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GP Negligence prescribed sleeping pills which caused urine retention and an indwelling catheter to be put in - Quality of life ruined by GP negligence!!


linzie
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Hi

 

I haveh ad a good re read of your Topic and do agree with BazzaS  that you need to take a step back from this and I can appeciate that you are not happy with the treatment that your relative has been given due to the sleeping pill being prescribed.

 

You mention the wait at the hospital of over X hours but you do not say if this relative went to a certain department with a GP letter or whether this was via the hospital A&E Department.

 

If it was via the Hospitals A&E Department you need to bear in mind the following:

 

1. This was during COVID-19 and protetions will be in place to protect both Medical Staff and Patients coming to A&E

 

2. The A&E Department will Triage every single Patient coming to that Department as to who needs instant medical treament to those who can wait a certain period but as this can be a fast flowing Department the Triage System can change minute by minute dependent on the amount of Casualties/Patients they have to treat.

 

IMO you need to approach this from the beginning as to why your relative was prescribed that specific medication with there medical condition and that GPs reasoning at that time. (was this fully discussed with that relative at that time, as you say they have capacity to sign a letter, did they understand what the GP was saying at the time about this medication and did they agree to the GPs decision to prescribe this medication if they have capacity and were the possible side affects explained)

 

My concern is you state they have Dementia then state they have capacity to sign a letter but we are unaware of what type of Dementia the relative has i.e. is it early onset Dementia as you need to be very careful if they have memory loss issues with stating they have capacity to sign a letter when there is no Power of Attorney nor Deputyship in Place for that relative.

 

 

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From my reading of it, the 6 hours wait in A&E was 6 hours after the catheter had been sited, not a 6 hour wait to be treated.

 

There are a multitude of possible reasons for this delay, indeed : it might have been part of a deliberate treatment plan.

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  • 4 weeks later...
  • 3 months later...

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please don't hit Quote...just type we know what we said earlier..

DCA's view debtors as suckers, marks and mugs

NO DCA has ANY legal powers whatsoever on ANY debt no matter what it's Type

and they

are NOT and can NEVER  be BAILIFFS. even if a debt has been to court..

If everyone stopped blindly paying DCA's Tomorrow, their industry would collapse overnight... 

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Since last posting here, I complained to the GP surgery my brother was having difficulty swallowing his prostate medicine which was 1 large capsule which contained 2 smaller capsules inside the casing within the larger capsule. 1st capsule inside the larger capsule was (powder capsule) and the 2nd was (liquid time release, long shape capsule)

 

The GP surgery at this point made no attempt to refer my brother for Speech and Language Therapy or investigate further about the swallowing difficulty etc

 

Gp pharmacist told me me the capsule was not available in a smaller size despite, I looked online and found the 2 capsules could be prescribed individually (so not having to be inside a larger capsule) and given as a combination so I called the surgery and informed them the medicine could be given in 2 separate capsules. This was then prescribed. Even still the capsules were causing swallowing difficulty and I told the GP who said sorry they can't help.

 

A few months later my brother ended up chocking whilst taking the capsule and gasping for air. Eventually this went away after some minutes and his appeared o.k as well as his oxygen. Several days later his oxygen levels went down and ambulance was called out and my brother taken to hospital and put into a covid cubicle because the paramedic that came to the house said it was signs of covid, when I said it was not. Despite this my brother was put into the covid area in a separate cubicle.

 

Diagnosed pneumonia....sent home with very strong medication which really knocked him for six which he had to take for 5-7 days.

 

I got a private consultant to look at the xray and she told me straight away the xray showed aspiration pneumonia when food or liquid can go down the wrong pipe.  He gave an urgent referral for swallowing which I gave to the GP.

 

My question is

why despite me several complaining to the GP prior to this about swallowing difficulty why did the gp surgery help, if they had then maybe this unfortunate incident would not have happened.

 

Why did it take me to go see a private consultant who diagnosed aspiration pneumonia and who asked for a referral for swallowing, if I had not done this the GP would never have helped as they ignored my requests for help on swallowing and never bothered to look into this further on their own. Its taken me to go give the the information from the consultant for them to get off their backside.

 

Stu, I sent this to the GP not reply

Please can you provide an explanation why GP1 (name here) on xx/xx/xx, GP2 (name here) on xx/xx/xx and GP3 (name here) on xx/xx/xx prescribed (medication) to my brother? What was the rational behind the prescription?

Edited by linzie
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Hi Linzie.

 

When did you send the letter to the surgery please? I assume you sent a letter of authority from your brother with it, to authorise them to release information to you?

 

For your other post, while we're waiting for people like @BazzaSand @stu007to get back here, I think an early question is what you would like to happen following this chain of events. I can see you feel your brother could have been better treated but what do you want the surgery to do about it?

 

Also, does your brother want to stay with them or not?

 

HB

 

 

Illegitimi non carborundum

 

 

 

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The key determinant to moving forward with the OP’s questions remains:

 

1) does the brother have capacity to authorise the GP’s to discuss their care with her?

2) Even if the OP feels the answer to 1) is “yes”, does the practice agree?

 

if the practice feel he can’t give valid consent they may be unable to discuss his care with the OP unless she obtains a ‘Health & Well-being” deputyship from the Court of Protection and registers it with the Office of the Public Guardian.

Edited by BazzaS
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Hi linzie

 

Sorry but I have to agree with BazzaS as on one hand you point out they have Dementia then on the other hand say they have Capacity.

 

You need to be very careful dealing with this due to the above.

 

Have you done anything of considering obtaining Deputyship? (this would resolve these issues and keep things legal protecting both you and your brother)

 

WWW.GOV.UK

How to become and act as a Court of Protection deputy - eligibility, responsibilities, how to apply, fees, supervision and when your deputyship...

 

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  • 2 weeks later...

Bleeding started  going into the catheter bag, so had to rush to A&E, the 6hr wait was in AE waiting to be seen to remove the catheter

 

My brother has capacity to sign, sent letter of authority with with the letter asking why sleeping medication was prescribed, what was the rational behind it. Gp have said they did not receive it.

 

*****UPDATE*****

 

6-7 months ago I told the GP my brother was having difficulty swallowing capsules, they reluctantly agreed to reduce the capsule size. This did not work too good. So the capsule is now opened up granules mixed in drink.

 

I have made several complaints to the GP telling them my brother has difficulty swallowing his medicine and swallowing problem in general.  No notice taken. The negligence led to my brother suffering from aspiration pneumonia a while ago.

 

The hospital told us it pneumonia, but i went for a 2nd opinion and saw a different specialist who confirmed the aspiration pneumonia and swallowing problem. She gave a letter with her findings and requested the GP refer my brother to SALTS as a priority patient.

 

The Gp has taken no notice, I've had to keep calling the GP to chase the SALTS referral. The GP lost the paperwork or the referral and had to send it a 2nd time causing more delay.

 

SALTS just tell me a referral has been made and no indication when my brother will be seen etc

 

Gp only referred my brother to SALTS after I got a different consultant to look at the chest xray and she gave a letter telling the GP for an urgent SALTS referral BUT ignored my complaints about swallowing for months.

 

I want to complaint about this too

 

******SECONDLY******

My brothers family got the Gp to come do a routine check on my brothers, having checked lungs, the GP said everything is o.k.

 

The next day they took my brother to a private consultant for a 2nd opinion, she said there is fluid in the lung and gave a course of antibiotics.

 

This means the family GP gave the wrong information telling the family the lungs were clear, is this not medical negligence?

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If you want to complain to the practice we can help you to refine it but we need you to do a draft letter first. Only you know what's happened so you need to start this off.

 

Also it might be worth considering the timing of the actions you want to take so that they aren't counterproductive. 

 

A question. Have you already complained to the practice with your brother's written authority and were they aware it was a complaint?

 

HB

Illegitimi non carborundum

 

 

 

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On 22/09/2021 at 21:02, BazzaS said:

The key determinant to moving forward with the OP’s questions remains:

 

1) does the brother have capacity to authorise the GP’s to discuss their care with her?

2) Even if the OP feels the answer to 1) is “yes”, does the practice agree?

 

if the practice feel he can’t give valid consent they may be unable to discuss his care with the OP unless she obtains a ‘Health & Well-being” deputyship from the Court of Protection and registers it with the Office of the Public Guardian.


 

Still applies.

If the OP doesn’t deal with this aspect, they may find they are “stuck”

 

Replying 2 weeks later, but without addressing this key issue, OP risks going round in circles (& slow circles, at that!).

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Capacity is there, the GP can disagree but there have been a series of life changing events caused by the GP practice that have impacted my brother overall health and wellbeing.

 

 

 

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57 minutes ago, linzie said:

Capacity is there, the GP can disagree but there have been a series of life changing events caused by the GP practice that have impacted my brother overall health and wellbeing.

 

 

 

See above,

my Q.2 was IF the GP’s disagrees.

 

you say they “can disagree”.

It doesn’t matter that they CAN disagree (which no one doubts).

What matters is if they DO disagree (and you seem to be studiously ignoring that question!)

 

I doubt anyone here will be able to help until that is addressed.

 

Edited to add: no useful info re: capacity added since May, and as time goes on, if the relative has more and more conditions, the likelihood of capacity can only decrease.

Edited by BazzaS
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Hi

 

I do again have to agree with BazzaS on this.

 

Irrespective that you state the GP has never said they think there is no capacity have you actually confirmed this in writing with the GP that your Brother has Capacity and more importantly your Brother has Capacity to understand and sign letters/Documents.

 

Without Power of Attorney nor Deputyship in place and with your Brother having a Diagnosis of Dementia you are going to find it very difficult to deal with your Brothers affairs properly right down to this Medical issue with the GP.

 

I am afraid and if you do not answers the questions asked of you properly it is going to be very difficult to assist you.

 

 

 

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  • 2 weeks later...

I have heart-breaking news my brother has died 😪

I am well and truly heartbroken😪

I am finding this difficult to write but i need to write this for my brother,

There has been a catalogue of fatal errors by this gp practice and even by the hospital before/after the sleeping pills that should never have been prescribed.

 

background prior to the sleeping pill wrongly prescribed

 

Diagnosed with vascular dementia 2019

 

May 2020  
Weight loss reported
NO dysphagia (Without any investigation GP writes NO dysphagia (swallowing difficulties which can lead to aspiration pneumonia, weight loss)

Prescribed ensure

 

Jun 2020  
weight/diet/nutritional assessment

tasked DN team    
Referral out    Community Referral for Elderly Care

 

june 2020

In view of suspected covid infection best to defer weight check/assessment
There was no suspected covid infection, how gp got this? nobody called the gp and it was uk lockdown

 

Jul 2020

Eating & Drinking Complaint

brother eating less and losing weight

 

Jul 2020
Dry cough over night. white phlegm noted
Diagnosis: Viral upper respiratory tract infection

 

 

Jul 2020   
57 Kg weight told Gp over the phone

 

24 Aug 2020 
1 week poor appetite & drowsiness- keeps falling asleep
Decrease in appetite

 

25 Aug 2020
Reported to GP 6 months of steady weight loss: 14kg (June weight 66, now 50kg)
NO dysphagia (how without investigating further)

If GP had investigated further it would shown my brother had swallowing difficulties which was causing the weigt loss and chest infections.

 

Feb 2021
Presenting complaint (XaIm8) - chesty cough phlegm
Diagnosis: Respiratory tract infection

 

 

Mar 2021 
Presenting complaint (XaIm8) - not eating or sleeping
Poor appetite (lost 1 stone since then) and poor sleep

 

April 2021

Serious reaction to sleeping pills - causing 2 litres of urine retention

indwelling catheter as posted in this thread and problems

 

18 Jun 2021

chest infection

 

30 Jun 2021 
Chest Infection
Diagnosis should finish antibiotics and plenty fluids

 

7Jul 2021

Complaint - struggling to swallow large capsules

Weight loss/not eating drinking properly

Requested liquid version or smaller size capsules

 

9 July

complaint - Please see yesterday's entry by and task sent to , sister saying pt hasn't taken Prostate medication for 4/7, urine retention building up, sister concerned requesting alternative medication, small tablet form if not available in liquid, sister says it is urgent for today.
Re: patient unable to swallow due to size (approx 24.2mm x 7.7mm SmPC)

 

10 Jul 2021   
Presenting complaint  - Please see 09.07.21 entry, patient still struggling to swallow tablet, urine retention building
 

July 2021

Nose dripping week, swallowing mucous
For the last week cough with green sputum
Note previous course of antibiotics in june for chest infection
longstanding swallowing problems - BUT NOT INVESTIGATED!!!!

 

1 Aug 2021
Feels has chest infection. cough 2 weeks- productive green phlegm
Diagnosis: Chest infection - unspecified bronchitis

 

10 Aug 2021  
blocked sinuses/runny nose
despite 2 x recent antibiotics, just finished amoxicillin
+probable viral infection
no further antibiotics indicated
observe for now

 

12 Aug 2021
Presenting complaint
struggling with breathing
sister concerned wanting Gp to review
HOME visit tomorrow

 

13 August

Brother taken to hospital

diagnosed with exacerbation of copd

steroid tablets, antibiotic tablets, antibiotics into vein in arm

struggled to take bloods on 3rd attempt, left with bruised vein

chest xray shows pneumonia

sent home 7 days meds

letter for Gp requests follow up chest xray in 6 weeks (NEVER DONE)

 

18 August

16 Aug 2021  
Presenting complaint - discuss ambulance report thinks needs home visit everyday
adv sister is reassuring he did not need nebuliser *brother was put on nebuliser in hospital in august, gp is wrong) A/E attendance likely all related to current LRTI

 

 

22 August 2021

Presenting complaint (XaIm8)
Home visit
Pneumonia. Chest still doesn't sound clear. 1 medication finished today 2 finishing tomorrow - steroids
Home visit done by GP

Chest clear, good AE B/L, no resp distress
HS N, calves SNT, WWP, regular pulse
Abdomen SNT
Diagnosis: Chest infection NOS (XE0Xs)- resolved

 

24 Aug 2021 

Home visit
Chest clear, good AE b/l
Diagnosis: Hay fever - unspecified allergen (X00l9)

 

I then made a private appoint with a respiratory consultant, he got access to the chest xray done in August 2021 and told me my brother had pneumonia in the right lung aspiration pneumonia caused by swallowing difficulties, food liquid going down wrong way into the lungs, causing infection leading to pneumonia.

 

This consultant gave a report of findings, also asking GP to make referral to SALTS carry out swallow assessment. This referral was done far too late by the GP over 10 days delay and only after i kept on complaining why wasn't the SALTS team coming and my brother was down to 6stone in weight.

I had to go private consultant for aspiration pneumonia  diagnosis on chest xrays done in August 2021 then give that report to GP to make a SALTS referral. The previous chest infections was aspiration pneumonia but GP clearly misdiagnosed inc on Home Visits after the August 2021 hospital attendance.

 

WEIGHT COMPLAINT!!
19 Sep 2021  
Presenting complaint
wanting to discuss weight loss

Discussed - I will task DNs to carry out these reviews as too weak to come to surgery now. Also check weight/ BP
I will refer to dietitian
Diagnosis: Weight loss - AFTER 12 MONTHS and after lots of complaints GP DECIDES

WEIGHT to 6STONE!! decided referral to dietician after I tell GP!

 

22 Sep 2021   
Received a letter from xyz clinic 2 days ago to ask GP doctor to arrange swallowing assessment about swallowing issues
GP Diagnosis: Swallowing symptoms (XE0r7) - ONLY AFTER WE TELL HIM PRIVATE CONSULTANT FINDNGS. GP did not bother to investigate all the complains I made about swallowing difficulties. I went to private consultant to get diagnosis on swallowing problems, despite makings lots of complaints to GP and being ignored. I was doing the Gp's job in getting the diagnosis for swallowing problems!!

 

24 Sep 2021 SALTS REFERRAL made  BY GP - ONLY AFTER I WENT TO PRIVATE CONSULTANT
Please advise pt's daughter that the GP has messaged the secretary to refer the pt to SALTS referral

 

 

27 Sep 2021
Presenting complaint - Presenting complaint (XaIm8)
Requesting powder sachets instead of premade shakes. Patient is struggling to swallow these as liquid is rather thick. Family have purchased a few sachets of powder and find these better for him.
Also mentioned patient has lost around 1 stone in weight and are concern.

 

28 Sep 2021
Presenting complaint - Pt having swallowing issues and pt taking Movicol sachets but still constipated as struggling to swallow down properly. DN

 

GP DOES Hospital Referral for Feeding/ Swallowing AFTER COMPLAINT MADE

 

30 Sep 2021   
Presenting complaint - Unable to swallow movicol properly therefore family request another enema. requests GP to assess first as has had 2 enemas fairly recently already.
ongoing swallowing issues - sister says losing weight fast. Been referred to SALT & this has been marked as urgent now.

 

4 October 2021   
Presenting complaint - Concerned about ongoing swallowing issues ?chest infection. says chockes whilst drinking ensures- SALT referral sent
E&D less leading to weight loss -Dietician referral sent
Patent airways
Chest clear, good AE B/L

MEDICAL NEGLIGENCE - SEE 5th October!!

(This GP is on audio recording telling us the chest is clear)

 

5th October follow up appointment with private respiratory consultant

Diagnosis pneumonia due to aspiration (swallowing difficulties/dementia)

Prescribed 4 months of maintenance antibiotics

Diagnosis pneumonia when the GP the day before said everything was clear!!

 

 

7 Oct 2021  
Complaint - Why SALTS team not been for assessment, should be marked urgent brother weigh down to 5.5stone. Says spoke to SALT team last week - will be complaining as SALT referral received on 21/9.
Apologised for this but on system it was actually sent on 19/09/21
Diagnosis: Swallowing (Xa4M7) -> (ignored my complaints for over 2 years on swallowing problems, and put no Dysphagia

on my brothers record 2 years ago - when swallowing problems were going on even back then.

 

10 Oct 2021  
Spoke to sister who has spoke to SALT team on 02/10. Felt SALT nurse was rude.
Says nurse said appointment may take some time ?due to back log of patients in covid period
GP then contacts SALTS team to try expedite appointment
Diagnosis: Speech and language therapy

 

 

12 Oct 2021

Private swallowing assessment done by speech therapist because the GP and SALTS were going aound in circles and brother rapidly losing weight!

Private assessment shows serious swallow problem, recommends SALTS team urgent see my brother

 

15 Oct 2021

Brother coughs up phlegm with blood 1 time in day, reported to GP and request home visit

 

16 Oct 2021

GP home visit, checks chest, says clear and nothing to worry about - on video

GP says brother has blood clot in lungs, go AE and wait,

tell GP brother too frail weak, weight 5stone, unable to wait in AE.

 

Request GP make arrangement for xray, bloods, ecg at hospital so brother no need to wait in AE.

GP says NO, you have to wait AE.

 

GP will arrange ambulance to go to AE where you WILL HAVE TO WAIT even if it means waiting 6-7hours.

Inform GP this is impossible.

GP leaves.

 

Calls back in 20mins says NO BEDS available, you just have to wait in AE if it means waiting 7 hours then just wait.

Explain the difficulty dementia, too frail, high risk of catching bug and request GP arrange time for brother to go into hospital for bloods, xray, ecg etc, GP says no. Then turns the conversation around telling me 'so your refusing to take your brother to hpstal, if he dies its your fault, i will put that down on his records'. GP hangs the phone.

 

10 mins later brother collapses, ambulance called, oxygen given, stats up. Taken into hospital, where immediately the staff tell me your brother is emaciated dehydrated way too much, all skin and bones. Tell staff, swallow problems, weight loss, complaints to Gp, Gp not listening etc. Brother kept in overnight put onto IV fluids. Discharged the next day

 

few days later, brother health deteriorates, paramedics to the home, say its pneumonia, i tell them its aspiration pneumonia, they agree, explain the swallow problems, weight loss. They say you need to complain to GP. Oxygen provided, stats go up, paramedics leave

 

2hrs later stats drop, ambulance called, oxygen given, 1hr stats go up, ambulance staff they cant leave oxygen again because 2nd time called to house. They call GP to house with injections inc morphine, which thankfully were never used. Brother passes way at home

 

My brother died weight was under 5stone, he was skeleton and bones, weight loss problems, swallowing problems complaints made over 2 years and nothing was done until the last couple of weeks only after I went to private consultant for diagnosis, who sent his report the ignorant gps, the same for the private speech therapist report to gp

 

Gp only refer to dietician when brother weight down under 6 stone!!

In 2 years no dietitian assessment done, only done last 2 weeks of brothers life after I complained to GP

 

This is what I can remember, they will be things I have forgot to add.

I am devastated.

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My brother has unfortunately passed away, the last complaint I sent to the GP they claim they did not received!. How do I now format the complaint given the change of circumstances with my brothers passing.

 

I need to address

 

1. The sleeping pills prescribed which caused urine retention, the rational behind prescribing them, was the GP aware they should never have prescribed them?

 

2. My brothers weight loss reported to Gp 2-3 years ago and no investigations ever done upto the day he died actioned by the Gp. Brother passed away weighing 4stone! Never did the gp that did home visits say anything about it. The Gp put no dysphagia (no swallowing problems) without even investigating on my brothers records.

 

3. 2nd Gp put patient has swallow problems on brothers records - but never investigated

 

3. Swallowing problems chocking on capsules/medications, made complaints to the gp practice over phone, never was swallowing problems ever investigated by the gp.

 

4. Several chest infections last 12-18 months - gp never requested chest xray if they did they would have found aspiration pneumonia

 

5. Why did the Gp ONLY put swallowing problems/refer to SALTS/Dietician ONLY after I had to go to a private consultant who diagnosed aspiration pneumonia, caused by swallowing extreme problems, which caused the weight loss and prenominal from which he passed away.

 

6. Why didn't the hospital treat my brothers pneumonia a week before he died but instead put him on 12 hours of drips for dehydration and sent him home next day with liquid antibiotics for the pneumonia, they should have treated the pneumonia.

 

swallowing problems (dysphagia) caused weight loss caused the aspiration pneumonia as brother has dementia and swallow problems is common BUT gp ever address my complaints about the weight loss.

 

swallowing problems or the chest infection which was aspiration pneumonia (private consultant diagnosed aspiration pneumonia) in July and upto the day my brother died the GP that checked my bother several times at home, kept telling us the chest/lungs were clear!!

 

On (date) the GP came home visit and said brothers chest/lungs clear don't worry and I happened to have private consolation the next day with respiratory consultant and he said your brother has pneumonia in lungs due to swallow problems!!

 

Is this 1 example of Gp negligence?

 

Please someone help me with a letter, the gp negligence has robbed me of my brother who has passed away

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You keep posting here (lots!) about help with a letter, but haven’t really engaged with the advice given.

 

A print out of what you have said here, with a list of the questions you want answered should suffice as “the letter”.

you’ve expressed yourself adequately here, and any complaint letter doesn’t have to be word perfect : just set out what you believe the problems to have been, and what you want done about it.

 

see posts #27, #43, #47

 

You don’t have any more rights (automatically) now your relative has died (in fact, fewer automatically, as they now can’t consent which they could have done before (if competent)).

what may give you rights is if you are a beneficiary of their estate, or an executor of their will ; if you are a beneficiary and not an executor, you’ll need a letter stating why you have authority from the executor of the estate.

 

What will you do if the reply comes back “they died of dementia and poor nutrition due to the dementia”?

Edited by BazzaS
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What will you do if the reply comes back “they died of dementia and poor nutrition due to the dementia”?

They died for swallowing problems which caused the weight loss which caused the pneumonia, all complaints made to the gp 2-3 years and upto the days before he passed away never investigated, maybe if the gp investigated the cause of swallow problems 2-3 years ago, or what was causing the weight loss 2-3 years then the outcome would have been different

 

Plus its medically known that people do not die from Dementia, they die with it due to other complications which in my brothers was pneumonia caused by the swallowing problems led to food going down into the lungs and the weight loss was also caused by swallow problems, not being able to have enough food/liquids ALL ignored 2-3 years upto the day he died by the gps

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Which doesn’t (fitting the pattern of your previous posts!) address the issue(s) I’ve raised.

 

What does the (Dr issued) death certificate say (the medical certificate of cause of death : MCCOD - the one that gets taken to the Registrar to register the death), IF one has been issued (& who by?).


I’m aware most people with dementia die of a condition caused by the dementia, rather than the dementia itself.

So, the MCCOD likely won’t have dementia at 1(a), but I bet it features in 1(b) or 1(c), rather than in section 2 (or not featuring at all!)

 

Not all deaths (outside hospital) are yet being scrutinised by a Medical Examiner.

IF your relative’s death is being scrutinised by a (RCPath)ME, have you made your concerns known to the ME? (Or to the ME’s Officer - the MEO)?

 

If you believe the death was caused by neglect / negligence by the GP, have you asked for the death to be referred to Her Majesty’s Coroner (or spoken to the Coroner’s officer)?

Edited by BazzaS
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