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Showing posts with label Positivity. Show all posts
Showing posts with label Positivity. Show all posts

Sunday, March 8, 2015

Donie's Ireland daily news BLOG update

Economic recovery creates room for income tax cuts, says Tánaiste Burton

 

Revenue growth to enable long-term investment in education and road network. 

The Tánaiste Joan Burton has said the recovery in the public finances means the Government can now make plans to long-term investment in education and roads in addition to mooted income tax concessions.
After new exchequer figures showed a big increase in tax returns last month, Ms Burton said other indicators pointed to a nascent recovery in consumer sentiment and improved prospects for the tourism industry.
“Without a doubt there is a surge in consumer confidence,” she said. “For everybody who has been at work – taken tax hikes, taken pay cuts – it’s possible now to see a route to restoration.”
The Tánaiste was speaking to The Irish Times before the release on Wednesday of fresh live register figures, which are set to put the February unemployment rate just above 10 per cent as people return to work.
A new set of exchequer returns showed the State collected €6.74 billion in tax in January and February, €925 million more than in 2014 and €345 million ahead of the target set in the October budget.
Figures distorted
While the figures showed the exchequer deficit declined to €205 million at the end of February from €1.68 billion a year ago, the 2014 figures were distorted by once-off changes last year to Europe’s payment systems.
Conall MacCoille, economist at Davy stockbrokers, said the returns provided tentative evidence to suggest the Government could beat its target for a budget deficit this year of 2.7 per cent of gross domestic product.
“Tax revenues are beating budget forecasts by a wide margin across a broad range of categories and spending discipline is being maintained,” he said.
Although Ms Burton emphasised that caution was required in the assessment of returns for only the opening two months of the year, she said it was now clear the economy was poised for growth.
As the Coalition prepares to set a future course for the State in its “spring economic statement” due next month, she said the continued recovery in the public finances and other positive indicators suggested resources would be available to tackle the deficit in Ireland’s public infrastructure.
“The figures tell the story about where the Irish economy is now and where we hope it is moving to,” she said an interview.
Capital infrastructure
“We would like a resource becoming available for critical capital infrastructure. We need, for instance, to upskill our workforce because that’s the route to well-paid employment. We need to invest and continue to invest in education at all levels, particularly in third level,” she added.
“We need for instance in some areas to finish our road transport network: just let’s say Limerick to Cork, Limerick to Tralee and Killarney, and to finish the route to Rosslare.”
In addition,the improvement in the public finances would secure the funding required to invest some €4 billion in social housing in the next five years .
Citing agreements with Taoiseach Enda Kenny to reform the universal social charge, raise the entry point for the higher income tax rate and look at tax rates, she said the Government was on course to deliver further concessions in the next budget.
“All of that means that people in work should be able to get in next year’s budget if things continue to go well a little bit more tax relief,” said Ms Burton.

Irish taxman takes almost €20m from 128 under compliance medical consultants 

   

The Irish Revenue Commissioners have collected almost €20m as part of a long-running investigation into the earnings of medical consultants.

The probe was launched amid concerns that certain consultants were not declaring their full private incomes for tax reasons.
Revenue has set up a system with the HSE to differentiate between consultants’ public and private incomes.
According to information supplied to Fianna Fáil’s finance spokesperson Michael McGrath, the incomes of 331 consultants have been scrutinised.
Around 128 of these cases have been concluded, a Revenue spokesperson said, resulting in almost €20m being collected.
According to the figures, the average settlement is around €150,000.
“I am advised by the Revenue Commissioners that they are engaged in an ongoing programme of compliance work in relation to medical consultants.
“Revenue’s main focus at this time in the context of this programme is the tax issues arising from the incorporation of medical consultants businesses,” said a parliamentary response from Finance Minister Michael Noonan.
“To date, Revenue has opened a total of 331 compliance interventions.
The investigations that have been concluded have resulted in the collection of €19,199,325 in tax, late payment interest charges and penalties, he added.
Revenue contacted the Irish Medical Organisation (IMO) last year and informed it that its members may be subject to audits.
The body has said that each consultant has individual tax arrangements and therefore they should consult their accountants to ensure that they are tax compliant.
Mr McGrath, a TD for Cork South Central, last night described the figures as “extraordinary”, adding that the final sum could be significantly higher.
“With a further 200 cases still live, the overall amount being recouped from medical consultants could well be in region of €50m.
“It seems to me that many are being very badly advised by professional advisers in terms of how they are setting up and operating private structures.”
Mr McGrath said he believes the matter should be examined by the HSE and Health Minister Leo Varadkar.
“Every individual citizen has an obligation to be tax compliant,” he added.

One in five (20%) of wives in Ireland keep secret ‘run away’ accounts?

  

Almost one in five (20%) of women in Ireland keep secret bank accounts unknown to their husbands, a survey has revealed.

Fewer men stash money in secret accounts, with one in 12 husbands confessing to having accounts their wives have not seen.
The prevalence of partners having secret “running away” money was revealed in a Love and Money survey published by savings group RaboDirect.
Most couples (75%) said, however, that they work well together when it comes to planning budgets and managing money. However, full disclosure about money is a hurdle for some couples to overcome.
An overwhelming 78% felt it was important to know everything about their partner’s finances, a figure that rises to almost nine out of 10 women (89%).
Yet fewer men (62%) than women (79%) actually believe they know everything about their partner’s finances.
“For those who find talking about finances tricky, it helps to see yourselves as a team working together,” said psychologist Niamh Hannan.
“By keeping calm and focusing on the goals you wish to achieve you’re much more likely to reach agreement.”

A heart attack recovery relies on a positive mental attitude

RESEARCH NOW SHOWS

The most positive patients are less likely to suffer another heart attack
  

People who have suffered a heart attack are much more likely to experience a healthy recovery if they have an optimistic attitude, new research has shown.

The study found that the most positive patients are half as likely to suffer another heart attack, require surgery or die in the four years after a heart attack, than those who displayed the most pessimistic attitude.
While a link between an optimistic outlook on life and better heart health is well-established, the impact of a patient’s attitude after suffering a heart attack or other serious cardiovascular problem was not known until now.
A number of factors could like behind the link, said experts from University College London (UCL) and the British Heart Foundation (BHF), which backed the study. More optimistic patients were less likely to persist with unhealthy behaviours like smoking, and more likely to adopt healthier diets.
UCL’s Professor Andrew Steptoe, who led the study said: “Optimistic people are more likely to take advice about lifestyle changes on board. This results in better outcomes after a patient suffers from unstable angina or a heart attack.
“Our findings could be used to identify pessimistic patients and encourage them to make the necessary changes to their lifestyle that can ultimately lead to better health.”
The study, which looked at 369 patients, followed up over four years, is published in the journal Psychomatic Medicine.
Patients were asked to take part in questionnaires that assigned them an optimism score based on how strongly they agreed with statements such as: “In uncertain times, I usually expect the best.”
It found that half of the most pessimistic patients were still smoking one year after a heart attack,  compared to 85% of the most optimistic group, who had quit entirely one year on.
Similarly, 40% of the most optimistic patients were eating five or more portions of fruit and vegetables a day after one year, compared to only 20% in the most pessimistic group.
Dr Mike Knapton, associate medical director at the BHF, said that the next step would be to prove that psychological support could improve the chances of more pessimistic patients having a good recovery.
“Suffering from a serious condition like angina or heart attack can take a drastic emotional toll, which we know can lead to depression, further lowering the chances of a full recovery after a heart attack,” he said. “If you’re living with a heart condition and struggling to cope, we would urge you to contact your GP who can put you in touch with the necessary support.”

NUI Galway students win vote for the legalisation of cannabis

 

Nearly 1,800 votes supported the motion, while 838 were against

Some 68% of votes were in favour of the legalisation, cultivation, sale and possession of cannabis for adults.
Students at NUI Galway (NUIG) have called on other universities to vote on legalising cannabis use for adults, following their referendum in favour of such a move this week.
Some 68 per cent of votes cast on the issue in NUIG supported legalisation and regulation of the of the cultivation, sale and possession of cannabis for adults age 18 and over.
A total of 1,796 votes approved of the motion, while 838 votes were against. The university has over 17,000 registered students.
Ciarán Maher, spokesman for the NUIG Students forSensible Drug Policy Society, said the outcome meant that the legalisation would be adopted as students’ union policy.
His society, along with NUIG’s Sinn Féin cumann, theNUIG Misneach Society and the NUIG Socialist Society had united to call for a “Yes” vote, and it was endorsed by North and West MEP Luke “Ming” Flanagan at a debate on campus last week.
Garda whistleblower John Wilson, who was also invited to speak, called for a rational, mature” debate on legalising cannabis in Ireland, given its widespread use.
Regulation of cannabis without the harmful psychoactive compound linked to schizophrenia and other illnesses could ensure that thousands of people currently using the substance avoided criminal conviction, Mr Wilson said.
NUIG professor of pharmacology Prof David Finn, who is director of the Galway Neuroscience Centre, said that he wasn’t surprised by the outcome of the student vote, as it probably reflected the opinion of the majority of young people in Ireland.
However, Prof Finn said he would urge some caution around “full, uncontrolled” legalisation of cannabis, while also believing it needed to be “decriminalised”.
He said his concerns related to the amount of THC, or tetrahydrocannabinol, in cannabis, as “the higher the content, the riskier it is”.
THC is the chemical responsible for most of the drug’s psychological effects, and use of cannabis by young people with developing brains could lead to psychosis or other psychological disorders, he said.
“If alcohol or tobacco were discovered today, we would probably ban them, and there are schedule A drugs such as heroin which are far riskier than cannabis,”Prof Finn said.
“Regulation to ensure young people do not have access to cannabis, and regulation to ensure the safest type is used, is key,”he said.
University College Dublin’s (UCD) students’ union council voted against the legalisaton of cannabis in late January. Spokesman Brian Maher said that the UCD students’ union had “no plans” to hold a full referendum, but students were always entitled to do so and any conversation was “welcome”.
Regulations to enable authorised cannabis-based medicinal products to be legally prescribed by medical practitioners, and used by patients, were signed into law on July 11th last year.
The Health Products Regulatory Authority granted a marketing authorisation for cannabis based medicinal product Sativex to be marketed in Ireland for treatment of multiple sclerosis symptoms.
However,reimbursement under the community drugs scheme is still the subject of a Health Service Executive assessment, according to the Department of Health.?”

‘Man-Made’ climate change is a major problem for women

  

Men and women may not always be on the same footing but you would think both sexes would be equal in the face of gigantic floods, typhoons or droughts. Think again.

Countless studies show that natural disasters on average kill more women than men — 90% female fatalities in some cases prevent girls from going to school, increase the threat of sexual assault. And the list goes on.
This issue has leaped to the fore in global negotiations on climate change, which scientists warn will be responsible for increasingly violent and frequent natural catastrophes around the world.
“It boils down to the fact that women and men have different types of vulnerabilities already in the world,” said Tara Shine, special advisor to the Mary Robinson Foundation-Climate Justice think tank, headed by the former Irish president-turned U.N. special envoy for climate change.
“And then climate change comes along and accentuates all of those,” she added on the sidelines of the ongoing U.N. Human Rights Council in Geneva, where the issue of climate change and rights was debated.
According to the World Bank, 90% of some 140,000 victims of the 1991 cyclone that battered Bangladesh were women, as were nearly two thirds of those killed by Myanmar’s 2008 Cyclone Nargis.
“There are many reasons but one of them is that they cannot swim, they cannot climb trees, it’s cultural,” said Elena Manaenkova, assistant secretary-general of the World Meteorological Organization (WMO).
“In many countries — and it’s also cultural — they are not supposed to run, they are supposed to wait until their husband will call them to action.”
One of the WMO’s objectives is to reach out to people in disaster-prone areas with forecasts that could save their lives or livelihoods, for which mobile phones are an important tool.
But according to Manaenkova, 300 million fewer women have mobile phones than men, which means warnings often do not reach them.
Beyond this, women and girls are also impacted by climate change in their everyday lives — education being a prime example.
In many parts of the developing world, for instance, they are the ones who fetch water for their families, and as global warming impacts the availability of fresh water sources, they have to trek farther afield to find them — meaning less time for school.
According to the United Nations Development Program, a survey conducted in Tanzania found girls’ attendance to be 12% higher for those in homes located near a water source than in homes one hour or more away.
Attendance rates for boys appeared to be far less affected.
Plan International conducted extensive research on the subject in 2010 in drought-ridden Ethiopia and flood-prone Bangladesh, and found the long walks were also dangerous.
“I know two girls who were raped going to fetch water. When you go far and there are not many people around, it happens,” Endager, a 16-year-old girl from Lasta district in Ethiopia, was quoted as saying in the NGO’s report.
Poverty-inducing natural disasters can also increase the propensity for child marriage.
“After cyclones, families think their condition is worse and send their daughters to get married,” a young girl from Barguna in Bangladesh was quoted as saying.
“Almost 50% of girls drop out of education because of early marriage. In very remote villages, it is probably more 70 to 75%.”
So what can be done? Simple, experts say — empower women, get them involved at all levels, and remember that they exist.
According to Shine, the issue is expected to feature prominently in a crucial new agreement aimed at averting catastrophic global warming to be signed in Paris later this year.
Some countries — such as Mozambique — are already factoring gender into their response to climate change, she says.
“When it (Mozambique) is increasing the resilience of smallholder farmers’ livelihoods to the impact of climate change, it doesn’t forget the majority of its smallholder farmers are women,” she said.
“It therefore has to tailor the supports, advice and technologies that it makes available to them to be appropriate to their needs and to ask them what they want.”
Other concrete measures include making sure typhoon shelters have separate female and male toilets, so women will feel safe and go there during a storm.
“It’s often such obvious stuff but if the people responsible for it aren’t a little bit aware that there are gender differences…, with all the good intention in the world, they can end up doing something that has a negative effect,” said Shine   

Tuesday, February 24, 2015

Donie's Ireland daily news BLOG update

Where Irish Government ministers are going to drown the shamrock on St Patrick’s Day

    

The full list has just been confirmed.

The Government has confirmed where ministers are going for trade & tourism trips this St Patrick’s Day.
The Taoiseach Enda Kenny will be making his traditional trip to the States including a visit to the White House where he will meet President Barack Obama.
Tánaiste Joan Burton will be on US duty this year – with her tour taking in Boston, Pittsburgh and Philadelpia.
Also heading to North America are Foreign Affairs Minister Charlie Flanagan (Canada & New York), and ministers of state Paul Kehoe (Houston, Savannah), Jimmy Deenihan(Chicago & Milwaukee), Michael Ring (Phoenix, LA) and Paudie Coffey (St Louis, Indianapolis).
Only Michael Noonan, the Finance Minister, is staying in Ireland to mind the shop along with the Attorney General Máire Whelan.
Health Minister Leo Varadkar is heading to Mexico.
Speaking today, Foreign Affairs Minister Charlie Flanagan insisted that the tips abroad represent “very, very good value”.
“Last year for example, as an immediate consequence of our ministerial visits €5 million was gained at a cost of €300,000 for the entire event.”This year, each department pays for its own ministerial engagement. I am quite satisfied that this is money really, really well spent.
“Every minister and minister of state will report directly back to the Taoiseach on the number of meetings, type of meetings, who they met and follow-up engagements. No other country has an opportunity like St Patrick’s Day.”
Elsewhere – Alex White and junior minister Tom Hayes will be racking up the most air miles, with trips to New Zealand and Australia respectively.
On the European front – jobs minister Richard Bruton is heading to Paris, arts minister Heather Humphreys goes to London, and agriculture/defence minister Simon Coveney is Italy-bound.
Junior minister Ged Nash will be off to Sweden. His colleagues in the minister of state ranks,Joe McHugh, Simon Harris, Dara Murphy, Aodhán Ó Ríordáin, Kevin Humphreys, Ann Phelan and Damien English will  also be heading on relatively short-haul trips.
Elsewhere, junior health minister Kathleen Lynch will be off to Russia, minister of stateSean Sherlock will go to Ethiopia, Children’s Minister James Reilly will go to India, Environment Minister Alan Kelly to China, Education Minister Jan O’Sullivan to Brazil, and Brendan Howlin to South Korea and Japan.
Full details were disclosed at a press event at the headquarters of ding*, an international mobile phone top-up service, in Dublin this afternoon.

60% of Irish people still think the economy is in bad shape,

Eurobarometer survey finds

The survey also found that 53% of Irish people say they have a ‘positive’ image of the EU

    

60% of the Irish public think that the economy is still in bad shape.

That is according to a Eurobarometer survey carried out in November last year, which shows that women and the working class are much more likely to say the economy is heading in the wrong direction. Men and the upper class are more likely to say it is improving.
Professor Richard Sinnott helped to carry out the study. He says that despite almost two-thirds of the public saying the economy is yet to recover – with 20% saying it is in a ‘very bad’ state – that is much improved on the depths of the crisis.
The study also found that 53% of Irish people say they have a ‘positive’ image of the EU – the highest percentage since 2009, and an increase of 12 points since spring 2014.
16% of respondents said they had a negative view of the EU, with 29% have a neutral image.
However the study also found that 61% of Irish people say they have difficulty in paying their bills from ‘time to time’ or ‘most of the time’ – well above the EU average of 37%.
The survey did pick up some optimism about the future state of the economy. 51% said Ireland is going in the right direction – up almost 10% on the previous year, and the highest number of people making that statement since the Celtic Tiger days back in March of 2006.

33% of hotels in Ireland will not make a profit this year 2015, says IHF

  

Strong growth to €6.45bn masks regional differences, says Irish Hotels Federation

IHF president Stephen McNally and chief executive Tim Fenn: occupancy rates in Dublin rose by 3% in 2014 but hoteliers in other areas said they had not done so well.
Hotels and guesthouses generated €6.45 billion in 2014 and are expecting a third consecutive year of strong growth – but the positive figures mask huge regional differences.
One third of hoteliers will not make a profit in 2015, according to members of the Irish Hotels Federation, who claim overhanging debt, commercial rates and lack of incentives to entice tourists beyond traditional “hotspots” are still threatening profitability.
Speaking at the opening of their annual conference at the Slieve Russell Hotel in Ballyconnell, Co Cavan, a number of hoteliers said they had deals with suppliers and staff to cut costs following the economic collapse in 2008.
While occupancy rates in Dublin rose by 3% in 2014, and are set to grow by at least that much again this year, hoteliers in other areas said they had not done so well and were now facing calls for “pay back” from staff and suppliers.
But while occupancy rates in Dublin are in the order of 73%, occupancy rates in the northwest have remained static at just 54%.
A number of speakers at the conference said the recovery was fragile and the reduced 9% VAT rate continued to be vital to the industry.
Hotels Federation chief executive Tim Fenn said regional tourism required greater Government support as the slower pace of recovery in some areas is a “major challenge for many hotels and guesthouses”.
He said hoteliers continue to face a significant skills shortage in the sector, with 83% of those surveyed by the federation citing difficulties hiring trained workers to fill craft and entry-level positions.
The cost of doing business in Ireland was also identified by the survey as a major challenge, with hoteliers citing excessive local authority rates as the single most pressing issue stifling cost competitiveness within the sector.
But the survey, which was carried out earlier this month, found federation members were more optimistic about 2015 – as long as the economic recovery continues. Barring economic mishaps, some seven out of every 10 hotels said they plan to take on additional staff over the next 12 months.
Federation president Stephen McNally told delegates: “We’re seeing an upturn across most rural areas – which is very welcome. There is a long road ahead, however, particularly for regions such as the northwest, east and midlands, where occupancy levels continue to lag at only 54%, compared to a national average of 64%.”
Addressing the debt issue, Mr McNally said it remained “a serious challenge. This is weighing heavily on many hotels with some 34% saying they remain concerned about the viability of their business – notwithstanding the upturn in Irish tourism.”
In relation to the outlook for the coming year, compared to 2014, some 73% of respondents said they were seeing an increase in business from the island of Ireland in the first couple of months of 2015.
This contrasts with 20% who are experiencing static business levels and 7% who are seeing a decrease in business from the domestic market.
Some 55% of those who took the survey said they expected an increase in bednights from Britain, while 26% reported an increase in bookings from Germany and just 18% reporting an increase in bookings from France, so far this year.

In their own words: The delegates speak up

Colin Neville, managing director, Riverside Park Hotel, Enniscorthy, Co Wexford

Colin Neville discounted prices hugely in 2008 as the recession hit, but quickly realised it was the wrong way to go. The theory that more guests would lead to more business in the bar and restaurant – which worked for a number of hoteliers – did not work out for the Riverside. “People were eating pizza in their rooms and not patronising the bar. In six months we would have had to close down.”
Neville did a deal with his staff which saw the wage bill drop by 10%. It was, he says, vital to the business surviving. “I am only starting to plan repaying the staff some of the help they gave me, and I am at a significant disadvantage to surrounding venues.”

Philip Gavin, group managing director, Talbot Hotels

Talbot Hotels has operations in Wexford, Carlow, Waterford and Cork. Philip Gavin says the group rode out the recession by doing deals with suppliers and discounting on rates in a bid to get people in.
Rates dropped as low as €99 per person sharing for three nights and three dinners – an offer he says was put in place across all the hotels and which will be in effect until the end of this month.
His hotels in Wexford and Carlow are seeing growth in volume of 2.5 to 3% –but not in rates per room, he says.

Elaina Fitzgerald-Kane, general manager , Woodlands House Hotel, Adare, Co Limerick

Elaina Fitzgerald-Kane is convinced the recovery in the hotel industry is a two-speed thing. Dublin, she says, is a destination in itself, but Limerick is “just another small city” for tour operators. This year the hotel rate in January was the same as in January 2014, but occupancy was up “marginally”.
“We are not seeing what Dublin saw,” she says, but adds that being 10 minutes outside Limerick is a help.
In relation to visitors from North America, she regrets there is not a more focused marketing drive to point out the recent exchange rate benefits to US travellers.

Patrick Curran, managing director, Knightsbrook Hotel, Trim, Co Meath

Knightsbrook Hotel is operating with the blessing of the National Asset Management Agency. It is owned by the Cusack family who operate four hotels between Trim and Navan. While there is obviously overhanging debt, “the hotel is a very profitable business”, says Curran.
The business model of the four-star hotel was strictly weddings, conferences and golf, but in recent years they “say no to no one”.
Concerts are now a big part of the business, with Daniel O’Donnell, Christy Moore, and old-time dancing all featuring at the weekend.

Doctor under ‘considerable pressure’ prior to clipping patient’s Fallopian tubes

  

A consultant Gynaecologist told a medical fitness to practice hearing that despite clipping a patient’s Fallopian tubes, this was not a sterilisation operation because “infection had blocked these tubes before I got to them.”

Dr Declan Egan told a Medical Council Fitness to Practise hearing that medical cutbacks meant that he was under considerable pressure on the day he operated patient Lorna McKeogh (36), clipping both of her fallopian tubes though he only had consent to clip one.
The consultant gynecologist, who recently retired from his practise at UHG and runs a private Galway Fertility Unit at Rahoon in the city, said day beds in the Hospital had been cut from ten to just four and this had a knock on effect on waiting lists.
He believed the consent form “covered” him to clip both tubes and claimed he carried out the procedure on patient Lorna McKeogh (36) in her “best interests”, in a bid to improve her chances of getting pregnant through IVF.
Finding a problem with both Fallopian tubes rather than just one as suspected, had left him with “a dilemma”, he told a Medical Council Fitness to Practise hearing today.
He believed she would not be able to get pregnant other than through IVF and explained that clipping the tubes improved her chances of becoming pregnant in this way.
He claimed that he believed a line in the consent form covered him to carry out an additional procedure if something else was found necessary.
Dr Egan is before the fitness to practise committee of the council, where he faces an allegation that he performed a clipping of both left and right hydrosalpinges (fluid-filled fallopian tubes) “in circumstances where this was not consistent with the consent form dated June 2nd, 2010”.
Arising from this, he is accused of failing to meet the standards of competence that could reasonably be expected of a consultant obstetrician/gynaecologist.
Ms McKeogh was 32 when she was referred by her GP for gynaecological treatment after suffering a number of miscarriages. She was first seen by a doctor, Dr Eithne Lowe at the Bon Secours hospital in Galway but it was unable to carry out a tubal ligation because of its Catholic ethos, the inquiry was told.
Ms McKeogh was referred to Dr Egan in UHG, who performed the bilateral tubal ligation under total anaesthetic.
Doctors had suspected hydrosalpinx or water filled sacs on the right hand Fallopian tube.
However Dr Egan told a Medical Council Fitness to Practise hearing today that when he examined the patient during surgery found hydrosalpinx also on the left hand side and so had taken the decision to clip both..
After the surgery, Dr Egan said he had told Mrs McKeogh that he had informed her what had happened in a four bedded gynaecology ward, with only a curtain screening them so it was not a setting for a detailed consultation.
Mrs McKeogh has told the hearing that she was upset by this conversation.
“I was the messenger and the message was not good,” he agreed today.
However he told the hearing that he had just come from another patient and had delivered her baby that had died at 33 weeks, so: “I might be been not as focused on her problem as I would otherwise have been.”
And Dr Egan said he would have assumed that the patients’ own doctor, Dr Lowe would have covered all the scenarios in clipping Fallopian tubes because “women will intuitively think hanging onto the tubes is the best answer” when in fact it is not, in the case of IVF, he claimed.
He told his counsel, Eileen Barrington SC that Ms McKeogh and her husband had both continued to smoke around 15-20 cigarettes a day, saying this was a very significant feature in her case as smoking caused miscarriage by damaging the DNA in sperm, can bring on the menopause up to four years early.
He also claimed there was “a lot of smoking and a lot of drinking” on both sides.
Coupled with Mr McKeogh’s low sperm count, Dr Egan said: “That combination screams IVF to me,” he said.
Dr Egan acknowledged his note of the operation was “rather rushed” but said this was due to pressure he was under on the day, with seven c-sections on the list. He was unable to consult with colleagues during the operation as none nearby had reproductive experience. He would have found it “odd” to consult with Mr McKeogh, who was in legal terms a third party.
He said consent forms for tubal ligation in Galway Hospital used to provide for the husband’s signature but this practise ceased in 2009.
When it was put to him that Ms McKeogh suffered distress when she received invitations to attend  IVF meetings at Dr Egan’s private clinic,  Dr Egan said was due to the “efficiency”of secretaries in noticing that she hadn’t attended an initial meeting on IVF.
Meanwhile Dr Egan claimed most of the stress Ms MsKeogh said she experienced over the IVF process arose from the fact she had “turned her back” on the local clinic to undertake treatment “miles away” in Dublin.
Questioned by the panel from the medical council, Dr Egan explained that he had clipped the tubes because “free oxygen radicals” within infected fluid can damage sperm and eggs and prevent a pregnancy.
He said his clinic had the best IVF success rate in the country and deals with approximately 1,000 patients a year, with around 350 in his public practise, from which he retired last month, and 670 between three consultants at the private clinic.
He said that in “99% of cases” tubal disease is bilateral, or on both side.
He also said the reason IVF was invented is because tubal surgery “isn’t that great.”
Dr Egan said his decision to clip both tubes had been “well thought out” to give her both options of subsequent tubal surgery as well as IVF but said “I think she was deeply upset by this and for that I am truly sorry.”
The case is due to resume at the end of March.

Curious pre-teenagers have greater brain connectivity in decision-making regions

     

Researchers have found that the brains of curious preteens show greater connectivity between regions associated with decision making and “state of the body” compared to their less daring peers.

The study is scheduled to be presented at the upcoming American Academy of Neurology annual meeting in April.
Adolescence is often associated with a period of seeking new experiences and exploratory behavior, but little research has explored the source of this increase in behavior. Previous studies have linked willingness to explore to the rostrolateral prefrontal cortex area of the brain that is responsible for high-level decision making.
After completing a reward-based task, researchers from the University of California San Francisco split a group of 62 girls aged 11 through 13 into two groups, explorers and non-explorers, and performed MRI scans. Those in the explorer group had a stronger connection between the rostrolateral prefrontal cortex and posterior insula and putamen regions compared to non-explorers. The posterior insula and putamen seemed to influence the rostrolateral prefrontal cortex.
The research may eventually help identify teens at risk of engaging in risky or unsafe behaviors.
Curious Pre-teenagers Have Greater Brain Connectivity in Decision-Making Regions
At the forthcoming American Academy of Neurology’s 67th Annual Meeting in Washington, DC, in April, researchers from the University of California-San Francisco will present results from a study that suggests different brain processes are at work in preteens who are open to experimenting and exploring new things, compared with their more reticent peers.
Study author Dr. Andrew Kayser, who is a member of the American Academy of Neurology, says that “the beginning of adolescence is associated with seeking new experiences and increasing exploratory behaviors,” but that little research has been conducted to measure that increase, or examine what processes are involved in this experience-seeking behavior.
“Studies with adults have begun to look at individual differences in willingness to seek new experiences,” says Kayser, “and some studies have tied willingness to explore with an area of the brain called the rostrolateral prefrontal cortex, which is responsible for higher level decision making.”