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

*****************************************************************************
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)

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

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.


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

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


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

Tuesday, 9 February 2016

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

 NEWSFLASH  MAY 7, 2016
Dr. Devlin,

Congratulations upon your upcoming retirement from HRH as its CEO.  



A FEW MONTHS BACK, RUMOUR HAD IT THE MINISTRY OF HEALTH WAS FORCING RETIREMENT ON YOU AND ON MS COLLINS, AS WELL.  
WHAT DOES THE MINISTRY KNOW THAT THE PUBLIC DOESN'T?
So perhaps the following is not true?


And I understand, Ms Collins is applying to take your place as the new CEO.  It would be advantageous for you, Ms Collins to not have me forward this on and post it on Linked and my Blog, Facebook and my other social media avenues.  


BUT, AS USUAL, YOU DID NOT RESPOND! Should you fail to respond to this, I will contact those below:
Ignoring me just makes me more persistent and determine -- I still have the addresses of all businesses, firms etc in the hospital district.

Humber River Hospital Directors

Chair  Paul Allison - (Chairman & CEO of Raymond James Ltd.)   

Vice Chair  Deborah Pankhurst (President of Symmetrics International)

Treasurer Michael Pittana (founder, co-owner and Managing Partner of Crown Realty Partners )

John Rossetti (John Rossetti is co-owner and officer of Italian Home Bakery Limited.)                                                                                                                                                         

Donna Battiston (Donna’s community volunteer and fundraising efforts include Empowerment Through Achievement (ETA) Vaughan, a women’s shelter; Catholic Missions In Canada; the Canadian Italian Business & Professional Association’s Education Fund;

Frank Fazzari (Managing Partner of Fazzari + Partners LLP, Chartered Accountants

Donald E. Loeb (co-founder and has been the chairman of Avanti Properties Group since 1983.) 

Paul Mantini (leader of the Toronto Office's Real Estate Practice Group and Co-Leader of the Toronto Office's P3/Infrastructure Practice Group)

Trevor Smith  (an independent management consultant (Quality Integration Solutions)

Rochelle Stenzler (Director on the Board of Cynapsus Therapeutics Inc. and on the Advisory Board of Patient Care Automation Services Inc)

Barbara Mason (Chief Human Resources Officer, responsible for all global human resources, communications and marketing across Scotiabank)

Terry Leon (CEO of Leon’s Furniture Limited)

Eva Ryterband (Chartered Professional Accountant)

Paul Tsaparis  (Executive-in-Residence’ at the Schulich School of Business)

Susan Wolburgh Jenah (Chair of the board of the Aequitas NEO Exchange, a Governor of the U.S. Financial Industry Regulatory Authority (FINRA) and a member of the board of directors of Laurentian Bank of Canada

Perhaps, it is time to come forth with the truth with regard to the negligent care received by Dr. Laz Klein and provide me with a copy of the supposed in-hospital death investigation which you have continued to refuse to grant me.   AND I KNOW THAT WAS NOT DONE AFTER TERRA'S DEATH AS IT WAS SUPPOSED TO BE.      PERHAPS, YOU CAN PROVIDE THE ROSES WITH THE DEATH INVESTIGATION OF CRYSTAL ROSE ANOTHER OF DR KLEIN'S NUMEROUS VICTIMS.

I wonder if Dr. Devlin's religious commonality with Dr. Klein prevented the truth from coming out concerning the death of a common Gentile?  One must also wonder if Terra's care would have been far superior than it was, had she been Jewish?   I believe should the Hospital and the CPSO compared patient hospital charts for those of different faiths, they would certainly discover a tremendous difference with respect to post operative care provided by Dr. Klein!


I hope to be meeting with Christine Elliott the Patient Ombudsman this July. 


When she was a MPP, she assisted my MPP Steve Clark with Bill 29.  It won't pass as the Liberals won't support it, however in two years when the Conservative get back in power we will try again.

 
Dr. Hoskins won't be Health Minister in less than two years and the Liberals have no hope of forming another Liberal goverment.
I know Dr. Devlin has supported the Conservative in the past.   Perhaps, you Mr Devlin are ready to make some ammends to those you have lied to in the past.  The victims of hospital neglect -- ie-  Jerry and Terry Rose regarding the death of their daughter, Crystal.  And perhaps grant them the meeting they requested that the hospital cancelled.

bcollins@hrh.ca    rdevlin@hrh.ca

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

Dr. Savvas Papagrigoriadis


  savvas@papagrigoriadis.com;   spap@talk21.com

TWO PRACTICES:

London Bridge Hospital 29 Tooley Street London SE1 2QF 

King's College Hospital (Guthrie Clinic)
Private Patients Wing King's College Hospital Denmark Hill LONDON SE5 9RS


I am waiting to hear back from Dr. Savvas Papagrigoriadis.  He kindly offered to look into my daughter's hospital records quite a while ago as he was personally quite interested in the cause of my daughter's death.  He is considered to be a highly respected expert.

He has worked as an Expert Witness in more than 1,000 cases of  Clinical Negligence .
He has been engaged as an expert in high courts of London, Dublin, Belfast,  Toronto etc.
 He specializes in Laparoscopic and Endoscopic Surgery which apply to all diseases of the colon and rectum.

In 2015 he took over the creation and address in Athens Medical Center of the first in Greece Standard Unit Cheirorgikis Bowel-Fair and the Laboratory of Physiology pelvic floor and intestines.   He continues to maintain his clinical and academic position at King's College London, England.

I WONDER IF YOU WILL BE ASKED TO BE AN MEDICAL EXPERT IN COURT CASES 

IF YOUR MEDICAL OPINION CAN BE ALTERED DUE TO OUTSIDE PRESSURE?

WHAT OTHER AVENUES MAY BE TAKEN THAT WOULD CALL INTO QUESTION

YOUR TESTIMONY?  I WONDER IF YOUR  TESTIMONY IN PAST COURT CASES

WOULD BE CHALLENGED?

What was interesting was the apparent change of concerns noticed in his final report sent to me which appears to have been influenced by outside forces from across the sea--- Chief Coroner's Office of Ontario.  This office refused to release to me the autopsy pictures so I could send them to Dr. Papagrigoriadis.  My big mistake is the Chief Coroner's Office said they would send it if I provided to them Dr. Papagrigoriadis's address.  I think they approached his superiors as his report appeared to be lacking as much as the Chief Coroner's expert and although the Doctor had previously stated he was doing this a personal venture, his report was copied to his superiors.  Something happened, me thinks????  Dr. Papagrigoriadis' thoughts and opinions changed. Interesting to note his report had many of the same omissions as Dr. Huyer's so-called expert.  I have asked a couple of times before and Dr. Papagrigoriadis never responded. 

I am sure the Chief Coroner's Office, Humber River Hospital and the College of Physicians and Surgeons will extend their octopus arms across the Atlantic to apply friendly persuasion to Dr. Papagrigoriadis, to his superiors and his College to prevent him from answering me.

It would not surprise me if our Chief Coroner's Office contacted the CPSO of which they are members, and they also reached across the sea.  ---All to protect a fellow member of the CPSO who clearly committed negligent care and more deaths by Dr. Laz Klein.  Dr. Papagrigoriadis must assume some of the responsibility for these further deaths as if his report truly reflected unbiased, transparent, accountable opinions, I could have used these for my requests to the CPSO, HPARB, Chief Coroner's Office and the DIOC.

It will be interesting to compare Dr Papagrigoriadis' comments with the many qualified surgeons who were kind enough to look at the same medical information.


I have sent an e-mail and I am waiting for the Doctor's reply before I add to this posting.                                   

 savvas@papagrigoriadis.com;   spap@talk21.com

 NOT A PEEP FROM THIS EXPERT AS OF YET!

DILEMMAS & DEBATES IN COLORECTAL SURGERY 12-13th December 2014

FRIDAY, DECEMBER 12TH 2014 - Afternoon Session - 14:00 to 19:00 16:10-16:45 

Surgeons performance tables. Good idea or bad idea?

For - Mr Savvas Papagrigoriadis (UK),

Against Dr Xavier Delgadillo (Switzerland) 

I HAVE ONE RELEVANT QUESTION FOR YOU?  

 If you were speaking in favour of surgeon performance tables why are you concealing the issues that were so apparent in my daughter's hospital records?  

WHERE DO YOU REALLY STAND??

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

 I also have a complaint with the OPP.

See: 
https://www.linkedin.com/pulse/breach-trust-chief-coroners-office-ontario-arnold-kilby?trk=hp-feed-article-title-publish

Should you wish to support my request for an OPP investigation into Breach of Trust by the three men who conducted an inept death investion please contact your local police station, and/or local OPP station

ATT: Commissioner J.V.N. (Vince) Hawkes
General Headquarters
Lincoln M. Alexander Building
777 Memorial Avenue
Orillia, ON L3V 7V3 

(705) 329-6111 1-888-310-1122

Let your voice be heard.

I'm sure if they extend their investigation into death investigations involving hospital deaths more evidence to Breach of Trust will be discovered!

 ******************************************************
Ms Vauthier
HPARB


From your letter dated, January 12, 2015

“With respect to the Board’s decision in the matter of 08-CRV-0097, the Board has reviewed your request and can find no basis upon which to reconsider its decision.  A reconsideration by the Board is discretionary and will only be undertaken in exceptionally circumstances that demonstrate the Board acted outside of its jurisdiction, did not consider an issue it was mandated to determine, or that its processes were in breach of natural justice or lacked procedural fairness.  In 08-CVR-0097 the Board returned your complaints to the Investigations, Complaints and Reports Committee of the College of Physicians and Surgeons of Ontario for further assessment.  The Board conducted its review in accordance with its legislated mandate and there is nothing to suggest its review was not carried out in accordance with the principals of natural justice or that is lacked procedural fairness.  As such, the Board will not be reconsidering its decision in the matter of 08-CVR-0097.”

NOW WITH REGARD TO PROCEDURAL FAIRNESS AND PRINCIPALS OF NATURAL JUSTICE:

THE BASIS FOR RECONSIDERATION IS CLEARLY STATED BELOW:
#1  Having the Chair for the third appeal, who pretty much control the entire proceedings from London, Ontario (Forest City Lawyers - London)  as is the College's Independent Opinion Provider, Dr. Brian Taylor.

No problem perhaps, but it certainly explains how this HPARB panel completely came up with their incredible decision and prevented me from giving my oral presentation.

I would have thought the Chair would have excused himself from this panel!
This was extremely unfair and the procedural process was definitely affected negatively.

#2  The contradictory CPSO's opinion with their own expert as well as the factual documentation within Terra's medical records!
This was extremely unfair and the procedural process was definitely affected negatively.
In response to a request for further information from the College, the IO provider also set out the following information:
         The standard of practice for open bowel resections is to provide antibiotic prophylaxis.
However, such administration would not reduce the risk of anastomotic leak.
         The standard of practice would be to administer prophylactic antibiotics in connection with laparoscopic procedures if the bowel were involved; however, in this case, Dr. Klein believed he would be dealing with a cyst only and not opening the bowel, so the standard would not require administration of prophylactic antibiotics for the laparoscopic procedure.
AWKILBY’s Response:  The above is pure BS.  He knew before he converted to a laparotomy!!
Note the following:  This proves that Dr. Klein was going to attempt laparoscopically a colon resection for a mesenteric mass.  This was before he converted to a laparotomy!!!
Note the Procedure Desc. In the chart I submitted for the third appeal.
Note the Procedure Desc. In the following chart:
“Laparoscopic Colon Resection Attempted For Mesenteric Mass”
The second Procedure Desc. indicates the laparotomy.
                                         
And from Dr. Taylors’(the College’s I.O)letter to Angela Bates May 8th, 2011,
During the surgery on July 11 2006, Dr. Klein realized that the mass was not separable from the colon or retroperitoneum and obtained consultation with a colleague and went ahead with an open right colectomy. This is well documented in the operative note on page 48.”
From Dr Klein’s own notes:
At the time of laparoscopy, a large cyst could be seen in the mesentery of the right colon.  It was densely adherent to the bowel as well as densely adherent to the lateral abdominal wall.  It felt very solid and not at all in keeping with a simple mesenteric cyst.  We therefore made the decision to convert to an open procedure.
The fascia was divided.  The peritoneal cavity was entered under direct vision.  A 10 mm trocar was inserted.  Pneumoperitoneum was obtained.  A 5 mm subxiphoid and 5 mm suprapubic port were placed under direct vision.  We immediately could see the large mass in the right upper quadrant and the findings were as above.  We did not feel that this was at all easily accessible laparoscopically and could not separate the plane from the lateral abdominal wall as well as from the colon.  At this point, we made a decision to convert to a laparotomy
Issue before the Committee
HPARB directed the Committee to reconsider this matter in light of the question of whether Dr. Klein met the standard of practice concerning the use of preoperative antibiotics.
Addendum Report from the IO Provider
The IO provider set out the following information in an addendum to the IO report:
         The issue of antibiotic administration at the time of conversion to an open procedure is really not relevant to the outcome for this patient.
AWKILBY’s Response:  The outcome is not part of the complaint!          
         Most general and colorectal surgeons administer antibiotics preoperatively prior to laparoscopic or open colorectal surgery, as they have been shown to reduce the incidence of wound infection. Antibiotics, however, have not been shown to decrease the incidence of anastomotic leak.
AWKILBY’s Response: Temporarily forget the anastomotic leak which was not in my complaint..  The above statement indicates the Standard of Care that was not followed by Dr. Klein.


#3   The complaint was about the Standard of Care not my daughter’s death.  Interesting to note the College always mentions the tragic outcome.  Stick to the Standards of Care not the Death.  HPARB got sidetracked away from Standard of Care and somehow interpreted the Standard of Care not resulting in the death.  This was not the complaint.
How can HPARB not focus on the actual wording from the Independent Opinion Provider and the College with respect to their statement contained within the Second and Third Decisions?
·        "The routine use of antibiotics prior to bowel surgery is an important aspect of care that was  neglected by Dr. Klein in this case. The Committee would suggest that Dr. Klein consider the routine use of antibiotics in such circumstances. Having said that, we do not consider this oversight to have contributed to the unfortunate outcome in this case."
         Neglected equals Negligence
Notice how the College brings into the discussion my daughter's death from these example below:   reason to deflect away from the standards of care to the Terra's death
      "The routine use of antibiotics prior to bowel surgery is an important aspect of care that was neglected by Dr. Klein in this case. The Committee would suggest that Dr. Klein consider the routine use of antibiotics in such circumstances. Having said that, we do not consider this oversight to have contributed to the unfortunate outcome in this case."  
       "The issue of antibiotic administration at the time of conversion to an open procedure is really not relevant to the outcome for this patient."
"He agrees with the IO provider that:    The issue of antibiotic administration had no bearing on the outcome of this case,”
   “The only benefit of pre-operative prophylactic antibiotics is to prevent a postoperative wound infection,   Preoperative antibiotics have no preventative or beneficial effect for an anastomotic leak."
"Further to this clarification, the Committee notes that, as supported by the IO, the lack of antibiotics in this case did not influence the unfortunate outcome, given there was no evidence of sepsis at the time of the discharge from the hospital."
THE STANDARD OF CARE IS THE ADMINISTERING OF THE MANDATORY ANTIBIOTIC PROPHYLAXIS NOT THE OUTCOME! 

This was extremely unfair and the procedural process was definitely affected negatively.

#4   It appears this decision was made in record time: two months from the meeting in June my receiving the decision by mail on Aug. 1st.   
This was extremely unfair and the procedural process was definitely affected negatively. It makes one wonder whether HPARB had already decided well before, especially considering the following:

--HPARB appears to substantiate the College's opinion that Dr. Klein did not know that a colon resection was to take place until after he converted to an open abdominal surgery.   The HPARB panel totally disregarded the operation record that clearly stated that the first procedure attempted was:   "laprascopic surgery for colon resection."  This clearly indicates that he knew that a colon resection was to be performed before he opened her up.

--No antibiotics what so ever, even after an abdominal incision infection and the presence of "many gram negative bacilli".  Again, found in the hospital records.   Also, they ignored the letter from then Eastern Ontario Coroner which stated reasons for death also included "complicated by an infection

--Totally ignored my expert's opinions.

--Again, common sense.   Not an emergency situation, this was elective surgery supposedly well planned.  --- A surgeon is going to make an 9 inch incision in the abdomen, move around some internal organs, remove a tumor and perform a colon resection.----- without the mandatory antibiotic prophylaxis.

#5   The Third HPARB appeal panel had my submission on their laptops but they could not locate the sections I was referring to during my oral presentation.   They became so frustrated, the Chair, Thomas Kelly interrupted me and stated that I need not continue as they had read the submission.  BUT, I had my presentation prepared to highlight and point out the inconsistencies with regard to the College’s opinion and the medical facts contained within the hospital records and supporting documents.  This was extremely unfair and the procedural process was definitely affected negatively.

# 6  How could HPARB be sidetracked away from the "Standards Of Care" issues and be concentrating whether these issues to led to my daughter's death?   HPARB should have been dealing with whether the Standards of Care were held up to, or not!
This was extremely unfair and the procedural process was definitely affected negatively.

# 7  And Dr. Klein merely laughs off the College decision:   And this was in with the package the CPSO sent to HPARB.

From letter sent to the College by Dr. Klein
July 13, 2011
Ms. Angela Bates Manager,                                                                                                                                           Committee Support Area Investigations and Resolutions                                                                                                            
College of Physicians and Surgeons of Ontario 80 College St. Toronto ON M5G2E2
RE: Ms. Terra Dawn Kilbv - Your File #77429

Antibiotics                                                                                                                             
 The independent assessor is correct that Ms. Kilby did not receive preoperative antibiotics. I agree with the independent assessor's opinion in response to your subsequent letter that preoperative antibiotics would not have been a contributing factor to the anastomotic leak. Antibiotics are used to prevent or treat an infection. They have no preventative or beneficial effect for an anastomotic leak.   Furthermore, it is not my practice to prescribe antibiotics for a planned laparoscopic surgery with possibility of conversion to an open procedure As I have explained in my initial response, Ms. Kilby did develop a superficial wound infection postoperatively that was treated appropriately. I do not feel that the wound infection 'was in any way related to the outcome of this case.
L. Klein

AGAIN, WE ARE TALKING ABOUT STANDARD OF CARE NOT THE OUTCOME.
Oh, my God!!!!   Dr. Klein has not learned a thing from Terra's death and is obviously going to continue as he did!

This is detrimental to the safety of patients that are under his care!!!!!!
*************************
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.