It is a brave decision as the superior prosecutor Mikael Björk from the Prosecution development centre in Gothenburg have taken after over a year of review of the former and criticized the closures in the pre-trial investigation against Paolo Macchiarini. The decision will most likely lead to the prosecution and are admissible in a court of law. It is a good thing. Then force people to testify under oath and, so far withheld information, lack of skills and responsibilities, and the reluctant peer connections will hopefully be exposed.

It is here that björk’s courage comes in; he dares to lift the lid, or rather the roofs to the Karolinska Institutet and the Karolinska hospital. It is hardly to increase at the Karolinskas radiance but is a completely necessary measure to ensure patient safety as well as the public and the international scientific world’s confidence in the institute and the university hospital.

was hired as a visiting professor at the Karolinska institutet, and senior consultant at Karolinska university hospital, KS the year 2010, there were great expectations on the then-hyped stjärnkirurgen. In the space of two years (2011-2012) he conducted four experimental transplants with syntetsiska trachea in three patients. All three are in day of the dead. A handful of (may be more) patients have undergone this type of transplants in Europe and has gone the same fate.

When the previous investigation was closed down, it was on the grounds that it was not possible to prove that Paolo Macchiarini was obliged to notice out roughly involuntary manslaughter, or gross negligence to the injury. It also considered that it was not possible to establish that the outcome had been better with another method. Former prosecutor Jennie Nordin said that the opportunities to set Macchiarini criminal to justice was thereby exhausted.

It seems not so. How much you have tried to put a lid on Macchairiniskandalen have jävsmisstankar, the desire to only and stubbornly look forward and international criticism got the scandal rolling on.

Björk has now done a different legal assessment bodes well. He has not only looked at the previous judgements from the Highest court of justice, the HD, but read on another legal literature, like conflict. On the basis of the knowledge he is of the opinion that one certainly can assume that there is a connection between the transplants and the damage and suffering that arose because of surgery. It is the legal classification of the offence, he should focus on; gross negligence to the injury. But he will also examine whether the interventions caused the deaths. But where is the evidence situation trickier.

It may seem to be a logical inference that if they caused damage, which in turn required additional intervention which led to the death, so you can say that it was the transplants that caused the death. But it is not that simple. Maybe the patient had gotten the where the bleeding or infarkten anyway? Law based on the evidence.

Now Mikael Björk interrogate a number of people ”in the Macchairinis proximity”, which previously were not questioned, and which may be forwarded to the suspicion of a crime. It is a goal that should generate a skälvning through some parts of the scientific world. Of those who thought they got away but know that they have been involved in the scandal. Those who hukat and waited for everything to blow over. Even Paolo Macchiarini should be examined again and will when once again be served on suspicion of crimes.

two of the four patients who Macchiarini operated/transplanted: The icelandic patient who was the first to receive a synthetic trachea and the Turkish young woman who was the last (in Sweden transplanted). In the first case found at autopsy, the transplanted platsstrupen had loosened and that the surrounding organs was strongly affected by the infections. In the second case, it may suffice to recall that the woman during their three years at KS’s intensive care unit bronkoskoperades every four hours around the clock.

It is a suffering beyond our comprehension and that caused by active measures. Who bears the responsibility for it to Mikael Björk now try it.

It is courageous and absolutely right.

More should be examined in the new Macchiariniutredningen

This has happened in Macchiarini scandal