up a ball, and as she stood up she hit her head on a clay hanging basket. She said this happened at about 12:30pm to 1:00pm. Latoya did not complain of a headache until about 5:00pm when Ms Becker gave her a Panadol (see Exhibit C5a). Latoya continued to complain of headache. Mrs Quinn arrived at about 8:45pm. By this time Latoya was agitated, crying, holding her forehead and complaining of a headache. Mrs Quinn took Latoya to Noarlunga Hospital and the clinical record shows that she arrived at 9:10pm. She was seen by the Triage Nurse, and taken to an examination cubicle at 9:21pm. There is evidence from the nurses that she was seen more quickly than usual because she was upset, noisy and disturbing the other patients. Latoya was seen by Dr Ian McCombe at 9:54pm. Dr McCombe said that he noted the history that she had hit her head on a pot plant, and that the headache had started around 4:30pm. She was now out loudly demanding Panadol’ and was ‘crying uncooperative with his examination. He noted: 'Screaming and kicking all temper tantrum style performance.' (see Exhibit C9a) Dr McCombe noted Latoya’s medical history, in particular the ventriculo-peritoneal shunt, the fact that it had last been replaced when she was 10 years old, as well as a history of ADHD. He told me that Mrs Quinn gave him most of the history (T133). He said he did not read Dr Clohesy’s notes in the clinical record in relation to the 1999 admission (T158). On examination, Dr McCombe found no neurological abnormalities although his examination was difficult because Latoya was uncooperative. He found no sign of a head injury but again commented that examination was difficult. Dr McCombe found this a case’ so he decided to seek expert advice. He ‘difficult thought that Latoya’s behaviour was consistent with a headache but seemed exaggerated (T139). However, being concerned about the shunt he telephoned the Paediatric Registrar at the Flinders Medical Centre in accordance with usual practice at Noarlunga Hospital.
up a ball, and as she stood up she hit her head on a clay hanging basket. She said this happened at about 12:30pm to 1:00pm. Latoya did not complain of a headache until about 5:00pm when Ms Becker gave her a Panadol (see Exhibit C5a). Latoya continued to complain of headache. Mrs Quinn arrived at about 8:45pm. By this time Latoya was agitated, crying, holding her forehead and complaining of a headache. Mrs Quinn took Latoya to Noarlunga Hospital and the clinical record shows that she arrived at 9:10pm. She was seen by the Triage Nurse, and taken to an examination cubicle at 9:21pm. There is evidence from the nurses that she was seen more quickly than usual because she was upset, noisy and disturbing the other patients. Latoya was seen by Dr Ian McCombe at 9:54pm. Dr McCombe said that he noted the history that she had hit her head on a pot plant, and that the headache had started around 4:30pm. She was now ‘crying out loudly demanding Panadol’ and was uncooperative with his examination. He noted: 'Screaming and kicking all temper tantrum style performance.' (see Exhibit C9a) Dr McCombe noted Latoya’s medical history, in particular the ventriculo-peritoneal shunt, the fact that it had last been replaced when she was 10 years old, as well as a history of ADHD. He told me that Mrs Quinn gave him most of the history (T133). He said he did not read Dr Clohesy’s notes in the clinical record in relation to the 1999 admission (T158). On examination, Dr McCombe found no neurological abnormalities although his examination was difficult because Latoya was uncooperative. He found no sign of a head injury but again commented that examination was difficult. Dr McCombe found this a ‘difficult case’ so he decided to seek expert advice. He thought that Latoya’s behaviour was consistent with a headache but seemed exaggerated (T139). However, being concerned about the shunt he telephoned the Paediatric Registrar at the Flinders Medical Centre in accordance with usual practice at Noarlunga Hospital.
QUINN%20Latoya%20Shelley.docx