What caused my mother's anaphylactic reaction?
Patient: Dear Dr,  My mum had a suspected anphylactic reaction to anaethetic 4 years ago, she then was refferred to an allergy clinic to have further tests in ICU, all test resulta came back negative, mum had to go in for another operation and the proffessor from the allergy clinic advised to premedicate her 24hrs and 4hrs prior with citrizine and prodeslone and the operation ran smoothly.  mum went back in to hostiptal recently under a different surgeon and this time was advised againt the professer and only to take the citrizine and prodeslone only 24hrs prior to operation. mum was told to arrive at hospital at 7am to comence surgery by 8am as was first on the list then surgeon arrived and told her she wouldnt be going down until 12-1pm, mum was concerned the pre-meds would be wearing off (hospital staff said 'dont worry we will give you more in surgery'). Mum didnt go down for surgery until '4.45pm'. I was reunited with my mum at 9.10pm, no operation had been started as mum had another anaphylactic reaction!! Please could you tell me if this is neglegance and if this could be the reason my mum has had another anaphylactic reaction due to the pre-meds wearing off and not following the professors guidelines?  Thank you in advance. Doctor: Hi I have read all your queries and understand the concerns.If your mother had allergic or anaphylactic reaction to certain drugs then it must be disclosed to the doctor before going for operation.Yes you may be right that the operating surgeon must have to give pre-surgical medications but when if it is been clearly said my patient himself or relatives that the listed drugs are allergic.In spite of this,if surgeon had not operated and if your mother was not given medications or having said they will give during operation could be a case negligence (act of omission).Hope this will help you.Regards,