Territory Stories

Coroners Act Response to the Coronial Findings in the matter of Ms Irene Magriplis dated 21 September 2017



Coroners Act Response to the Coronial Findings in the matter of Ms Irene Magriplis dated 21 September 2017

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Tabled paper 426


Tabled papers for 13th Assembly 2016 - 2020; Tabled papers; ParliamentNT






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may recall he made reference to the friability of the tumour which made him suspect cancer and that guided to a large extent the actions thereafter. The biopsy that was taken of the second - on the second ERCP was reported as being a suspected ampullary adenoma and basically that confirmed that we are dealing with a pre-malignant or if not a malignant tumour. And that was what guided Dr Treacy. Now we know that was wrong and Dr Treacy knows that was wrong. Dr Treacy told you how at the time there was no histopathologist in private practice in Darwin but the tendency- that the usual practice was for surgeons to send their path samples off to Perth to be assessed. That had he had a local person he could have spoken to and more importantly could have actually have viewed the slides themselves to determine what he was dealing with. Now we have the advantage that that now has changed and there is such a pathologist in Darwin. So at that point if the same procedure happened again there would be that additional material to help make that original diagnosis accurate. That's the first step. But the point simply is that there is now present in Darwin another specialist with whom he can consult and there indeed has been set up a multidisciplinary team from different specialities that can dis cuss the case with as well. And the significance of that is that he will have the benefit of other people's experience and views rather than purely his own assessment as supported as he saw it by the pathology results. So that's a positive improvement in relation to the situation in Darwin as it is at the moment. The next question is that of second opinion. Dr Treacy's evidence was that he said to the patient that they of course are entitled to seek a second opinion but he recognises the way in which he expressed himself was discouraging of that course and that was inappropriate and not his intention. So that although Mrs Magriplis was very keen to have it in Darwin, the way in which he expressed himself encouraged her in that belief rather than giving her a more balanced assessment of the question of a second opinion. So that is an area again where he recognises a shortcoming and he recognises an improvement is required in terms of dealings with his patients and explaining those aspects. " 28 28 Transcript pp.210-212 iO

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