A gynaecologist should be suspended from the medical register to \u201cprotect the public\u201d after he refused to refer a woman for a mammogram, despite her having a \u201cred flag\u201d symptom for breast cancer, an inquiry has heard.<\/p>\n
On Wednesday, a fitness-to-practise committee concluded its inquiry into Jaroslaw Krzyzanowski, whose address was given as The Medicus Medical Centre in Dublin 7. It made findings of poor professional practise against him.<\/p>\n
The committee ruled that the gynaecologist did not recognise the significance of an inverted nipple in the patient at his clinic on September 25th, 2020, and that he \u00adfailed to arrange for appropriate \u00adinvestigations to be carried out in relation to this.<\/p>\n
The committee also found a separate allegation proven that Dr Krzyzanowski had carried out breast ultrasounds on the woman on September 25th, 2020, and May 20th, 2021, when he did not have the required skill or expertise.<\/p>\n
Caoimhe Daly, counsel for the Medical Council, said a retracted nipple was \u201ca red flag [that] should have immediately necessitated a referral\u201d for a mammogram.<\/p>\n
She said there were \u201cbasic principles that weren\u2019t followed\u201d, which resulted in a \u201cserious basic failing that had serious consequences for the complainant\u201d.<\/p>\n
\u201cThere was a delay in diagnosis in her cancer such that she then had to have more invasive treatment than she would have otherwise had to have,\u201d Ms Daly said.<\/p>\n
\u201cAll of those findings put it in the serious bracket – at the upper end of the seriousness with regard to sanction.\u201d<\/p>\n