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Constipation death patient 'could have been saved' | Constipation death patient 'could have been saved' |
(about 1 hour later) | |
A man who died from complications related to constipation could have been saved, an inquest heard. | A man who died from complications related to constipation could have been saved, an inquest heard. |
Richard Handley, 33, who had Down's syndrome, died at Ipswich Hospital on 17 November 2012. | Richard Handley, 33, who had Down's syndrome, died at Ipswich Hospital on 17 November 2012. |
Some 10kg (22lb) of faeces was removed from his body two days before. | |
Independent specialist consultant Kamal Aryal said if "more aggressive" treatment had been implemented, Mr Handley "more than likely would've survived". | Independent specialist consultant Kamal Aryal said if "more aggressive" treatment had been implemented, Mr Handley "more than likely would've survived". |
Mr Aryal said it was the first time in seven years as a consultant he has heard of a death from faecal impaction. | Mr Aryal said it was the first time in seven years as a consultant he has heard of a death from faecal impaction. |
He said if "managed appropriately" patients survive. | He said if "managed appropriately" patients survive. |
The hearing in Ipswich previously heard Mr Handley was living in supported housing in Lowestoft. | The hearing in Ipswich previously heard Mr Handley was living in supported housing in Lowestoft. |
He had been admitted to hospital on 14 November with a distended abdomen which made him look "full-term pregnant". | He had been admitted to hospital on 14 November with a distended abdomen which made him look "full-term pregnant". |
Mr Handley underwent an operation to remove the faecal matter the next day. | Mr Handley underwent an operation to remove the faecal matter the next day. |
After the operation, he started to vomit and he died from choking on gastric contents the following day. | After the operation, he started to vomit and he died from choking on gastric contents the following day. |
Mr Aryal told the inquest he would have been concerned if a patient started to vomit post-operation. | Mr Aryal told the inquest he would have been concerned if a patient started to vomit post-operation. |
He said he would have sent Mr Handley for a CT scan and a rectal examination, consulted with the intensive care unit and gone into theatre to decompress his "gas-filled" colon. | He said he would have sent Mr Handley for a CT scan and a rectal examination, consulted with the intensive care unit and gone into theatre to decompress his "gas-filled" colon. |
That would have prevented him choking, he told the inquest. | That would have prevented him choking, he told the inquest. |
During cross-examination, Mr Aryal confirmed he had noted there was a lack of consultant cover at Ipswich Hospital at the time. | During cross-examination, Mr Aryal confirmed he had noted there was a lack of consultant cover at Ipswich Hospital at the time. |
On Thursday, Lisa Nodes, the director of nursing at Ipswich Hospital, said Mr Handley had not been seen by any senior consultant despite his deteriorating condition. | On Thursday, Lisa Nodes, the director of nursing at Ipswich Hospital, said Mr Handley had not been seen by any senior consultant despite his deteriorating condition. |
She said he had been missed off a ward round the morning after his admission when he would have been seen by a senior doctor. | She said he had been missed off a ward round the morning after his admission when he would have been seen by a senior doctor. |
The inquest continues. | The inquest continues. |
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