A four-year old girl who died at Kingston Hospital could have had a 95 percent chance of survival, an inquest heard.
The senior doctor said she did not remember laughing.
Freya died two hours later after being admitted for breathing difficulties, vomiting and diarrhoea.
Today witness Dr Marilyn McDougall told the inquest that the survival rate for children admitted with septic shock in Freya's condition could be as high as 95 percent.
But mortality doubles every hour after that, she said.
And in a report after Freya's death she called the child's examination by registrar Dr Rosita Ibrahim "perfunctory".
She told an inquest today: "I would stand by my statement from before that this examination was perfunctory.
"I would expect a more comprehensive assessment of a sick child."
She also said Freya should have been given intravenous antibiotics. She added: "I would be worried about the absorption of oral antibiotics."
A statement by Freya's mother, Carly Wells, describing their visit to Kingston Hospital, was read out by coroner Dr Sean Cummings.
Miss Wells said: "The doctors didn't seem to be concerned. "People didn't really tell me what was going on.
"My memory is a bit of a blur until we went to the children's ward.
"There were lots of nurses coming to see Freya.
"She wanted hugs all the time and was clearly scared, as was I.
"I was so helpless."
An anaesthetic team arrived to treat Freya and her mother left her bedside.
Miss Wells said: "I remember kissing Freya a lot and saying, 'Goodbye, baby'.
"I didn't think it would be the last thing I would say to her."
Miss Wells was not able to stay in the courtroom as Dr Cummings read out her statement.