Man didn't seem to be in distress, inquest told
The last medical professionals to see Robert Stone before he entered the detox centre, where he would later die, say there were no signs that he was in any medical distress.
The last medical professionals to see Robert Stone before he entered the detox centre, where he would later die, say there were no signs that he was in any medical distress.
Stone was brought by ambulance to Whitehorse General Hospital at around 3 a.m. on May 2, 2010 after complaining of feeling unwell while being held at the Whitehorse RCMP cells.
This was his second trip in an ambulance in the span of about eight hours.
Stone was originally picked up by paramedics at around 7:30 p.m. after he was seen staggering along Fourth Avenue downtown.
Witnesses have testified that Stone had cuts, bruises and road rash on his face.
On his way to the hospital the first time, Stone, who had been drinking, became agitated and hit one of the paramedics, which led to him being arrested.
The arresting RCMP officer, Const. Derek Turner, testified Monday he was told by paramedics that Stone was fit to be transported.
Dr. Iain Seal is the emergency room doctor who examined Stone when he came in that early morning. He testified that the 34-year-old told him he had been "hit with fists” and kicked.
Seal told the jury Tuesday that Stone knew his name, what day it was and where he was.
He also said he had not lost consciousness and was not nauseous, Seal testified.
The doctor performed a number of tests of Stone looking for nerve, brain or lung damage, but said he found nothing to cause him concern.
All of Stone's vital signs at the time were normal.
"He was as alert and awake as you and I,” Seal testified.
Stone was a frequent patient at the emergency room.
Seal testified that Stone's medical file was made up of three volumes, each about five inches thick.
Almost all of his visits were related to alcohol ingestion or seizures, Seal said.
Stone was diagnosed with Fetal Alcohol Spectrum Disorder, making him 10 times more likely than the average person to have a seizure, the doctor testified.
Stone was more likely to experience a seizure even while on medication, but seized under all circumstances, Seal said.
Registered nurse Leatha Smith, who dealt with Stone about once a week at the hospital, testified "he actually seemed better on this visit.”
A second nurse working that shift, Andrea Cook, said Stone was clean, calm and appeared to have recently had a hair cut.
Seal said he chose to release Stone to the detox centre because "he didn't have anywhere else to go” and admitted to drinking that night.
Prior to releasing Stone, the doctor ordered a blood test to check the level of the anti-seizure medication Dilantin in his blood.
The tests came back within the normal therapeutic range.
A large portion of the inquest, which began Monday, has focused on the anti-seizure medication Dilantin Stone was prescribed and whether he had taken any at the time leading up to his death.
Toxicologist Dr. Walter Martz testified Tuesday that Stone had the drug in his system when he died.
The B.C. doctor told the jury that, based on blood taken from him at the hospital that morning, Stone's Dilantin level was at the high end of the therapeutic range.
Martz testified that because of the length of time it takes the drug to metabolize in a person's system, missing one dose of the drug is not likely to make a difference in a patient with a long history of being on the medication.
The toxicologist testified that mixing alcohol with the medication, as Stone had, is not recommended because both drugs are sedatives.
Chronic alcoholism, as well as binge drinking, can also affect the level of the drug found in a person's system, Martz said.
In chronic alcoholics, enzymes may cause drug levels to be slightly lower, the doctor said, while binge drinking can cause those levels to stay higher longer.
The jury has heard that Stone was drinking the day before he died, hours after having been released from the Whitehorse Correctional Centre, where he had been incarcerated for just over a month.
No other drugs were found in the blood sample, Martz said.
The doctor was also able to use the blood and tests done after Stone's death to estimate his time of death at being four or five hours after the blood was taken.
Stone was found dead in his room at the detox centre at around 10:00 that morning.
The final witness to give testimony Tuesday was Michael Cousins, the taxi driver who drove Stone from the hospital to the detox centre.
Cousins told the jury Stone told him he wanted to go to the detox centre but needed to be drunk first before he could be accepted.
Cousins conceded he had no idea if this was true. He said Stone told him "alcohol had ruined his life and cost him his wife and kids.”
The inquest, which continued today, is expected to be completed Thursday.
Once they hear from all the witnesses, the jury's four women and two men will be asked to make recommendations, if they have any, on how to prevent similar deaths.
Comments (1)
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anonymous on Sep 21, 2011 at 8:13 am
This does not make me feel any better about the medical system up here. I went to the hospital once with something wrong with me and they also did blood work. They told me it was fine and to go home. It wasn't fine. It's not about this particular person being drunk (to me anyway) it's about the hospital. Blaming the people who are drunk for dying after you release them from the hospital is ridiculous. Also, maybe Detox should take people that want help when they are sober. Telling them they have to be drunk in order to get help is stupid. The people trying to get elected right now are saying whatever they can to get elected but they won't follow through with anything. Time will pass and everyone will forget what they promised. It's happened before and it will happen again. This town is a train wreck.