Coroner: What were the reasons for that? OM: I didn’t document all the reasons, so I’m not really sure how I was thinking at that point but I’d like to think it was me looking at the risk being presented to me and how she was explaining it

Coroner: What were the reasons for that? OM: I didn’t document all the reasons, so I’m not really sure how I was thinking at that point but I’d like to think it was me looking at the risk being presented to me and how she was explaining it