How on Earth could the Surgeon, Dr. Laz Klein, Humber River Regional Hospital, The College of Physicians and Surgeons, the Health Professions Appeal and Review Board, the Chief Coroners Office and the Death Investigative Oversight Council not see the problems associated with the following: How about the enlarged abdomen at time of release? went from flat to rounded to large How about the foul, purulent oozing incision at time of release? And during the entire time of her stay. And all of the staples had been removed from the 10 inch abdominal incision. How about the fact that she did not have the anti-biotic prophylaxis given at the time of induction? THIS IS A STANDARD OF CARE THROUGHOUT THE ENTIRE WORLD! How about the fact she received no anti-biotics whatsoever at any time? Not even when the incision became infected nor when test results stated many gram negative bacilli. (same classification as C Dificile) How about the many gram negative bacilli seen? And not treated 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 about the fact that she was only receiving 687 calories per day for 8 days? And records show she was not tolerating these meals. July 12 nutrition—probably inadequate July 13 not tolerating current diet July 13 again--not tolerating current diet, nauseated July 14 ate about half of what was served July 16 not tolerating current diet, nausea, save tray to try and eat later July 17 not tolerating current diet, Even if she ate all of the liquid diet she still would have been lacking the daily total nutritional intake requirement: 1. LACKING 83.2% OF TOTAL DAILY IRON INTAKE! 2. LACKING 99.6% OF TOTAL DAILY VITAMIN K INTAKE! 3. LACKING 75% OF TOTAL DAILY MAGNESIUM INTAKE! 4. LACKING 99.7% OF TOTAL DAILY VITAMIN E INTAKE! 5. LACKING 99.27% OF TOTAL DAILY CALCIUM INTAKE! 6. LACKING 99.99% OF TOTAL DAILY VITAMIN A INTAKE! 7. LACKING 91% OF TOTAL DAILY VITAMIN C INTAKE! 8. LACKING 93% OF TOTAL DAILY FIBRE INTAKE! 9. LACKING 70.9% OF TOTAL DAILY PHOSPHORUS INTAKE! 10. LACKING 82.7% OF TOTAL DAILY ZINC INTAKE! 11. LACKING 99.9% OF TOTAL DAILY COPPER INTAKE! 12. LACKING 81.5% OF TOTAL DAILY SELENIUM INTAKE! 13. LACKING 84.7% OF TOTAL DAILY THIAMIN INTAKE! 14. LACKING 91.8% OF TOTAL DAILY RIBOFLAVIN INTAKE! 15. LACKING 80.9% OF TOTAL DAILY NIACIN INTAKE! 16. LACKING 83.6% OF TOTAL DAILY VITAMIN B-6 INTAKE! 17. LACKING 100% OF TOTAL DAILY VITAMIN B-12 INTAKE! 18. LACKING 65.9 to 68.8 % OF TOTAL DAILY CALORIE INTAKE! 19. LACKING 57% OF TOTAL DAILY CALORIE INTAKE BASED ON HER BASAL METABOLIC RATE! 20. LACKING 47.3% OF TOTAL DAILY PROTEIN INTAKE! How can a wound heal without proper nutrition? How about that fact that the only two regular meals consumed was the last two prior to her discharge and she did not have a bowel movement? (Remember, she had a colon resection) How about the fact her resting pulse rate was over 90? (34/38 of Terra’s recorded pulse rates were above 90 during her stay) How about the low Absolute Lymphocyte (type of white cells)? Which indicated the body is use up these cell fighting an infection **ABS LYMPH# Absolute Lymphocytes Count Ref. 1.5 - 4.0 All Five Test Are Well Below Normal July 18 0.9 Day 6 0.7 Day 4 0.5 Day 3 0.8 Day 2 1.0 How about the many temperature reading that were abnormal? 23 out 38 recorded temperatures were not in the normal range How about the many PMN’s (polymorphonuclear Neutrophils) –? hallmark of acute inflammatory process How about the low hemacrit counts, low red blood cell counts and low haemaglobin counts? **HCT Hematocrit Count Ref. 0.36 to 0.48 All Five Tests are Below Normal July 18 0.35 Day 6 0.35 Day 4 0.32 Day 3 0.32 Day 2 0.34 **RBC Red Blood Count Ref. 4.20-5.40 One Test at Low of Normal Range & Four Below Normal Range July 18 4.20 Day 6 4.16 Day 4 3.80 Day 3 3.78 Day 2 3.95 Some alarms should have been heard if the Surgeon looked at the hospital records which I believe he did not. Too many unanswered questions? You dont need a medical degree to see from the many items above found within the Hospital records that Terra should not have been discharged until most if not all were investigated, and resolved. FROM TERRA I want you all to know how much I love you and miss you. But I am content and watching over all of you. Until we meet again, please remember all of the good experiences we shared and the fun times we had together as a family. “Continue the fight, Dad, so changes are made to protect others” Arnold Kilby Terra Dawn Kilby An Angel In Our Lives April 22/78 to July 21/06 anangelinourlives-awk.blogspot.ca/ Please e-mail our Ontario Ombudsman and demand that he personally looks into HPARB and his junior investigator closing my complaint file. Andre Marin [email protected] And contact your own MPP. This is how you would be treated by all of those mentioned at very beginning of this post.
Posted on: Sun, 26 Jan 2014 23:38:56 +0000
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