Hi all. Drained after Mia's inquest only finished yesterday, so haven't been too focussed on anything else. Yesterday, the coroner delivered a narrative verdict regarding Mia's death, rather than simply a death by natural causes. While it didn't go quite as far as we had hoped, in that no specific neglect or failure on behalf of the hospital was noted, the most important sentences for us were these - "the serious nature of her condition was not recognised' and "her impending arrest was not recognised". He also criticised the hospital for not having senior paediatric staff on site to take the necessary treatment decisions. Further, under Rule 43, where a coroner can specify actions be taken to prevent future deaths, the coroner requires the hospital to undertake an immediate review into its paediatric care and management for seriously ill children, particularly out-of-hours, weekends and bank holidays. We are pleased with this, but have concerns as well, as the hospital has made changes previously which failed for Mia.
The inquest highlighted two potential diagnoses of her symptoms - unfortunately, the hospital treated the wrong one. As we already knew, Mia's port-mortem revealed that she had a bacterial growth on her otherwise healthy heart. While very rare, expert witnesses did feel this would have been treatable, if only her symptoms had been recognised... They were unable to give a better prognosis of survival more than short-to-medium term, however. But Mia didn't even have that chance. The inquest also showed that opportunities did exist earlier to intervene in Mia's decline, using routine medical procedures, but sadly these were not taken... However, we respect the coroner's verdict, and do feel that he has been very pro-active in establishing the facts around Mia's death.
Love you forever, darling girl. We have tried to do our very, very best for you.