[Greater Toronto]
 
January 17, 2000 
 

Inquest into girl's death resumes

By Harold Levy 
Toronto Star Staff Reporter

The inquest into the death of 10-year old Lisa Shore at Toronto's Hospital for Sick Children resumes today. 

Sharon Shore, the little girl's mother, wants to know why Lisa died suddenly on Oct. 22, 1998, after going to the hospital the evening before for help with pain from a broken leg. 

Doctors at Boston's Children's Hospital had diagnosed Lisa with reflex sympathetic dystrophy, a rare condition marked by chronic burning pain that often starts with a minor injury such as a fracture or sprained ankle. 

The inquest began early in November, but was abruptly adjourned a few days later to give GE Marquette Medical Systems, the manufacturer of a heart rate and respiration monitor, the opportunity to participate. 

The coroner's jury has already heard about serious lapses on the part of the hospital, which has quietly settled a civil suit brought by Lisa's parents. 

Dr. Markus Schily, the doctor who prescribed morphine for Lisa's pain on her arrival testified he was shocked to discover after her death that his many specific orders - to guard against the potential life-threatening dangers of morphine - never reached the nurses who cared for Lisa. 

Schily had left a note on Lisa's chart reminding nurses to look at his orders in the computer. 

By Nov. 12, the last day before the inquest was adjourned, the evidence was beginning to focus on whether the monitor implicated in Lisa's death was functioning. 

A hospital official had testified that the alarm on the monitor attached to Lisa may not have beeped when her heart stopped, possibly because of a malfunction. 

Sharon Shore, who was sleeping beside her daughter when she died, maintains no monitor was ever attached to her.