Coronial
WAprison

Inquest into the Death of Macker Joseph DINAH

Deceased

Macker Joseph DINAH

Demographics

57y, male

Coroner

Coroner Linton

Date of death

2018-10-01

Finding date

2020-12-03

Cause of death

atherosclerotic heart disease in a man with diabetes mellitus

AI-generated summary

Macker Joseph Dinah, a 57-year-old Aboriginal man, died suddenly in his prison cell from atherosclerotic heart disease complicated by diabetes mellitus. He had severe coronary artery disease affecting three vessels, previous myocardial infarction, and had recently recovered from life-threatening endocarditis and diabetic ketoacidosis. Medical care was of high standard with appropriate monitoring and treatment. He was assessed as capable of mainstream prison placement despite significant frailty. Death occurred suddenly without warning signs during an afternoon rest, with appropriate emergency response and resuscitation attempts. The coroner found no medical care deficiencies. Key issues were his poor medication compliance (particularly insulin), cannabis use, and family concerns about delayed release given his deteriorating health status.

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.

Specialties

cardiologygeneral medicineinfectious diseasesgastroenterologycorrectional healthemergency medicine

Drugs involved

cannabisinsulinprescription medications

Clinical conditions

atherosclerotic heart diseasetype II diabetes mellitusmyocardial infarctioncoronary artery diseaseinfective endocarditissepsisdiabetic ketoacidosisheart failurecerebrovascular accidenthepatitis Cliver cirrhosisrespiratory failure

Contributing factors

  • severe coronary artery disease affecting three main coronary vessels
  • poor glycaemic control and type II diabetes mellitus
  • previous myocardial infarction
  • previous infective endocarditis from intravenous drug use
  • hepatitis C with likely associated cirrhosis
  • heart failure
  • previous cerebrovascular accident
  • non-compliance with prescribed medications particularly insulin
  • cannabis use
Full text

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