SHOULD AN ADVERSE EVENT OCCUR IN ANY ONTARIO HOSPITAL, THE CITIZENS OF ONTARIO WILL BE ENSURED IT WILL BE COVERED UP BY ALL OF THOSE SEEN BELOW:

THE HOSPITAL --under jurisdiction of Liberal Minister of Health

THE CHIEF CORONER'S OFFICE--appointed by Liberal majority government and --under jurisdiction of Liberal Minister of Corrections

THE DEATH INVESTIGATIVE OVERSIGHT COUNCIL--appointed by Liberal majority government and --under jurisdiction of Liberal Minister of Corrections

THE COLLEGE OF PHYSICIANS AND SURGEONS OF ONTARIO

THE HEALTH PROFESSIONS APPEAL AND REVIEW BOARD--appointed by Liberal majority government --under jurisdiction of Liberal Minister of Health

THE ONTARIO OMBUDSMAN--appointed by Liberal majority government

THE ONTARIO PATIENT OMBUDSMAN--appointed by Liberal majority government

THE ONTARIO PROVINCIAL POLICE--under jurisdiction of Liberal Minister of Corrections

THE INDEPENDENT POLICE REVIEW DIRECTOR--appointed by Liberal majority government and --under jurisdiction of Liberal Minister of Corrections

THE LIBERAL MINISTER OF HEALTH

THE LIBERAL MINISTER OF CORRECTIONS

THE LIBERAL PROVINCIAL PREMIER

WHEN IT COMES RIGHT DOWN TO IT, THE PRESENT LIBERAL GOVERNMENT SHOULD HAVE COME CLEAN TO PROTECT THE CITIZENS OF ONTARIO.

ALL OF THE ABOVE ARE IN "BREACH OF TRUST" AS THEY COVER EACH OTHERS' ASSES

A FATHER’S FAILURE

Without a doubt; a Conspiracy exists,
Self-protecting Officials; such hypocrites!

If you were a MPP’s daughter; it would cause a fit,
Because you’re mine; they don’t give a shit!

For years we have yearned for justice,
The lack of moral integrity merely disgusts us!

Government institutions that won’t expose,
The Medical negligence concealed by those!

Medical Immunity granted; regardless of guilt,
Preserving Ontario Health Care’s patchwork quilt!

So many individuals paid through our taxes,
Failing us all; what a bunch of asses:

Premier of Ontario --Premier Wynne, Premier McGuinty,

Ontario Minsters of Health --Dr. E. Hoskins, D. Matthews, Rick Bartolucci

Ontario Ministers of Corrections --Yasir Naqvi, Madeleine Meilleur

Ontario Members of Provincial Parliament --majority of them from 2006 to the present

CPSO -- Angela Bates Manager Committee Support Area Investigations and Resolutions, Sandra Keough Investigator

HPARB --Chair Janice Vauthier, Past Chair Linda Lamoureux, Lori Coleman Registrar, Third Appeal Chair Tom Kelly, Members Stephen Jovanoviorc and Brenda Petryna

Ontario Ombudsman --Paul Dube Ombudsman, A Marin-Ombudsman, Investigator Lorraine Boucher- Investigator, Fran Cappe-Investigator,

Humber River Hospital --CEO B. Collins, past CEO Rueben Devlin,

Ontario Chief Coroner’s Office --Dr. D. Huyer, Dr. A. McCallum, Dr. A. Lauwers

DIOC --Joseph C.M. James (Chair), Emily Musing (Vice-Chair), John Pearson (Vice-Chair), William (Bill) McLean, David Williams, Dorothy Cynthia (Cindy) Prince, Denise St-Jean, Fiona Smaill, Lidia Narozniak, Lori Marshall, Lucille Perreault, William (Bill) J Shearing, Michael Pollanen, Fiona Foster Manager of DIOC

Ontario Patient Ombudsman --Christine Elliott, Investigator Marie Claire Muamba

Ontario Provincial Police --Commissioner J.V.N. (Vince) Hawkes, Inspector Bradley McCallum

OIPRD -- Director Gerry McNeilly

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Terra Dawn Kilby
"An Angel In Our Lives"
April 22/78 to July 21/06

Linked 2612 Connections/Followers
https://www.linkedin.com/…/humber-river-hospital-still-cove…

2,817

http://thepatientfactor.com/…/the-unholy-alliance-between-…/

DO YOU SMELL SOMETHING ROTTING WITHIN ONTARIO:
https://1drv.ms/w/s!ApBprmlxiUUnhHumD25kXQnNQ4f_

http://www.torontosun.com/…/why-did-woman-die-after-routine…

http://www.torontosun.com/2013/10/18/secret-medical-cautions

https://www.linkedin.com/…/ontario-patient-ombudsmans-offic…

https://www.linkedin.com/pulse/another-failure-arnold-kilby…

https://www.linkedin.com/…/death-investigation-oversight-co…

https://www.linkedin.com/…/terra-dawn-conspiracy-arnold-kil…

https://www.linkedin.com/…/help-bring-true-transparency-acc…

https://www.linkedin.com/…/breach-trust-chief-coroners-offi…

https://www.linkedin.com/…/hparb-merely-mirage-valid-avenue…

https://www.linkedin.com/…/p-dube-ontario-ombudsman-arnold-…

https://www.linkedin.com/…/att-ontario-provincial-police-co…

https://www.linkedin.com/…/truth-kept-hidden-abusing-legisl…

READ ALL OF MY POSTS AS I ATTEMPTED TO BRING TRANSPARENCY AND ACCOUNTABILITY TO ONTARIO.

SCROLL DOWN FOR POSTS
--Look on right side under "Blog Archive" (oldest to newest)

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College of Physicians and Surgeons - Stories of Failure

What is especially interesting in this recent Star (last week Feb/2016)article is the following:

“We are not a public organization. . . Our accountability is to our members,” said the College’s executive director, Dr. Francine Lemire" CPSO

ONTARIO OMBUDSMAN'S OFFICE FAILS TO PROTECT CITIZENS FROM HPARB'S LACK OF PROCEDURAL FAIRNESS AND ADHERING TO THE PRINCIPALS OF NATURAL JUSTICE.

Mr Shanoff, (Toronto Sun Columnist) I don't know if you have done an article on the Ombudsman's Office, but you may wish to take this on as they are not questioning the contradictions. We already know the CPSO is corrupt and HPARB from your article where you stated "it looks like HPARB just threw up their hands and said we give up"

http://www.torontosun.com/2013/10/11/why-did-woman-die-after-routine-surgery

http://www.torontosun.com/2013/10/18/secret-medical-cautions

But for the Ombudsman's Office to swallow such garbage leaves the citizens of Ontario with no where to go.

Coalition For Physician and Surgeon Oversight is a group who has been harmed or had a loved one taken through negligence by a doctor/surgeon.


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https://www.youtube.com/watch?v=_LFqWujTEVA&feature=youtu.be

Terra Dawn Kilby --- A Father's Memories
An Angel In Our Lives, Terra Dawn Kilby November 2014

A tribute to the life of my daughter who died due to the negligence of a surgeon at Humber River Regional Hospital, Toronto, Ontario, Canada. Covered up by Humber River Regional Hospital, the CPSO, HPARB, Chief Coroner's Office of Ontario, the DIOC, Ontario's Ombudsman and the entire Provincial Liberal Party!


TERRA DAWN KILBY April 22, 1978 - July 21, 2006. College’s Decision “The routine use of antibiotics prior to bowel surgery is an important aspect of care that was NEGLECTED by Dr. Klein in this case.”…
00:35:48

https://www.youtube.com/watch?v=lMof3T--zUY&feature=youtu.be


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THE PATIENT FACTOR

http://thepatientfactor.com/canadian-health-care-stories/the-unholy-alliance-between-organized-medicine-and-government-a-fathers-quest-for-truth-and-justice-in-public-health-care/

HPARB's Decisions Kilby vs Laz Klein.
First Decision:
http://www.canlii.org/en/on/onhparb/doc/2010/2010canlii44390/2010canlii44390.html
Second Decision:

http://www.canlii.org/en/on/onhparb/doc/2012/2012canlii39837/2012canlii39837.html
Third Decision:
http://www.canlii.org/en/on/onhparb/doc/2013/2013canlii46625/2013canlii46625.html

The Letter I Sent to the Chief Coroner's Office Outlining My Numerous Concerns
Coroner's Comments.doc

Death Investigative Oversight Council's Decision

2 years after my initial request and after both Chief Coroner and Deputy Chief Coroner left the OCC.
DIOC Decision Aug 2013.doc


*********************************************************
The Chief Coroner's Office, the College of Physicians and Surgeons of Ontario, the Health Professions Appeal and Review Board, the Death Investigative Oversight Council, the Liberal government and Ms Deb Matthews and Premier Wynne apparently agree that it is perfectly within the accepted Standard of Care to:
--have open abdominal surgery without the mandatory antibiotic prophylaxis

--having not had the above, accepted that there was no need for antibiotics when the abdominal incision was oozing purulent liquid and was so infected that all staples were removed

--when test results showed "many gram negative bacilli", still it was quite acceptable to provide no antibiotics

ONTARIO CITIZENS----
And the College/HPARB totally ignored Dr. Andrew McCallum's letter to the College when he was Eastern Ontario Coroner. In it he states that infection was a contributing factor in Terra's death.
One must also wonder how on earth the Chief Coroner's death investigation failed to note the lack of antibiotics plus other issues contained within the hospital records and yet I have numerous pieces of correspondence from both Dr. Lauwers and Dr. McCallum stating they saw no issues with respect to the Standard of Care???
HOW DO YOU SPELL COVER-UP???



************************************
THE OMBUDSMAN'S OFFICE has allowed the College and HPARB to establish the above as precedence for future complaints/appeals made to both of them.
VERY DANGEROUS TO ALLOW THIS TO HAPPEN WITH REGARD TO PATIENT SAFETY AND CARE WITHIN OUR HOSPITALS.


********************************************************





http://thepatientfactor.com/canadian-health-care-stories/the-unholy-alliance-between-organized-medicine-and-government-a-fathers-quest-for-truth-and-justice-in-public-health-care/

https://plus.google.com/100940639342885447409/posts/YwvYaMn7eTw

http://www.yelp.ca/user_details?userid=BslEQAF9s6rUav3VSPqcWQ



**************************************************
Gan Reporter to appear this week before Tuesday, July 21, 2015
Terra Dawn Kilby
“An Angel In Our Lives”
April 22, 1978 – July 21, 2006


Tears still appear when we think of you.
Visits to your grave site we often do.
Loving memories convey serenity too!

Our precious daughter, Terra Dawn;
It’s been nine years since you’ve been gone.
Within our hearts you still belong!

July Twenty-first is a time of sorrow.
Additional years, I wish we could borrow.
Maybe then, we’d not feel hollow!

Today, messages guided to heaven above.
Channeled to you on the wings of a dove.
Expressing our heartfelt, everlasting love!


LOVE MOM, DAD AND BRANDY

Monday, 2 July 2012

No Accountability or Transparency in Ontario--Dr. Bert Lauwers/Dr. Andrew McCallum/Dr. Laz Klein---Part Eight

 A PRIMER ON THE LAW OF DEFAMATION IN ONTARIO
"Defamation is comprised of two subcategories between libel (libel refers to written defamatory statements)and slander(broadcasting of spoken defamatory words)

Proving a Claim in Libel and/or Slander
"the statement must be false!"

Defences to Actions in Libel and Slander
TRUTH--
"The first defence is the defence of truth. The defence can be made that the statement was truthful and therefore there was nothing false about the statement, meaning therefore, that the statement was not defamatory."


FAIR COMMENT--

"The second defence to an allegation of libelous statement is that the statements made were made as a fair comment. The defence of fair comment would be considered by the Court in situations where, by looking at the statement made, the facts and the situation, a conclusion can be made that the statements made were in actuality a fair commentary on the situation at hand and that the comments were fair and were not malicious."

QUALIFIED PRIVILEGE--
"The defence of qualified privilege arises normally in situations where the individual publishing these statements will escape any liability if it can be proven that the public good could be furthered in open debate. 

******************************************************************************

                                           "An Angel In Our Lives"

July 21st, “Spirit” called you away, still to be missed to this very day.
Six long years have steadily passed; why did you leave - we have often asked?
Within our hearts you safely are, comforting our aches, sending love from afar.

Ascending above to the heavenly skies, truly an Angel in every ones’ eyes.
Your beautiful soul we surely miss, your headstone picture we fondly kiss.
Some day soon together again, united forever in our family chain.

LOVE DAD, MOM and BRANDY
Dear Mr. Kilby:
Thank you for your recent correspondences to the Death Investigation Oversight Council (the "DIOC").
This letter is to acknowledge receipt of your recent email correspondences that are listed in Appendix A, which have been added to your complaint file.
In addition, thank you for a copy of the Health Professions Appeal and Review Board ("HPARB") decision dated June 7th 2012 (File # ll-CRV-0401) relating to your complaint matter that is before the College of Physicians and Surgeons of Ontario ("CPSO").
It appears that at this time your matter is complete or substantially complete in regards to your complaint with the HPARB and the CPSO. Your complaint file with the DIOC may be finalized in preparation for its initial review by the DIOC complaints committee in order to determine if your complaint, or aspects of your complaint, are within the mandate of the Council.
Based on DIOC's legislative mandate, the purpose of the complaints committee is to review complaints with a goal of providing advice in order to help improve Ontario's death investigation system. As an advisory body, it is generally not within the committee's mandate to review or otherwise assess substantive medical conclusions or opinions with respect to the cause or manner of death. Consequently, and to the extent that your complaint before the DIOC may raise such issues, these aspects of your complaint may be outside the authority of the committee to consider.
The committee is currently conducting a review of a complaint and once this review is concluded, the initial assessment of your complaint matter may begin. In addition to notification with respect to the status of your complaint, the complaints committee may also contact you if they require any further information or clarification.
Sincerely
AV
Manager
Death Investigation Oversight Council

July 1, 2012
cc: Ombudsman’s Office, Ms Matthews, Mr. McGuinty, Mr Hudak, Ms Horwath, MPP Steve Clarke and various media sources and friends/relatives
TO:  DIOC
In response to your letter dated June 18th, I would like to offer

the following:
“Based on DIOC's legislative mandate, the purpose of the complaints committee is to review complaints with a goal of providing advice in order to help improve Ontario's death investigation system. As an advisory body, it is generally not within the committee's mandate to review or otherwise assess substantive medical conclusions or opinions with respect to the cause or manner of death. Consequently, and to the extent that your complaint before the DIOC may raise such issues, these aspects of your complaint may be outside the authority of the committee to consider.”
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Firstly, there is no doubt that by investigating my complaint the DIOC can easily determine numerous pieces of advice to improve the Ontario Death Investigation System.
--1. Take a good look at Dr. Lauwers’ expert opinion provider then look at the College’s most recent opinion provider.  Even though I don’t necessarily agree with the College’s, there is no doubt that Dr. Lauwers’ expert provided a very inept report that excluded numerous issues found within the hospital records.
When it is so obvious that this opinion was so fundamentally flawed, it should not have been used as a basis for the numerous requests that I made, that were denied!  A second more un-bias opinion should have been sought.  And this expert should never be used again.
--2.  The Coroner’s Office totally disregarded my concerns with regard to the above even after I pointed them out to Dr. Lauwers and Dr. McCallum.  How on earth could these two completely ignore the fact that my daughter did not receive the mandatory antibiotic prophylaxis and no antibiotics what so ever during her stay in the hospital even when her abdominal incision became infected and there was a test done indicating “many gram negative bacillia present”?  And then they both state that the Standards of Care were met?
It should be pointed out that way back, Dr. Hinton the Kingston Coroner had informed me that the Chief Coroner’s Office of Ontario had, for lack of a better word, “flagged” this death for further investigation.   HMMM—interesting.   Also, Dr. Hinton had stated to me “Your daughter should not be death!”
Of course, the “hush order” came out as soon as I proceeded to question the circumstances of my daughter’s death.  Again it should be noted that when I asked for an Eastern Ontario Coroner’s Investigation (--- according to the Coroner’s Act) the denial should have come from the Eastern Ontario Coroner, NOT DR. LAUWERS!! –over stepped his authority
When the applicant proves without a shadow of doubt that there were many concerns not addressed, the Chief Coroner’s Office should have investigated further to put those concerns to rest one way or the other, but not to totally avoid them.
The Chief Coroner’s Office should always be open to meet and answer questions related to a death they have investigated.
It should be pointed out that Dr. Lauwer’s wrote me a letter stating that he and the Office would not respond to any telephone calls I might make to them, they also for the most part refused to reply to numerous e-mails and faxes.
As well, OPP Detective Seeley met with both of the above and asked if they would meet with me to discuss my concerns.  Their response was “We will not meet with him and will not answer any questions!”
The Ontario Ombudsman’s Office had asked the same question to Dr. McCallum and received the same response!
This Office should be encourage to admit their mistakes when they have been made and strive to correct them, not run away and hide.
--3.  The Chief Coroner’s Office denied all of the below, again emphasizing that based on their expert’s opinion, nothing could be learned to make recommendations to prevent such a tragedy from happening again.  Well, then let them explain the further deaths that occurred at this hospital and within the exact same bariatric team of surgeons after my daughter’s death.  In 2010, the coroner’s office, without public knowledge (very secretly) closed down this department and brought in an outside expert to look into the OR procedures and the after care. (after 5 or 6 death that occurred in 2009 up to Feb 2010.)
It should have at the very least gone to the Patient Safety Death Panel for further investigation.  This may have saves the lives that were lost because nothing was done.  Again at the very least the Coroner’s Office should have reported this negligent care to the College and the Hospital.  When I taught school, by law I was legally accountable to report suspected abuse of any kind to the appropriate authorities. 

THE CHIEF CORONER’S OFFICE SHOULD HAVE THE SAME LEGAL RESPONSIBILITY TO REPORT NEGLECT of a patient’s care! 
It should be noted that that this Office has never granted a public inquest into a death that has any connection to hospital/surgeon care.  I know I can’t question the refusal of a public inquest but it should be notice.
All deaths should be given the same thorough death investigation as is required for deaths which occur while in Protective Custody and/or farming and industrial deaths.  All Ontario citizens deserve a thorough investigation.

Ontario College of Physicians and Surgeons---thus far will be required to make a third decison

Health Professions Appeal and Review Board--- I have been in front of them twice and they have sent the College's decision back twice  --did not consider the over 100 surgeons' comments from Outside of Ontario   ==because no Canadian surgeon would dare cross the College.

Chief Coroners Office

--refused my request for a public inquest
--refused my request for my daughter's death to go to the Patient Safety Death Panel
--refused my request for an Eastern Ontario Coroner's Review
--refused my request for the Chief Coroner to put panel together to access Deputy Chief Coroner at the time, all of his decisions
--way back refused MPP, now Senator Runciman's request to reconsider the public inquest                                                           
--refused OPP detective 's request to meet with me and answer my questions
 --refused Ombudsman's Office's request to meet with me and answer my question

GEE, DO YOU THINK THEY ARE AFRAID THE TRUTH WILL BE REVEALED causing them some embarrassment & negative media.

The HOSPITAL RECORDS speak for itself.
--4.  There is a definite conflict of interest between the Chief Coroner’s Office and the College of Physicians and Surgeons.  As much as they believe they can separate themselves from this potential conflict, it is absolutely impossible.  They cannot effectively do their investigations when a death may involve the actions of a fellow member of the College.

All Coroners, pathologists and/or other members of the College of Physicians and Surgeons who work on behalf of the public and paid by taxpayers’ dollars should not be paying members of this College.  They are not allowed by the College to make any negative comments with regard to a fellow colleague therefore there is no way an honest, transparent and accountable death investigation can take place when questions arise concerning a doctors’/surgeons’/hospitals’ care.


It should be brought to the attention of the Minister of Health that she and the present Liberal government address this fault.  If you recall, Premier Mike Harris removed all Administrators involved in teaching from the various teaching federations.  There is a need for something similar to occur with respect to the Coroners/Pathologists etc.

Keep in mind the dismal record the College has at self-regulation as exposed by such programs as W5 and the Star’s columns a few years back.  Nothing has been done to correct this situation.  HPARB’s mandate is severely restricted to basically was there an investigation not necessarily was the investigation thorough and accurate.
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Secondly, with regard to: As an advisory body, it is generally not within the committee's mandate to review or otherwise assess substantive medical conclusions or opinions with respect to the cause or manner of death. Consequently, and to the extent that your complaint before the DIOC may raise such issues, these aspects of your complaint may be outside the authority of the committee to consider.

In this case, I believe the medical conclusion or opinions (not the cause or manner of death but factors definitely contributing to the death) are indeed within your mandate as all decisions were based upon sub standard investigations riddled with a multitude of omissions.
Thirdly, “these aspects of your complaint may be outside the authority of the committee to consider.” 
There is no way that my complaint falls outside of the authority of the committee.  If it does, then every Ontario citizen should question the expense of creating the DIOC that would merely represent a figurehead supposedly investigating a citizen’s complaint against the Chief Coroner of Ontario.  He would then be completely untouchable.  Don’t forget, Dr. Smith got away with inept investigations that put innocent people in jail and tarnished their reputations.  Don’t forget there were indeed more deaths similar to my daughter’s own death that should have been prevented.
It should be noted that the DIOC for the sake of transparency, accountability and just plain common sense should allow the complainant to be present and personally be able to provide an oral submission to the DIOC panel.
****************************************************************************

Lessons should have been learned by my daughter’s death.
However, the surgeon has not learned from this, nor has the College, nor has the Chief Coroners Office of Ontario.  May no committee member have a family member suffer through an inept investigation whose only purpose was apparently to cover up the negligent care given by a surgeon.
I certainly hope that the DIOC will not allow this injustice to continue by taking an active role in the “cover-up” Improvements can not be made in Ontario when decisions are made behind closed doors and can stand up to the scrutiny of the public.
The Chief Coroner and Dr. Lauwers earn a quite substantial salary and the entire Office is funded by tax payers dollars as well as the DIOC. 
Respectfully yours,
Arnold W. Kilby