Boyd Edward Cuttance died in hospital of meningitis after an agonising 48 days without medical assistance. Photo / Otago Daily Times, File
Nearly a decade after her son's death, a Dunedin mother's battle for an apology from Corrections has reached court.
Boyd Edward Cuttance, 44, died in hospital on March 28, 2012, of meningitis caused by an invasive soil-borne fungal infection after 48 days at the Otago Corrections Facility (OCF) during which he did not receive appropriate medical care, a coroner concluded in 2016.
But five years on, Cuttance's mother, Elizabeth, is still fighting to have the errors acknowledged by the attorney-general.
She gave evidence at the Dunedin District Court yesterday as part of her bid for a formal declaration regarding the alleged shortcomings and said she had been driven by the lack of compassion her son was shown.
"It's very sad to lose a child but far worse to witness their suffering before they die, feeling helpless as a mother in the face of what appeared to be institutionalised indifference and cruelty," Cuttance said.
Dr Coleen Lewis told the court Boyd Cuttance would have probably survived the rare illness had he been prescribed anti-fungal medication in December 2011 or earlier.
He was jailed in November that year for two and a half years on charges of arson and aggravated assault.
After sentencing, Cuttance called OCF and informed them her son had spent several nights in hospital in the weeks leading up to his incarceration.
Over the course of her weekly visits to the prison, she became increasingly concerned about his declining health.
"I will die in here if I don't get help," Cuttance told her.
Meanwhile, the man's fellow inmates were also worried about his plummeting physical state.
Cuttance's cellmate, 82-year-old Donald Chilcott — who was serving a two-and-a-half-year sentence for passport fraud — said the man's deterioration was obvious. "I have no medical training but I could see he would die without treatment," he said.
"He would hold his head moaning in pain. He'd kneel on the floor over the toilet bowl vomiting until he had nothing left to vomit. It was terrible to watch."
Chilcott became tearful as he read his statement in court.
"I still get mad and upset thinking about the neglect," he said.
During his brief stay behind bars, Cuttance was seen 30 times by nurses and a GP contracted by Corrections but was not transferred to hospital until January 15 after a visit from his mother during which he was in excruciating pain, talking incoherently.
Another inmate, John Lahood, said Cuttance's complaints had effectively been brushed aside by prison staff.
By January, Cuttance was barely leaving his cell and took to hitting himself in the head to try to alleviate the pain.
"Have you ever seen a broken man? He was broken at this point," Lahood told the court.
Before he was released, he and others wrote a letter to Elizabeth Cuttance about her son's treatment.
"I just thought [she] had a right to know," he said.
Lewis said the "persistence and progression" of Cuttance's symptoms should have prompted those charged with his care to act sooner.
She criticised the doctor who assessed him in prison in December for relying too heavily on a CT scan that showed no abnormalities.
"If the patient is still unwell ... and the tests you've done are normal, it would be very bad practice of medicine to not consider that maybe you need to do a different test."