Maureen Desmond's Death Certificate,  signed off by The Coroner Dr. Brian Farrell after a wide ranging inquest in 2014--in which he called numerous medical expert witnesses over the course of a year--which states under "Cause of Death": 'Death by Medical Misadventure' plus 'Pulmonary Saddle Embolus' and 'Metastatic Serous Papillary Carcinoma'