A GRANDAD watchful for a life-saving brain operation died when another studious was prioritised over him.
John Brackenbury, 70, suffered a serious drain on the brain and indispensable medicine which customarily treats the condition in just 48 hours, an inquisition has heard.
However the procession to place a steel curl in the aneurysm so it can't fill with blood was postponed.
He sadly died after the drain worsened.
Dr Yogish Joshi, a consultant neuro-radiologist, told the inquisition into his death that Mr Brackenbury was likely to have survived had he been operated on sooner.
He told the inquisition at Norfolk Coroners’ Court that the coercion of Mr Brackenbury’s case may have been “lost in communication”.
Yvonne Blake, the Norfolk Area Coroner, resolved his death was “an particular rather than systematic failure”.
In a matter done by his family, Mr Brackenbury was described as a “very eccentric and active 70-year-old”.
The family added: “John was a clinging husband and father and his flitting has left a outrageous hole in all of the lives. The inlet of how he died and the pang he endured haunts us all.
“Indeed, what is many comfortless is that his detriment was so avoidable.”
The inquisition listened Mr Brackenbury’s family were endangered by the miss of communication by hospital staff.
“He was overseen by mixed medical and nursing professionals and we betrothed him that he would be looked after within their care.
“Sadly he seems to have been let down from start to finish. We were all immensely unapproachable of the NHS before this and his daughter Jenny is a nurse.
“Now even she is doubt her own career for an organization that allowed this to occur to her father.”
The inquisition listened how Mr Brackenbury attended Queen Elizabeth Hospital (QEH) in King’s Lynn, Norfolk, on Nov 18, 2016, after experiencing “crushing” headaches.
He was referred to Addenbrooke’s hospital after collapsing on Nov 29 after pang a intelligent bleed.
An appointment was done for him to bear brain medicine days after on Dec 1, 2016, but he died on Dec 2.
Dr Joshi pronounced Mr Brackenbury’s operation was cancelled as doctors incorrectly believed he suffered a haemorrhage at the QEH, weeks before being certified to Addenbrooke’s, and so another studious was prioritised.
However, consultant neurosurgeon Rikin Trivedi told the inquisition it was “inconceivable” that the doctors would not have been done wakeful of the new bleed, adding: “It is never not clear.”
When looking at either the hospital had been neglectful, Ms Blake said: “He [Mr Brackenbury] had been diagnosed soon with an aneurysm which indispensable dilettante diagnosis for which he was waiting.
“It can't therefore, in my opinion, be correct to contend that the clinicians/hospital were grossly delinquent in his treatment.”
The medical means of death was given as subarachnoid haemorrhage due to ruptured intracranial aneurysm.
Delivering a account conclusion, Ms Blake pronounced Mr Brackenbury, of Thetford, Norfolk, died of a intelligent haemorrhage while available dilettante treatment.
Tim Deeming, a dilettante medical loosening counsel from Slater and Gordon, which represents the family, said: “Mr Brackenbury was still operative and frequency had a day sick in his life.
“Unfortunately an apparent catalog of failings led to his nonessential and avoidable death given that his diagnosis was not prioritised to approve with the inhabitant guidelines.
“We wish lessons can be schooled from the failings in this comfortless case opposite the NHS to safeguard that improvements are made.”
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