JAYANT PATEL has been accused of being untruthful about medical notes which show he was told about a diagnosis different to the one on which he based his decision to operate on a patient who died soon after.
During a heated cross-examination in the Supreme Court on Thursday, Crown Prosecutor Peter Davis showed Patel medical notes regarding patient Mervyn John Morris.
Mr Morris, 75, fronted Bundaberg Base Hospital with a rectal bleed in 2003.
Patel diagnosed him with diverticular disease of the sigmoid colon and removed part of the colon.
Mr Morris died in post-operative care three weeks later on June 14, 2003.
Mr Davis said the medical notes showed Patel's then junior doctor, Emma Igras, recorded that she discussed with Patel four potential diagnosis, including radiation proctitis, for Mr Morris.
The Crown alleges Patel should have recognised Mr Morris was suffering from radiation proctitis, a condition acquired following radiation treatment for prostate cancer.
But while Patel admitted that everything else in the long-list of medical notes was correct, that part was not.
"I suggest to you, you are being untruthful with that," Mr Davis said.
Mr Davis alleged Patel did not look at Mr Morris's colon, which explained why Dr Igras discussed with him the various diagnoses, including radiation proctitis.
"I disagree with that," Patel replied.
Mr Davis put it to Patel that he did not properly diagnose Patel with diverticulitis and just simply took a chance, which Patel disagreed with.
The jury was also shown an operation consent form Mr Morris had signed.
The form outlined there was a 1 in 16 risk of death from his surgery.
But Patel said the mortality rate for the sigmoid colon operation he performed on Mr Morris was about 2%.
The trial in Brisbane continues.