Coroners Act In the matter of Coronial Findings and Recommendation into the Death of Ms Souzana Afianos pursuant to section 46B dated 1 January 2004
Tabled paper 1394
Tabled Papers for 9th Assembly 2001 - 2005; Tabled Papers; ParliamentNT
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71. Despite the extensive questioning on the point I think nothing turns on that. I do not consider that any air in the band was attributable to the alternative procedure used by Dr Treacy. I say this despite Mr Glaseotts submissions to . the effect that the inadequacy of the alternative procedure was the cause of air in the band. That is not supported by the evidence. Moreover, given the apparently extensive use of this alternative, if it were inadequate then many more cases of similar problems would have surfaced. This issue was thoroughly explored in cross-examination and I am prepared to accept Dr Treacys evidence on this issue. It is consistent with the views of Dr Gilhome. 72. Dr Treacy was asked why he has seemed to emphasise, on two occasions in his notes, that the Deceased had consumed Chinese food. The emphasis was in the form of double exclamation marks. This note had been made both in Dr T reacys private note and when he made a notation in the Hospital case notes approximately half an hour after the death. Dr Treacy had given evidence up to that point that he thought that cause of death might have been something to do with a blood clot, hence at least in relation to the entry on the date of death, the preoccupation with the Chinese food and the emphasis in the form of exclamation marks appears to be quite peculiar. Although I thought he was unconvincing in his explanation particularly with respect to the Hospital case notes, I do not think that anything turns on that. 73. Dr Treacy resisted the suggestion that the examinations performed at the Accident & Emergency Department by Dr McNair were inadequate as the patient was not lying down. He said that he was unconcerned about the fact that there was no diagnosis of the cause of pain made on 18 February 2002 as he said it is not always possible to diagnose the cause of abdominal pain. Again, v this comment is rather odd in light of the fact that there was a diagnosis for the cause of the abdominal pain. Many of the medical experts seem to ignore this, something that I find not only puzzling but also difficult to reconcile. He conceded that had he examined the Deceased on 18 30
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