the staff's "dearth of knowledge" about the correct procedure to follow when someone dies unexpectedly was also highlighted.
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speaking on behalf of the family after the inquest, mrs cavanagh's son vincent said the coroner vindicated their need to raise concerns about the way in which their mother was cared for.
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he said the case could have been more complicated. “everyone’s pain threshold is a little different. an embolization is pretty painful regardless.
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