Adrienne Cullen

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Adrienne Cullen
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Born (1960-09-09) September 9, 1960 (age 64)
DiedDecember 31, 2018(2018-12-31) (aged 58)
NationalityIrish
Occupation
  • Journalist
  • Editor
  • Healthcare campaigner

Adrienne M. Cullen (9 September 1960 – 31 December 2018) was an Irish journalist, editor and healthcare campaigner who died in the Netherlands at 58,[1] after a university hospital, UMC Utrecht, admitted losing test results in 2011 showing she had cervical cancer.[2]

Campaign for open disclosure by hospitals

Having been treated at UMC Utrecht in 2011, Adrienne Cullen’s test results went missing, only resurfacing two years later. The results diagnosed Adrienne with cervical cancer. Only after a prolonged public campaign did the hospital investigate how the results went missing and offer Adrienne an apology, although by then her condition had become terminal.

In the following years, although increasingly ill, Adrienne was a vocal campaigner in the Netherlands for mandatory open disclosure by hospitals when patients are damaged in the course of their treatment.[3] She revealed the inadequate systems and deep-rooted culture in hospitals that can lead them to act in ways that are self-protecting rather than in the best interests of their patients.

Adrienne Cullen became an activist and public speaker on disclosure of medical errors by hospitals. Among many other public occasions, she spoke at De Balie in Amsterdam in October 2018,[4] and at a TedX talk in The Hague the following month.[5] Adrienne also campaigned to have gagging clauses (non-disclosure agreements) banned across the European Union in medical settlements with publicly funded hospitals.[6] There was positive talk about both but no action.[7]

As the Dutch newspaper, NRC, observed in the heading on its obituary, written by its health editor, Frederiek Weeda[8], and published the day she died: “Staying silent was not an option for Adrienne Cullen (1960 – 2018)."[9]

The Irish national broadcaster, RTE, paid tribute on its prime daily news programme, Morning Ireland, on 2 January, 2019.[10] In a moving video interview with the Dutch patient welfare organisation, Patiëntenstem, Adrienne explained why she campaigned despite her illness.[11] She also spoke on video for The Irish Times in Dublin.[12]

Adrienne Cullen was the first patient in the Netherlands ever to receive an apology in writing from the CEO of the hospital that had harmed her. That apology came from Professor Margriet Schneider from UMC Utrecht.[13][14]

Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital, her book detailing her experiences in the Dutch healthcare system, was published in English by Dutch publisher, Uitgeverij van Brug on 25 March 2019.[15] In his preface to the book, Dr Arie Franx argued that Adrienne brought to the fore "...the many lessons to be learnt ... not just by doctors and hospitals, but by patients themselves, by healthcare regulators, and by legislators."

Covering the launch by whistleblower Dutch surgeon, Dr Volkert Wreesmann,[16] The Irish Times said that in a letter to Adrienne’s widower, the Irish foreign correspondent Peter Cluskey, then Dutch prime minister, Mark Rutte, had described her death as “indescribably tragic".[17]

In July 2019, King Willem-Alexander of the Netherlands, on a state visit to Ireland with Queen Maxima, held a brief private meeting with Cluskey on the fringes of a performance by the Netherlands Dance Theatre in Dublin. This was reported by the Dutch state broadcaster, NOS.[18] Cluskey wrote an account of the encounter in The Irish Times, some days later.[19]

For her courage and persistence, Adrienne was conferred with an Honorary Doctorate in Laws by her alma mater, University College, Cork, in Ireland, three weeks to the day before she died.[20]

The Adrienne Cullen Lectures

As part of her legal settlement with UMC Utrecht, an annual lecture named the Adrienne Cullen Lecture on Open Disclosure After Medical Harm,[21] was established by the hospital in memory of Adrienne Cullen, who lived in the suburb of Voorschoten, near The Hague, until her death at the Netherlands Cancer Institute in Amsterdam.

In April 2018, Adrienne Cullen was joined by two of her senior doctors, Professor Arie Franx, a divisional director at UMC Utrecht, and his colleague, Professor Huub van der Vaart, head of gynaecology, to deliver the first Adrienne Cullen lecture – which was heavily critical of the hospital.[22] It is possibly for that reason that no recording of the lecture, audio or video, was permitted.[23]

That first lecture was attended by the Irish ambassador to the Netherlands, Kevin Kelly; the director-general of the Netherlands healthcare inspectorate, Dr Ronnie van Dieman; the CEO of UMC Utrecht, Professor Margriet Schneider; representatives of the country’s seven university hospitals, and by many friends and former colleagues. The 270-seat auditorium was packed.[24]

The lecture became controversial when UMC Utrecht officials refused to allow highly regarded Dutch investigative journalist, Ton van der Ham, to enter the lecture theatre and he was taken away by police while waiting.[25] An official investigation found five years later than Van der Ham had done nothing wrong.[26] A video clip recorded by Adrienne with Van der Ham for his employers, BNNVARA, was crucial in that finding.

As of August 2024, UMC has hosted six such lectures covering a number of topics related to open disclosure and patients' rights.

Vicky Phelan and the CervicalCheck scandal

Adrienne was also struck by the parallels between her own fate and that of the late Vicky Phelan, with whom she struck up a long-distance friendship. Vicky was first to go public about the CervicalCheck scandal in Ireland in which more than 200 women were left with cervical cancer after they received incorrect smear test results. Adrienne wrote about the striking similarities in a piece entitled Vicky Phelan, cancer and me[27] – and Vicky, in turn, penned a review of Adrienne’s book[28]. In an article in the Irish Times, she described Adrienne’s end as “another needless death”.[29]

Earlier life

Adrienne Cullen was born in Tubbercurry, County Sligo, on 9 November 1960, to pharmacist, Sean Cullen and Margaret (Peg) Cullen (nēe Carroll). She has two older sisters, Paula and Carol Anne. She graduated with a BA (Hons) in Sociology and Philosophy from University College, Cork. She had many dearly beloved cats during her lifetime.

Books by Adrienne Cullen

Cullen, Adrienne (2019) Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital. Uitgeverij van Brug. ISBN 9789065232236.

Cullen, Adrienne (1991) Thursday’s Child: The Romanian Adoptions Story. Kildanore Press. ISBN 1872455166

References

  1. Pascoe, Robin (2019-01-01). "Irish woman who fought Dutch hospital secrecy dies of cancer". DutchNews.nl. Retrieved 2024-04-25.
  2. "Medisch activist en kankerpatiënt Adrienne Cullen overleden". nos.nl (in Nederlands). 2018-12-31. Retrieved 2024-04-25.
  3. "Medische Missers". De Balie (in Nederlands). Retrieved 2024-04-25.
  4. "Medische Missers". De Balie (in Nederlands). Retrieved 2024-04-25.
  5. Adrienne Cullen | TEDxHotelschoolTheHague. Retrieved 2024-04-25 – via www.youtube.com.
  6. "Dutch hospital chief apologises to Cluskey for 'scapegoat' remark". The Irish Times. Retrieved 2024-04-25.
  7. Pascoe, Robin (2019-05-03). "Four months after her death, Adrienne Cullen's struggle continues". DutchNews.nl. Retrieved 2024-04-25.
  8. "Frederiek Weeda". NRC (in Nederlands). Retrieved 2024-04-25.
  9. Weeda, Frederiek (2018-12-31). "Zwijgen was voor Adrienne Cullen geen optie". NRC (in Nederlands). Retrieved 2024-04-25.
  10. "Health campaigner Adrienne Cullen dies, aged 58". RTE Radio. 2019-01-02. Retrieved 2024-04-25.
  11. Patiëntenstem.nu - Adrienne Cullen. Retrieved 2024-04-25 – via www.youtube.com.
  12. The Irish woman who successfully took on the Dutch health system. Retrieved 2024-04-25 – via www.youtube.com.
  13. "Dutch hospital chief apologises to Cluskey for 'scapegoat' remark". The Irish Times. Retrieved 2024-04-25.
  14. "UMC Utrecht opnieuw door het stof na onderzoek naar medische misser". nos.nl (in Nederlands). 2019-05-07. Retrieved 2024-04-25.
  15. Patiëntenstem.nu (2019-03-28). "UK versie boek Adrienne Cullen gelanceerd". Patientenstem.nu (in Nederlands). Retrieved 2024-04-25.
  16. Wreesmann, Volkert B. (2019-06-02). "Volkert Wreesmann - Machtscentralisatie in de gezondheidszorg als oorzaak van ongelukken: de zaak UMC Utrecht". TPO.NL (in Nederlands). Retrieved 2024-04-25.
  17. "Irishwoman praised by Dutch prime minister for 'open disclosure' campaign". The Irish Times. Retrieved 2024-04-25.
  18. "Weduwnaar medisch activist Adrienne Cullen ontmoet koning, noemt hem dapper". nos.nl (in Nederlands). 2019-06-17. Retrieved 2024-04-25.
  19. "Dutch royal visit included a brave gesture of respect for my late wife". The Irish Times. Retrieved 2024-04-25.
  20. "Farewell to a 'formidable warrior'". University College Cork. Retrieved 2024-04-25.
  21. "Adrienne Cullen lecture - UMC Utrecht". www.umcutrecht.nl. Retrieved 2024-04-25.
  22. "Terminale patiënte kreeg zwijgcontract over fout, maar nu wil UMC openheid". nos.nl (in Nederlands). 2018-04-13. Retrieved 2024-04-25.
  23. Pascoe, Robin (2019-05-03). "Four months after her death, Adrienne Cullen's struggle continues". DutchNews.nl. Retrieved 2024-04-25.
  24. Pascoe, Robin (2019-05-03). "Four months after her death, Adrienne Cullen's struggle continues". DutchNews.nl. Retrieved 2024-04-25.
  25. "Verslaggever Zembla aangehouden bij lezing UMC Utrecht". nos.nl (in Nederlands). 2018-04-13. Retrieved 2024-04-25.
  26. "Statement met betrekking tot aanhouding ZEMBLA-journalist Ton van der Ham in UMC Utrecht - Zembla - BNNVARA". Zembla (in Nederlands). Retrieved 2024-04-25.
  27. "Vicky Phelan, cancer and me: the disturbing parallels between our cases". The Irish Times. Retrieved 2024-04-26.
  28. "Deny, Dismiss, Dehumanise: Vicky Phelan on Adrienne Cullen's terrifying story". The Irish Times. Retrieved 2024-04-26.
  29. "Phelan pays sad tribute to 'formidable' cervical cancer victim Adrienne who sued Dutch system". Irish Independent. 2019-01-03. Retrieved 2024-04-26.

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