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The court heard evidence from expert witnesses, neurosurgeon – Dr. Neil Simon, forensic pathologist – Dr. Stephen Cordner, psychiatrist – Dr. Matthew Large, and Corrective Services employee Saffron Cartwright.  Dr. Neil Simon’s testimony consisted of a medical analysis into Mr. Chatfield’s seizure and the appropriateness and reasonableness of the care and action taken towards Mr.

The court heard further evidence from Ms. Adams, the Nurse Unit Manager, Officer McPherson, Mr. O’Leary, Mr. Dahlstrom and Officer Smith.  As the proceedings from the 14th of July had already shown, Ms. Adams had grossly neglected her duties as a nurse. There were several protocols which could have, and should have been followed in