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
2004-06-25
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https://www.legislation.gov.au/Details/C2019C00042
https://hdl.handle.net/10070/284441
https://hdl.handle.net/10070/408388
examined by Dr Gilhome, an expert independently engaged by the Coroner who said that the surgery was conducted with a high level of skill. 8. As is the normal course, Dr Treacy saw the Deceased regularly during the postoperat ive period. Arrangements were then made for the Deceased to contact Dr Treacys room to arrange a post operative appointment on Wednesday 20 February 2002. 9 . During her convalescence the Deceased was staying in Darwin at the home of her long time friend, Maria Florance at Yarrawonga. Mrs Florance collected the Deceased at the time of her discharge. She said that the Deceased was in pain at the time, a pain she described as the normal pain expected following a surgical procedure. Mrs Florance operated a restaurant and went to work after taking the Deceased home. She returned from w ork at approximately 11.30pm and found the Deceased to be in a lot of discomfort. As a result they agreed that the Deceased should attend at the Royal Darwin Hospital. There is a discrepancy between the hospital records and Mrs F lo rances recollection as to the time of that attendance. At Accident & Emergency Department the Deceased was seen by Dr McNair. He diagnosed residual abdominal pain after surgery and gas in the belly. He prescribed medication and discharged the Deceased at approximately 6.15am that morning. No attempt was made to contact Dr Treacy during that attendance. Whether that should have occurred and whether the Deceased ought to have been discharged at that time in the circumstances was also an issue explored by the Inquest. 10. On Tuesday 19 February 2002 the Deceased continued to be in discomfort. She went with Mrs Florance to her restaurant and at dinner time the Deceased purchased some chicken and corn soup from a nearby Chinese restaurant. That soup had been pureed into a water like consistency. She consumed a small quantity only. Whether the Deceased complied with the dietary instructions she was given by Dr Treacy is also to be explored. 3