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


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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???



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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

Saturday, 26 October 2013

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

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. 

****************************************************************************** 
Dear Surgeons from outside of Canada,

Many of you may or may not recall responding to me several years ago with regard to the untimely death of my 28 year old daughter.

 I thought that I would give you an update as to where my struggle for transparency and accountability stands at present after seven years.

Just to note, there were more deaths via this same surgeon after my daughters; the most recent that I know of is last December. 

You may wished to pass on to any of your patients, friends or family that should they visit Ontario, Canada and need hospitalization there will be no transparency or accountability should an adverse event take place.  That is what I am still striving for.

My struggles continue but I thought that I would let you read the two newspaper articles written in the Toronto Sun newspaper a week or so ago.  As well, as what my MPP stated last week in the Ontario Provincial Legislature.

The two articles below due to word limit restrictions could not explain the entire failings of the Ontario College of Physicians and Surgeons, the Health Professions Appeal and Review Board  and the Liberal Provincial Government presently in power.  There are still complete failings with respect to the Chief Coroner's Office of Ontario and the Death Investigative Oversight Council.   All at first were protecting the surgeon's reputation, the went into self-protection mode when I submitted complaints against them.

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Hello  Thank you for  the update.  I hate to say this but I think the only way you will find out some answers is to sue.  It looks like a cover-up to me.  I am glad I do not live in Canada.  Good luck and may God speed.   Ronald xxxxx, MD, FACS
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Dear Mr Kilby,
I very well remember your email and the tragic loss of your daughter.  I wish you all the best on your mission for justice!
It seems like your family deserves it
Alan xxxx  MD FACS 
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I hope you can get some peace. It looks like your efforts have not gone unnoticed. I wish you the best!
Charlie xxxxx, MD
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A letter sent to Mr. Shanoff who wrote the two articles in the Toronto Sun.  Mr. Shanoff was kind enough to forward to me.


I read with interest your article in the Sunday Sun October 13, 2013.  titled “Why did woman die after routine surgery?”.  I applaud you for bringing the circumstances surrounding this case to public attention.  I feel it is a pity that innocent people must bare their hearts and their private lives in such a public fashion to get the attention they deserve and also to expose the injustice that permeated their lives.

As a former ICU nurse, who spent most of my nursing years in large academic teaching hospitals, I could say the reason for the woman’s death is a no brainer!  However, not having seen the hospital records, I speak cautiously. 
 
Several indicators from nursing records points to a “foul odour” and “purulent discharge” Both of these observations strongly point to an underlying infective process going on beneath the skin surface.  Purulent discharge, as observed in this case, means the pus from the infection is significant enough in quantity that it is draining out wherever it can, which, after surgery, is usually through the operative incision.  This is one of the VERY basic and elementary observations after any surgery.  AND the procedure once the discharge has been observed, is to “swab” (do a culture of) the discharge, so that microbiology can determine the type of bacteria responsible.  The microbiology / bacterial report then identifies which antibiotics would be best used to combat the infective process, so that appropriate antibiotics can then be ordered by the physician/surgeon. “Cultures”  used to take a few days to process, but currently, preliminary results can be obtained the same day.  Even without microbiology testing, surgeons have been educated to know what types of bacteria are most prevalent in certain situations. 
I see no mention at all that the woman was started on antibiotics either on the 15th of July, the day the nursing records indicated the purulent drainage was first observed.  or, at any point in time prior to the woman’s discharge. If this is the case would negligence be a good word to use here?   It is a standard of Nursing Practice, to report such findings as “discharge” immediately to the Surgeon and obtain an order for antibiotics. If the hospital utilized the “Pathways” model of post-op care, then there should have been “standing orders” in place to give direction.  Regardless, there is absolutely no excuse for antiobiotics not being ordered immediately when discharge was first observed.
It would seem to me that having had this discharge for 5 days…. at least for 5 days that it was observable…… where was the surgeon doing his post-operative checks on his patients?  It is also a well know fact that abdominal infections are a dangerous game to play.  It is also well known that by the time the infective process is observable on the surface of the skin at the incision, there is much more going on “inside”, beneath the skin surface.  You are only seeing what is “overflowing”, so to speak.
Some surgical procedures are best handled with antibiotics given prophilactically prior to surgery, especially when the risk of infection is high (such as is the case with certain abdominal surgeries).  Optimal post operative care and surgical ourcome is sometimes contingent on good pre-operative care.  For both agencies, the CPS and the HPARB to give minimal attention to the fact that antiobiotics were NOT given,  is totally inexcusable.. It is almost like they are denying the contribution this makes to the post-operative infective process…..like they are excusing themselves from antibiotics having any responsibility or role in the woman’s health… or lack of it.  Malpractice?    Whatever it is, this is inexcusable, both for the two review boards and for the surgeon..
Further to the infective process ongoing in this woman’s abdomen, the infection sometimes does NOT stop here.  It is also a basic concept in medicine and very elementary, that infective processes, when  untreated or not affectively treated, can evolve into septicemia (infection in the blood) and septic shock (where your body starts to shut down from the infection) ….. and death.  This is the NO BRAINER ! This is where I fail to see how both agencies, the College and the Review Board, don’t seem to be paying any attention, whatsoever, to rudimentary medicine !!
I am also dismayed at the length of time it took for this surgeon to complete the Hospital Discharge Summary and I also assume that the operative records are included in this five month delay.  Every hospital has policies governing the length of time physicians have to complete paperwork before hospital privileges are revoked…. Which means that that doc cannot practice in that hospital.  Health Record Departments are very diligent in constantly reminding the offenders of unfinished paperwork and of consequential impending suspensions.  Five months is a long time.  Was this period of time within the framework of that hospital’s policy…. Or was his privileges suspended which prompted him to complete the operative records and then have his privileges re-instated?  My biggest concern with incomplete or absence of prompt record keeping is that the margin of error increases exponentially as time passes.
I am also troubled by the reactions of the College and the Review Board.  The shrugging -off of responsibility back and forth speaks to me of not wanting to address this issue and get to the bottom and be forthcoming with answers.,,,, or not wanting to give answers.  Often in cases where there is compelling evidence of mismanagement and allegations of mismanagement, this behavior by The College is repeated.  Is this a “big name” or prominent surgeon that is involved in this case, and both agencies are trying to minimize the impact on his career and reputation?  Who is covering for who here?  Having worked in the system for 46 years, I feel confident in saying that this is not an uncommon practice amongst physicians and also not an uncommon practice by the College.  If you look at other “worst scenario” cases where there have been complaints or questions asked of the College, how many times have complaints been dismissed when the evidence is pretty compelling?  The “Old Boys Network” is still alive and kicking even in this era of supposed accountability.

I also question the reason Humber River Regional Hospital would “create a memorial garden with a plaque in Terra’s name”.  This is again not the “normal”  or usual practice after a patient dies expectedly or unexpectedly, whether inside its doors or without.  What does the hospital know that they are not telling…..  or even worse, not admitting to.  A friend of mine received a card and gift basket after being hit in an accident.  Legally, this is an admission of guilt.  Are we seeing the same admission of guilt here?  Is this the hospital’s way of offering an “olive branch” to cloud the truth.  I believe there is more to this than meets the eye.

I have many opinions about  the Legal system in this great land of ours, but this may be the only way this poor father is going to get any answers to his questions.  Docs are terrified of legal action, but it usually gets their attention.  What is needed is a careful and shrewd lawyer who is knowledgeable in medical practice; that is, has available the academic knowledge with acceptable and competent medical practices required for this case, Armed with knowledge, should he delve into available information on this woman’s case,  I am assured the answer should come pretty quickly.  

No, the father has a very valid and heartfelt point of view when it comes to finding answers to his daughter’s death.  Money does not bring your child back, and this reflects my own thoughts after I lost my son tragically at the same age.  To lose a child, no matter the cause, is very painful, and for many years to come.  The pain is magnified many times over, when negligence and stupidity is at the root of the cause of death.  I admire his persistence and his thinking.  However, in spite of our best hopes and well intended thinking, legal action may be the only way to eventually find the answer he seeks.  My heart goes out to this father.  I truly hope that some of the things I have said, will be of help in finding his answers;  and  maybe some day bring relief and comfort to his heavy heart.