Inquest into the death of Maxwell John Beever
Deceased
Maxwell John Beever
Demographics
83y, male
Date of death
2022-07-08
Finding date
2026-07-07
Cause of death
Metastatic melanoma
AI-generated summary
Maxwell John Beever, aged 83, died from metastatic melanoma on 8 July 2022 while in custody at Robina Hospital. A suspicious skin lesion was documented on 26 February 2021 but not investigated until 26 June 2021, delaying biopsy-confirmed melanoma diagnosis by over four months until 1 July 2021. Mr Beever underwent wide local excision and subsequent axillary lymph node dissection, which revealed metastatic disease with extensive nodal involvement. Despite recommendations for adjuvant radiotherapy and chemotherapy, he declined further treatment. The coroner found no suspicious circumstances and that healthcare met appropriate standards. While earlier investigation may have offered more favorable prognosis, the coroner concluded it was impossible to definitively establish that earlier intervention would have changed the outcome, particularly given Mr Beever's subsequent refusal of systemic treatment following metastatic diagnosis.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
Specialties
Error types
Clinical conditions
Contributing factors
- delay in investigation and diagnosis of melanoma (4+ months from initial notation to biopsy)
- patient's refusal of adjuvant therapy following metastatic diagnosis
- Parkinson's disease
- cognitive impairment and dementia
- death in custody
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