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Prosecution calls Lisa Shannon, a registered nurse, as subsequent witness
In July 2023, Lisa Shannon was working as an after-hours coordinator at Korumburra hospital and pressing care centre.
She says Don was “significantly sicker” than Gail when the pair arrived. Gail was not vomiting after they arrived, she says.
Don and Gail mentioned they’d taken an anti-nausea remedy earlier that morning, Shannon says.
Shannon administered a cannula to ship IV fluids to Don and Gail and ran a blood check utilizing a transportable gadget to measure their electrolyte ranges, the courtroom hears.
Whereas within the pressing clinic, Shannon accompanied Don to the lavatory each 10 minutes, the courtroom hears.
Don and Gail have been then admitted to the ward on the Korumburra hospital to be noticed:
“They have been requiring one-on-one care. They have been very unwell,” Shannon says.
Key occasions
Docs started to suspect loss of life cap mushrooms by 10:30pm, courtroom hears
By about 10.30pm Morgan was in touch with the toxicology division who requested she discover out extra about what meal was served on the lunch.
I used to be involved that this wasn’t simply gastroenteritis attributable to meals poisoning. There was a dialogue concerning the presentation and the way it was fairly extreme, however the onset of signs was fairly delayed.
This could be extra indicative of a critical toxin syndrome versus a meals poisoning.
The toxicologist raised the chance that if it was toxin poisoning, it was more than likely because of the ingestion of amanita phalloides – or loss of life cap mushrooms.
Physician testifies on additional particulars of Don Patterson’s medical exams
Morgan ordered repeat venous blood fuel exams, after IV fluids have been administered to Don. However the outcomes confirmed there was a “persistent extreme metabolic acidosis.”
She says she wanted to rule out ischemic bowel illness – “useless bowel,” she says – to find out the reason for Don’s sickness.
Morgan noticed Don at 10pm. She agrees he appeared “comparatively properly” and didn’t have belly tenderness.
A CT scan of Don’s belly was carried out which was regular and dominated out ischemic bowel, the courtroom hears.
What you should know: day six
Our reporter, Nino Bucci, has filed his report about Tuesday’s proceedings within the homicide trial of Victorian girl Erin Patterson. Have a learn right here:
Don Patterson returned irregular liver perform exams, physician says
Nanette Rogers SC, the prosecutor, asks Morgan about exams carried out on Don.
Morgan says a venous blood fuel check on Don discovered his pH degree was low which meant the “blood was very acidic”.
A full blood examination confirmed the hemoglobin – hooked up to purple cells to hold oxygen – was “fairly excessive” at 200, the courtroom hears.
Morgan says this was resulting from Don being dehydrated.
Don additionally returned irregular liver perform exams, the courtroom hears.
Don Patterson had ‘borderline excessive’ pulse, physician says
Morgan says Don was exhibiting gentle belly ache on his proper ache in addition to nausea and diarrhoea when the pair arrived at Dandenong hospital.
Docs have been advised concerning the beef wellington lunch, the courtroom hears.
Morgan says testing confirmed Don’s important indicators have been “comparatively secure” and he didn’t have a fever. He had a pulse price of 100 beats per minute which is “borderline excessive”, the courtroom hears.
His respiratory price was 23 breaths per minute which was “fairly regular”, Morgan says. His oxygen ranges have been additionally regular.
The prosecution’s subsequent witness is Dr Beth Morgan
Dr Beth Morgan was concerned within the care of Don and Gail Patterson at Dandenong hospital as medical registrar after they arrived on 30 July 2023 through ambulance switch.
Nurse remembers Don’s situation deteriorating
Shannon says Simon Patterson’s father was torpid, had lowered blood stress and describes his signs as “fairly uncommon” for “typical vomiting and diarrhoea.”
Shannon says Don’s blood check outcomes have been “irregular” and a switch to a tertiary hospital with a bigger ICU was organized.
There isn’t a cross-examination.
Prosecution calls Lisa Shannon, a registered nurse, as subsequent witness
In July 2023, Lisa Shannon was working as an after-hours coordinator at Korumburra hospital and pressing care centre.
She says Don was “significantly sicker” than Gail when the pair arrived. Gail was not vomiting after they arrived, she says.
Don and Gail mentioned they’d taken an anti-nausea remedy earlier that morning, Shannon says.
Shannon administered a cannula to ship IV fluids to Don and Gail and ran a blood check utilizing a transportable gadget to measure their electrolyte ranges, the courtroom hears.
Whereas within the pressing clinic, Shannon accompanied Don to the lavatory each 10 minutes, the courtroom hears.
Don and Gail have been then admitted to the ward on the Korumburra hospital to be noticed:
“They have been requiring one-on-one care. They have been very unwell,” Shannon says.
Prosecution’s subsequent witness is ambulance responder Cindy Hyde
In July 2023 she was working as a affected person transport officer for the Royal Flying Physician Service Victoria, the courtroom hears. The service was contracted by Ambulance Victoria.
Hyde responded to an ambulance callout for Don and Gail Patterson, Erin’s parents-in-law, on 30 July 2023.
The pair advised them they’d attended a lunch the day past and had been vomiting from about midnight.
She says her accomplice requested what they’d eaten and Don replied “beef stroganoff.”
Hyde and her accomplice then transported the pair to Korumburra hospital, the courtroom hears.
There isn’t a cross-examination.
Ian Wilkinson cross-examined on Erin’s well being revelation
Erin Patterson’s lawyer, Colin Mandy SC, presses Ian about his proof that Erin advised the 4 lunch friends – Don and Gail Patterson, in addition to Ian and his spouse Heather Wilkinson – she had most cancers.
Mandy says:
Let me counsel that what you advised police while you made your assertion is that Erin mentioned she had a suspected most cancers.
Ian agrees that is what he advised police when making his assertion.
When pressed by Mandy about this, Ian says “I believe she was saying she had most cancers” as a result of she introduced up a diagnostic scan which confirmed a tumor.
Ian says he was “most likely understating issues” when he made his police assertion.
Ian says Erin was “pretty clear that the [cancer] prognosis was given.”
Mandy says Ian’s police assertion didn’t embody references to Erin’s diagnostic check for most cancers. Ian says he accepts this.
Mandy has concluded his cross-examination of Ian Wilkinson.
Ian Wilkinson says he remembers 4 plates that have been the identical and one which was not
The trial has recommenced and Ian Wilkinson is again within the witness stand.
Beneath cross-examination, Wilkinson agrees that Erin didn’t give instructions on the place the plates must be positioned on the desk on the fateful beef wellington lunch.
He additionally agrees the 4 friends may have sat in any of the seats on the desk.
Mandy says there have been “not 4 plates that have been the identical.” Ian rejects this and says he remembers 4 gray plates and one smaller plate of a special color.
Court docket adjourns for lunch break
The trial will recommence at 2.15pm when Ian Wilkinson’s cross-examination will proceed.
Erin Patterson is accused of murdering her estranged husband Simon Patterson’s mother and father, Don and Gail Patterson, and Gail’s sister and Simon’s aunt, Heather Wilkinson, by feeding them a meal of beef wellington laced with loss of life cap mushrooms in July 2023. She has pleaded not responsible.
Here’s a reminder of the important thing figures concerned.
A fast modification, readers. Immediately’s crown prosecutor is Jane Warren, not Sarah Lenthall as beforehand acknowledged.
Ian Wilkinson says he noticed meal served at deadly lunch come from an oven tray
Mandy turns to Ian’s proof about how Erin positioned the meat wellington lunch on plates.
He asks Ian if he remembers every beef wellington being served from a tray.
“Can I counsel to you, you noticed them come from a tray, probably an oven tray,” Mandy says.
Ian says he can not recall this.
After some forwards and backwards, Mandy takes Ian to his proof to police on 5 September 2023 whereas at Austin hospital the place he mentioned the meat wellingtons have been served on a tray.
Ian agrees that is what he advised the law enforcement officials. He says this has jogged his reminiscence and believes he can image it.
Ian Wilkinson says lunch friends ‘didn’t have a home tour’
Erin Patterson’s lawyer, Colin Mandy SC, has begun his cross-examination of Ian.
He takes Ian to the cut-off date when the 4 lunch friends arrived at Erin’s home in Leongatha, which had been not too long ago constructed.
Mandy places to Ian that Erin was “happy with the home” she had invited the group to. Ian replies:
I don’t assume it was that clear.
Mandy takes Ian to his earlier proof given in pre-trial hearings the place he agreed that Erin was happy with her home:
On reflection, I felt these solutions weren’t passable …. I hadn’t thought an incredible deal about the home and Erin being happy with the home earlier than you requested me these questions …. On reflection, I felt these solutions weren’t … a good illustration of the occasions.
However he says the friends “didn’t have a home tour” and Erin was not driving the dialog about her home.