– Then I would like to make it clear that there was no sexual motivation for this. I have had no pleasure in this, said the former municipal doctor in Frosta when the prosecution began the questioning in Trøndelag district court on Thursday.
The 55-year-old doctor has pleaded guilty to three cases of rape and 35 cases of having exploited his position as a doctor to obtain sexual intercourse. In total, the indictment against the former municipal doctor includes assault or abuse of the position against 94 women.
Bye was GP and chief municipal doctor in Frosta municipality for 25 years until he was dismissed. During his free explanation in court, he appeared to be offensive and with seemingly natural explanations for everything he did in meetings with the patients.
– There is no requirement or condition to have a sexual motivation in order to be convicted of sexual assaults or offences, State Attorney Eli Reberg Nessimo tells NTB.
Used sex toys
Nessimo pressed Bye hard on how and why he carried out gynecological examinations with his self-developed tools.
An old discarded stainless steel asthma medicine inhaler that Bye used for uterine examinations, she devoted a lot of time to. She also wondered how he came up with the idea of using a common sex toy, a clitoral vibrator, to treat patients.
– There was no doubt that this was not medical equipment. It was used in two cases to see if it was able to change anything to increase blood circulation in the abdomen, in the vaginal opening, Bye said.
– Technical idiot
He admitted that the experiment had had no medical effect on the patient, not even when he had finally aimed the sex toy at the woman’s clitoris.
– I’m a bit of a technical idiot, and I guess I was a bit fascinated by it and wanted to try it out. It was in no way medically justified, I’m quite clear about that, Bye stammered.
In court, Bye has admitted that he made many unorthodox choices when it comes to treating the female patients who came to the doctor’s office. He said he had received insufficient training in gynecology while he had been on rotation. Later, when he came to the municipal doctor’s office in Frosta, he referred to it as “learning by doing” when he received patients with abdominal problems.
Wanted to protect against complaints
The special situation, and two complaints, meant that, according to Bye’s own words, he became anxious about making mistakes in the treatment of the patients. For that reason, he spent a long time, took many samples and examined the patients thoroughly. He claimed that he became afraid of making mistakes and receiving more complaints against him, so he began secretly filming the consultations.
The idea of documentation in case someone complained became almost an obsession, and more and more cameras are being used. A total of 47,000 film recordings on several numbered hard drives were discovered at Bye’s home when the police carried out a search.
– They can be a double-edged sword – they show that I have done something wrong, and I have admitted some things, but still, said the doctor.
Experts in court
For two whole days, Bye has had to explain how he has practiced gynecological examinations and treatments at the GP’s office. Despite his lack of formal expertise in the area, the municipal doctor thought he had extensive practical knowledge of how best to carry out various investigations.
On Friday, medical experts in several areas will present their assessments of Bye’s methods and procedures in court. These are dermatologist Margareta Karin Johnsson, gynecologist Mette Haase Moen and specialists in general medicine Lars Erik Halvorsen Kari Løvendahl Mogstad.
The forensic psychiatric experts, psychiatrist Andreas Eirik Hamnes and psychologist Kåre Nonstad, will also submit their report on the defendant on Friday.
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**Interview with Dr. Anne-Lise Sæther, Child Psychologist and Advocate for Patient Rights**
**Interviewer:** Thank you for joining us, Dr. Sæther. The recent case of a municipal doctor in Frosta has raised serious concerns about patient safety and ethics in medicine. Could you share your thoughts on the implications of this case for trust in the healthcare system?
**Dr. Sæther:** Thank you for having me. This case is incredibly distressing and highlights a significant breach of trust. Patients should always feel safe and respected when seeking medical help, especially in sensitive areas like gynecology. The actions of this doctor are a stark violation of ethical standards, and they undermine the integrity of the medical profession.
**Interviewer:** The doctor has admitted to using inappropriate tools, including a clitoral vibrator, claiming an experimental intent. What does this say about the training that medical professionals receive, particularly in gynecology?
**Dr. Sæther:** It raises serious questions about the adequacy of training and supervision in certain medical practices. While medical professionals are expected to innovate and improve patient care, there are strict guidelines and ethical considerations that must be adhered to. This case shows a dangerous lack of oversight and a failure to provide doctors with the necessary education and guidance needed to perform their roles safely and sensitively.
**Interviewer:** The prosecution stated that motivation is not a requirement for a conviction in cases of sexual assault. How does this align with your understanding of consent and professional boundaries in healthcare?
**Dr. Sæther:** Sexual motivation often complicates cases of abuse, but it is irrelevant to the core issue of consent and the professional boundaries that must exist in healthcare settings. Any sexual act or violation of a patient’s autonomy that occurs without their informed consent is unacceptable, regardless of the perpetrator’s intent. This case serves as a vital reminder that consent is paramount, and any actions taken without it are abuses of power.
**Interviewer:** Given the broader implications of this case, what steps do you believe should be taken to prevent such occurrences in the future?
**Dr. Sæther:** We need comprehensive reforms in medical training and oversight. This includes emphasizing patient consent, ethical practices, and proper training in sensitive areas. Additionally, we should advocate for stronger reporting mechanisms for patients and encourage an environment where patients feel safe to speak out. Public awareness campaigns can also help empower individuals to understand their rights when receiving medical care.
**Interviewer:** Thank you, Dr. Sæther, for sharing your insights on this troubling case. It’s crucial that we continue this conversation to ensure safety and trust in our healthcare systems.
**Dr. Sæther:** Thank you for addressing this important topic. The collective effort to uphold patient safety and trust is vital in preventing future abuses.