Simon Willans recently went to the hospital complaining of shortness of breath and dizziness. Though he was convinced that something was seriously wrong, doctors diagnosed him with low blood pressure and anxiety and sent him home. Unfortunately for Simon and his family, however, this turned out to be a huge mistake.

Soon after returning to his parents’ house, 42 year-old Simon collapsed and passed away. His family was livid that the hospital had not figured out what was wrong with him, so an inquest was launched to figure out what went wrong.

Lloyd Evans, the doctor who examined Simon, said that he felt at the time that something “unusual” was going on with the patient and requested to have him admitted that day, but the hospital was “very busy and asked if referral would be more appropriate.”

“I can’t give them all Heparin (an anticoagulant) in case they have a clot,” the doctor North West Wales senior coroner Dewi Pritchard Jones. ”I would have preferred him to be seen that day but I compromised on him being seen the next morning.”

Pathologist Mark Lord said that doctors missed a few obvious signs of a blood clot in Simon, pointing out that the patient’s right calf was swollen, caused by deep vein thrombosis.

“If recognized before death, anticoagulant treatment is effective,” he said.

The inquest is still ongoing at this time.

It’s disturbing that someone died simply because hospital officials decided that they were too busy to care for him. We can only hope that Simon’s family gets the justice that they deserve for him.