100%;height:100%;box-sizing:border-box;border:1px solid var(--color);border-radius:50%;content:''}.bJycyU #taboola-below-article-1{min-height:2350px}@media(min-width:768px){.bJycyU #taboola-below-article-1{min-height:3370px}}.bJycyU #taboola-below-article-1-split-num-1{min-height:130px}@media(min-width:768px){.bJycyU #taboola-below-article-1-split-num-1{min-height:415px}}.bJycyU .sc-fwko30-0+.sc-1xtsh2b-0{margin-top:-16px}@media(min-width:768px){.bJycyU{max-width:636px;margin:0}}@media(min-width:1000px){.bJycyU{max-width:624px;margin:0}.bJycyU.subscribed{max-width:636px}}@media(max-width:999px){.bJycyU{padding-right:0}.bJycyU .under-article-prompt-donations{margin-top:-18px}}.bJycyU .anchor-nav-header{scroll-margin-top:79px}.bJycyU .anchor-nav-header a{color:#222}.bJycyU .anchor-nav-header a:hover{color:#222}.kvSKnI{display:flex;flex-wrap:wrap;justify-content:flex-start;margin-bottom:8px;color:#646464;font:normal 16px/20px 'Indy Sans','Indy Sans Fallback',sans-serif}@media(min-width:768px){.kvSKnI{width:70%;align-items:center;justify-content:flex-start;margin-bottom:0;font:normal 16px/24px 'Indy Sans','Indy Sans Fallback',sans-serif}}@media(min-width:1000px){.kvSKnI{width:70%;margin-bottom:0}}.eXEVFg{display:flex;height:20px;margin:0 12px 8px 0}.article-voices .eXEVFg{height:auto}@media(min-width:425px){.article-voices .eXEVFg{height:20px}}.eXEVFg::before{display:inline-block;align-self:center;margin-top:1px;margin-right:12px;content:'\2022';transform:scale(1.5)}.eXEVFg:first-child::before{content:none}@media(min-width:768px){.eXEVFg{height:24px;margin-bottom:0}.eXEVFg::before{margin-top:2px}}.eXEVFg time{display:block}.eXEVFg time::first-letter {text-transform:capitalize}.eIoMWw{display:inline-block;margin:0 12px 8px 0;color:#ec1a2e;font:bold 16px/20px 'Indy Sans','Indy Sans Fallback',sans-serif;letter-spacing:-0.5px}.eIoMWw:hover,.eIoMWw:active{color:#ac2a2c}@media(min-width:768px){.eIoMWw{margin-bottom:0}}.enHDwq{margin:0 4px 8px 0}.enHDwq::before{display:inline-block;margin-top:2px;margin-right:12px;color:#646464;content:'\2022';transform:scale(1.5)}.enHDwq:first-child::before{display:none}@media(min-width:768px){.enHDwq{margin-bottom:0}}.hfnwMY{display:flex;justify-content:flex-start;padding:0;margin:0 0 16px}@media(min-width:768px){.hfnwMY{display:flex;width:30%;align-items:center;justify-content:flex-end;margin:0}}@media(min-width:1000px){.hfnwMY{width:30%}}.hrDjjf{padding-top:0;border-top:0;border-bottom:0}@media(min-width:768px){.hrDjjf{display:flex;flex-flow:row wrap;padding-bottom:16px}.hrDjjf .sc-1qz44j0-0{order:1}.hrDjjf .sc-1qz44j0-10{order:2}}@media(min-width:1000px){.hrDjjf{flex-direction:row}}.dlBKBu{padding:16px 12px 12px;text-align:left;font:bold 14px/18px 'Indy Sans','Indy Sans Fallback',sans-serif}@media(min-width:768px){.dlBKBu{padding:16px 16px 12px}}.article-infact .dlBKBu{padding:16px 0}@media(min-width:1000px){.dlBKBu{padding:24px 0 19px}.article-feature .dlBKBu{max-width:968px;margin:0 auto}}.dlBKBu a{color:#222}.dlBKBu a:hover{color:#ac2a2c}.dlBKBu a:hover::after{color:#222}.dlBKBu a::after{margin-right:4px;margin-left:4px;content:'>'}.dlBKBu a:last-child::after{display:none}.azcVx{margin:0 0 20px;letter-spacing:0}.VFZbw{margin:0;color:#646464;font:normal 16px/20px 'Indy Sans','Indy Sans Fallback',sans-serif}@media(min-width:768px){.VFZbw{font:normal 18px/22px 'Indy Sans','Indy Sans Fallback',sans-serif}}@media(min-width:1000px){.VFZbw{font:normal 20px/24px 'Indy Sans','Indy Sans Fallback',sans-serif}}.VFZbw p{font:inherit}.article-feature .VFZbw a{font-weight:bold}.fKNoab{max-width:968px;margin:0 auto;background:#fff}@media(min-width:1000px){.fKNoab{padding:0 16px}.parallax .fKNoab{max-width:1240px}}.bJjAgi{font:bold 32px/36px 'Indy Serif','Indy Serif Fallback',serif;letter-spacing:-0.0156em}@media(min-width:768px){.bJjAgi{font:bold 44px/48px 'Indy Serif','Indy Serif Fallback',serif;letter-spacing:-0.0113em}}@media(min-width:1000px){.bJjAgi{font:bold 54px/58px 'Indy Serif','Indy Serif Fallback',serif;letter-spacing:-0.0092em}}.dufPYg .sc-qvufca-0{margin:0 12px}@media(min-width:768px){.dufPYg .sc-qvufca-0{max-width:968px;margin-right:16px;margin-left:16px}}@media(min-width:1000px){.dufPYg .sc-qvufca-0{margin-right:auto;margin-left:auto}}.dufPYg .sc-qvufca-2{margin-bottom:16px;color:#222}@media(min-width:768px){.dufPYg .sc-qvufca-2{margin-bottom:18px}}@media(min-width:1000px){.dufPYg .sc-qvufca-2{margin-top:0}}.article-feature .dufPYg .sc-qvufca-2{text-align:center}@media(min-width:1000px){.article-feature .dufPYg .sc-qvufca-2{max-width:968px}}.dufPYg .sc-aeekvc-0{margin-bottom:16px}@media(min-width:1000px){.dufPYg .sc-aeekvc-0{max-width:968px}}.dufPYg .sc-aeekvc-0 p{margin-top:0}@media(min-width:768px){.dufPYg .sc-aeekvc-0 p{margin-bottom:16px}}@media(min-width:2560px){.dufPYg .sc-aeekvc-0 p{margin-bottom:12px}}.dyGKzS{--bleed:12px;display:flex;box-sizing:border-box;flex-direction:row;gap:32px;padding:16px var(--bleed);background-color:#fff}.article-liveblog .dyGKzS{background-color:#f7f7f7}@media(min-width:768px){.dyGKzS{--bleed:0;max-width:1000px;margin:0 auto}}@media(min-width:1000px){.dyGKzS{--bleed:16px;max-width:1000px;padding:var(--bleed)}}.gIldS{overflow:hidden;height:0;color:transparent}.kFPmfF{max-width:100%;margin:0 0 20px}.kFPmfF.sticky{position:sticky;top:16px}.iaRZct{min-height:600px}.iaRZct #mpu1{position:sticky;top:16px}.bFiDnI{min-height:250px}.jAzEot{max-width:100%}.eDScvc{margin:0 0 6px;color:#646464;font-family:'Indy Sans','Indy Sans Fallback',sans-serif;font-size:15px}.CmSgF{margin:0 0 12px}.lbFVDq{height:380px}.bsSHYO{width:100%;height:51px}.bjKtIv{margin-bottom:16px;border-bottom:1px solid #919191}.jLzsCV{margin-bottom:16px}.jLzsCV [role='listitem']{position:relative;margin-bottom:12px;border-bottom:1px solid #d3d3d3}.jLzsCV [role='listitem'] .sc-u4n1j-0{display:flex;position:absolute;bottom:16px;left:10px;width:32px;height:32px;align-items:center;justify-content:center;border-radius:50%;background-color:#ec1a2e}.jLzsCV [role='listitem'] .sc-u4n1j-0>svg{width:90%;fill:#fff;stroke:transparent}.jLzsCV [role='listitem']:first-child{display:block;padding-bottom:0;margin-bottom:12px}.jLzsCV [role='listitem']:first-child .sc-u4n1j-0{top:-15px;bottom:auto;left:12px;width:35px;height:35px}.jLzsCV [role='listitem']:first-child>*:first-child{display:block;width:100%;height:205px}.jLzsCV [role='listitem']:first-child>*:last-child{position:absolute;bottom:0;width:100%;padding:28px 12px 12px;background:linear-gradient(to top,#222 50%,rgba(34,34,34,0.9) 100%) no-repeat;color:#fff;font-size:17px;font-weight:bold}.jLzsCV [role='listitem']:last-child{margin-bottom:0;border-bottom:0 none}.kNZMQb{min-height:1924px}@media(max-width:767px){.kNZMQb{display:none}}.iFeFcz{width:308px}.iFeFcz.hidden{display:none}@media(max-width:999px){.iFeFcz{display:none}}.article-liveblog .fbWdwj{background-color:#f7f7f7}.eFgmkR{justify-content:center}.cvujVr{justify-content:center}
Stay up to date with notifications from The Independent Notifications can be managed in browser preferences.
Not now Yes please
News World Americas Surgeon fined for missing procedure after falling asleep in his car ‘Number of factors’ at fault for five-year delay to disciplinary action
Subscribe to Independent Premium to bookmark this article Want to bookmark your favourite articles and stories to read or reference later? Start your Independent Premium subscription today.
Subscribe Already subscribed? Log in Tony Tannoury (Boston Medical Centre)
Your support helps us to tell the story From reproductive rights to climate change to Big Tech, The Independent is on the ground when the story is developing. Whether it's investigating the financials of Elon Musk's pro-Trump PAC or producing our latest documentary, 'The A Word', which shines a light on the American women fighting for reproductive rights, we know how important it is to parse out the facts from the messaging.
At such a critical moment in US history, we need reporters on the ground. Your donation allows us to keep sending journalists to speak to both sides of the story.
The Independent is trusted by Americans across the entire political spectrum. And unlike many other quality news outlets, we choose not to lock Americans out of our reporting and analysis with paywalls. We believe quality journalism should be available to everyone, paid for by those who can afford it.
Your support makes all the difference. Close Read more A surgeon who missed an emergency medical procedure after falling asleep in his car has been fined and reprimanded by authorities in Boston , Massachusetts , according to a report.
The spinal surgeon, Tony Tannoury, was first reprimanded by Boston Medical Centre for falling asleep in his car in November 2016 – after taking the patient to the operating room.
Another surgeon was forced to step in for Dr Tannoury, in what authorities described in a ruling as “conduct that undermines the public confidence in the integrity of the medical profession”.
According to The Boston Globe , the 54-year-old acknowledged his wrongdoing in a ruling by the Massachusetts Board of Registration in Medicine (BORIM) – details of which were made available on Monday.
BORIM reportedly fined Dr Tannoury $5,000 (£3,600) and ordered him to complete around 50 hours of retraining on “professionalism”. Its board is mostly composed of physicians, according to BORIM’s website.
Dr Tannoury must reportedly review regulations for procedures and dealing with patients, who under Massachusetts law, must be attended to for the main part of surgery.
A spokesperson for Boston Medical Centre told The Globe that it informed BORIM in January 2017 of Dr Tannoury’s rule breaking, but that a “number of factors” caused an almost five year delay to disciplinary action.
“That’s just the proverbial slap on the wrist,” said James Rickert, president of the Society for Patient Centered Orthopedics, who said the five year wait was too long.
“I can’t believe that if that was a board composed mostly of patients that they wouldn’t have had a much harsher penalty.”
Dr Tannoury remains licensed to practice in Massachusetts and Maine, where he is also registered — and despite being at the centre of debates about surgeons carrying-out “dual” operations in recent years, according to The Globe .
The Independent has approached Boston Medical Centre for comment.
Thank you for registering Please refresh the page or navigate to another page on the site to be automatically logged in Please refresh your browser to be logged in
Join our commenting forum
Join thought-provoking conversations, follow other Independent readers and see their replies
Comments