DAILY MAIL: DANGER of GUIDELINES followed slavishly.

Junior doctor in tears at inquest after she revealed how senior colleagues LAUGHED at her when she suggested a consultant examine a four-year-old who later died Tragic Freya Wells died at Kingston Hospital from a severe infection Doctor Hilary Towse repeatedly raised her concerns about the treatment But she was made to feel 'ridiculous' and 'laughed' at by a senior doctor By Daily Mail Reporter PUBLISHED: 18:21 GMT, 16 January 2014 | UPDATED: 20:21 GMT, 16 January 2014 A junior doctor was laughed at by a senior colleague when she suggested a consultant should examine a four-year-old girl who died hours later, an inquest has heard. Tragic youngster Freya Wells died after she was administered antibiotics orally to treat a severe infection, the hearing was told. But when junior doctor Hilary Towse repeatedly raised her concerns about the treatment she claims she was made to feel 'ridiculous' and 'laughed' at by a senior doctor. Freya Wells, 4, died at Kingston Hospital in Surrey (pictured) from a severe infection after doctors failed to give her antibiotics by the correct method, a hearing was told +3 Freya Wells, 4, died at Kingston Hospital in Surrey (pictured) from a severe infection after doctors failed to give her antibiotics by the correct method, a hearing was told Freya had been vomiting and suffering from diarrhoea for around three days when she was admitted to Kingston hospital in south west London after her condition did not improve following a visit to a GP, the inquest heard. More... Mother describes horrific moment her husband found their 23-month-old son face down in a paddling pool where he drowned GP's wife fell to her death down powerful waterfall in front of devastated husband who desperately tried to reach her after she slipped Police arrest 21-year-old woman on suspicion of assisting a suicide - making her 'the youngest' in Britain to potentially face the charge When she arrived at the hospital on November 21st, 2012, she had an infection and was also suffering from breathing difficulties. She was quickly transferred to the paediatric Sunshine Ward. West London Coroner’s Court heard that in A&E, Registrar Rosita Ibrahim prescribed Freya oral antibiotics, but that her junior colleague and nurses did not agree with that course of treatment. Fatal mistake: The inquest heard that other medics felt the antibiotics should have been administered intravenously not orally +3 Fatal mistake: The inquest heard that other medics felt the antibiotics should have been administered intravenously not orally Doctor Towse told the inquest that she thought the four-year-old should have been receiving intravenous antibiotics. She said that around 1am the following morning when she saw Dr Ibrahim she again expressed her concerns. Dr Towse said: 'I specifically said that she needed to have a bolus [fluids straight into the blood]. 'I specifically said that she needed to have IV antibiotics, and I specifically said that I thought she needed intensive care.' However, she added: 'She (Dr Ibrahim) seemed to be able at each point to give a reason.' Breaking down in tears, Dr Towse added: 'She thought that what I was saying was ridiculous - I recall that she laughed.' The court heard that the response Dr Towse received led her to believe that perhaps she was 'over-reacting' but also that her senior was 'under-reacting'. Dr Towse continued: 'I felt I was repeatedly raising my concerns about what I thought was going on and she, to me, would acknowledge it and take it on board, but didn’t agree.' When Freya’s condition deteriorated later that night and Dr Towse could not initially reach Dr Ibrahim, she considered contacting a consultant, but was eventually able to get through to the doctor. Dr Towse was asked by Shaheen Raham, representing Dr Ibrahim, why she had not called for a consultant herself if she was so worried. She replied: 'It will always be something I regret for the rest of my life - it would never normally be the role of the SHO [senior house officer] to do that. 'But I had some experience where I had been entirely appropriate to speak to consultants, but they had not listened to me because I was an SHO.' The inquest heard that after Freya’s vomit became 'coffee coloured' Dr Towse took it upon herself to deliver intravenous antibiotics, but was part-way through the procedure when Dr Ibrahim returned from a crash call elsewhere in the hospital and inserted the line herself. The inquest heard that Freya died the following morning at 5.45am after suffering from septic shock. Assistant coroner Dr Sean Cummings told Dr Ibrahim that many clinicians have given evidence that they asked her about the antibiotics. West London Coroner's Court heard that in A&E, Registrar Rosita Ibrahim prescribed Freya oral antibiotics, but that her junior colleague and nurses did not agree with that course of treatment +3 West London Coroner's Court heard that in A&E, Registrar Rosita Ibrahim prescribed Freya oral antibiotics, but that her junior colleague and nurses did not agree with that course of treatment 'There seems to have been a great concern that Freya should have been given IV antibiotics,' he said. 'Everybody seems to be clear that you decided that wasn't going to be the case.' Dr Ibrahim, who first saw the girl at 10pm the previous evening, told the court that, despite Freya's high heart and respiratory rates, she followed guidelines which stated that children suffering from severe pneumonia should be given oral antibiotics to reduce their discomfort. But she said it was planned for the next dose of antibiotics - due at 7am - to be given by IV. 'I realise now it should not have been the case,' she said. 'She should have received intravenous antibiotics right after her vomit in A&E.' Dr Ibrahim accepted Mr Baker's assertion that it should have taken 'a matter of minutes' to see that Freya was seriously ill. 'I just simply did not appreciate how unwell Freya was,' she added. Dr Ibrahim insisted that she had 'no recollection' of laughing 'at anything' on that night, and told the inquest that, from her memory, the only staff member who came to her with concern was Dr Towse. 'I have been over that evening so many times in my head and I cannot recollect multiple people coming up to me and telling me how concerned they are,' she said. 'It is my normal practice to listen to nurses. They are very experienced. If they are concerned then I take it on board.' She added: 'Had I known that the nurses were very worried about her I would have just called the consultant straight away.' The inquest was adjourned until 10am tomorrow, when the final evidence is expected to be heard Read more: http://www.dailymail.co.uk/news/article-2540768/Junior-doctor-tears-inquest-revealed-senior-colleagues-LAUGHED-suggested-consultant-examine-four-year-old-later-died.html#ixzz2qbjIL7o5 Follow us: @MailOnline on Twitter | DailyMail on Facebook