Should Mr Jansen have been called earlier on 15 May?
Secondly, I have already mentioned that Mr Jansen suggested that Mrs Sands condition in the early morning of 15 May called for urgent intervention, and he should have been called earlier than he was. (T33) 3.6 By the time Dr Eskandari-Marandi came into the picture, the situation was obvious and he acted promptly and appropriately. 3.7 Mr Sarre said that it was not really possible to predict the likely outcome, even if Mr Jansen had been called in at 3:00am and operated then. He said: Its not really possible to say. I mean even at that stage she had established peritonitis and was presumably bacteraemic if not septicaemic, bacteraemia meaning bacteria circulating in the blood stream, septicaemia meaning actually reproducing and causing a release of toxins which is a fairly nasty situation. The chances of surviving that at her age are not all that good. The aim of treatment obviously would be to step in at the very first sign before there was established infection. Once infection was est
