Terminally ill woman settles case against US laboratory for €2.5m

Woman sued over alleged misinterpretation of CervicalCheck smear slide nine years ago

The woman, a mother of two in her forties, has Stage 4 invasive cancer and has a life expectancy of 12 to 22 months, the High Court  heard
The woman, a mother of two in her forties, has Stage 4 invasive cancer and has a life expectancy of 12 to 22 months, the High Court heard

A woman who is terminally ill with cancer and who sued in relation to the alleged misinterpretation of a CervicalCheck smear slide nine years ago has settled her case for €2.5million.

The settlement is against a US laboratory which examined that slide.

The woman, a mother of two in her forties, has Stage 4 invasive cancer and has a life expectancy of 12 to 22 months, the High Court has heard.

The settlement by herself and her husband is against a laboratory in Austin, Texas, which tested her smear slide in 2010 and reported it as negative. It was announced in the High Court on Thursday, on day five of the case.

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Patrick Treacy SC instructed by Cian O'Carroll solicitor, for the couple, said Clinical Pathology Laboratories Incorporated of Austin, Texas, had admitted a breach of duty in the reading of the woman's 2010 cervical smear slide. The couple cannot be identified by order of the court.

The case against two other laboratories and the HSE was struck out.

Mr Justice Kevin Cross congratulated the parties on reaching a settlement of a complicated case.

Earlier the couple’s two young children were joined to the proceedings and Mr Justice Cross heard the damages award is to the couple and their children.

Mr Justice Cross wished the family well for the future and said they had shown great courage in bringing the case.

The woman thanked the judge for his time.

The woman was given the news she had cervical cancer just a few days before Christmas 2015 and told the court she was crying when she was putting her children’s presents under the Christmas tree on Christmas Eve 2015.

“I was crying. I did not know what was ahead of me,” she said.

She suffered a cancer recurrence two years later and in September last year was told her cancer is inoperable.

‘I am scared’

Her husband in his evidence to the court said after the CervicalCheck controversy broke last year, he thought they would get help and be “looked after.”

“We got no contact. We are very disappointed and let down. Anything we had to do, we had to do ourselves. We got hope, but nothing came of it.”

The man broke down as he told the court he does not know what future his family has.

“I am scared, I am worried about the children and will I be able to look after them,” he said.

He said his beautiful wife and mother of his two children had to shave off her hair as she underwent six cycles of chemotherapy after they were told her cancer is inoperable.

“The children wanted to know why was her hair gone and we told them ‘Mammy got medicine and had to have her hair off’.”

The court heard the woman, who had treatment in 2015, was devastated when the cancer returned two years later and the “Rubicon moment” her counsel said was when she was told in September last year her cancer was inoperable.

Mr Justice Cross was also told the woman does not now feel right in herself and they are now awaiting the outcome of a further scan carried out as the action began before the High Court last week.

‘I am still leaving here with cancer’

Outside court Mr O’Carroll read a statement on the woman’s behalf.

The woman said she didn’t think she would have to take this legal road just travelled but she said she was left with no choice.

“The last few months have been so stressful for me and my family just that thought of facing court as I recover from the last treatments of chemotherapy. I am glad now that this battle is over but I am still leaving here with cancer,” she said.

She said the CerevicalCheck controversy shocked the nation and it shocked her.

“We were all let down. We all heard declarations that no woman would have to go to court and that all the women caught up in this scandal would get support. We were under the illusion that this would happen but it was just that - an illusion.”

She questioned why was her case not included in the audit which took place.

“How many more women are there like me, excluded from the 221 figure and the helpful supports rightly given to that group.” she said.

Mr O’Carroll said the woman and her husband are hugely relieved and the settlement will provide for the necessary comfort and care at home in what is a very dire prognosis situation. He said it will provide comfort for the woman in her last days and also in the knowledge that provision has been made for her children.

2010 cervical smear test

At the opening of the case Mr Treacy said the “real tragedy” was that had the 2010 smear test been correctly reported, the woman would have had an investigative procedure and been treated appropriately, he said.

Her case was that had she undergone a procedure to excise the pre-cancerous lesion there was a 95 per cent chance of being cured and a less than one per cent chance of the cancer developing, he said.

The couple had sued the HSE along with two companies which provided medical diagnostic services in the State, Sonic Healthcare (Ireland) Ltd with registered offices at Sandyford Business Park, Dublin and Medlab Pathology Ltd with offices at Sandyford Business Park, Dublin and US laboratory Clinical Pathology Laboratories Incorporated of Austin, Texas. It was claimed they all owed the woman a a duty of care in the provision of the cervical screening programme and in the provision of all services associated with it.

The woman on September 17th, 2010 underwent a cervical smear test as part of the national cervical screening programme. Her sample was sent for review and a laboratory report showed the sample was satisfactory for assessment and there was no evidence of the presence of abnormal tissue.

It was claimed there was an alleged failure to correctly report and diagnose and there was an alleged misinterpretation of the woman’s smear slide taken in 2010 and that her cancer was allowed to develop and spread unidentified, unmonitored and untreated until she was diagnosed with cervical cancer in December 2015.The claims were denied.

Mary Carolan

Mary Carolan

Mary Carolan is the Legal Affairs Correspondent of the Irish Times