Dr. Gautham Benoy admitted that he believed Daniel was likely septic when he saw him on April 1, describing the child as appearing unwell with sunken eyes and cracked lips.
Coroner Mary Hassell noted the timeline, indicating that Daniel's severe condition may not have been recognized until hours after his admission, affecting the timeliness of potential treatment.
Dr. Benoy expressed regret during the inquest, stating he recognized Daniel as a very unwell child and acknowledged his need for further treatment and admission.
Reflecting on the situation, Dr. Benoy said: 'I thought he was definitely a very unwell child and needed further treatment. I thought he needed admission and was at risk of sepsis.'
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