A TEENAGE girl dying from meningitis begged and pleaded with nurses to give her antibiotics, an inquest heard.
But Melissa Watmough, 17, had to wait nearly three hours for the drugs after arriving by emergency ambulance to the Manchester Royal Infirmary.
There was then a delay of almost two hours before she was seen by a doctor and then another hour before she was administered the antibiotics she hoped would save her life.
Melissa's mum Joanne told the inquest: "I might as well have let her stay at home and die quietly. In our view the hospital did not treat her quickly enough.
"We believe that if she would have received the appropriate antibiotic treatment earlier in the process she would still be here today. Meningitis is a deadly disease. All the guidance suggests that time is of the essence.
"Melissa was becoming very scared and concerned about her health and begged the nurse to give her antibiotics."
Her family are now considering legal action over her treatment.
Carolyn Singleton, Manchester assistant deputy coroner, ruled Melissa died from natural causes. She urged the hospital to discuss the case with her family and said: "Clearly they believe that had antibiotics been administered when she arrived at hospital, she may have had a fighting chance."
Sue Davie, Chief Executive of the Meningitis Trust, said: "Bacterial meningitis and meningococcal septicaemia are medical emergencies and need immediate treatment with antibiotics, together with admission to hospital. Early treatment with antibiotics can have a significant impact on the outcome of bacterial meningitis."
The inquest heard that Melissa, a hairdressing student at Mancat College, was rushed from her home in Abbey Hey, Gorton, to hospital by ambulance after showing all the classic symptoms of meningitis.
She died three days later on the day before Christmas Eve last year. Her family are now considering legal action over her treatment.
An inquest heard Melissa woke up feeling unwell on December 20 and later complained of headache, sickness and a high temperature. A rash also developed on her legs.
Her mother Joanne, 40, carried out the 'glass test' advised by the Meningitis Trust and the rash did not disappear. She telephoned an out-of-hours medical advice service and suspected meningitis was diagnosed.
The inquest heard that the advice pointed to three 'red flag' signs, meaning Melissa was displaying three recognisable symptoms of meningitis. An ambulance was sent to pick her up immediately and Melissa was taken as an emergency patient to the MRI.
The inquest heard that she arrived at the hospital at 7.16pm but nurses downgraded her condition after an initial examination and it was 9pm before she was seen by a doctor.
The doctor said he wished to take a blood sample before antibiotics were administered and it was only when her condition worsened that she was given antibiotics at around 10pm. She was transferred to Hope Hospital in Salford and placed on a life support machine but died on December 23.
John Bachelor, a consultant in emergency medicine at the MRI, told the hearing at Manchester Coroner's Court: "She did present with non-specific symptoms and went down hill very rapidly and developed severe complications of the disease.
"It can be very difficult to distinguish between other viral infections."
He said it was 'not common practice' to 'blindly' give antibiotics until patients were thoroughly examined and blood tests taken.
Dr Bachelor said: "It would not have made any difference to the outcome if she would have been given antibiotics on arrival."
A spokesman for Central Manchester University Hospital's NHS Foundation Trust said: "The Trust would like to extend its sincere condolences to Melissa Watmough's family. We are aware that the family still have concerns after the inquest and we would encourage them to contact the Trust to discuss this further."
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Showing comments 1 to 25 and replies | View All
caza cs (21/10/2009 at 09:16)
This has been going on for a long time...
I went with my ill daughter at 7pm, we eventually left the hospital at 2am
after waiting for nearly 4 hours for blood results, they then gave her antibiotics.
There needs to be changes especially in cases like this, what a waste of a beautifull young girls life...
MPs gravy train, UK (21/10/2009 at 09:27)
P&L Account, Prestbury, Macclesfield (21/10/2009 at 09:36)
Seemingly Ignored, Heald Green (21/10/2009 at 09:44)
Roadrunner, Irlam (21/10/2009 at 09:54)
So thats alright then is it......they did not even try...
Roadrunner, Irlam (21/10/2009 at 09:56)
So thats alright then is it...
Sounds like a total indifference to the plight of the patient...a 'We know best attitude'.
RJKS, St Retford (21/10/2009 at 10:43)
I would suggest that by "blindly" not giving antibiotics you are not doing all that you could do especially in this case when it's obviously not a common cold, "the advice pointed to three 'red flag' signs, meaning Melissa was displaying three recognisable symptoms of meningitis. An ambulance was sent to pick her up immediately"
What about to the thought of "If i DON'T give antibiotics, what's the worst thing that could happen" OR "If i DO give antibiotics, what's the worst thing that could happen" scenario ??.
Surely, it's better to be safe than sorry ?
A very sad story & a tragedy for the family ! RIP
reneepeters (21/10/2009 at 11:19)
dessie, manchester (21/10/2009 at 12:04)
Sully47, Spain/England (21/10/2009 at 12:24)
Neil Mcnab's Moustache, manchester (21/10/2009 at 12:32)
Very sad story though!
For those concerned about the NHS grab that lay about neighbour who doesn't work and tell them that think they are a useless lazy good for nothing because us tax payers can only afford so much!
Luise, Sydney (21/10/2009 at 12:32)
Englisc Stannes, North Manchester (21/10/2009 at 12:43)
Mad Welsh Scotsman, Cadishead (21/10/2009 at 12:52)
neoware_1978, Stockport (21/10/2009 at 13:27)
No one is going to get it right everytime, your dealing with a human element after all, their is no exact science to giving medical care.
Lets hope the lessons are learned and that no one jumps on the claim train - no amount of money would replace this young girls memoryno would it fill any voids left by her absence.
tomegranate (21/10/2009 at 13:36)
Paul - your headline is totally contradicted by the last quote by Dr Bachelor, unless you think you know better? The fact that you don't bother to mention the actual outcome of the inquest shows clearly that you're trying to spin the facts.
Britt/Canada (21/10/2009 at 13:40)
R.I.P. Melissa & deepest sympathy to her family.
Black Flag (21/10/2009 at 14:01)
Good!
Obviously, some mistakes will happen irrespective of whether healthcare is provided privately or by the state, but the problem with the NHS is that there are no real consequences. People try to talk others out of taking legal action because its the NHS and the cost will just end up being paid out of tax revenue.
At least with a private provider, people would be more willing to say "take them for everything you can," the victims would be more able to seek recompense without being guilt tripped and the people handing the money over would have it coming out of their own pockets, so they'd have more incentive to make sure they didn't have to do it again.
RedRef, Manchester (21/10/2009 at 14:01)
Valerie Elliott (21/10/2009 at 14:10)
Val
Gavin Nash (21/10/2009 at 14:17)
Howellsy (21/10/2009 at 14:48)
Would that the doctors and nurses in our hospital were as flawless and perfect as many of the people who post on this forum.
anthony mitchell (21/10/2009 at 16:29)
The general public deserve immediate clarification on the validity of Mr Bachelor's opinion, and an investigation into the protocols at MRI should be initiated.
TM, Manchester.
tara clarke (21/10/2009 at 16:54)
castleton resident, castleton (22/10/2009 at 00:36)