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NSW2022-07-22

Inquest into the death of Mootijah Douglas Andrew Shillingsworth

44y · Male·Complications of a Left Temporal Lobe Abscess

Mootijah was a 44-year-old Aboriginal man who died from a brain abscess originating from an untreated chronic ear infection. He had documented hearing impairment and a history of chronic ear disease requiring ENT special…

correctional healthgeneral medicinediagnosticsystemciprofloxacin eardrops
NSW2022-05-19

Inquest into the death of Robert Fennell

77y · Male·Complications of Metastatic Colorectal Carcinoma

Robert Fennell, a 77-year-old man serving an 18-year prison sentence, died of complications from metastatic colorectal carcinoma in Long Bay Correctional Hospital's Medical Sub-Acute Unit on 27 October 2020. He had an ex…

palliative careoncology
NSWmental health2022-03-29

Inquest into the disappearance and suspected death of Helen Stacey

19y · Female·The available evidence does not allow for a finding as to the cause of death

Helen Stacey, a 19-year-old university student, disappeared on 19 August 1958 after absconding from Broughton Hall mental health facility. She had been referred for urgent psychiatric admission following concerning discl…

psychiatrygeneral medicinesystem
NSWhospital2022-03-11

Inquest into the death of Kelvin Forrest

53y · Male·multiple injuries sustained in a fall from the first floor

Kelvin Forrest, a 53-year-old man with Down syndrome and dementia, died from multiple injuries sustained in a fall from the first floor of Byron Central Hospital on 28 July 2018. He had been admitted as a medical patient…

general medicinegeriatric medicinediagnosticcommunication
NSWhospital2021-12-23

Inquest into the death of Shelley YOUNG

65y · Female·choking on a tangerine

Ms Shelley Young, a 65-year-old woman with long-standing schizoaffective disorder and multiple complications from chronic antipsychotic use including dysphagia and tardive dyskinesia, died from choking on a tangerine whi…

psychiatrygeriatric medicinecommunicationsystemclozapine
NSWaged care2021-11-17

Inquest into the death of Jack KING

77y · Male·Complications of metastatic squamous cell carcinoma, likely urothelial origin

Jack King, aged 77, died of metastatic squamous cell carcinoma (likely urothelial origin) while in custody at Long Bay Correctional Centre Hospital's Aged Care Rehabilitation Unit on 20 September 2020. He had been diagno…

palliative careoncology
NSWhospital2021-10-22

Inquest into the death of Ivan Goolagong

68y · Male·Metastatic Pancreatic Adenocarcinoma

Ivan Leo Goolagong, a 68-year-old Wiradjuri man, died of metastatic pancreatic adenocarcinoma while in Long Bay Prison Hospital Medical Subacute Unit in July 2017, five months after undergoing a Whipple procedure. The co…

oncologypalliative caresystemcommunicationamylase
NSWhospital2021-10-12

Inquest into the death of Bruce HODGES

78y · Male·cardiorespiratory failure due to complications of tracheal stenosis

Bruce Hodges, a 78-year-old man with a 20-year-old tracheostomy following laryngeal cancer surgery, presented to hospital with progressive shortness of breath and tracheal stenosis. Over 48 hours of admission, his respir…

emergency medicineENT surgerydiagnosticsystemnebulised saline
NSWhospital2021-10-05

Inquest into the death of Timothy MOFFATT

72y · Male·metastatic prostate carcinoma

Timothy Moffatt, a 72-year-old man in prison custody, died from metastatic prostate cancer. He had declined cancer treatment from 2014-2018 but agreed to chemotherapy after metastatic disease was identified. He also had …

oncologynephrologychemotherapy
NSWaged care2021-06-23

Inquest into the death of Victor Madeley

85y · Male·Diabetes mellitus and its complications

Victor Madeley, aged 85, died in custody at Long Bay Correctional Centre's aged care unit on 5 February 2020 from diabetes mellitus and its complications. He had extensive comorbidities including COPD, ischaemic heart di…

general medicinegeriatric medicine
NSWhospital2020-12-10

Inquest into the death of Richard Willett

86y · Male·Complication of metastatic colorectal adenocarcinoma

Richard Willett, 86-year-old prisoner, died from complications of metastatic colorectal adenocarcinoma while in NSW Corrective Services custody. He was diagnosed with advanced colon cancer with liver and lymph node metas…

oncologypalliative carechemotherapy
NSW2020-10-23

Inquest into the death of Ye Chiu

67y · Male·Head injuries sustained from a fall from the upstairs landing in Goldsmith G Blo…

Ye Chiu, a 67-year-old Chinese-speaking prisoner on remand, died by suicide in prison on 6 February 2017 after falling head-first from a landing. He had a complex psychiatric history including anxiety, depression, hypona…

psychiatryemergency medicinesystemcommunicationparoxetine
NSW2020-06-23

Inquest into the death of Kingsley EAGER

80y · Male·Hodgkin lymphoma and the consequences

Kingsley Eager, an 80-year-old prisoner with advanced Hodgkin lymphoma, died of natural causes in Long Bay Hospital. He had declined active cancer treatment on initial diagnosis, preferring alternative approaches. Follow…

haematologypalliative careceftriaxone
NSWhospital2020-06-12

Inquest into the death of Dat Nhieu HA

45y · Male·abdominal sepsis on a background of metastatic lung carcinoma

A 45-year-old man with advanced metastatic lung cancer died from abdominal sepsis secondary to bowel perforation while imprisoned. He presented with respiratory symptoms in January 2019, was diagnosed with terminal lung …

respiratory medicineoncology
NSW2020-05-08

Inquest into the death of Peter GLEN

52y · Male·hepatic failure secondary to hepatocellular carcinoma which developed from cirrh…

Peter Glen, aged 52, died from hepatic failure secondary to hepatocellular carcinoma developed from cirrhosis caused by chronic alcoholism and hepatitis C. He was an inmate at Long Bay Correctional Centre when diagnosed …

palliative carehepatology
NSWhospital2019-12-13

Inquest into the death of Lorraine BARNES

85y · Female·sepsis, with aspiration pneumonitis being an antecedent cause. Iatrogenic injury…

Lorraine Barnes, an 85-year-old woman admitted to Wollongong Private Hospital for convalescence, died from sepsis with aspiration pneumonitis following iatrogenic lung injury. She developed severe malnutrition and electr…

general medicinerespiratory medicinediagnosticsystemciprofloxacin
NSWhospital2019-12-09

Inquest into the death of Douglas ANDERSON

84y · Male·staphylococcus aureus sepsis complicating metastatic malignancy

Douglas Anderson, aged 84, died of staphylococcus aureus sepsis complicating metastatic malignancy (gastro-oesophageal origin) while in custody at Westmead Hospital, nine days after arrest. The coroner found his death wa…

emergency medicinegeneral medicine
NSW2019-05-27

Inquest into the death of Anthony WRAY

Male·metastatic lung cancer

Anthony Wray died from metastatic lung cancer while in custody at Long Bay Gaol in February 2018. He had been serving a 12-year sentence. Lung cancer with metastases to liver, spleen and brain was diagnosed in October 20…

oncologypalliative care
NSW2018-11-15

Inquest into the death of Kenneth Johnstone

79y · Male·Complications associated with metastatic colorectal carcinoma and diabetes melli…

Kenneth Johnstone, a 79-year-old prisoner with extensive comorbidities including metastatic colorectal cancer, diabetes, stage 4 chronic kidney disease, and osteomyelitis, died from cancer complications. He was appropria…

oncologypalliative caremorphine
NSW2018-10-05

Inquest into the death of Carmelo Disano

71y · Male·metastatic caecal adenocarcinoma

Carmelo Disano, a 71-year-old man serving a prison sentence, died from metastatic caecal adenocarcinoma with liver and lung metastases at Long Bay Hospital in November 2015. He was diagnosed with stage IV cancer in Septe…

oncologypalliative carepalliative chemotherapy

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