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Malcolm Green: Organ failure after cancer op bleed | Malcolm Green: Organ failure after cancer op bleed |
(about 1 hour later) | |
A businessman had little chance of surviving complications following a cancer operation, an inquest has been told. | A businessman had little chance of surviving complications following a cancer operation, an inquest has been told. |
Malcolm Green, 82, began bleeding internally after surgery to remove a tumour at Withybush Hospital, Haverfordwest, in 2012. | Malcolm Green, 82, began bleeding internally after surgery to remove a tumour at Withybush Hospital, Haverfordwest, in 2012. |
The Milford Haven hearing was told Mr Green died three days after emergency surgery to treat the bleeding. | The Milford Haven hearing was told Mr Green died three days after emergency surgery to treat the bleeding. |
Officials have admitted failing to respond to his condition in time. | Officials have admitted failing to respond to his condition in time. |
On the first day of the inquest, the hearing was told that Mr Green had undergone surgery on 26 June to remove a tumour in his colon. | |
But alarms bells began to sound overnight, as his blood pressure began to drop. | But alarms bells began to sound overnight, as his blood pressure began to drop. |
The following morning, staff indentified the internal bleeding and he was prepared for emergency surgery at 10:00 BST. | The following morning, staff indentified the internal bleeding and he was prepared for emergency surgery at 10:00 BST. |
However, that procedure did not get underway for another three hours. | However, that procedure did not get underway for another three hours. |
Organ failure | Organ failure |
Surgeon Otumeluke Umughele told the inquest that it was clear there had been post-operative bleeding, possibly as a result of a stitch that had slipped. | Surgeon Otumeluke Umughele told the inquest that it was clear there had been post-operative bleeding, possibly as a result of a stitch that had slipped. |
Mr Umughele said by this point Mr Green was suffering from organ failure and his prospects of survival were very low. | Mr Umughele said by this point Mr Green was suffering from organ failure and his prospects of survival were very low. |
However, the consultant rejected claims made in a statement by the hospital's lead anaesthetist Dr Joel Green, that the anaesthetist team were ready to start at 10:00. | However, the consultant rejected claims made in a statement by the hospital's lead anaesthetist Dr Joel Green, that the anaesthetist team were ready to start at 10:00. |
In a written statement, Dr Green said he went down to a cancer clinic at 12:00 to request Mr Umughele's presence in theatre and to emphasise how sick Mr Green was, as there was still no sign of Mr Umughele. | In a written statement, Dr Green said he went down to a cancer clinic at 12:00 to request Mr Umughele's presence in theatre and to emphasise how sick Mr Green was, as there was still no sign of Mr Umughele. |
Mr Umughele dismissed this, saying he immediately returned to theatre when Dr Green came to inform him that blood products ordered for the operation had arrived. | Mr Umughele dismissed this, saying he immediately returned to theatre when Dr Green came to inform him that blood products ordered for the operation had arrived. |
Despite surgery finally going ahead, the businessman's condition continued to deteriorate and he died three days later. | Despite surgery finally going ahead, the businessman's condition continued to deteriorate and he died three days later. |
Apology | Apology |
Known for his car dealerships, Mr Green was made an MBE for his services to the community in the New Year's Honours in 2011. | Known for his car dealerships, Mr Green was made an MBE for his services to the community in the New Year's Honours in 2011. |
He had also been an active member of Haverfordwest Rotary and the Museum Trust in county. | He had also been an active member of Haverfordwest Rotary and the Museum Trust in county. |
In a statement released to the BBC the health board admitted failures in Mr Green's care. | In a statement released to the BBC the health board admitted failures in Mr Green's care. |
Dr Sue Fish, medical director at Hywel Dda University Health Board Trust, said: "The university health board sincerely apologies to the family of Mr Green and offer our deepest sympathies to them. | Dr Sue Fish, medical director at Hywel Dda University Health Board Trust, said: "The university health board sincerely apologies to the family of Mr Green and offer our deepest sympathies to them. |
"We acknowledge there were failings in the level of care Mr Green received and the university health board has carried out a full internal investigation. | "We acknowledge there were failings in the level of care Mr Green received and the university health board has carried out a full internal investigation. |
"Actions have been taken to ensure that these failings do not happen again and these lessons will be shared widely across the university health board." | "Actions have been taken to ensure that these failings do not happen again and these lessons will be shared widely across the university health board." |
The inquest was adjourned to continue on Wednesday. | The inquest was adjourned to continue on Wednesday. |