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There are countless factors
that can lead to your death.
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As senior coroner,
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I deal with nearly 4,500 fatalities
a year.
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LESLEY SHARP: The coroner
can make any inquiries necessary
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to find a cause of death.
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POLICE OFFICER: The police act
on behalf of the coroner.
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If the coroner asks, then we do it.
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With unprecedented access, we follow
the coroner's full investigation.
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Somebody somewhere will want to know
that this person's died.
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We're taking pieces of the jigsaw
to formulate a cause of death.
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From the moment of arrival
in the mortuary
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to the final conclusion
of the inquest.
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WOMAN: All rise.
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CORONER: I'm sorry
that you're attending court
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under these circumstances,
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and I appreciate that the evidence
that you will hear today
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may be distressing.
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I feel like no big event
happened to cause this.
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I need answers. I need to know
what happened that night.
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If you die here,
if it's violent, unnatural,
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or of an unknown cause,
it's my job to find out how.
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Mum and Dad - amazing people,
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I couldn't have wanted
better parents.
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And I don't think
they'd ever had a cross word.
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Mum and Dad were married 56 years.
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They had four years left
to get their 60.
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Unfortunately, they... they're not
going to get to that milestone.
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I can't believe what's happened,
really.
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The phone rang at half six
in the morning.
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One ring, Mum.
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Thinking, "Oh, what's going on?
What's happened?"
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But Mum being Mum, one ring
on the phone was quite common.
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Next thing I know,
there's a private number ringing me.
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So at that point, it's like, "Whoa."
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RINGING TONE
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MAN:
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PARAMEDIC:
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JAMES:
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PARAMEDIC:
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JAMES:
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I'm dealing, this morning,
with the death
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of a 75-year-old lady
called Joyce Fishwick.
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Joyce resides at home
with her husband, James.
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The couple had gone to bed
as normal last night.
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Ancl about eleven o'clock,
James got up
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and he saw Joyce sat
on the stairlift.
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James has gone down the stairs
to call the ambulance,
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and sadly,
as he's been going down the stairs,
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he's fallen and ended up
at the bottom of the stairs.
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He's managed to drag himself
to the sofa in the living room.
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When he's got to the sofa,
he's turned round
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and realised thatjoyce is also
at the bottom of the stairs.
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There is a phone
at the home address,
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but unfortunately,
this was out of order.
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He was aware that a neighbour leaves
home quite early in the morning,
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so what he's clone,
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he's managed to sit himself
on a chair in the window,
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and then in the morning,
he's managed to alert the neighbour.
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This is a wristband.
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This makes sure that we've got
all the correct identification
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when she's transferred.
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Ancl then we have
the same information
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just on this slip
that we put in the pocket of the bag
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so that we can see at a glance
who we've got.
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it just helps
to keep things running smoothly
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if we've got those details
on the outside of the bag as well.
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The police officer who's attended
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has described howjames has himself
sustained some injuries to his arm,
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to his rib and to his shoulder,
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and also described
how they found Joyce,
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laid face down
at the bottom of the stairs.
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She's got some blood pooling
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and what appears to be
some bruising to her abdomen.
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Ancl also, some blood
coming from the nose as well.
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What the coroner
now needs to establish
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is whether or not Joyce has had
some sort of acute medical event
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whilst sat in the chairlift
that's caused her to pass away,
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or has she sustained
some traumatic injuries
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which have caused her death?
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00:06:12,360 --> 00:06:16,015
So, currently,
both Joyce and her husband, James,
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are both here
at Royal Blackburn Hospital.
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Joyce, sadly in the mortuary,
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and James on a ward,
being treated for his injuries.
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We don't know why Mum's passed.
We weren't expecting it.
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She's gone. I thought when that
phone rang, it was gonna be Dad.
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Ancl to be fair, I think the fact
that he'd been there
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for what he's saying is
about seven hours on the floor
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and on the chair
with significant injuries,
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it is a case of is he gonna recover
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or is it going to be
two of them passing away?
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We don't know.
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No, don't say that.
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I don't even want...
I can't handle that.
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She's like a second mum to me.
I just can't believe she's gone.
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Sorry.
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It was so sudden.
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I think the big question is what
happened and why did it happen?
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Coroner's officers are investigating
the death ofjoyce Fishwick,
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a 75-year-old who was found
at the bottom of her stairs
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after falling from her stairlift.
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So, this lady's got three chains,
a pair of earrings, a watch,
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and she's also got on five rings,
but we won't take the rings off.
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The circumstances of this death
are unusual
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because this is an instance
of a lady
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who might have died
on her stairlift.
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Or alternatively, this is a lady
who was on her stairlift
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and has then fallen from
the stairlift and died in the fall.
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We just don't know.
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Joyce is being prepared
for a CT postmortem scan.
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We're just removing the jewellery,
and when they go for CT,
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if there's metal objects,
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particularly
round the head and the neck,
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it disrupts the image you get.
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We'll put it in one of these
little bags, so they're all safe,
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and they will be kept
with our patient
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so they can be returned
to the family with the undertakers.
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She doesn't have any marks
or scars on her back.
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There's... There's quite a bit
of blood from her nose.
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I'll make a note of that.
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There is a little bit of blood
sort of under hands and elsewhere,
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but I expect it's all come
from the same source.
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I had a good feel around her head
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and I can't see or feel any other
injuries to the scalp or anything.
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There's quite a large bluish bruise
on the inside of her knee here,
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so we'll record that as well.
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At the moment, though, it's not
quite clear what's happened to her,
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so hopefully, the CT will be able
to provide sort of more information.
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Mum and Dad,
just very infectious people.
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Everybody that came along
was always smiling and happy,
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going out, doing what they did
and loving it.
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They just made people happy,
and that's how they were to me.
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Mum, she was popular
with most people,
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she was a member of the local WI,
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the knit and nat club,
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she was a cub leader in her time.
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She turned her hand
to everything, really.
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Really looked after me,
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took me to every cricket match,
everything, all the time.
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What Mum did was absolutely amazing.
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DAPHNE SIGHS
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I just can't see how she got
down the bloody stairs.
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No, no. |—|'m still trying
to get my head round it...
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How did Dad get past her
on the stairs?
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I mean, had she gone to bed?
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She'd gone upstairs,
she was on the stairlift.
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So we don't know if she's gone
upstairs to the bathroom,
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gone to bed or...
I'm guessing...
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...she's feeling poorly or what.
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Well, I'm guessing with the time,
she's gone to bed.
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It's like has she got up there
and fallen asleep?
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We don't know.
How's she still sat there?
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She's not slumped forward,
she's not moved, she's just sat.
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Well, that's what I'm saying because
she's not gone, "Ugh!" over, and...
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Ancl that's it, she's still,
as Dad described her,
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she was just...
Fallen asleep.
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...sat there on the chair.
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It's in the hands of the coroner
to see what happens next.
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I still can't believe it.
Uh-huh.
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I don't want to believe it,
I wanna wake up.
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But we don't know, do we?
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We'll wait and see what happens.
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DISTANT SIRENS
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Paramedics have been called
to the home of an 86-year-old man
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who has been found in his bathroom
with serious head and neck injuries.
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We were supposed to be working,
and he didn't turn up.
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So I texted him,
and there was no answer.
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Ancl half an hour later,
I texted him again,
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I rang up, there was no answer.
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It was unexpected.
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The man has been identified
as David Paterson,
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and he has been transported
to Royal Preston Hospital.
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David was
in a very difficult situation.
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He had no power
in any of his arms or his legs.
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His head injury and his cervical
injury was very significant.
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He was only able to communicate
with us by blinking his eyes.
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He was on a ventilator machine,
which was helping him to breathe.
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But he was still awake enough
that he could respond to questions.
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Unfortunately, his condition
continued to worsen.
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The likelihood of death
was extremely high
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no matter what we did.
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David had previously had discussions
with his family
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that in the event
of a significant injury,
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he wouldn't want to carry on
like that or to be resuscitated.
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Unfortunately, his condition did
deteriorate throughout the day,
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and as a result of that,
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we then felt that any further
treatment would be futile.
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It's difficult to gauge
exactly what happened.
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A fall from standing height
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wouldn't normally result
in such a significant injury.
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I'm on my way to the mortuary now
to do the formal identification
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for a David Paterson.
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When people die in hospital,
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we have to do formal identification
by attending the mortuary
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and checking the wristband
against the details
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that have been provided to us
by the medical examiner's office.
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I got round to his house,
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00:14:27,600 --> 00:14:29,495
his next-door neighbour
was out there.
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00:14:29,520 --> 00:14:31,295
I said, "Have you seen David?"
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He said, "I saw him packing
his tools in the car last night,
200
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"said he was working,
seeing you tomorrow."
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I said, "Well, he's not turned up."
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00:14:41,480 --> 00:14:43,895
WOMAN: He's just up here
in fridge number one.
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00:14:52,360 --> 00:14:54,895
We then saw a window open.
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00:14:54,920 --> 00:14:57,455
His neighbour got a ladder
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00:14:57,480 --> 00:15:02,015
and managed to get in the house
and found him in his bathroom.
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He was wedged in between
his bath and his toilet.
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Don't know how it had happened.
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David Paterson.
Yeah.
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00:15:23,760 --> 00:15:25,935
Thank you.
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00:15:30,000 --> 00:15:34,775
He tried to speak to me,
but I... |—| couldn't...
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00:15:34,800 --> 00:15:37,055
I... I couldn't tell what he was...
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00:15:37,080 --> 00:15:38,535
Excuse me.
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00:15:38,560 --> 00:15:40,055
I couldn't tell what he was saying.
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00:15:43,040 --> 00:15:44,815
Ancl that was the last time
I saw him.
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00:15:55,120 --> 00:15:58,335
This is a gentleman
who's 86 years of age
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00:15:58,360 --> 00:16:00,735
who was reported as being
quite fit and healthy
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00:16:00,760 --> 00:16:03,095
and still went to work
one day a week.
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These significant traumatic injuries
sustained from an unwitnessed fall.
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We don't know,
was the house secure, insecure?
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I'll probably have a little chat
with the medical examiner,
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try and understand the circumstances
of how he's been found.
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We need to rule out
third-party involvement.
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00:16:34,920 --> 00:16:39,295
Joyce Fishwick is being transported
from Royal Blackburn Hospital
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00:16:39,320 --> 00:16:43,695
to Royal Preston Hospital
for a postmortem CT scan.
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00:16:43,720 --> 00:16:46,215
This is to try and ascertain
her cause of death
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without the need
for an invasive procedure.
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I want to know what happened
that night, if possible.
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Are we going to know
if it was subject to the fall,
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00:17:01,800 --> 00:17:06,375
was it something else that happened?
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When I saw her on Wednesday,
she was lively as anything.
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That's why I'm in shock
that she... she's gone.
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00:17:21,960 --> 00:17:26,575
I'll just check the details,
Joyce Fishwick, 35-48.
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00:17:28,960 --> 00:17:31,215
Yeah, that's fine.
234
00:17:37,280 --> 00:17:42,335
When my brother was born, Harry,
they really struggled.
235
00:17:44,960 --> 00:17:49,575
Unfortunately, he was born
with cerebral palsy and epilepsy.
236
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He had a learning disability,
so his average mental age
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00:17:55,560 --> 00:17:59,775
was about the age
of a six to eight year old.
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I'd left home, so I had my own life.
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00:18:09,640 --> 00:18:12,695
They looked after him clay and night.
240
00:18:12,720 --> 00:18:15,975
So Harry was everything to them.
241
00:18:17,880 --> 00:18:23,455
He loved brass bands
and banging a bass drum.
242
00:18:27,800 --> 00:18:31,095
They were effectively looking after
243
00:18:31,120 --> 00:18:34,535
somebody not much better
than a toddler
244
00:18:34,560 --> 00:18:37,575
for 40 years of their life.
245
00:18:39,760 --> 00:18:42,455
HE EXHALES
They're saints to me.
246
00:18:42,480 --> 00:18:45,695
What they did for him was unreal.
247
00:18:48,720 --> 00:18:53,935
My brother, he was diagnosed
with stage 4 cancer.
248
00:18:53,960 --> 00:18:58,255
Unfortunately, my brother
was beyond help at that point,
249
00:18:58,280 --> 00:18:59,975
it was just palliative care.
250
00:19:00,000 --> 00:19:01,615
And he passed away.
251
00:19:03,440 --> 00:19:05,055
Harry was their world.
252
00:19:05,080 --> 00:19:09,455
I don't think they ever really
got over Harry's passing.
253
00:19:13,480 --> 00:19:19,015
jim Fishwick Senior has remained
in hospital since his wife died.
254
00:19:19,040 --> 00:19:23,375
He has been transferred to Burnley
Hospital to be closer to his family.
255
00:19:24,920 --> 00:19:28,695
JAMES: Are you OK? We're coming in.
256
00:19:28,720 --> 00:19:31,335
How are you?
JIM: Oh, I'm not so bad.
257
00:19:34,040 --> 00:19:37,575
How are you feeling about Mum now?
I'm coping.
258
00:19:37,600 --> 00:19:39,935
You're coping.
Yeah.
259
00:19:39,960 --> 00:19:41,655
You're still talking to her
every clay?
260
00:19:41,680 --> 00:19:43,615
Yeah, yeah.
261
00:19:43,640 --> 00:19:46,255
I will forever.
262
00:19:47,880 --> 00:19:50,175
I loved her, and she loved me.
263
00:19:50,200 --> 00:19:53,495
We had 56 lovely years.
264
00:19:55,320 --> 00:19:57,615
Sixty altogether.
265
00:19:57,640 --> 00:19:59,975
Yeah, she were lovely.
266
00:20:00,000 --> 00:20:01,215
That's all I can say.
267
00:20:06,080 --> 00:20:08,895
DAPHNE: Are you all right, Dad?
I'm all right, aye.
268
00:20:08,920 --> 00:20:10,775
Come on.
What's up?
269
00:20:10,800 --> 00:20:13,055
What's wrong?
270
00:20:13,080 --> 00:20:15,695
You look in severe pain.
271
00:20:15,720 --> 00:20:18,935
Is it just the thought of Mum?
It's all right.
272
00:20:18,960 --> 00:20:21,815
No, it's not.
It is.
273
00:20:21,840 --> 00:20:25,775
I'm all right.
274
00:20:38,560 --> 00:20:41,735
So, we've got with us today
Joyce Fishwick.
275
00:20:41,760 --> 00:20:44,415
Obviously, with her history
that she has had a fall,
276
00:20:44,440 --> 00:20:47,095
we will look for
any sort of obvious fractures,
277
00:20:47,120 --> 00:20:49,655
especially within the skull.
278
00:20:49,680 --> 00:20:51,695
We'll do a bone scan of her head,
279
00:20:51,720 --> 00:20:54,295
and we will also scan
her C-spine as well.
280
00:20:55,800 --> 00:20:58,135
There doesn't seem to be
anything too glaringly obvious,
281
00:20:58,160 --> 00:21:00,775
especially within her head,
so it doesn't look at the moment
282
00:21:00,800 --> 00:21:03,415
like she's had any bleeds
within the brain.
283
00:21:03,440 --> 00:21:05,335
There also doesn't appear
284
00:21:05,360 --> 00:21:08,095
to be any sort of fractures
of the skull there.
285
00:21:10,160 --> 00:21:13,855
Possible... I would say a possible
rib fracture in this area.
286
00:21:13,880 --> 00:21:17,095
It could end up puncturing the lung,
causing the lung to collapse.
287
00:21:17,120 --> 00:21:21,895
If it's further down, they can end
up sort of causing internal damage.
288
00:21:21,920 --> 00:21:24,575
You've got areas round there
like your spleen
289
00:21:24,600 --> 00:21:28,055
can cause bleeding
if they sort of rupture.
290
00:21:28,080 --> 00:21:31,455
I would say it's highly likely
been caused by a fall.
291
00:21:45,720 --> 00:21:49,735
Coroner's officers are investigating
the death ofjoyce Fishwick,
292
00:21:49,760 --> 00:21:54,255
a 75 year old who was found
at the bottom of her stairs.
293
00:21:54,280 --> 00:21:58,615
Her husband,jim, remains
in hospital with serious injuries.
294
00:22:01,320 --> 00:22:03,255
His family have returned
to the house
295
00:22:03,280 --> 00:22:06,255
to try and understand
what happened that night.
296
00:22:07,560 --> 00:22:09,895
DAPHNE:
I'm trying to find those keys.
297
00:22:09,920 --> 00:22:11,375
JAMES: Have you checked
the other drawers?
298
00:22:11,400 --> 00:22:13,255
Yeah.
299
00:22:13,280 --> 00:22:17,495
I found more jewellery and...
buttons.
300
00:22:20,600 --> 00:22:23,935
It's the order of service
for your mum and dad's wedding.
301
00:22:23,960 --> 00:22:26,855
Right, we need that. We need to take
that home for the funeral, don't we?
302
00:22:34,440 --> 00:22:38,775
From what Dad said,
she was up the top of the stairs,
303
00:22:38,800 --> 00:22:42,775
sat on the stairlift as it is now.
304
00:22:42,800 --> 00:22:47,455
He's come down the stairs,
he's hit with his right shoulder,
305
00:22:47,480 --> 00:22:49,935
he's got 11 fractures in his ribs,
306
00:22:49,960 --> 00:22:54,335
the whole of his shoulder
is shattered and gone.
307
00:22:54,360 --> 00:22:59,095
Ancl he smashed his head,
and he's put that through the wall.
308
00:22:59,120 --> 00:23:02,215
I'm grateful, but I can't understand
309
00:23:02,240 --> 00:23:04,615
how we didn't lose
both of them that night.
310
00:23:04,640 --> 00:23:06,655
I really don't.
311
00:23:06,680 --> 00:23:09,095
It messes with my mind
312
00:23:09,120 --> 00:23:12,415
how he's managed
to squeeze past Mum
313
00:23:12,440 --> 00:23:14,455
sat on the chair
in the first place.
314
00:23:14,480 --> 00:23:17,815
If you look at the stairlift
when it's down...
315
00:23:19,760 --> 00:23:24,055
...he must have pushed
the handles up,
316
00:23:24,080 --> 00:23:26,415
possibly the foot,
317
00:23:26,440 --> 00:23:29,175
to squeeze...
318
00:23:34,880 --> 00:23:36,055
I don't know.
319
00:23:43,000 --> 00:23:45,615
Families want to know
how someone has passed away
320
00:23:45,640 --> 00:23:47,055
and did they suffer?
321
00:23:47,080 --> 00:23:51,455
So if Mrs Fishwick had died
on the stairlift before she fell,
322
00:23:51,480 --> 00:23:53,095
she would have known
nothing about it.
323
00:23:53,120 --> 00:23:55,455
If she has fallen down the stairs,
324
00:23:55,480 --> 00:23:57,015
she may have known
something about it.
325
00:23:57,040 --> 00:23:59,255
But families need these answers
in order to grieve.
326
00:24:09,920 --> 00:24:14,895
It's... It's difficult
looking at the last time
327
00:24:14,920 --> 00:24:16,695
I'm ever gonna see my mum.
328
00:24:17,800 --> 00:24:21,575
See her lying there
under the blanket.
329
00:24:21,600 --> 00:24:24,935
That's the last place
I'll ever see her face, her body.
330
00:24:27,680 --> 00:24:29,255
Can't believe she's gone.
331
00:24:31,080 --> 00:24:32,895
Can't believe he's in hospital.
332
00:24:36,200 --> 00:24:39,735
This case has several tragedies
within it.
333
00:24:41,560 --> 00:24:45,535
The injuries thatjim Fishwick
sustained in the fall
334
00:24:45,560 --> 00:24:47,415
were sufficiently severe
335
00:24:47,440 --> 00:24:50,775
that he remains in hospital
requiring treatment.
336
00:25:00,040 --> 00:25:01,815
We started the house.
337
00:25:01,840 --> 00:25:04,415
We've clone the front room,
virtually.
338
00:25:04,440 --> 00:25:06,215
We cleaned everything out
339
00:25:06,240 --> 00:25:08,815
apart from the big pieces
of furniture
340
00:25:08,840 --> 00:25:11,175
and things we think you wanna keep.
341
00:25:11,200 --> 00:25:16,135
The idea is you don't go home
cos you can't look after yourself.
342
00:25:16,160 --> 00:25:17,695
So what you're gonna do is
343
00:25:17,720 --> 00:25:21,455
we're going to build a granny annexe
at the bottom of the garden.
344
00:25:21,480 --> 00:25:26,535
You can be close to us,
and we can keep an eye on you.
345
00:25:26,560 --> 00:25:28,175
And you can have your own space.
346
00:25:28,200 --> 00:25:32,495
You've looked after us, and now
it's our turn to look after you.
347
00:25:32,520 --> 00:25:33,815
Right, right.
348
00:25:49,080 --> 00:25:50,535
Coroner's officers
349
00:25:50,560 --> 00:25:53,495
are also investigating the death
of David Paterson,
350
00:25:53,520 --> 00:25:56,895
who was found
in his bathroom with head injuries.
351
00:25:56,920 --> 00:26:00,495
Hi. Could I ask you to have
a look at a case for me? Yeah.
352
00:26:00,520 --> 00:26:04,375
So, David Paterson, I'm trying
to understand how he was found
353
00:26:04,400 --> 00:26:06,735
because it was unclear as to whether
354
00:26:06,760 --> 00:26:09,615
the property was secure or insecure
or how they found him. OK.
355
00:26:09,640 --> 00:26:14,015
So I could rule out any suspicion,
really, for third-party involvement.
356
00:26:14,040 --> 00:26:19,575
He was last seen
the previous clay at 8.45pm.
357
00:26:19,600 --> 00:26:21,455
Apparently,
the neighbours have broken in
358
00:26:21,480 --> 00:26:25,255
to find the patient lying on
their back on the bathroom floor.
359
00:26:25,280 --> 00:26:28,735
There did appear to be
a large blood loss from his head.
360
00:26:28,760 --> 00:26:31,495
Ancl he was found on his back, which
will be consistent with everything,
361
00:26:31,520 --> 00:26:32,935
so that's no problem.
362
00:26:32,960 --> 00:26:35,135
That's great, thank you very much.
OK.
363
00:26:39,560 --> 00:26:43,935
A CT scan was taken in hospital
when David was still alive.
364
00:26:46,320 --> 00:26:49,935
The CT scan that he had
was a major trauma scan.
365
00:26:49,960 --> 00:26:53,215
This is a scan that happens
very quickly to determine
366
00:26:53,240 --> 00:26:55,815
if there's any
life or limb-threatening injuries.
367
00:26:57,800 --> 00:27:01,695
What that scan showed is that
David had an injury to his head
368
00:27:01,720 --> 00:27:04,575
and had a bleed within the skull,
on the brain.
369
00:27:04,600 --> 00:27:08,215
More significantly, it did show
an injury to his cervical spine
370
00:27:08,240 --> 00:27:12,055
at the level of C4-5, which is
a significant injury to have.
371
00:27:14,160 --> 00:27:17,375
So, this is the skull here,
he's sustained his injury
372
00:27:17,400 --> 00:27:20,215
at this level here,
the C4-5 level,
373
00:27:20,240 --> 00:27:24,175
and this is completely dislocated,
and a fracture.
374
00:27:24,200 --> 00:27:27,935
Ancl this step is leading
to constriction of the spinal cord.
375
00:27:43,240 --> 00:27:46,575
I met David about 38 years ago
376
00:27:46,600 --> 00:27:50,895
when he used to work
at a leisure centre in Preston.
377
00:27:50,920 --> 00:27:53,095
Ancl we'd been friends ever since.
378
00:27:55,400 --> 00:27:57,215
We just hit it off straight away.
379
00:27:59,240 --> 00:28:01,655
Great guy,
he used to tell me fabulous stories
380
00:28:01,680 --> 00:28:03,375
of when he used to live in Belfast.
381
00:28:05,280 --> 00:28:07,855
He was more or less
a jack of all trades -
382
00:28:07,880 --> 00:28:12,175
he could weld, he could do plumbing,
he could do carpentry.
383
00:28:12,200 --> 00:28:13,815
He used to say that we were probably
384
00:28:13,840 --> 00:28:16,735
the oldest maintenance team
in the country,
385
00:28:16,760 --> 00:28:19,695
him being 86 and me being 80.
386
00:28:19,720 --> 00:28:22,935
Ancl I was his apprentice.
HE CHUCKLES
387
00:28:24,160 --> 00:28:27,015
We used to, like, laugh
about who's gonna go up the ladders.
388
00:28:27,040 --> 00:28:28,975
I said, "No, well,
I'm not going up the ladders,
389
00:28:29,000 --> 00:28:31,215
"I've got a false hip,
so you'll have to go up."
390
00:28:32,720 --> 00:28:34,295
That's David's Cup-a-Soup.
391
00:28:36,600 --> 00:28:37,575
HE CHUCKLES
392
00:28:39,600 --> 00:28:42,855
Basically, I only used to come
just to see David, really,
393
00:28:42,880 --> 00:28:44,135
and help him out.
394
00:28:44,160 --> 00:28:47,495
And hold the ladder
while he went up.
395
00:28:48,800 --> 00:28:52,135
I miss him so much, you know,
he was a brilliant guy.
396
00:28:57,280 --> 00:28:59,135
RINGING TONE
397
00:29:01,880 --> 00:29:06,175
Hi, my name's Alice Swarbrick, I'm
calling in relation to your father.
398
00:29:06,200 --> 00:29:07,615
With regards to your father,
399
00:29:07,640 --> 00:29:09,975
how was his health
in the clays and weeks
400
00:29:10,000 --> 00:29:11,495
leading up to that fall?
401
00:29:11,520 --> 00:29:13,055
MAN:
402
00:29:25,960 --> 00:29:27,335
OK.
403
00:29:40,400 --> 00:29:45,975
David is being released to his
family so a funeral can take place.
404
00:29:46,000 --> 00:29:48,175
Mr Paterson.
WOMAN: OK.
405
00:29:52,280 --> 00:29:55,255
This case will go to inquest.
406
00:29:55,280 --> 00:30:00,175
The reason behind that is that
it's uncertain as to whether or not
407
00:30:00,200 --> 00:30:02,895
he's had an accident,
on the one hand,
408
00:30:02,920 --> 00:30:06,495
or alternatively, he's fallen
clue to a medical condition.
409
00:30:06,520 --> 00:30:10,455
You can fall clue to strokes
or heart attacks
410
00:30:10,480 --> 00:30:13,615
or haemorrhages inside your body.
411
00:30:13,640 --> 00:30:15,975
Or we simply can't find anything,
412
00:30:16,000 --> 00:30:20,695
in which case it's most likely
that it's clue to his increasing age.
413
00:30:20,720 --> 00:30:25,175
Even given his activity and
his ability to look after himself.
414
00:30:38,960 --> 00:30:41,615
WOMAN: Come for Joyce Fishwick?
MAN: That's right, yeah.
415
00:30:43,600 --> 00:30:45,055
Number 23.
416
00:30:47,680 --> 00:30:50,295
The coroner has also authorised
the release
417
00:30:50,320 --> 00:30:53,095
of 75-year-old Joyce Fishwick.
418
00:30:53,120 --> 00:30:56,695
Yeah, we've got some jewellery
on here, we've... Five rings.
419
00:30:56,720 --> 00:30:58,975
Five rings in total. Yeah.
420
00:30:59,000 --> 00:31:00,775
Three chains and a watch.
421
00:31:11,360 --> 00:31:13,135
We've got a 75-year-old lady
422
00:31:13,160 --> 00:31:16,095
who's, at some point,
fallen off her stairlift,
423
00:31:16,120 --> 00:31:18,375
having been found at the top
of the stairs initially
424
00:31:18,400 --> 00:31:21,015
on the stairlift unresponsive.
425
00:31:21,040 --> 00:31:22,935
So the obvious thing here
is to decide
426
00:31:22,960 --> 00:31:26,815
whether the fall from the stairlift
has contributed to her death.
427
00:31:26,840 --> 00:31:30,095
Looking through the chest
from the top to the bottom,
428
00:31:30,120 --> 00:31:33,855
what we have got
is a couple of relatively subtle
429
00:31:33,880 --> 00:31:37,655
but definite rib fractures
at the back on the left side,
430
00:31:37,680 --> 00:31:41,255
so we can see the contour
of this rib here is depressed
431
00:31:41,280 --> 00:31:43,615
and it's lost its normal contour,
432
00:31:43,640 --> 00:31:46,015
and there's a definite fracture
of this rib here.
433
00:31:46,040 --> 00:31:47,855
Rib fractures on their own
434
00:31:47,880 --> 00:31:50,215
are unlikely to have caused
someone to die.
435
00:31:50,240 --> 00:31:52,495
But what is important
when you see traumatic injuries
436
00:31:52,520 --> 00:31:54,375
to the thoracic cage and the ribs
437
00:31:54,400 --> 00:31:57,335
is to establish whether there's
any underlying injury to the lung,
438
00:31:57,360 --> 00:31:59,095
which can be fatal.
439
00:31:59,120 --> 00:32:03,495
In this case, there's no evidence
of any bleeding around the lung,
440
00:32:03,520 --> 00:32:06,215
and there's no evidence
that the lung has collapsed.
441
00:32:06,240 --> 00:32:09,535
I think what we're looking at now
is what's happened to the patient,
442
00:32:09,560 --> 00:32:12,495
presumably, before she's fallen
off the stairlift.
443
00:32:12,520 --> 00:32:14,815
So, the obvious thing
that jumps out at me here
444
00:32:14,840 --> 00:32:16,295
is this heart is enlarged.
445
00:32:16,320 --> 00:32:18,175
The way we assess heart size
446
00:32:18,200 --> 00:32:21,895
is to compare the diameter
of the heart itself
447
00:32:21,920 --> 00:32:25,015
with the diameter of the thorax.
448
00:32:25,040 --> 00:32:27,975
And we're looking for a ratio
449
00:32:28,000 --> 00:32:32,375
of anything over sort of 0.55
is abnormal.
450
00:32:32,400 --> 00:32:37,375
When we work the maths out here,
the ratio is over 0.61
451
00:32:37,400 --> 00:32:41,415
so this heart is obviously
significantly enlarged.
452
00:32:41,440 --> 00:32:44,455
And the other thing we need to
assess is the coronary arteries,
453
00:32:44,480 --> 00:32:48,415
which are the arteries that supply
the heart muscle itself,
454
00:32:48,440 --> 00:32:51,535
and we can see
that there's significant disease
455
00:32:51,560 --> 00:32:53,735
in the coronary arteries.
456
00:32:56,120 --> 00:32:57,895
RINGING TONE
457
00:32:59,120 --> 00:33:00,255
JAMES:
458
00:33:00,280 --> 00:33:02,655
Hello, James,
the reason that I'm ringing
459
00:33:02,680 --> 00:33:05,695
is that your mum's had
her CT postmortem scan.
460
00:33:08,480 --> 00:33:13,255
The radiologist has proposed a cause
of death of coronary artery disease.
461
00:33:13,280 --> 00:33:16,655
Ancl in part two,
he's put "hypertension".
462
00:33:16,680 --> 00:33:19,015
So it would appear
that when your clad
463
00:33:19,040 --> 00:33:23,415
had gone past her on the stairs
and he'd seen her in the chairlift,
464
00:33:23,440 --> 00:33:25,735
that she'd actually already
passed away at that time.
465
00:33:29,400 --> 00:33:30,375
Yes.
466
00:33:34,040 --> 00:33:35,495
Well, I thought so.
467
00:33:35,520 --> 00:33:39,175
I thought that would be the news
that you would want.
468
00:33:46,960 --> 00:33:50,775
The circumstances
ofjoyce's death are unusual
469
00:33:50,800 --> 00:33:53,215
because it involves a fall.
470
00:33:53,240 --> 00:33:56,735
Had she died ten minutes earlier,
she would have been downstairs.
471
00:33:56,760 --> 00:34:01,135
Had she died ten minutes later,
she would have died in her bed.
472
00:34:01,160 --> 00:34:04,095
You don't get to choose
the timing of your death.
473
00:34:04,120 --> 00:34:08,975
It arrives irrespective
of what you are doing at the time.
474
00:34:11,120 --> 00:34:15,655
That's why we end up
with so many unusual circumstances,
475
00:34:15,680 --> 00:34:17,415
because no-one was expecting it.
476
00:34:40,720 --> 00:34:44,175
Since the Earthly life ofjoyce
has come to an end,
477
00:34:44,200 --> 00:34:47,775
we have now committed her body
to the ground.
478
00:34:47,800 --> 00:34:53,055
Earth to earth,
ashes to ashes, dust to dust.
479
00:34:55,560 --> 00:34:58,295
I'm honestly not sure
where I'm at at the moment,
480
00:34:58,320 --> 00:35:02,815
I'm trying to keep it together
so far today.
481
00:35:06,760 --> 00:35:09,095
We've had a bad couple of clays.
482
00:35:09,120 --> 00:35:12,775
Dad, he's still in hospital
and seriously unwell.
483
00:35:14,240 --> 00:35:19,695
He's now managed to contract COVID,
so no matter all the plans we made,
484
00:35:19,720 --> 00:35:22,215
we can't get him physically
to the funeral.
485
00:35:35,960 --> 00:35:37,815
Do you want to throw your flowers?
486
00:35:40,760 --> 00:35:43,015
Dad is struggling, really.
487
00:35:44,960 --> 00:35:48,375
I know I lost my mum,
but it's starting feeling like
488
00:35:48,400 --> 00:35:52,095
the same clay, I lost my clad.
489
00:36:11,520 --> 00:36:14,695
It's the day
of David Paterson's inquest.
490
00:36:17,760 --> 00:36:20,495
David Paterson
is an 86-year-old gentleman
491
00:36:20,520 --> 00:36:22,895
who was fit, well,
492
00:36:22,920 --> 00:36:26,015
and the night before,
he's had a cup of coffee
493
00:36:26,040 --> 00:36:28,375
with his next-door neighbour
in the garden.
494
00:36:28,400 --> 00:36:30,815
Ancl the following morning
appears to have got up
495
00:36:30,840 --> 00:36:34,335
and has then been found
collapsed in the bathroom.
496
00:36:34,360 --> 00:36:38,335
So the question here is, what
has happened to him in the meantime?
497
00:36:38,360 --> 00:36:41,335
Has he become ill,
has he had a fall,
498
00:36:41,360 --> 00:36:44,495
has he tripped over something,
or is there something else going on?
499
00:36:47,800 --> 00:36:48,895
You OK?
500
00:36:48,920 --> 00:36:52,095
The family is happy
for David's story to be told,
501
00:36:52,120 --> 00:36:56,015
but those attending today's inquest
wish to remain anonymous.
502
00:36:56,040 --> 00:36:58,735
So, what I've been doing
over the last couple of months
503
00:36:58,760 --> 00:37:01,095
is gathering statements
from all the relevant people,
504
00:37:01,120 --> 00:37:04,935
so the hospital, family,
to try and understand what happened,
505
00:37:04,960 --> 00:37:08,175
why are we here,
so build a picture for the coroner.
506
00:37:08,200 --> 00:37:11,295
So, with regards to David,
what was he like as a person,
507
00:37:11,320 --> 00:37:14,255
what his health was like
prior to the fall,
508
00:37:14,280 --> 00:37:16,975
what happened on that clay,
how he was found.
509
00:37:26,320 --> 00:37:27,575
WOMAN: All rise.
510
00:37:37,240 --> 00:37:42,375
CORONER: Thank you very much
for coming to Mr Paterson's inquest.
511
00:37:42,400 --> 00:37:45,735
I believe that he'd been having
some dizzy episodes.
512
00:37:45,760 --> 00:37:46,895
WOMAN: Yes.
513
00:37:46,920 --> 00:37:48,855
What was happening
with that, please?
514
00:37:48,880 --> 00:37:52,295
A couple of weeks before,
we were out in the garden,
515
00:37:52,320 --> 00:37:55,375
and David turned to walk,
and he went.
516
00:37:56,600 --> 00:38:00,415
When you say "he went",
is this somebody
517
00:38:00,440 --> 00:38:03,255
who is turning
and loses their balance,
518
00:38:03,280 --> 00:38:05,615
or is this somebody that is...
519
00:38:05,640 --> 00:38:09,935
something of a medical nature
that's causing them to fall?
520
00:38:09,960 --> 00:38:12,855
Probably losing his balance more.
521
00:38:12,880 --> 00:38:15,135
So, was he conscious at all?
522
00:38:15,160 --> 00:38:17,255
Yes, he was drifting in and out,
523
00:38:17,280 --> 00:38:19,615
and he was,
"I don't know where I am.
524
00:38:19,640 --> 00:38:23,175
"What's happening to me?
What's going on?"
525
00:38:25,480 --> 00:38:26,815
James Thomas Bourne.
526
00:38:26,840 --> 00:38:30,815
I'm an orthopaedic spinal surgeon
at Lancashire Teaching Hospitals.
527
00:38:30,840 --> 00:38:36,295
With this, there's no immediately
obvious natural cause of illness
528
00:38:36,320 --> 00:38:38,055
for him to fall over?
529
00:38:38,080 --> 00:38:40,015
Correct.
OK.
530
00:38:40,040 --> 00:38:42,855
Given that he's sustained
a fracture to his neck,
531
00:38:42,880 --> 00:38:46,535
is that the sort of injury
that you would expect
532
00:38:46,560 --> 00:38:48,935
to come with a fall of this type?
533
00:38:48,960 --> 00:38:51,735
That type of injury to me
most likely indicates
534
00:38:51,760 --> 00:38:53,255
that as he fell,
535
00:38:53,280 --> 00:38:57,655
he struck his head and/or his neck
hard on a hard object.
536
00:38:57,680 --> 00:39:00,135
Which could be the floor,
could be the bath,
537
00:39:00,160 --> 00:39:03,215
could have been the sink because
of the location where he was.
538
00:39:06,600 --> 00:39:09,855
David has been described
as an active gentleman,
539
00:39:09,880 --> 00:39:13,015
required very little assistance
with living
540
00:39:13,040 --> 00:39:15,215
but was becoming more elderly.
541
00:39:16,560 --> 00:39:22,175
I view this as a fall initiated
by the natural process of ageing.
542
00:39:22,200 --> 00:39:26,975
Ancl consequently, I'll return that
this is a natural cause of death.
543
00:39:37,640 --> 00:39:42,655
As our population ages,
they become increasingly frail.
544
00:39:42,680 --> 00:39:46,455
And in this case
David Paterson is having falls
545
00:39:46,480 --> 00:39:48,535
clue to his increasing imbalance.
546
00:39:48,560 --> 00:39:52,935
He's also fallen and struck
his head and his neck,
547
00:39:52,960 --> 00:39:54,815
and in you or I,
that may not have resulted
548
00:39:54,840 --> 00:39:57,175
in such a catastrophic injury,
549
00:39:57,200 --> 00:40:00,495
but in David, because of
the problems that he's got,
550
00:40:00,520 --> 00:40:03,695
this has resulted in the injuries
that have taken his life.
551
00:40:03,720 --> 00:40:06,135
Ancl for that reason,
it's a natural conclusion.
552
00:40:14,640 --> 00:40:17,975
So, we've had some lovely words
sent into us by David's son.
553
00:40:19,800 --> 00:40:23,175
"My clad grew up in Belfast
in the 1940s.
554
00:40:23,200 --> 00:40:25,095
"He developed his career
in the army
555
00:40:25,120 --> 00:40:27,975
"where he learnt his trade
as a motor mechanic.
556
00:40:28,000 --> 00:40:32,375
"Where David met his... Marion,
the daughter of his Sergeant Major,
557
00:40:32,400 --> 00:40:35,775
"who, unbeknown to him,
would become his wife."
558
00:40:35,800 --> 00:40:37,615
"He and Mum enjoyed
living in Preston
559
00:40:37,640 --> 00:40:39,415
"because, like Belfast,
560
00:40:39,440 --> 00:40:42,375
"it is a friendly place
and people talk easily.
561
00:40:44,040 --> 00:40:47,135
"We will miss him, but we'll
always remember him with a smile."
562
00:41:02,560 --> 00:41:05,095
Since Dave passed way,
I've not really been up here,
563
00:41:05,120 --> 00:41:08,335
so it looks a bit of a tip,
actually.
564
00:41:08,360 --> 00:41:09,895
HE CHUCKLES
565
00:41:09,920 --> 00:41:13,695
He would go mad, he would. Yeah.
566
00:41:15,360 --> 00:41:19,295
He was a really trusted friend.
567
00:41:19,320 --> 00:41:21,535
I think about him most clays.
568
00:41:24,920 --> 00:41:27,655
He was just a brilliant part
of my life, really.
569
00:41:29,760 --> 00:41:32,655
He is missed, he is missed.
570
00:41:36,640 --> 00:41:38,815
There you go. Night-night, David.
571
00:41:54,680 --> 00:41:58,495
We've had a talk with Dad
following Mum's passing.
572
00:41:59,760 --> 00:42:04,135
My dad's injuries are such
that he can't go home any more,
573
00:42:04,160 --> 00:42:06,815
he can't go back to his house,
he's coming living with us.
574
00:42:08,840 --> 00:42:12,415
We're putting, like,
a granny annexe situation
575
00:42:12,440 --> 00:42:14,775
at the bottom of the garden
for my clad
576
00:42:14,800 --> 00:42:18,815
so he can effectively have
his own space
577
00:42:18,840 --> 00:42:23,815
where he can have his friends round,
he can do whatever he wants.
578
00:42:27,160 --> 00:42:31,535
Dad's... He's struggling, really.
579
00:42:31,560 --> 00:42:35,015
He's not coming to term
with Mum's passing.
580
00:42:38,160 --> 00:42:43,175
The wounds on the ribs and things
are healing,
581
00:42:43,200 --> 00:42:48,575
but the mental wound is...
582
00:42:48,600 --> 00:42:51,735
just as bad, if not worse,
that it was at that time.
583
00:42:56,120 --> 00:42:58,495
They'd been together so for long
584
00:42:58,520 --> 00:43:00,775
that he can't envisage
being without her,
585
00:43:00,800 --> 00:43:04,775
and that's... the hard facts of it.
586
00:43:04,800 --> 00:43:08,295
Ancl he's slowly dying
of a broken heart, really.
587
00:43:13,840 --> 00:43:17,015
Fingers crossed he makes it
to come and live with us.
588
00:44:09,800 --> 00:44:12,375
He's got no identification with him,
he's no phone,
589
00:44:12,400 --> 00:44:14,335
so right now,
we need to try and find out
590
00:44:14,360 --> 00:44:16,055
who he is and how he's cited.
591
00:44:16,080 --> 00:44:17,895
We always thought,
"Just a little blip,
592
00:44:17,920 --> 00:44:20,255
"be right as rain in a few clays,
back home."
593
00:44:20,280 --> 00:44:23,375
And it's so important to understand
what has happened.
594
00:44:23,400 --> 00:44:26,775
There's a strong possibility that
people did take advantage of him.
595
00:44:26,800 --> 00:44:30,455
He was my little boy.
I loved him very much.