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Cause of Death - Episode 2 - The Man In The Bathtub
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00:09There are countless factors that can lead to your death.
00:13A senior coroner, I deal with almost 4,000 fatalities a year.
00:19Royal Preston is one of the hospitals in coroner Dr James Adley's jurisdiction.
00:24Every single person in this mortuary that has died unnaturally is under the control of the coroner.
00:31Dr Adley can make any inquiries necessary to find a cause of death.
00:37If the coroner instructs the police to investigate, then that is what we do.
00:42In this series, for the first time ever, we follow the full investigation and unfold the mystery of any unexplained
00:51death.
00:51From the moment of arrival in the mortuary to the final conclusion of the inquest.
00:57It's allowing families to understand how the death occurred and deal with it in their own way as part of
01:04their own grieving process.
01:06This is the last bit to find out what actually happened to them.
01:11If you die here, if it's violent, unnatural or of an unknown cause, it's my job to find out how.
01:36Andrew was turning 40 and we knew he wouldn't be doing anything to celebrate it.
01:41So, me, my brother and my sister-in-law decided, well, we'll throw him a little surprise.
01:50He'd come in through the closed curtains and he was so shocked.
01:54Yeah, big hugs off us all.
02:01When we found out that Andrew died, the shock hit me first and then in my head I was thinking,
02:07well, what's happened?
02:09Had somebody broken? Had somebody hurt him?
02:12Because it's, it's like a mystery.
02:24A member of the public has made a 999 call reporting flooding coming from Andrew's house.
02:36We were mobilized to the incident at 1100 hours.
02:41There was water on the ground floor of the property, water coming down the walls.
02:47So, we isolated the water supply and then we had to find the source of the leak.
02:59We believe that there's someone living in there who's come through as a concern for safety, that someone's living in
03:04the address and now it's started flooding.
03:09With the amount of water in the property on the ground floor and the damage, it had been happening at
03:16least 24 hours.
03:18Sorry mate, go on, do you want to go in?
03:20You're more used to than me.
03:25Ten miles deceased in the bath at this address.
03:28Roger, can you let us say I need you?
03:31One firefighter went upstairs to find the source of the leak and he discovered a person in the bath who
03:38was fully clothed and there was no sign of life at that time.
03:43It's like he's fell over, isn't it? He's been running the bath and he's fell in it.
03:50I looked at the incident report as it came in and just felt that it might be suspicious given the
03:56circumstances.
03:57He was lying partially submerged in the bath with his head under the water and his right leg over the
04:03side of the bath.
04:04There was an electric shower in the premises and the shower head had been pulled off and was in the
04:09bath with him.
04:10Once we'd removed him from his position submerged in the water, we checked the body of the deceased for any
04:16external injuries just to satisfy ourselves that there was no third party involvement in his death.
04:22He was then transferred by local undertakers to the mortuary at Royal Preston Hospital.
04:33At the moment, the cause of death isn't ascertained. It's possible drowning.
04:38I'm also questioning whether he could have suffered an electric shock whilst he was in the bath.
04:43The electrics in the house were in a pretty poor condition.
04:52When we researched him on the police systems, there was an incident earlier this year in July when he was
04:58struck by a lorry whilst out cycling.
05:01He was taken to hospital with some quite significant injuries at the time.
05:11So that is one thing that we will report to the coroner and the coroner will make a decision to
05:17see whether any further investigation needs to be done around that incident.
05:29Andrew Milnes was involved in a hit-and-run accident five months earlier.
05:34If this contributed to his death, it could lead to a prosecution.
05:38The coroner must now decide how to proceed.
05:41I'm now going over to court to have a meeting with Dr Radley with regards to the case for Andrew
05:47Milnes.
05:50Yeah, it's very knowledgeable. In a lot of cases that we're not quite sure about, we can have a good
05:54chat about everything.
06:03So, this is a gentleman called Andrew Milnes.
06:07The question is, when they've gone into the background, this gentleman had a road traffic accident on the 8th of
06:14July where he was knocked down by a lorry.
06:16He spent some time in hospital and was on the trauma ward.
06:20The 8th of July this year?
06:21Yes.
06:22Okay.
06:22So, do we need to have a look at whether the accident on the 8th of July is caused or
06:29contributed in any way?
06:30Sorry, how old was he again?
06:32This gentleman is 48 years old.
06:36So, really young.
06:38Yes.
06:38Fairly recent RTC.
06:40Yes.
06:41And suddenly found dead in a bath full of water.
06:44Yeah.
06:45Further enquiries.
06:46The police need to have a look at this first because we've got no idea whether or not they're going
06:50to prosecute or whether or not the death is in any way related.
06:54And the way they gather evidence, we'll have to give them the opportunity first.
07:03He's my age and it's no age for this to have happened to him.
07:10I want answers.
07:11I want to know what happened basically and why this happened.
07:18Kind of piece of pieces together of the jigsaw.
07:42Andrew Milnes was a 48-year-old man who was found in his bath fully clothed, which is quite unusual
07:50to begin with.
07:51Also in July 21, he has had a serious road traffic collision with quite a lot of head injuries.
07:59And you want to know whether or not that has played a part.
08:12You have no idea whether or not this man has died due to some injury he sustained in this accident,
08:21deteriorating over time and causing his death.
08:24And if that was the case, the police would need to track down the van driver and there may possibly
08:30be a prosecution that follows.
08:37When Andrew Milnes had his accident, he was treated at the Walton Centre in Liverpool.
08:45The specifics of this case were that he was a cyclist not wearing a helmet who was clipped by a
08:52truck.
08:53And he fell off and obviously sustained a number of injuries.
08:57So he had the full initial assessments which include examination of the heart, lungs, the spine, the chest and then
09:04the imaging.
09:11Andrew sustained cerebral contusions or bruising within the surface of the brain.
09:16He also had a fracture involving the right side of the skull going down in this region.
09:22The reason why he's had the bruising, if you imagine a sudden deceleration, will cause the brain to shift within
09:29the skull.
09:30And as a result of that, what happens is the brain hits the rough portions of the skull.
09:37And he has bruising within the frontal lobe and within the temporal lobe on the left, which will hit that
09:43region.
09:48As well as that, he had a fracture within the spine, a rib fracture.
09:53He also had a fracture within his pelvis.
09:58There are things about head injuries that we worry about in the long term.
10:02He had issues with headaches, dizziness, tinnitus and short term memory problems.
10:14To be honest, I don't know a lot about his accident.
10:17He never told any of us what's happened, never asked any of us for a lift to any hospital appointments,
10:24anything.
10:24I don't know whether he feels like he was bothering us or he didn't want to worry us.
10:30Knowing how full extent of the accident, it's totally different from what he said.
10:36He would never come out and tell me, oh, if the fella hit him, he drove off.
10:41There was none of that ever happening. It was just more, oh, what happened?
10:45Oh, we got knocked off my bike. I went, daft sod.
10:49He was a very private, very private person.
10:53I'm glad we've got these memories of him, actually.
10:56This one was my brother's 40th birthday.
11:00Andy really enjoyed it. Yeah, he loved that day. Yeah, he looks really well there.
11:05I met Andy when I was 15.
11:08We did everything together, you know, holidays, many parties, trips away.
11:13We've done a lot of things together.
11:15It's just a lovely fella.
11:21When I see the video, it's strange because when he comes in, he hugs me.
11:26I feel it. I can still feel that hug.
11:30I've known him for about 30 years.
11:33My brother became friends with Andrew and he brought him to our local pub once.
11:39And then as we got to know him, he became part of our family, really.
11:43Not a bad bone in his body.
11:45Just a gentle person he was.
11:48When I heard Andrew passed, I just felt my old stomach just...
11:52It's hard to even speak about now.
11:53I just felt my old stomach just drop.
11:57It does cross your mind, that.
11:59Why is he in the bath?
12:00And why is the tap been running?
12:01I mean, these are very mysterious to me.
12:05To find out how he died, I think that should be a priority.
12:22At Royal Preston Hospital, coroner's officer Alice has a new case.
12:28Hello, is that Mr Charnley?
12:29My name is Alice. I'm a coroner's officer based at Royal Preston Hospital.
12:34I've obtained a statement from the treating clinician
12:37who's given us the circumstances of what happened to Margaret,
12:40how she came to be in hospital,
12:43what scans and examinations she had and the diagnosis
12:47and what the outcome was.
12:49Now that statement will be sent over to the coroner
12:51to request that we open up a case and have an inquest.
12:55One of the areas under the coroner's jurisdiction
12:58is the approval of organ donation.
13:10Well, I was at work and I missed a call off what I'm working on my mobile,
13:15and he'd rung the work's office.
13:17So it never happened.
13:18He was like, can you ring your brother back?
13:20thinking, oh no, this is strange.
13:22So I've rung him.
13:25And he said to you, you need to come round to your mum's house,
13:28and mum's had a force, she's banging her head.
13:33All right, Margaret.
13:34And I've come round and it's just been like that since then.
13:38So it's just, it's just unreal.
13:4469-year-old Margaret Charnley was brought into intensive care
13:48after a fall at home.
13:50Hey, Mum.
13:51She has remained unconscious.
13:53Margaret had a cardiac arrest.
13:56Her heart stopped beating and she stopped breathing.
13:58And it takes probably about three minutes after your heart has stopped
14:01before your brain starts showing the effects of being starved of oxygen.
14:05In Margaret's case, it probably occurred because she damaged the top part of her neck.
14:11You can just see a dark line across here.
14:14So that's representative of the break in the bone.
14:17Ordinarily, this bright white line here should just be continuous without the break in it.
14:2455%.
14:25Has that been creeping up again over the morning?
14:27It's just the past, like, half an hour.
14:30We've been observing Margaret now for the last 48 hours
14:33and sadly Margaret is not going to recover from this state.
14:36This is now likely to be her long-term prognosis.
14:43They spelt it out to us.
14:44The best scenario, if she came round, she would be brain damaged and paralysed.
14:51And the specialist said they didn't think she'd come round at all
14:56and any decision that had to be made would be met by them.
15:01I wouldn't have to make that decision.
15:03I'm grateful for that, really.
15:05Because I don't know how I could have said, not that machine enough.
15:17People in this situation are still alive.
15:20Their circulation is continuing.
15:22They're still breathing.
15:23So they are organ donation candidates.
15:29The first approval for organ donation must come from the family.
15:34We didn't know she'd put herself on the register as well, but she did it in 2008.
15:39We feel better for it.
15:41Yeah, it's what my mum would want.
15:42This isn't she donate me, so it's...
15:44She'd met the senior.
15:46But we could still have said no.
15:48But if she wanted to do it, then she does it.
15:51Let my mum be my mum.
15:52She'd do anything to help anybody.
15:54Yeah.
15:56It's right that the family should have the opportunity to consent to donate organs.
16:03Families find huge satisfaction and comfort in this, that they can donate organs to help somebody else live.
16:15Because Margaret has had a trauma, we have to ask the coroner for permission for organ donation to take place,
16:21because it would be something which would require a coronial inquest.
16:28PHONE RINGS
16:31Hello, Dr Roberts.
16:32The coroner's word's final.
16:34So whatever the coroner says goes.
16:37She fell in her home and suffered a cardiac arrest as a consequence of that.
16:42As long as he's happy that the death has occurred naturally or there's no suspicious circumstances, then he'll be happy
16:50for donation to go ahead.
16:51All right. Were the police involved? Were they called?
16:54They were happy. There was no need to investigate under the circumstances.
16:58In that case, I'm happy to consent for all organs, all tissues, transferred to the National Tissue Donation Centre at
17:05SPEAK.
17:06Lovely. Thank you, Dr Aedley.
17:09Mrs Charley is an obvious candidate for organ donation. As the hospital is able to give us a cause of
17:16death from the CT scan and the treatment on ITU, we have no need for a post-mortem. So she
17:20can donate every healthy organ that she has.
17:28With families like yourselves that are supporting your mum's decision, you know, it's amazing. It is. She's incredible. You should
17:36all be so proud of what she's done by putting herself forward on the register and really proud of yourselves
17:43as well for supporting it.
17:44So, yeah, I'll go and see if there's any more information we can update you with and let's give you
17:48a better idea.
17:54With the coroner's approval, the organ donation team begin preparations for Margaret's removal of care.
18:00Last name spelt C-H-A-R-N-L-E-Y.
18:25At Royal Preston Hospital, the coroner has ordered a Home Office post-mortem for Andrew Milnes, which will be performed
18:32by a forensic pathologist.
18:35So the difference between a Home Office post-mortem and a normal one, there could be some form of third
18:40-party involvement.
18:42So it's not always actual murder.
18:44So if someone died at work in a health and safety accident and sometimes, like, road traffic accidents,
18:49they tend to fall under this bracket because you could have died because of someone else's actions.
19:00Detective Inspector Steve Monk is in attendance today.
19:04Hello, Danny, I'm watching.
19:07Hi, Danny, it's Steve Monk.
19:15Do you want to just give me a little bit of a history because I've not been dealing with this
19:18case?
19:18Okay, it's a 48-year-old chap.
19:20Yeah.
19:20He's been found deceased in a bath full of water.
19:22Right, okay.
19:24So we're querying, is it medical?
19:25Or it could be linked to a fail-to-stop, hit-and-run-road traffic collision where he's knocked off
19:31his bike, suffered a head injury.
19:32And what I'm trying to find out is, is his death linked to a criminal act?
19:39With a home office post-mortem, they are long and involved procedures, and the home office pathologists have to spend
19:47a considerable amount of time reviewing all of the information they've got, relating it to their findings,
19:53and giving you a report that will not only stand up to general examination, it will be sufficient to stand
20:02up in a criminal court.
20:10When I've done some research on the male in question, he lived alone, and we knew he'd last been seen
20:15Thursday night, Friday morning.
20:18The circumstances aren't clear. The male was clothed, so I'm making an assumption that he wasn't having a bath.
20:25Has he drowned? Has he fell and banged his head? Or was he dead before he went into the water?
20:31At this moment in time, I cannot say how this man has died.
20:57In the mortuary at Royal Preston Hospital, D.I. Steve Monk has been attending the home office post-mortem of
21:04Andrew Milnes.
21:06I deal with a lot of death-related investigations, and what I want to be able to do at some
21:11point is go back to the family and tell them exactly how that person has become their death.
21:21Andrew's medical records also show a number of issues following his bicycle accident, including tinnitus, which he had written about
21:29in his diaries.
21:44He's rubbing his head to get the sounds out of his head. Can't get to sleep. That sound must have
21:50been driving him mad. If it's in his ears all the time, his balance is off a bit.
21:57Some of it does surprise me. It's upsetting to learn more about how severe it was, you know.
22:05Andrew also had a history of OCD.
22:09I mean, his routines in his house were terrible. The back door was, the handle was just weird away. It
22:17just, it had to move it up and down so many times.
22:19The front door, I could not let myself out. As soon as I touched that door, he'd have to come
22:24behind it and hold the door.
22:26His book work was so straight, his pencils were so straight, the table, everything downstairs was not touched.
22:35Andrew painted to help with his mental health issues.
22:40I mean, this picture, I've watched him do this. I've watched him do it.
22:46It fascinates me. Because this is Andrew. This is his work. That's part of him.
22:53He's happy when he's done this. You know, he wasn't suffering with OCD. He wasn't suffering with any of that
22:58stuff.
22:58I know he was, it helped him. Because it's like, I know he was happy doing it.
23:11Post-mortem started around 2.30. It's just finished at 5 o'clock. Very interesting results.
23:17The pathologist, who's done well over 2,000 post-mortems, said it's one of the second time that she's come
23:22across this cause of death.
23:24And it would appear it's a medical episode. So no connection at all to the road traffic collision, which we
23:31suspected may have been a contrary to a factor.
23:35As far as I'm concerned now, my investigation is concluded. So there's no further police investigation.
23:43Although the police have ruled out any third party involvement in Andrew's death, the coroner still needs to understand the
23:50details of the medical episode.
23:54The home office pathologist with whom we work will send us an initial cause of death, but you are literally
23:59getting one or two lines on the basis of what they have found and can see it post-mortem.
24:05And they will then go away and look at the histology, the small tissue samples and any other things that
24:13they wish to look at.
24:15At this moment, I'm going to wait for the home office pathologist's report before I make a decision.
24:20Because I'm not entirely certain until I actually see the reasoning that she has used to go through the process
24:27as to quite what I am looking at.
24:30To make a decision now, we'll be jumping the girl.
24:52This is actually where she fell.
24:55I was downstairs making sandwiches and tea and all I heard was a bang.
25:01And her head was here and her legs were going down there with this wrapped round her legs.
25:15Nobody can believe how much damage she did to herself.
25:19Just putting that Christmas tree box away.
25:23999 right away as I got to her.
25:27So then I carried her to the best of my ability.
25:33Down here.
25:36And I laid her down.
25:38Then I was given the CPR here.
25:41I just thought she was knocked out.
25:42But obviously, she wasn't breathing.
25:48Margaret was loving to everybody.
25:51She'd help anybody out who she could help out.
25:54Just an all-round good egg, really.
25:59She loved going to different places.
26:02Different cultures.
26:03Margaret had the international caps for shopping.
26:07She loved her shopping.
26:11She just loved koala bears and anything to do with koala bears.
26:15If you saw something in a shop, you'd have to buy it.
26:17I mean, yeah, she'd go anywhere for koala bears.
26:22So, anything to do with koalas, really, that's what I'd remember my mum by.
26:28She loved the party, she loved getting dressed up.
26:30She just loved life, really.
26:35She'd do anything for anybody.
26:37She's the glue that kept the three of us together, more or less.
26:42But my mum was a person, she would always have a way to help somebody else.
26:47Yeah.
26:47So, being a donor is quite fitting, perfect for the kind of person that she was.
27:00Are you guys okay if we just hop in just to give you a little update?
27:04Is that okay?
27:05Oh, sorry.
27:05This is Laura, my cousin.
27:06Hello, Laura.
27:07My niece.
27:08And this is Ellie.
27:09Hi, Ellie.
27:10Laura's daughter.
27:12I just wanted to give you a bit of a further update.
27:15Yeah.
27:15And we have now had both of her kidneys accepted.
27:19Excellent.
27:19By transplant centres.
27:21Excellent.
27:21And we've also had her liver accepted as well.
27:24Yay!
27:24So, she's going to save three lives?
27:26Hopefully, yes.
27:27That was amazing.
27:30Guys, we're just so sorry that you're even here in this situation today.
27:33It's not what you expected.
27:34It's been three days of not knowing and then knowing everything.
27:38Yeah.
27:39Just a whirlwind, really.
27:40What we've also done as well is we've mobilised the special team of surgeons to come to the hospital.
27:45And they're due to arrive on site at around five o'clock this evening.
27:49And then, once everybody's ready, that's when we'll be taking Margaret off the ventilator.
27:59Unfortunately, it's always a really tragic circumstances for organ donors.
28:03These situations usually happen so quickly.
28:06They're usually as a result of a tragic accident.
28:09And the families are incredible.
28:12They're going through the worst time of their life.
28:14You know, the last few days of this family have been, you know, awful for them.
28:17They're losing the most precious person in their life.
28:20And then to consider organ donation as well.
28:22It's incredible. It really is.
28:38In the Andrew Milnes case, the report has been sent to Dr. Aidley by the pathologist.
28:46What she's explained in here is that he has got a cardiomyopathy,
28:51which is a range of conditions that affects the heart muscle.
28:56Cardio-myo-heart muscle.
28:59With this, he's got an arrhythmia, so his heart is not pumping blood effectively.
29:05On this occasion, it is possible he could have lost consciousness,
29:09falls into the water and is unable to extricate himself.
29:14I just don't know at the moment.
29:16It needs to be resolved in the inquest.
29:24So I've received an update from court regarding Andrew Milnes.
29:28It's actually going through for an inquest.
29:30The reason we have an inquest is so the coroner can answer a set of questions.
29:35Who's died? When have they died? Where have they died?
29:38And how have they come about the death?
29:41The coroner's officer must update Andrew's next of kin, his mum.
29:47PHONE RINGS
29:48Hi, my name is Alice. I'm a coroner's officer at Royal Preston Hospital.
29:52Right. The inquest, is that something you'd like to attend?
29:56Yes.
29:57You'd like to attend? Yes.
29:58So what I'll do is I'll link in with Steve Monk, the inspector,
30:02and I'll find out what information, what statements he's got so far.
30:05Yeah.
30:05And then I'll be in touch in the next couple of weeks.
30:08All right. Thank you.
30:08All right then. Take care.
30:10Bye. Bye-bye.
30:22On ICU at Royal Preston Hospital, the staff are preparing for Margaret's final hours.
30:29Time is always of the essence in any donation situation. The organ donation needs to be planned and organized before
30:39the death has occurred.
30:46We've mobilized a team in preparation for her to donate her organs, but all this is still very much up
30:53in the air, if it's going to go ahead or not, because we are relying upon a lot of factors
30:57to happen.
30:57The main factor is that when we come to withdraw care on Margaret, then we are waiting for her to
31:04pass away. But if she doesn't pass away in a three hour period, then donation can't happen in this case.
31:12Well, everything goes to plan with the organ donations. We've got two kidneys and a liver, which is absolutely fantastic
31:20news. And we'll just have to see how it goes.
31:26So the team arrives at 6pm. And we'll move Margaret to the theatre complex and go to the anaesthetic room
31:36there.
31:36You all right, Alan?
31:37Is it time to move?
31:39Not yet. The team have arrived on site. They're like literally around the corner. I need to go and speak
31:46to them yet. And then we'll organize things from there.
31:50Good. All right.
31:52Who'd have thought we'd be doing this today, Margaret, eh? Who'd have thought? It's unbelievable.
32:04She's comfy.
32:10We've got Margaret Charnley. Okay. She's 69 years old. In regards to organs being accepted, Manchester have accepted both kidneys.
32:21Okay. That's fine.
32:28Is she moving now, Ben? It is a very emotional time, understandably. You know, they are in essence going to
32:37watch her take her final breaths and to die. But I think for the family, it might provide some relief
32:44for them. They know she's not going to get better. But I think it will give some closure to the
32:49family and some peace for them.
32:51I think it will give them as well.
32:52You're on the move, Mum. You're on the move, Mum. We're just glad now that she's going to be put
33:02out to her misery, really.
33:08All right, Alan. I'll be with you, okay? Yeah, I'll follow her behind her. You're on the move, sweetie? Yeah.
33:19My mum would have hated to live the way the survival would have given her. She would say, if I
33:24get to that point in life, switch it off. Don't let me live like that.
33:31It's like something that happened to somebody else, not something that happens to you. Some days it doesn't seem real.
33:38And then some sort of register with you that you're never going to see her, never going to talk to
33:42her again.
33:46You think you've got time and then it's snubbed out and it's hard.
33:58Margaret was loving, helpful to everybody. Just love life in general. She was special.
34:16I don't think I'll ever get over it. At this moment, it's difficult. Difficult to get over.
34:55It's the day of Andrew Milnes' inquest.
35:01So the inquest today for Andrew Milnes, we've got the pathologist giving evidence followed by yourself.
35:10Dr. Aidley will have to come to a conclusion about how and why Andrew died and explain it to his
35:17friends and family in attendance.
35:23Quite nervous. I don't know what they're going to say, but I feel like it's going to be kind of
35:29a bit of closure as well for him.
35:31This is the last bit to find out what actually happened to him.
35:36Andrew's mum will also be attending the inquest.
35:40I'm Alice Swarbrick, coroner's officer. I've spoken to you on the phone, haven't you, Dillis? Are you OK?
35:45Yes. How are you feeling about today?
35:47So-so, yeah.
35:49Aren't they actually said when he died?
35:53We will never be able to say exactly when he's died because it all depends on the circumstances of how
36:00somebody's been found.
36:00So it's the environment, so it is all about the temperature, whether they had any underlying conditions.
36:06So we could never pinpoint or go back, work backwards and give you that date.
36:11It will be the date and time that has been verified by a medical practitioner.
36:17Anything else? No. Are you sure? Yeah.
36:19Shall I take you up to court then? Yeah.
36:23Yeah.
36:31I do not.
36:31All right.
36:50I'll be right back when I do this, if I can work backwards.
36:51I will be left behind me, sir.
36:51I never have to make up again.
36:52Good morning. I'm very sorry that you're coming to court under these circumstances, and my deepest condolences on Andrew's death.
36:59So the autopsy identified a bodily fluid within the airways, with both of the lungs showing the typical changes that
37:08we see in drowning, which means they're enlarged.
37:11And when they're removed from the body, they retain their shapes, so therefore drowning was the immediate cause of this
37:18man's death.
37:19However, in this case, there was a grossly abnormal shape of part of the heart, and the condition is called
37:26cardiomyopathy.
37:29The abnormality of his heart has caused the muscle to contract in a manner that doesn't pump any blood, so
37:35you lose consciousness.
37:36And he's collapsed into the bath, so that he's unconscious of the time that the bath fills up.
37:42Yes, unconscious, but not deceased, because there are clear signs of drowning.
37:47So what I propose to record is that Andrew Osborne-Milnes drowned in his bath following an arrhythmia caused by
37:56a cardiomyopathy.
37:57This gives you the sequence of events and the two halves of what has gone on, the natural event and
38:04the unnatural event.
38:17No case is ever straightforward, because it involves people.
38:22But with this, it's an unusual case, because the condition that he suffers from is really quite rare.
38:29So in terms of what he's getting, he is getting his heart muscle being replaced by fatty tissue affecting the
38:38right side of his heart.
38:40This gentleman was just very, very unlucky that he was stood over the bath when the arrhythmia struck.
39:00It was really upset to find it out. It was actually how it happened, and, you know, you're imagining him
39:06here and there when he's open and stuff.
39:07So once it's over, I can, you know, it's kind of closure now for him, and closure for us as
39:14well, where we can, well, grieve for him now as well.
39:27MUSIC
39:37At Royal Preston Hospital, the surgical team are on standby as Margaret Chalmley's life support is withdrawn.
39:44In preparation for organ donation, following the coroner's consent.
39:49It's a very crucial time now. Everybody is waiting, and every minute counts.
39:53Adrenaline level is really high at the moment.
40:01Seriously, get ready.
40:09Margaret has died within six minutes of her life support being turned off.
40:18The team must work as fast as possible to retrieve her organs.
40:23Every minute is crucial.
40:25Straighten the bed, please.
40:31Night, please.
40:32Hiya, are you okay?
40:33So it was, it was really, really quick.
40:35So, er, service occasion with 21.51, and then now to skim with 21.53.
40:48Are you all okay?
40:57Okay.
40:58Liver out.
41:01So, the liver's out.
41:03Yeah, at ten past ten.
41:06One, four, eight, eight grams.
41:07One, four, eight.
41:14Right, kidney out.
41:16Right, kidney out.
41:1722.13, yeah?
41:25That kidney out.
41:30So we packed them in three bags so the outer bag can be non-sterile whereas the inner two
41:36bags remain sterile for the team to open when they are implanting the organs.
41:49At the moment we think we are going to improve the quality of at least three more human beings
41:52and that was a very generous gift from her that she had agreed and her family had agreed
41:57to that process.
41:59Have we got a driver for the liver on site?
42:03All right, love it, cheers, thanks a lot, bye, bye-bye.
42:34Happy to close.
42:39So this is now the liver which is going on ice in a box trying to physically hand the liver
42:49over to a driver.
42:54Right, we've got a liver.
43:06At the end of it you're wanting a good outcome for the potential recipients and families do
43:13take a lot of great comfort knowing that their loved one, as part of their end of life care,
43:18they're helping other people, you know, to live a life elsewhere.
43:23All right.
43:23All right.
43:59It does appear to be very distressed almost as if he's trying to fight somebody off.
44:04It's a 15 foot drop and he's got no injury.
44:06No injuries.
44:07It makes no sense.
44:08It's like you're telling me something about somebody else.
44:12This was so overwhelming and so quick, it didn't seem to be just coronavirus.
44:16Were these all purchased over the internet?
44:19I believe so, yes.
44:20In that case, definitely I'd like the drug's seizing, please.
44:23Gosh, he's got loads, hasn't he?
44:46THE END