The junior doctor at the center of the Child Psychiatry Service (CAMHS) scandal gave Botox injections to a girl he diagnosed with Attention Deficit Hyperactivity Disorder (ADHD), the former patient claimed.
The allegation is said to be part of a medical negligence lawsuit, one of well over 100 the HSE will face in the fallout of the South Kerry CAMHS scandal.
According to the lawyer representing the now-adult applicant, she alleges that Dr. David Kromer advised her during her CAMHS appointments to have Botox privately after suffering from chronic migraines and teeth grinding, among other side effects.
This is said to have happened in 2016 when the patient was 16 years old.
Coleman Legal’s Keith Rolls said it would be part of his client’s case that these were side effects of overprescribing stimulants.
She did not have these problems before attending CAMHS.
He said his client claimed she had five or six botox treatments at salons and with Dr. Kromer at home, for which she was charged 300 euros each time.
Mr Rolls said his client alleged that Dr. Kromer advised her that if she didn’t attend these sessions, she could potentially break her teeth and suffer irreparable damage.
The lawyer said she claimed that Czech-born Dr. Kromer has told her Irish doctors they are grossly unqualified in providing Botox treatments and that delay would certainly affect her chin.
It is alleged that he told her that any other doctor could possibly disfigure her.
The woman is one of around 240 young people who have been apologized by the HSE for the standard of care they received while attending the South Kerry CAMHS.
Her file was among 55 lost to follow-up cases discovered by the whistleblower who uncovered the scandal, consulting psychiatrist Dr. Ankur Sharma. These were cases in which performance users were prescribed combinations of medications, some of which they had been taking for years, without their treatment being reviewed.
The woman received an apology from the HSE for inadequate prescribing, inadequate evaluation to ensure an appropriate diagnosis and poor quality of care due to inadequate monitoring. At the meeting with HSE officials where she apologized, she made her allegations regarding the Botox treatment and these were included in the official record.
dr Kromer wasn’t at home yesterday and his cell phone was on the answering machine. A woman at his home said earlier this week that he was visiting a sick relative.
He previously admitted in an interview with the Irish Independent doing facials privately in his “free time”.
“If I had more time, I would do it more often. It was just opportunistic,” he said.
According to the verification report, the supervisor learned from Dr. Kromer that he ran a private treatment service from his home, sometimes meeting people privately until midnight, and also working at a private clinic in another county. The report does not indicate whether his supervisor knew that Dr. Kromer performed a botox treatment.
Facebook and Instagram posts seen by the Irish Independent point out that Dr. Kromer performed Botox treatments at a number of salons in Co Galway in 2019.
The review report states that Dr. Kromer’s supervisor and a senior clinical director were both concerned about his practice and extensive clinical work outside of HSE, causing him to appear jaded.
dr Kromer was advised to take a vacation, which he did in late 2019. According to the report, he was known to have worked excessive hours and was tired, if not exhausted, at work.
During his interview with the Irish Independent, he said he sometimes works 100-hour weeks because his contract included the provision of adult mental health insurance and he also worked overtime when other colleagues were off.
The doctor emphasized that he always acted in the best interests of the patients.
dr Kromer admitted he found it “difficult to stay focused” when he was on a night shift, but insisted he was always “okay” while working with CAMHS.
The review described the treatment given to 227 children by Dr. Kromer received as “risky” and discovered evidence of significant damage to 46 service users.
The report has been sent to the Medical Council and will also be reviewed by a senior Garda to see if there are grounds to consider a specific criminal investigation.
Gardaí have invited parents and guardians of children they believe have been harmed to get in touch.
The force said assessments would be conducted by a team of specialists within the Kerry Divisional Protective Services Unit to determine whether the complaint met the threshold for a criminal investigation to be launched.