Callum Jones, 27, was walking his dog with his family when he slipped on a wooden walkway and injured his ankle, resulting in a blood clot that killed the “gentle, kind and loving boy”.
Image: Kim Jones)
A dog walker who sprained his ankle and died two weeks later might have been saved had he had an in-person doctor’s appointment, an investigation has found.
The blood clot that eventually killed Callum Jones might have been discovered if his doctor’s appointment hadn’t been over the phone.
His heartbroken mother Kim Jones spoke after the inquest into his death. She said: “He could have been saved if he had been seen (by his GP) in person.” North Wales Live reports .
The 27-year-old was walking his dog with his family in Loggerheads Country Park in Wales when the dog tugged on the lead and he slipped on a wooden bridge and injured his ankle on October 3 last year.
A little over two weeks later, he would collapse at home and die at the Countess of Chester Hospital, an inquest said.
Ian Cooper/North Wales Live)
A coroner yesterday called the circumstances of the accident “absurd” and said he would contact the health authorities to learn how doctors communicate with their patients.
Senior Coroner for North Wales East and Central John Gittins heard Callum being taken to Holywell Community Hospital and then to Ysbyty Glan Clwyd in Bodelwyddan after the slip, where he was diagnosed with a broken ankle.
He was given crutches and a protective plastic boot. But eight days later he went back for another appointment where he was told he had badly sprained ligaments and tendons.
Two days later things took a turn for the worse when he started having pains in his shoulder and chest and found he was out of breath.
Then, on October 15, he called his family doctor and received a telephone consultation.
During their nine-minute phone call, Dr. Chris Murphy, his GP, said he had diagnosed Callum with “pleuritic pain,” a stabbing chest pain.
dr Murphy admitted during the inquest that he was unaware Callum was wearing ankle boots at the time of the call.
Two days after his phone call, on October 17, Callum collapsed at his home in Ewloe, north-east Wales, and was taken to hospital.
Paramedics tried to save his life, but despite their best efforts, he tragically died early the next day.
A post-mortem found that Callum died of a pulmonary embolism, a blocked blood vessel in his lungs.
This was directly due to the immobility caused by his ankle injury.
dr Murphy told the coroner he was in “complete shock” when he learned Callum had died.
When questioned, he admitted that if he had met in person, he would have noticed the protective boot he was wearing and considered an alternative diagnosis that might have led to the discovery of his blood clot.
The GP said there were now “many more in-person appointments in the afternoon” but it was still a primarily telephone triage service.
Additionally, the inquest learned that Callum’s discharge letter didn’t arrive at the family doctor’s office until “a few weeks” after his death.
Communication between primary and secondary care was described as a “constant eyesore,” the coroner concluded.
He said: “I am concerned if Dr. Murphy says it’s not unusual if we have the discharge letter a few weeks later.
“I will ask the health department to get back to me in three weeks to explain how long it is currently taking to require discharge letters (to be sent out).”
He said if he determines at this point that the timeframe poses a risk to other patients, he has an obligation to make a decision under Regulation 28 to prevent future deaths.
Callum was described by his mother as a “gentle boy, kind and loving”. He was Assistant Retail Manager at the Card Factory store at Broughton Retail Park.
The coroner noted that love and support overflowed after his death.
https://www.mirror.co.uk/news/uk-news/man-27-sprained-ankle-dies-27174373 27-year-old man with sprained ankle dies of blood clot after medical exam by phone