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…

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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

Friday, 30 May 2014

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

For anyone living in Ontario, Canada 





There are really two issues that must be addressed:

1.  The totally inept death investigation by the Chief Coroner’s Office of Terra Dawn Kilby!
 

2.  How to prevent this office from abusing the authority it has been given by the people of Ontario? --this must be exposed publicly to ensure that it will not occur again!

We, the people of Ontario need to be reassured that this Office should remain operating as is “To Speak For the Dead to Protect the Living”.



Code of Ethics for Coroners  July 2005  

DR LAUWERS FAILED THE FOLLOWING:
  1. Coroners shall exercise their duties and responsibilities without fear, favour, prejudice, bias or partiality towards any person.
4.   Coroners shall proceed in the public interest to carry out diligently, and with all due dispatch, their duties and responsibilities as set out in the Coroners Act
5.   Coroners shall have due regard for the fact that they are performing a public duty and that their actions and decisions affect the public interest as well as the interests of private individuals.
8    Coroners shall not, in the discharge of their duties, make decisions beyond the scope of their personal expertise and knowledge but shall seek guidance from the appropriate source or sources.
21. Coroners shall not conduct themselves in a manner which might tend to bring their office into disrepute or affect public confidence in that office.
 

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

Should this not occur within this Office, Legislation must be enacted in one of the following two ways:

All personnel employed by the Chief Coroner’s Office MUST not have any affiliation whatsoever with any College of Physicians and Surgeons, nor any Ontario Hospital nor any Ontario University Faculty of Medicine.

Should this fail; Legislation must be passed to employ in the executive positions only those who comply with the above even if it means these people come from outside of Ontario and outside of Canada.


This is to ensure true transparency and accountability through the Office of the Chief Coroner for the present and future citizens of Ontario.


**********************************************************
From: awkilby@hotmail.com
To: julia.noonan@ontario.ca; dirk.huyer@ontario.ca; steve.clark@pc.ola.org; michael.jiggins@pc.ola.org; laurel.brazill@pc.ola.org; christine.elliott@pc.ola.org; amarin@ombudsman.on.ca; fcappe@ombudsman.on.ca; lboucher@ombudsman.on.ca;

Subject: Clues--Let's put 2 and 2 together to see if it adds to four--conspiracy to cover up
Date: Fri, 30 May 2014 09:39:20 -0400

NOW, ANYONE READING THIS WILL UNDERSTAND WHY I HAVE BEEN SO DETERMINED OVER THE PAST SEVEN PLUS YEARS TO HAVE THE TRUTH COME OUT IN ORDER TO IMPROVE TRANSPARENCY AND ACCOUNTABILITY WITHIN ONTARIO.

I will be meeting with Ontario Chief Coroner Dr. Huyer June 26th.

Anyone reading this feel, free to forward this to other concerned citizens and should you feel an urge to do more please send an e-mail to the present Chief Coroner of Ontario Dr. D. Huyer (e-mail address found in the To: section of this e-mail) and to your MPP.  (Send me a copy of your e-mails as well)

DOES THE FOLLOWING LEAD YOU TO BELIEVE THAT OUR SYSTEM IS BROKEN?

HOW CAN ALL OF THE SO-CALLED PROFESSIONAL INSTITUTIONS/PERSONNEL NOT SEE THE OBVIOUS PROBLEMS?

THEY DON'T SEEM TO BE ABLE TO ADD UP THE FACTS. 

OR IS THERE A CONSPIRACY TO COVER UP NEGLIGENCE NOT ONLY WITH RESPECT TO TERRA'S DEATH INVESTIGATION BUT ALSO THE NEGLIGENCE OF THESE INSTITUTIONS AND FAILURE TO DO THEIR JOBS?

WAS THE CHIEF CORONER'S OFFICE COVERING UP THEIR OWN INEPT DEATH INVESTIGATIONS?  HOW FAR DOES THIS EXTEND? 
REMEMBER DISGRACED PATHOLOGIST DR. SMITH WHOSE EXPERT TESTIMONY PUT NUMEROUS ONTARIO CITIZENS BEHIND BARS WRONGFULLY!!!
***********************************************************************
NOW, LET'S DO THE MATH

1.  When Dr McCallum was Eastern Ontario Coroner, he had asked to meet with us regarding the death investigation by Dr. Lauwers.  He wanted to assure us that there was nothing we could have done to prevent what happened that night when Terra passed.  He also mentioned on three different occasions that we were entitled to the hospital records.  WHY?
After thinking of this, I believe he wanted us to investigate the records on our own.

2.  Thinking it would be faster to have the family doctor, Dr. Sandra Best, request the records she did so.  After several months waiting I contacted COO Barb Collins of HRRH and asked why my doctor had not received them.  She assured me that they would be sent.  So five months after the initial request the doctor received them.

Interesting to note:  
Attached to the records was a note for Dr. Best.  No one was to see these records and they were to be destroyed or sent back after she was done with them.   I immediately called Barb Collins and demanded that I have them.  She said OK.  I then spent the next month before the College's first investigation of my complaint began in early January.
I called the College to tell them that I had discovered several areas of concern.  Ms Keough of the College insured me that the investigating team would be going through the hospital records very diligently.

Interesting to note: 
Ms Keough suggested, after receiving my complaint, for me to make my request shorter and more concise and offered suggestions.   WHY--- I found out later by reading the Toronto Star series of reports that this is done so it will be easier for the College to dismiss them.   (Good thing I sent the original to HPARB for the first meeting)  Secondly, I found out much later that Ms Keough's significant other is a Dr. Lindsay who happens to be an Associate Professor attached to the University of Toronto's Faculty of Medicine as is Terra's Surgeon Dr. Klein.

Chief Coroner Dirk Huyer is also an Associate Professor at the Toronto Facultly of Medicine as is Terra's surgeon, Dr. Laz Klein

Columnist Alan Shanoff's two articles with regard to Terra, the College and HPARB

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

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

3.  After Dr. Lauwer's declined my request for a public inquest, I called Dr Hinton, the Kingston Coroner.  At the time of Terra's death he was the one that told me the Chief Coroner's Office was taking over the death investigation as it was deemed as highly unusual.  He said he would respond to any questions I asked.  Well, when I called him after the public inquest refusal, he stated that he could be of no help to me and would not respond to any question I might have about his initial investigation, and his pathologist report.   WHY?--- obviously the Chief Coroner's Office played a part in silencing him.

4.  COO Barb Collins had arranged a meeting.  She did not attend.  Five administrators met with my sister-in-law, Helen and her son, Michael and myself.  The administrators arrived with two blank notebooks and nothing else.  Not one of my concerns were address.  WHY?   What was the point of the meeting.

5.  Ms Collins knowing how upset I was asked if I would accept an Ethics Doctor to intervene and serve as a sort of mediator between the Hospital and I.  I met with Dr. Phillip Hebert along with Terra's Fiance and my sister-in-law, Helen.
He had agreed that it appeared I had genuine concerns.  Over the next few weeks or so, through e-mails we came up with a series of 10 questions we wanted the Hospital to answer.  The hospital refused.   After a short while, and because of my persistent e-mail campaign to all kinds of people, they agreed to answer the ten questions.

Interesting to note:
One of the questions pertained to whether the antibiotic prophylaxis was administered.  The answer stated that Dr. Klein said yes.   Approximately over a year or so later, Barb Collin, via a telephone call we had, admitted that she had Dr. Klein in her office and told him there was no record of the antibiotic prophylaxis being administered!!   So, Dr. Klein lied!!  What other untruths has he spoken that was believed by the College, the Hospital and the Chief Coroner's Office?
Also, Dr. Herbert was to write a final report but he never did.  I believe the College or the Hospital or perhaps the Chief Coroner's Office had a hand in muted him.

6.  Obviously we have the Chief Coroner's Office use of the Police in an attempt to intimidate me and silence me.  (one visit to my home, two video taped interviews at the OPP detachment in Brockville)  During the first visit he told me the Toronto Police had said that the Chief Coroner's Office selected parts of my e-mail to complained that they felt threatened. Of course they took the statements out of context and not with the original e-mail.  NO CHARGES.
And refusing requests from me, the Ombudsman's Office and the OPP detective to meet with me.  Their answer to both was "We will not meet with him nor answer his questions."

7.  After the uncooperative nature of the Chief Corner's Office, and doing further preparation for my other requests and for HPARB I sent out 3,000 e-mails to surgeons around the world.

Interesting to note:
One surgeon who was the Director of Surgery at London Bridge Hospital was extremely interested in looking at my case.
He asked for the entire Hospital records as he said that there were probably more concerns that he may find due to his experience.  He is well-know as a medical expert for court cases and legal proceedings.  Our e-mails expressed his support of me.  I thought that it would be important to send him the photographs taken at the time of the autopsy.  The Chief Coroner's Office refused saying they belonged to the Kingston Hospital.   But I gave the Coroner's Office my expert's name.  They would see to it he would receive them.  WHAT A MISTAKE I MADE.  Still having some faith and knowing I was still going to ask the Chief Coroner's Office for some other avenues to pursue, I gave them the name.
My expert's report which he was doing on his own time and completely independent of London Bridge Hospital came back to me.  It looked like it could have been written by the CPSO.  Even it failed to mention or comment of the antibiotics issue.
He also had to send a copy to London Bridge's Executives?

Now we have the long arm of the Chief Coroner's Office reaching across the Atlantic Ocean to mute my expert. Either the Coroner's Office did so, or they informed the College but this Office had some hand in muting my expert's opinion.

8.  Now if everything Dr. Klein did was above board, by the standards etc, why would the Hospital create a Memorial Garden with a Plaque at their expense????   This is unheard of.   Yep, if I donated hundreds of thousands of Dollars perhaps this would be done.  I believe this is an indication that they know my concerns are legitimate and to shut me up with regard to pursuing a campaign against the hospital.  It worked as I feel that this gesture on their part was somewhat sincere.

9.  I was informed two or three years after Terra's death by an employee of HRRH that an internal death investigation was never done by the Hospital.  This is fact as this person sat on the investigation team.  This explains why the Ombudsman's couldn't even see it or why I was repeatedly refused it. This person also informed me that the Coroner's Office was coming through the revolving door of the hospital during 2009 and early 2010 due to many more deaths and that they shut down that particular hospital department (Terra's Surgeon) and brought in an expert.  Done behind closed doors and unknown to the public----who I feel had the right to know why?  --especially for those who became patients afterward.  They were completely unaware of these deaths.  The Chief Coroner's Office had the responsibility to inform the public.  It appears this Office spends most of it energy and taxpayer's dollars protecting surgeons, hospitals and are not SPEAKING FOR THE DEAD TO PROTECT THE LIVING   ---this is a clear example of this Office failing to live up to its motto.

10.  Freedom of Information request was a complete waste of my time.  All I asked for was the number of patients who died after Terra that had Dr. Klein as the surgeon and that the Coroner's Office had investigated.  Didn't ask for the particulars, no names just the number and perhaps the date.  I RECEIVED GARBAGE.  Again, what is being covered up and who is being protected?

11.  And of course we have the Chief Coroner's Office refusing all my other requests -- ie Patient Safety Death Panel

12.  The DIOC waiting TWO YEARS before they handled my complaint against the Chief Coroner and only started after both Dr. McCallum and Dr. Lauwers left.  WHY?    And then they say they can not investigate the medical aspects of my complaint.  WHAT A WASTE OF TAXPAYERS' DOLLARS!    OR DOES THE COVER-UP CONTINUE?

Interesting to note:
When I contacted Ms Meilleurs office to inquired why the DIOC was taking so long.  The reply was quite simple and easy to translate.  The e-mail simple said   "FYO"    That was it.    Translated, if you pardon my language,  "Fucked You Over".
Within five minutes I got another e-mail asking me to disregard the previous e-mail and that it was sent by mistake, but it still didn't respond to my question.  Never got one.
  
Actually someone within her office had actually told the truth.   Which I have never gotten from the College, the Hospital, the Chief Coroner's Office, the DIOC and HPARB---- the very institutions that are suppose to put the public first!

13.  This Office has decline multiple requests:
a.  my request for a public inquest
b.  MPP Runciman's, now Canadian Senator, request to reconsider the public inquest
c.  my request for Terra's death to go before the Patient Safety Death Panel
d.  my request for an Eastern Ontario Coroner's Review since Terra passed in Kingston
e.  my request to initiate the Chief Coroner's Review Process
f.  refused the Ombudsman Office request to meet with me and respond to my concerns
g.  refused the OPP Detective's request to meet with me and respond to my concerns.

What do all of the above say about transparency and accountability?

14.  Apparently this is now a fact in Ontario.  The precedence has been set by the College, HPARB, the DIOC and the Chief Coroner's Office:

Ontario is the only place in the entire world that it is acceptable standard of care to conduct open abdominal surgery to remove a tumor and have a colon resection done without the adminstering of antibiotic prophylaxis and when an infection occurs it is quite acceptable to not provide any antibiotics for this infection nor for the presence of "many gram negative bacilli" (same category as C-Difficile)

15.  The expert medical opinions from over 100 qualified surgeons (around the world) totally ignored by all.  Many address several concerns and issues but all stated that it is indeed a STANDARD OF CARE to administer antibiotic prophylaxis.  

16.  All the obvious concerns brought forth to all by me which clearly is found within the hospital records and ignored by all of them.

     How about the fact that she did not have the anti-biotic prophylaxis given at the time of induction?

Prophylactic Antibiotics
 The need of prophylactic antibiotics is indisputable in colorectal surgery in order to reduce the rate of postoperative infectious complications.

   How about the enlarged abdomen?

Abdominal Distension may occasionally result from the accumulation of fluid in the abdomen, which can be a sign of a very serious medical problem.

      How about the foul, purulent oozing incision?

Excessive or prolonged serosanguineous drainage could indicate increased inflammation and the possibility of infection, which could in turn lead to wound dehiscence

     How about the fact she had no colon cleansing? 

     The colon contains bacteria and waste products that can cause infection if they leak into the abdomen during surgery. Therefore, a number of precautions are taken to reduce this risk. First, oral antibiotics may be prescribed several days before the operation. Secondly, the colon is emptied as much as possible to reduce the risk for infection during surgery.

     How about the fact she received no anti-biotics what so ever? 

     How about the fact the she remained on a liquid diet for 8 days consisting of jello, juice, tea and both without any nutritional supplement?

      How can a wound heal without proper nutrition?

Terra’s diet from July 11th/06 to & including lunch on July 19th/06

     The clear-liquid diet is used for one or two days or until you are able to drink or eat other things. It cannot meet daily nutritional needs, but it helps keep fluids in your body as you recover and become able to eat a regular diet.

     The full liquid diet does not provide enough energy, protein and many other nutrients. This diet is temporary and should not be used for more than 5 days.

     Terra would have received 3.03 (16.8%) mg per day in the course of her 3 daily meals.  This means she was lacking 14.97 mg per day! LACKING 83.2% OF TOTAL DAILY IRON INTAKE!  Iron is required for the formation of haemoglobin in red blood cells, which transport oxygen around the body. Iron is also required for normal energy metabolism

     Terra would have received .6 (point 6) (.7%) mcg in the course of her 3 daily meals.  This means she was lacking 89.4  mcg daily!  LACKING 99.6% OF TOTAL DAILY VITAMIN K INTAKE  Vitamin K is not readily stored within the body, thus the importance of the daily requirement. The over riding effect of nutritional Vitamin K deficiency is to tip the balance in coagulation toward a bleeding tendency.

     Terra would have received 63 (25%) mg in the course of her 3 daily meals.  This means she was lacking 192 mg daily!  LACKING 75% OF TOTAL DAILY MAGNESIUM INTAKE!  . It is required for normal energy metabolism and electrolyte balance.  -- support a healthy immune system

     Terra would have received .45 (.03%) mg in the course of her 3 daily meals.  This means she was lacking 14.55 mg daily!  LACKING 99.7% OF TOTAL DAILY VITAMIN E INTAKE!  Vitamin E significantly strengthens the immune system; supplies oxygen to the blood, which is then carried to the heart and other organs, & to the healing tissues.

     Terra would have received 73 (.73%) mg in the course of her 3 daily meals.  This means she was lacking 927 mg daily!  LACKING 99.27% OF TOTAL DAILY CALCIUM INTAKE!  Calcium ions play a role in many, if not most, metabolic processes.  Blood coagulation is dependant on calcium.

     Terra would have received 7.5 (.01%) mg in the course of her 3 daily meals.  This means she was lacking 682.5 mg daily!  LACKING 99.99% OF TOTAL DAILY VITAMIN A INTAKE!  For the immune system

     Terra would have received 6.6 (.9%) mg in the course of her 3 daily meals.  This means she was lacking 68.4 mg daily!  LACKING 91% OF TOTAL DAILY VITAMIN C INTAKE!  Vitamin C deficiency can be detrimental to immune function in hospitalized patients.  Assists the body in the production of collagen, a basic component of connective tissues. Collagen is an important structural element in blood vessel walls, gums, and bones, making it particularly important to those recovering from wounds and surgery.  It is important for the growth and repair of body tissue cells.  It protects against infection, and enhances the immune system.

     Terra would have received 1.5 (6%)mg in the course of her 3 daily meals.  This means she was lacking 23.5 mg daily!  LACKING 93% OF TOTAL DAILY FIBRE INTAKE!

     Terra would have received 204 (29.1%) mg in the course of her 3 daily meals.  This means she was lacking 496 mg daily!  LACKING 70.9% OF TOTAL DAILY PHOSPHORUS INTAKE!  Protects against infection, and enhances the immune system;

     Terra would have received 1.38 (17.3%) mg in the course of her 3 daily meals.  This means she was lacking 6.62 mg daily!  LACKING 82.7% OF TOTAL DAILY ZINC INTAKE!  Protects against infection, and enhances the immune system;

     Terra would have received .978 µg (microgram) in the course of her 3 daily meals.  This means she was lacking 899.022  µg daily!  LACKING 99.9% OF TOTAL DAILY COPPER INTAKE!  Needed for the formation of red blood cells.   Note Terra’s red blood cell count! 

     Terra would have received 10.2 (18.5%) mg in the course of her 3 daily meals.  This means she was lacking 44.8 mg daily!  LACKING 81.5% OF TOTAL DAILY SELENIUM INTAKE!  immune function and infection prevention, and selenium deficiency has been reported in patients after intestinal surgery

      Terra would have received .168 (15.3%) mg in the course of her 3 daily meals.  This means she was lacking .932 mg daily!  LACKING 84.7% OF TOTAL DAILY THIAMIN INTAKE!  immune function and infection prevention, and selenium deficiency has been reported in patients after intestinal surgery

     Terra would have received .09 (8.2%) mg in the course of her 3 daily meals. 

This means she was lacking 1.01 mg daily!  LACKING 91.8% OF TOTAL  DAILY RIBOFLAVIN INTAKE!  Necessary for red blood cell formation, anti-body production, cell respiration, and growth.  Note Terra’s red blood cell count!

    Terra would have received 2.679 (19.1%) mg in the course of her 3 daily meals.  This means she was lacking 11.321 mg daily!  LACKING 80.9% OF TOTAL DAILY NIACIN INTAKE!   The maintenance of the gastrointestinal tract.  It is required for the release of energy from food.

     Terra would have received .213 (16.4%) mg in the course of her 3 daily meals.  This means she was lacking 1.087 mg daily!  LACKING 83.6% OF TOTAL DAILY VITAMIN B-6 INTAKE!    Vitamin B6, also called pyridoxine, is essential in the breakdown of carbohydrates, proteins and fats. Pyridoxine is also used in the production of red blood cells.  Note Terra’s red blood cell count!

     Terra would have received 0 mg in the course of her 3 daily meals.  This means she was lacking 2.4 mg daily!  LACKING 100% OF TOTAL DAILY VITAMIN B-12 INTAKE!  Helps in the formation of red blood cells, thus helping prevent anemia; increases energy levels; promotes a healthy immune system.  Note Terra’s red blood cell count!  Vitamin B12 deficiency impairs the body’s ability to make blood, accelerates blood cell destruction,

     Terra was lacking 21.75 g of protein per day!  LACKING 47.3% OF TOTAL DAILY PROTEIN INTAKE!  Adequate protein is essential for health.  Protein functions in the building of tissue; fluid balance; acid-base balance; the formation of antibodies; as a part of hormones; transporting of proteins; blood clotting; and as structural proteins.  Protein is needed for growth and repair of the body. Protein can also provide energy. It is necessary for the growth and repair of body tissues.
Should not a nutritionist have been called?     You call this care appropriate?  24 out of 26 meals were liquid diet!

     How about the fact her resting pulse rate was over 90

Resting heart rates that are consistently high (Pulse Rates >90) (tachycardia) may indicate a problem, and you should consult a health care provider

34/38 of Terra’s recorded pulse rates were above 90 during her stay

     How about the fact that she was only receiving 687 calories per day for 8 days?

LACKING 65.9 to 68.8 % OF TOTAL DAILY CALORIE INTAKE!

Terra was lacking 910.5 calories per day based on her Basic Metabolic Rate.
 LACKING  57% OF TOTAL DAILY CALORIE INTAKE BASED ON HER BASIC METABOLIC RATE.

A healthy individual on a safe weight losing diet should not have fewer than   1200 calories per day.

     How about the many gram negative bacilli seen? And not treated

Many species of Gram-negative bacteria are: pathogenic, meaning they can cause disease in a host organism.  This pathogenic capability is usually associated with certain components of gram-negative cell walls, in particular the lipopoysaccharide (also known as LPS or endotoxin layer).  The LPS is the trigger, which the body’s innate immune response receptors sense to begin a cytokine reaction.  It is toxic to the host. Gram-negative bacteremia is today's hospital scourge.

     How about the low Absolute Lymphocyte (type of white cells)? 

Absolute Lymphocytes                July 18    0.9                  Ref.  1.5 - 4.0         
Count                                           Day 6     0.7
                                                     Day 4     0.5       All 5 tests are well below
                                                    Day 3     0.8            normal range
                                                    Day 2     1.0

     How about the many PMN’s (polymorphonuclear Neutrophils) –? hallmark of acute inflammatory process

The presence of many PMN’s implies an inflammatory process.
PMN’s are the hallmark of acute inflammation
PMN’s are rapidly recruited to tissues upon injury or infection

 Nutritional replenishment even for a short period in diet-restricted patients may improve host defense via restoration of these functional abnormalities of PMN’s and chemokine production at local inflammatory sites.
     How about the below the standard scores for red blood cell count, hemoglobin counts and hemacrit counts?

HB  Hemoglobin                       July 18   119                         Ref.   120-160
                                                Day 6     117
                                                Day 4     107
                                                Day 3     106
                                                Day 2     111

HCT  Hematocrit              July 18    0.35           Ref. 0.36 to 0.48                    
Count                              Day 6      0.35
                                        Day 4      0.32 All 5 tests are below normal range
                                        Day 3      0.32                          
                                        Day 2      0.34 

RBC   Red Blood           July 18   4.20                Ref.  4.20-5.40
              Count               Day 6     4.16
                                       Day 4     3.80           1 test at low of normal range
                                       Day 3    3.78           & other 4 below normal   
                                       Day 2     3.95            range

I am sure that you are well aware that it is impossible to have questions answered by any Canadian Surgeon/Doctor as they all belong to Colleges and they all belong to the Canadian Protection Association (malpractice insurer).  No doctor is allowed to comment on another's standard of care!!  Therefore, one has to go outside of the country to get answers!!

WHEN YOU ASK FOR A HONEST ANSWER TO A SERIOUS CONCERN FROM ANY OF THE ABOVE PARTIES, DON'T WORRY ABOUT THEIR RESPONSE.  MERELY LOOK THEM IN THE FACE TO TELL WHETHER WHAT THEY ARE STATING IS THE TRUTH OR A LIE:


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  • 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. 

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