Latest / The Mushroom Trial: Say Grace / The fight for life
Transcript
- 0:02Speaker 1: Nine podcasts. In this episode, an intensive care specialist recalls
- 0:07Speaker 1: the efforts of doctors to save the lunch guests and
- 0:10Speaker 1: how close they thought. Ian Wilkinson came to dine.
- 0:14Speaker 2: Victoria's mushroom mystery. The mushroom lunch that claimed three lives
- 0:18Speaker 2: an Australian family's meal is now the center of a
- 0:21Speaker 2: homicide investigation.
- 0:22Speaker 3: For bizarre tragedy now grabbing global headlines.
- 0:25Speaker 2: Aaron Patterson's alleged victims died after eating a family lunch
- 0:29Speaker 2: she'd serve them at her home. I cannot think of
- 0:32Speaker 2: another investigation that has generated this level of media and
- 0:36Speaker 2: public interest.
- 0:37Speaker 1: Four of the guests of that lunch were much loved
- 0:40Speaker 1: members of this church.
- 0:42Speaker 3: Only one will ever return.
- 0:43Speaker 2: People are feeling very heavy with having lost such wonderful people.
- 0:49Speaker 1: Today, Aaron Patterson remained here inside her home. She's continued
- 0:53Speaker 1: to plead her innocence in a court room in Country Victoria.
- 0:59Speaker 1: Aaron Patterson is on trial accused of using death cat
- 1:02Speaker 1: mushrooms to kill She's pleaded not guilty to murdering three
- 1:06Speaker 1: of her former in laws and attempting to kill a
- 1:08Speaker 1: fourth the town's church pastor. It's up to the jurors
- 1:12Speaker 1: to decide what happened when Pattison's loved ones sat down
- 1:15Speaker 1: to eat. So in this episode, we're going to go
- 1:18Speaker 1: through the evidence of a professor, an intensive care specialist,
- 1:23Speaker 1: who gave some very detailed evidence as he spoke about
- 1:26Speaker 1: the treatment that the four lunch guests that's Donegale Patterson,
- 1:30Speaker 1: and Ian and Heather Wilkinson received at Melbourne's Austin Hospital. Now,
- 1:35Speaker 1: while all of this was being relayed in court, there
- 1:37Speaker 1: were a number of family members and Ian Wilkinson himself
- 1:40Speaker 1: in the room.
- 1:41Speaker 3: Yeah, that's right.
- 1:42Speaker 2: There was Ian sitting in the back row next to
- 1:44Speaker 2: his two daughters, and there was others sitting in the
- 1:48Speaker 2: front row as well, maybe just under a dozen different
- 1:51Speaker 2: members of the families. We know that throughout the trial
- 1:54Speaker 2: many have been present, but there's also a significant number
- 1:57Speaker 2: of members of the public now attending. They sit in
- 2:00Speaker 2: the corner on the right hand side of the courtroom, Penny.
- 2:03Speaker 2: There's also a number of members of the public that
- 2:05Speaker 2: are sitting shoulder to shoulder with.
- 2:06Speaker 1: Them, and we did see during parts of this evidence,
- 2:10Speaker 1: which was at the end of the fourth week of
- 2:12Speaker 1: this trial, Aaron Patterson sitting in the Dock did appear
- 2:16Speaker 1: quite emotional at times at times to be quite distressed
- 2:19Speaker 1: while hearing, particularly about the conditions of the female lunch guests.
- 2:23Speaker 1: And we'll sort of come back and forth to you
- 2:25Speaker 1: throughout this episode to sort of update on what was
- 2:28Speaker 1: happening in the courtroom at the time and different parts
- 2:30Speaker 1: of the evidence. But there are quite a lot of
- 2:33Speaker 1: large segments of what was heard in the courtroom to
- 2:35Speaker 1: make up this episode, because we really want people to
- 2:38Speaker 1: understand what it was like listening to this particular doctor's
- 2:41Speaker 1: very detailed evidence.
- 2:42Speaker 2: He gave evidence via video link beamed into the courtroom
- 2:46Speaker 2: from a remote location for the jury to be able
- 2:48Speaker 2: to observe, and he really took the jury through the
- 2:52Speaker 2: final days of the lunch guests who passed away. We
- 2:55Speaker 2: know three passed away and Ian Wilkinson survived, but we
- 2:58Speaker 2: also heard a lot about e Wilkinson's medical diagnoses and
- 3:02Speaker 2: what was going on in terms of his treatment plan
- 3:04Speaker 2: in hospital as well. We've got a real sense of
- 3:06Speaker 2: the incredible efforts that were underway behind the scenes to
- 3:10Speaker 2: do what they could to save all four lunch guests.
- 3:13Speaker 2: We know that three of them passed away in early August,
- 3:16Speaker 2: twenty twenty three. But Ian Wilkinson was present in court
- 3:20Speaker 2: while all of that was detailed, and also his own
- 3:23Speaker 2: medical history and what went on for him. He was
- 3:27Speaker 2: sitting there listening to that as well.
- 3:29Speaker 1: Who you'll be hearing the words of today is Professor
- 3:31Speaker 1: Stephen Worrelow. Now, as we mentioned, he's an intensive care
- 3:35Speaker 1: specialist with Melbourne's Austin Hospital and he details some of
- 3:39Speaker 1: the not only his experience but also the hospitals in
- 3:43Speaker 1: what you'll be hearing throughout this evidence. So we'll start
- 3:46Speaker 1: off with what the court was basically taken through and
- 3:49Speaker 1: this was following some evidence given by the professor that
- 3:53Speaker 1: Don Patterson had arrived from karen Burrow Urgent Care to Dandyong,
- 3:58Speaker 1: that he'd then come on to the Austin Hospital and
- 4:00Speaker 1: at the time that he arrived into the Austin Hospital
- 4:03Speaker 1: on the thirty first of July twenty twenty three, he
- 4:06Speaker 1: had already been diagnosed with acute liver failure by the
- 4:09Speaker 1: critically unwell by the staff at Dandenong. They'd made that
- 4:12Speaker 1: diagnosis and these different parts of evidence you'll be hearing
- 4:16Speaker 1: all the referencing specific patients and different lunch guests at
- 4:20Speaker 1: different times, but we'll begin with what the professor was
- 4:23Speaker 1: telling the court about Don Patterson. This is while he
- 4:25Speaker 1: was speaking with Sarah Lenthial from the prosecution.
- 4:28Speaker 3: The cause of the acute liver failure was considered most
- 4:31Speaker 3: likely to be amanita mushrooms. Yes, that's correct, and he
- 4:35Speaker 3: was referred to the Austin in anticipation of rapidly deteriorating
- 4:39Speaker 3: and needing advanced therapies. Is that right?
- 4:42Speaker 4: Yes, that's correct.
- 4:43Speaker 3: Is there a reason why the Austin was the preferred
- 4:46Speaker 3: destination for a patient like Donald Patterson?
- 4:49Speaker 4: Yes, The Austin hosts the state Liver Transplant Service, and
- 4:53Speaker 4: so any patients from Victoria or adjacent regions and nearby
- 4:58Speaker 4: states would be referred to our of US because we
- 5:01Speaker 4: have a comprehensive program to support patients and specific liver
- 5:04Speaker 4: problems up to an including liver transplantation if that's needed.
- 5:10Speaker 3: Had the Austin treated patients with amanita mushroom poisoning before?
- 5:15Speaker 4: Yes, we have.
- 5:16Speaker 3: And have you been involved in the care of patients
- 5:18Speaker 3: with amanita mushroom poisoning before?
- 5:21Speaker 4: Yes? I have.
- 5:22Speaker 3: What was Donald Patterson's condition when he arrived at the Austin.
- 5:26Speaker 4: He was critically ill and in multiple organ failure. I
- 5:31Speaker 4: can go into more details.
- 5:32Speaker 3: Perhaps there were various blood tests which indicated he was
- 5:36Speaker 3: critically unwell.
- 5:37Speaker 4: Yes, so we identified that he had a severe liver
- 5:41Speaker 4: injury and severe liver failure. Measurements of specific substance in
- 5:46Speaker 4: the blood were extremely high, consistent with severe or massive
- 5:50Speaker 4: liver injury. We also saw that as blood clotting measurements
- 5:54Speaker 4: were grossly abnormal, consistent with liver failure, and he had
- 5:59Speaker 4: a rain of other abnormalities including a build up of
- 6:03Speaker 4: acid in the blood and a buildup of ammonia in
- 6:05Speaker 4: the blood.
- 6:06Speaker 3: Was Donald Patterson receiving various treatments when he arrived at
- 6:10Speaker 3: the Austin he was.
- 6:12Speaker 4: Our colleagues at Dandenong Hospital had already commenced a range
- 6:15Speaker 4: of treatments to try and help support him.
- 6:18Speaker 3: He was sedated and intubated.
- 6:20Speaker 4: That's correct.
- 6:21Speaker 1: Yes, So the court was taken through the professor's evidence
- 6:25Speaker 1: of what being intubated meant. And as we've mentioned, he
- 6:28Speaker 1: is a intensive care specialist, so he was saying that
- 6:31Speaker 1: during all of a lot of these elements he's talking about,
- 6:33Speaker 1: these people are in the ICU in intensive care and
- 6:37Speaker 1: on a breathing machine, so they're being ventilated with a
- 6:40Speaker 1: tube down their mouth at that time.
- 6:41Speaker 2: Yeah, And the order of arrival was something else that
- 6:44Speaker 2: the jury was taken through, Penny. We heard that Don
- 6:47Speaker 2: arrived first and then hours later he was followed by
- 6:50Speaker 2: his wife, Gail, and then the next morning Gail's sister
- 6:54Speaker 2: Heather arrived shortly before her husband, Ian Wilkinson arrived. So
- 6:59Speaker 2: that was the order of for two days, really following
- 7:01Speaker 2: each other in pretty quick succession was Don, Gale, Heather
- 7:05Speaker 2: and Ian.
- 7:06Speaker 3: And a lot of what.
- 7:07Speaker 1: The court was taken through in this evidence was the
- 7:09Speaker 1: different treatments that people were given, those efforts of staff
- 7:12Speaker 1: that you spoke about before, but also a lot of
- 7:15Speaker 1: the testing and investigation that doctors were doing to try
- 7:17Speaker 1: and find out what the exact cause was. As you
- 7:20Speaker 1: just heard there, they believed the cause to be aminita
- 7:22Speaker 1: mushroom poisoning. There were some other tests that were carried out.
- 7:25Speaker 1: Here's a little bit more of the evidence. It's no
- 7:28Speaker 1: one's real voice now.
- 7:29Speaker 3: Were various tests carried out to try to pinpoint the
- 7:32Speaker 3: cause of Donald's acute liver failure.
- 7:34Speaker 4: Yes, a range of investigations were undertaken to try and
- 7:37Speaker 4: find other possible causes. Those included blood tests, some imaging,
- 7:42Speaker 4: and ultrasounds to try and test for specific viruses that
- 7:46Speaker 4: can cause liver failure, to try and make sure that
- 7:49Speaker 4: there wasn't another possible cause for why he was so sick.
- 7:53Speaker 3: And what were the results of all those tests.
- 7:56Speaker 4: There was no evidence of any other cause of his
- 7:58Speaker 4: acute liver failure And.
- 8:00Speaker 3: What did you in the team at the Austin ultimately
- 8:02Speaker 3: accept the cause of the acute liver failure to be for.
- 8:05Speaker 4: Donald, Amanita mushroom poisoning causing acute liver failure.
- 8:10Speaker 3: And was that because of the known consumption of mushrooms
- 8:13Speaker 3: by Donald and others?
- 8:14Speaker 4: Yes, we had been alerted to a cluster of cases
- 8:18Speaker 4: of patients that had we were advised, had consumed the
- 8:22Speaker 4: same meal that it contained mushrooms and that they had
- 8:25Speaker 4: all become very unwell. And that is not an unusual
- 8:28Speaker 4: story for Amanita.
- 8:29Speaker 3: And was that diagnosis also made because of a clinical
- 8:33Speaker 3: cause highly consistent with Amanita mushroom ingestion?
- 8:37Speaker 4: Absolutely, his clinical course was pretty typical for a severe
- 8:41Speaker 4: poisoning of Amanita mushrooms.
- 8:43Speaker 1: Now, throughout this evidence, as we were talking about before,
- 8:47Speaker 1: there were treatments mentioned as well, and one of the
- 8:49Speaker 1: first ones that was mentioned was something called multi dose
- 8:53Speaker 1: activated charcolind Yes. It was explained that this is something
- 8:57Speaker 1: that while the amenita poison is in the body, the
- 8:59Speaker 1: body team to sort of start to recycle that inside,
- 9:02Speaker 1: and that the use of the charcoal is in an
- 9:05Speaker 1: attempt to medically remove that poison from someone's bows specifically
- 9:10Speaker 1: and get that out of the body by interrupting the
- 9:12Speaker 1: recycling process.
- 9:14Speaker 2: Yeah, Professor Worlow is explaining that it is largely the
- 9:17Speaker 2: liver that takes a real hit from this poison, but
- 9:20Speaker 2: also the bow as well, and he explained that there
- 9:24Speaker 2: actually isn't really a test to test for toxic mushroom poisoning.
- 9:29Speaker 2: Rather it's a focus on the treatment of the symptoms.
- 9:32Speaker 2: So it's weighing up all the evidence and I guess
- 9:37Speaker 2: figuring out that this is the path that we're going
- 9:38Speaker 2: to follow. And then that's why he was taking the
- 9:41Speaker 2: jury through all the different treatments, because, as we know,
- 9:44Speaker 2: he was trying to explain that sometimes patients get bad
- 9:48Speaker 2: from this type of poison, but they start to get
- 9:50Speaker 2: a little bit better, but then they get worse as
- 9:52Speaker 2: the body starts to recycle the toxins over and over
- 9:55Speaker 2: and over through the different organs. And it was at
- 9:58Speaker 2: this point when they were all arriving at the austume,
- 10:00Speaker 2: you know, this is the final hospital that they attended,
- 10:02Speaker 2: that they're all in critical, critical ways really and suffering
- 10:07Speaker 2: from multi organ failure.
- 10:09Speaker 1: And some of the other treatments that were mentioned throughout
- 10:12Speaker 1: multiple bits of evidence about all of the different patients treatments.
- 10:17Speaker 1: They all had very similar treatments and very similar investigations,
- 10:20Speaker 1: and some of the others is something called ascilla binon.
- 10:23Speaker 1: Now we were told in court that this is a
- 10:25Speaker 1: specific antidote to aminita mushroom poisoning, so there was an
- 10:29Speaker 1: attempt to use that also nak which we've mentioned in
- 10:31Speaker 1: previous episodes, which is a drug that's widely used, the
- 10:35Speaker 1: professor said for mushroom poisoning with liver failure, but it
- 10:37Speaker 1: is also used in other situations where someone might have
- 10:41Speaker 1: liver failure.
- 10:42Speaker 2: It's used to protect the liver. I think that was
- 10:44Speaker 2: the way that it was explained, Penny. It's really this
- 10:46Speaker 2: year this big hug around the liver to try and
- 10:48Speaker 2: protect it and stop any damage that could follow.
- 10:51Speaker 1: And some of the other treatments that were mentioned as well,
- 10:53Speaker 1: which you may hear later in the evidence worth things
- 10:56Speaker 1: like are using vitamin C as well as plasma exchange.
- 11:00Speaker 1: So lots of different sort of roads that these particular
- 11:03Speaker 1: doctors took over a number of days.
- 11:05Speaker 2: I had a lot of fluid intake. Penny was something
- 11:07Speaker 2: else that was mentioned.
- 11:08Speaker 1: Heah a lot of intravenous fluids. And as we've sort
- 11:11Speaker 1: of set the scene before, it's a hard thing to
- 11:13Speaker 1: think about, but all of these people at this point
- 11:16Speaker 1: they are being intubated, there is a ventilation to breathing
- 11:19Speaker 1: for them, and these doctors are making these decisions around
- 11:22Speaker 1: them over quite a few hours. And going back to
- 11:25Speaker 1: as the court heard in this sort of way that
- 11:28Speaker 1: the evidence was presented, it all started with Donald Patterson
- 11:31Speaker 1: and going through a lot of his medical points that
- 11:35Speaker 1: then led on to some of the other patients. But
- 11:37Speaker 1: it was noted in this part of the professor's evidence
- 11:39Speaker 1: while they were talking about all these treatments that he
- 11:41Speaker 1: was continuing to deteriorate further sort of by the time
- 11:45Speaker 1: it got to the second of August, he was unfortunately worsening.
- 11:49Speaker 1: His circulation was struggling, and it was then that he
- 11:53Speaker 1: spoke about a surgery that they decided that they would
- 11:56Speaker 1: try with Donald Patterson. Here is a little bit more
- 11:58Speaker 1: of the professor's evidence as he was speaking with Sarah
- 12:01Speaker 1: Lenthil from the prosecution. It's not their voices.
- 12:04Speaker 3: Did Donald Patterson undergo surgery on for August twenty twenty three?
- 12:08Speaker 4: He did, after extensive consultation with a range of senior specialists.
- 12:13Speaker 4: It was thought that the only possibility of saving his
- 12:16Speaker 4: life was through a liver transplant. And did that occur, Yes,
- 12:20Speaker 4: there was an effort to undertake and complete a liver transplant. Yes.
- 12:24Speaker 3: After the liver transplant was carried out, did Donald Patterson's
- 12:28Speaker 3: condition improve.
- 12:29Speaker 4: No, he got relentlessly worse. Unfortunately.
- 12:33Speaker 3: Was it recognized through the day that Donald Patterson was
- 12:36Speaker 3: dying despite maximal therapy.
- 12:39Speaker 4: Yes, all of our treatments had unfortunately failed, and he
- 12:42Speaker 4: was dying despite all of the measures that we were applying.
- 12:46Speaker 2: We also heard Penny that the possibility of liver transplants
- 12:50Speaker 2: for Gail and Heather was something that was also discussed
- 12:53Speaker 2: in that hospital, But the specialists ultimately decided that the
- 12:56Speaker 2: sisters were too unwell to undergo surgery, and that was
- 13:00Speaker 2: the decision that was made for Don but not for
- 13:02Speaker 2: the others.
- 13:03Speaker 3: And it was spoken about.
- 13:04Speaker 1: The judge clarified at one point that had this been
- 13:08Speaker 1: not so much a successful liver transplant for Don, but
- 13:10Speaker 1: had it happened? And the professor said, yes, we did
- 13:12Speaker 1: perform the liver transplant, but unfortunately that Don Patterson had
- 13:16Speaker 1: passed away at the Austin hospital. Following that that he
- 13:20Speaker 1: continued to get worse despite the fact that they.
- 13:22Speaker 3: Were giving him.
- 13:23Speaker 1: I believe he said every there were no other treatments left.
- 13:26Speaker 1: They'd given him all the treatments, and that was essentially
- 13:28Speaker 1: the case for the other two lunch guests as well,
- 13:31Speaker 1: Gail and Heather. But here is a little bit more
- 13:33Speaker 1: of the professor's evidence as he was speaking with Sarah
- 13:35Speaker 1: Lenthil from the prosecution. It's not their voices.
- 13:38Speaker 3: Did she continue to receive maximal treatment and therapy she.
- 13:42Speaker 4: Was on everything that we had.
- 13:43Speaker 3: Yes, was an emergency liver transplant considered for Gail.
- 13:47Speaker 4: There was a lot of discussion about whether it was
- 13:49Speaker 4: possible to undertake in her given the advanced state of
- 13:53Speaker 4: a multiple organ failure, so it was certainly considered yes.
- 13:57Speaker 3: Did she ultimately have a liver transplant.
- 14:00Speaker 4: No, she did not. The view of the consensus opinion
- 14:05Speaker 4: of all of the contributing senior specialists from intensive care,
- 14:09Speaker 4: the liver transplant unit, and toxicology was that she was
- 14:13Speaker 4: too sick to undergo the necessary surgery.
- 14:16Speaker 3: On three and four August, did Gal's condition continue to decline?
- 14:20Speaker 4: Yes, she progressively became more unwell, and.
- 14:23Speaker 1: As we spoke about before, the doctors again said they
- 14:26Speaker 1: discussed whether they could try for surgery with Heather as well,
- 14:29Speaker 1: but that she was not well enough at that point.
- 14:33Speaker 1: But will bring you a little bit more of this
- 14:34Speaker 1: evidence so you can sort of hear what the professor
- 14:37Speaker 1: was describing when he was talking about the teams that
- 14:39Speaker 1: were coming together to try and decide what the best
- 14:42Speaker 1: course of action for these people were. Here's a little
- 14:44Speaker 1: bit more of what the court heard.
- 14:46Speaker 3: How was Heather Wilkinson's condition by second August twenty twenty three?
- 14:50Speaker 4: She had a rapidly progressive deterioration of her multiple organ failure.
- 14:56Speaker 3: Was a decision made to list her for an emergency
- 14:59Speaker 3: liver transplant?
- 15:00Speaker 4: There were discussions about whether that would be possible.
- 15:02Speaker 3: Yes, was it possible?
- 15:04Speaker 4: Ultimately no, she was too unwell to undergo the complex
- 15:07Speaker 4: and extensive surgery required for a liver transplant, all.
- 15:10Speaker 3: Right, and after extensive consultation between the medical teams, was
- 15:15Speaker 3: it acknowledged that Heather was not going to survive.
- 15:18Speaker 4: It was very apparent that this was not survivable.
- 15:21Speaker 2: Yes, it was at this point, Penny, that we could
- 15:24Speaker 2: see in the courtroom seated in the back road, there
- 15:26Speaker 2: was a number of family members of Heather's visibly upset.
- 15:31Speaker 2: There was hand holding and hands on knees and you
- 15:34Speaker 2: could see almost shoulders touching as a sign of support
- 15:37Speaker 2: while these final hours and days of Heather's life were
- 15:40Speaker 2: being described.
- 15:41Speaker 1: And as we've taken you through in this evidence, this
- 15:43Speaker 1: is the order that everyone heard in the courtroom to
- 15:45Speaker 1: quite a bit of detail about Don, then Gayle and
- 15:48Speaker 1: then Heather. So by the time these family members were
- 15:50Speaker 1: hearing this evidence, they had previously also heard it about
- 15:54Speaker 1: about the Pattersons as well. And it was after it
- 15:57Speaker 1: was put through the professor's evidence that all these three people,
- 16:01Speaker 1: including Gail and Heather, had passed away at the Austin hospital.
- 16:05Speaker 1: They came to Ian Wilkinson as part of the evidence,
- 16:08Speaker 1: and as you mentioned, he's sitting in the courtroom watching
- 16:11Speaker 1: all of this unfold and initially what the professor was
- 16:16Speaker 1: sort of asked about was again the very similar questions
- 16:19Speaker 1: that he was for all of the patients. But what
- 16:21Speaker 1: did all of these staff conclude was the cause of
- 16:25Speaker 1: his liver and organ failure and what sort of investigations
- 16:28Speaker 1: they had done.
- 16:29Speaker 2: The way that it was described to the jury was
- 16:31Speaker 2: after Ian Wilkinson arrived. His condition also declined in the
- 16:36Speaker 2: days after he arrived, and he had high levels of
- 16:38Speaker 2: acid in his blood and an abnormal heart rhythm as well.
- 16:42Speaker 2: But the way that it was explained to the jury
- 16:44Speaker 2: was that the passes condition did slowly improve from about
- 16:47Speaker 2: the fifth of August twenty twenty three, and he was
- 16:50Speaker 2: eventually taken off breathing tubes about the fourteenth of August
- 16:54Speaker 2: that same year. But he explained that it was very
- 16:57Speaker 2: very slow. This process was very very slow coming out
- 17:00Speaker 2: of an extreme critical illness.
- 17:03Speaker 1: Let's hear a little bit from the professor's evidence on
- 17:05Speaker 1: those initial concerns and treatment.
- 17:08Speaker 3: What do medical staff at the Austin conclude about the
- 17:12Speaker 3: cause of Ian Wilkinson's acute liver failure?
- 17:14Speaker 4: That it was due to amanita mushroom poisoning.
- 17:17Speaker 3: For the same reasons we've discussed in relation to the
- 17:20Speaker 3: other three.
- 17:20Speaker 4: All right, that's correct.
- 17:22Speaker 3: Now we have been discussing one August. How was Ian
- 17:27Speaker 3: Wilkinson's condition? By two August he.
- 17:29Speaker 4: Was extremely unwell with advanced multiple organ failure.
- 17:33Speaker 3: What about three August.
- 17:35Speaker 4: He became more unwell, deteriorated further, particularly as circulation was
- 17:40Speaker 4: requiring considerably more support.
- 17:42Speaker 3: Did you commence a plasma exchange on that date?
- 17:45Speaker 4: I recall I think it was on the third Yes,
- 17:48Speaker 4: for August, did he continue to deteriorate. Yes, the acid
- 17:53Speaker 4: in his blood was higher and he needed more additional
- 17:56Speaker 4: support for his circulation, and he developed an abnormal art rhythm.
- 18:01Speaker 1: Now, the professor gave evidence that before there was any
- 18:04Speaker 1: improvement in the condition of Ian Wilkinson, they did perform
- 18:08Speaker 1: some surgery on him as well. Yes, it was. It
- 18:11Speaker 1: wasn't a liver transplant like with Don Patterson. It was
- 18:13Speaker 1: what was described as a laparoscopy, which it was sort
- 18:16Speaker 1: of explained through the professor's evidence that they were worried
- 18:20Speaker 1: about issues with the bow and they needed to get
- 18:22Speaker 1: in and see that through sort of through his abdomen
- 18:26Speaker 1: and that. But once they had performed this surgery. They
- 18:29Speaker 1: actually didn't find that there was any significant issues yeah,
- 18:33Speaker 1: with his bow, So it wasn't a liver transplant or
- 18:36Speaker 1: anything that Ian underwent. Quite a different surgery to Don.
- 18:39Speaker 1: And as you mentioned before, there was these As everyone
- 18:42Speaker 1: knows Ian Wilkinson, he's given evidence in.
- 18:45Speaker 3: This trial too.
- 18:45Speaker 1: He he did survive, but it was after quite a
- 18:48Speaker 1: bit of time in different hospitals. And here's a little
- 18:51Speaker 1: bit of what the professor said when he was being
- 18:53Speaker 1: asked about Ian's recovery and ultimately how close they thought
- 18:58Speaker 1: they came to Ian losing his life.
- 19:00Speaker 3: Life too.
- 19:00Speaker 1: Here's more of what the court heard. It's voiced by actors.
- 19:03Speaker 3: Did he continue to improve over the days that followed that, Yes, it.
- 19:08Speaker 4: Was very slow because he was coming from a situation
- 19:11Speaker 4: of extreme critical illness, but he did slightly improve over
- 19:15Speaker 4: that time. Yes.
- 19:17Speaker 3: Was he eventually excubated on fourteen August?
- 19:20Speaker 4: Yes?
- 19:21Speaker 3: Was he discharged from the ICU to the ward on
- 19:24Speaker 3: twenty one August?
- 19:26Speaker 4: Yes?
- 19:26Speaker 3: Was he discharged to a rehabilitation ward at Heidelberg Hospital
- 19:30Speaker 3: on eleven September? Yes, and he was eventually discharged home.
- 19:35Speaker 4: Yes.
- 19:36Speaker 3: How close did Ian Wilkinson come to dying?
- 19:39Speaker 4: We thought he was going to die. He was very close.
- 19:42Speaker 2: At this point, Penny, we were able to look over
- 19:44Speaker 2: and see Ian Wilkinson. As we mentioned earlier, he was
- 19:47Speaker 2: seated in the court room and he appeared incredibly stoic.
- 19:50Speaker 2: He was seated there with his arms crossed, sort of
- 19:52Speaker 2: staring blankly ahead while all of this information about him,
- 19:56Speaker 2: his health information was being read out to the jury.
- 20:00Speaker 1: Yeah, he certainly didn't show any visible reactions to when
- 20:03Speaker 1: particularly as the prosecutor turned through the screen through the
- 20:08Speaker 1: video link to this professor who was giving evidence from
- 20:11Speaker 1: the Austin hospital from his office you could see all
- 20:14Speaker 1: of his many qualifications behind him and said, quite frankly
- 20:18Speaker 1: to him, how close did this man come to dying?
- 20:21Speaker 3: And it was quite a.
- 20:24Speaker 1: Moment in the courtroom where I feel everyone sort of
- 20:27Speaker 1: stopped not only to look at Ian Wilkinson, but sort
- 20:29Speaker 1: of to acknowledge what was happening around them. And he
- 20:32Speaker 1: showed no visible signs and just continued to watch the evidence.
- 20:35Speaker 1: Says he has on every other day that he's.
- 20:37Speaker 2: Been there, incredibly composed.
- 20:39Speaker 1: Now, the court has also begun hearing from a number
- 20:41Speaker 1: of new witnesses for the fifth week of evidence and
- 20:44Speaker 1: we'll be bringing you this in our next episode. Thank
- 20:48Speaker 1: you for listening to this episode of Say Grace. Please
- 20:51Speaker 1: press the follow button in your app to get our
- 20:53Speaker 1: next episodes as soon as we publish.
- 20:55Speaker 2: For more reporting on the case, check out the Age
- 20:57Speaker 2: of nine News in your browser or app store.
- 21:00Speaker 1: To acknowledge the traditional owners of the land that this
- 21:02Speaker 1: podcast was recorded on and wherever you're listening to it now.
- 21:05Speaker 1: Say Grace is created and hosted.
- 21:07Speaker 3: By me Penelope Lesh and me Erin Percy.
- 21:10Speaker 1: This podcast is produced by Genevieve Rule.