Harry Richard Nylander, aged 58, died in prison custody from metastatic multiple myeloma on 25 January 2008. An inquest was mandatory due to his custodial status. Expert medical review by a senior medical oncologist concluded that while there was a 2-3 week delay in initial CT scanning in 2004, earlier diagnosis would not have prevented death. The disease was disseminated and advanced at diagnosis. The one-month interval to diagnosis was shorter than community average. Prison Health Service medical staff performed appropriate investigations. The patient achieved complete remission for 3 years before relapse and death. No preventable factors were identified, and no recommendations were made.
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Specialties
oncologyhaematologycorrectional health
Error types
delay
Clinical conditions
multiple myelomametastatic diseasebone marrow cancer
Procedures
CT scan
Contributing factors
advanced disseminated disease at time of diagnosis
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