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"Luckily and miraculously he has made a remarkable recovery, said Dr Sean Cumming, the assistant coroner for Milton Keynes. He was assaulted, stripped and taunted in woodland in the Westcroft area of Milton Keynes in 2017. Milton Keynes inquest told junior doctor looked at wrong monitor for Leon was making good progress as he was working towards a family reunion trip to Samoa in 2021. Tracey Ansah said: "We were taken to the hospital where we were so fortunate to get three hours with him before he died. Milton Keynes Dons 4-4 Barnsley - BBC Sport Dr Zghaibe said he misidentified the patient's reactions, wrongly believing she was suffering a potentially life-threatening allergic reaction, known as anaphylaxis, to the pre-operative medication. Or by navigating to the user icon in the top right. In his last few years he became closer towards his biological parents, eight siblings and extended family in Samoa. However 56 years later with Leons complex personality disorder established, we feel with this result, his underlying issues were not dealt with enough and even underestimated after reading the reports. Richard Woodcock died following an incident in Two Mile Ash, (Image: Family handout issued via Thames Valley Police). On Wednesday an inquest jury in Milton Keynes concluded Mr Igweani's death was a lawful killing. The coroner has already heard evidence from experienced consultant anaesthetist Dr Wael Zghaibe, who told how he made a grave error by wrongly inserting Mrs Logsdails breathing tube and then failing to spot his mistake. Junior doctor looked at wrong monitor for key airway reading, inquest I therefore echo the sentiments of Mrs Tasi that the use of measures, such as door pressures sensors, could save so many lives and could have in fact saved Leons life. The coroner also heard how Dr Zghaibe initially allowed an unqualified colleague to first attempt the intubation, but then inserted the endotracheal (ET) tube himself after it was unsuccessful. Milton Keynes hospital doctor tells inquest mistake was 'grave error