Charges against doctor described as ‘inherently improbable’

A series of charges against a doctor including falling asleep during a consultation are “inherently improbable” it has been claimed as a conduct hearing reaches its conclusion.

Maged Shendy faces a number of allegations in relation to his conduct while working as a consultant in obstetrics and gynaecology at Liverpool Women’s Hospital between 2018 and 2019. As closing statements were heard from advocates during the Medical Practitioners Tribunal Service (MPTS) on Monday morning, Mr Shendy’s defending advocate set out why panel members should reject the charges against the consultant.

Ghazan Mahmood said the most serious allegations – including an assertion the practitioner fell asleep – were improbable and should be disregarded.

Giving evidence last week, Mr Shendy said he could not have been culpable for not obtaining informed consent from one patient as he did not match the physical description given by her. Mr Mahmood returned to this element in his closing statement and reminded panel members Mr Shendy had set out how he had been balding “since 2009” rather than the description of close-cut hair given by the woman known as patient E.

In relation to evidence given by a woman known as patient F, it was alleged Mr Shendy had not actually performed a physical examination in relation to a possible vaginal prolapse, despite writing to her GP indicating otherwise. In her evidence last month, the woman said she felt the consultant had come to this conclusion “by guessing”.

Mr Shendy said he “totally disagreed” there had not been an exam and he could not have reached the conclusion there had been no prolapse without carrying out a procedure. Put to him by General Medical Council advocate Sarah Barlow that he had made a “50/50 guess,” he said, “It is impossible and not plausible, I don’t think any gynaecologist would ever do it.”

It is alleged that on 4 September 2019, a woman referred to as patient G, attended a preoperative consultation with Mr Shendy and a female doctor who was in training. Patient G said Dr Shendy had been “lounging a bit” in his chair during the 20 minute appointment, with his arms crossed and head back, “as you do if you nod off”.

Patient G said she saw Dr Shendy asleep for about five minutes, from which he was “shook awake” by his own snoring. Mr Mahmood said there were issues with this account as it conflicted with the version of events given by Dr Kat Pavlidi, who was with Mr Shendy at the time of the consultation.

It had been said previously that Mr Shendy had closed his eyes to concentrate given his suffering with hearing loss and noise outside. Sarah Barker, on behalf of the General Medical Council, said if he were to do that, Mr Shendy would have surely let those present know this is what he intended to do.

The hearing continues.

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