Inquest into the death of Thomas MILLAR
Deceased
Thomas Millar
Demographics
53y, male
Date of death
2018-05-13
Finding date
2019-09-04
Cause of death
Complications of metastatic rectal cancer
AI-generated summary
Thomas Millar, a 53-year-old man in custody, died from complications of metastatic rectal cancer with liver failure. He had been diagnosed with advanced cancer in 2015 with a poor prognosis and underwent chemotherapy while in Long Bay Correctional Centre. By April 2018, his disease had progressed significantly with liver failure and malignant ascites, prompting transition to palliative care with a life expectancy of 2-4 weeks. He was transferred to Prince of Wales Hospital and died there on 13 May 2018. The coroner found his care and treatment while in custody were appropriate, with no evidence of preventable factors. His wishes regarding resuscitation were documented and respected. The case demonstrates appropriate palliative care management in a custodial setting with adequate communication between prison and hospital services.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
Clinical conditions
Contributing factors
- metastatic adenocarcinoma of rectum with pulmonary and hepatic metastases
- liver failure secondary to liver metastases
- malignant ascites
- disease progression despite chemotherapy
- pericardial and pleural effusions
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