The HSE is conducting a second review of the files concerning the young doctor at the center of the South Kerry Child and Adolescent Mental Health Service (CAMHS) drug scandal.
Thousands of files in the neighboring North Kerry CAMHS area are now being examined to identify cases where Dr. David Kromer was involved.
The Czech-born non-consulting hospital doctor is currently not practicing pending the outcome of an investigation by the Medical Council.
Earlier this year, a review of South Kerry CAMHS cases described the treatment given to 227 children by the doctor over a four-year period as “risky” and found evidence of significant harm to 46 service users.
The treatment of 13 children by other doctors was also described as “risky”.
Among those who suffered significant harm were children who suffered from weight gain, daytime sleepiness and elevated blood pressure as a result of inappropriate diagnosis and treatment.
In one case, a child developed transient galactorrhea, the production of breast milk, as a result of treatment by the resident with risperidone, an antipsychotic drug for schizophrenia and bipolar disorder.
Details on the extent of the scandal and the involvement of Dr. Kromer were first revealed by the Irish Independent in January.
The second file search began recently and covers cases spanning five years up to April last year.
There are expected to be between 20 and 50 cases in North Kerry from Dr. Kromer to be found.
Some of these cases could be children treated by Dr. Kromer were treated while he was working in the emergency room at Kerry University Hospital in Tralee.
Concerning files are reported by Dr. Sean Maskey, the same UK-based consultant child psychiatrist who led the South Kerry review.
A statement on Irish Independent from the HSE named Dr. Kromer doesn’t, but he is the doctor referred to by the codename NCHD1.
“For completeness and as a best practice, we are now reviewing files in North Kerry so we can identify files where NCHD1 may have been involved at any level,” the statement said.
“Once we review these files, any cases where there is a potential clinical problem will be reviewed by Dr. Sean Maskey checked. we have dr Maskey was asked to undertake this work based on his experience, knowledge and familiarity with the work he has already done.
“Dr. Maskey will be available to undertake this review of all files identified over the coming months.”
The review is independent of a random review of 50 files currently being conducted at North Kerry CAMHS. This is being done to see if a more comprehensive review of cases in this area is needed.
A local TD, Sinn Féin representative Pa Daly, has previously said he fears the situation in North Kerry will prove “as bad” as South Kerry.
The 50-file review will be conducted by a team of specialist consultants led by National Clinical Adviser and Mental Health Group Leader, Dr. Amir Niazi, carried out.
It should now be ready by the end of October.
The South Kerry CAMHS scandal only came to light after Dr. Ankur Sharma, a consulting psychiatrist for the representation, became a whistleblower after discovering that children were being prescribed inappropriate medications, including antipsychotics, and diagnosed with attention-deficit hyperactivity disorder without the necessary diagnostic tests to be run.
dr Kromer stood by his prescribing practices when these concerns were raised by the doctor Irish Independent.
“I don’t regret any decision. I would do them again. That’s how I feel about it,” he said in an interview earlier this year.
https://www.independent.ie/irish-news/news/kerry-camhs-scandal-second-major-review-of-files-involving-junior-doctor-42002564.html Kerry CAMHS scandal: Second major review of files involving a young doctor