A hospital registrar has denied ever seeing an instruction from a consultant to organise a vital biopsy procedure on a 29-year-old woman who later died from cancer.
The consultant, Dr Etop Sampson Akpan, is appearing before a Medical Council fitness-to-practise committee and facing 38 allegations of professional misconduct.
Sharon McEneaney, a creche manager from Carrickmacross, Co Monaghan, endured continuous pain in her lower stomach over nine months of various scans and appointments at the scandal-plagued Our Lady of Lourdes Hospital in Drogheda, Co Louth, before the cancer was finally diagnosed.
Although she first attended the hospital in October 2007, the cancer was not confirmed until July 2008 after the intervention of former TD Dr Rory O'Hanlon.
Dr Rukhsana Majeed, who was a registrar at the hospital for six months in early 2008, told the committee she did not recall ever seeing a written instruction attached to Sharon McEneaney's file ordering a CT-guided biopsy to be carried out on a tumour, that had been discovered.
Eileen Barrington for Dr Akpan said her client would state he had requested the registrar to organise the biopsy following an outpatients' clinic in February 2008.
"I never came across any note like that as far as I can recall," said Dr Majeed.
She said while she could not specifically recall Ms McEneaney's case she would have remembered it if she had seen the note as such biopsies were rarely requested.
Consultant radiologist at the hospital, Dr Deirdre Lynch, told the committee she had advised that a CT-guided biopsy should take place after she carried out a scan on January 24, 2008.