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  • Description Humber River Hospital
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Users' Reviews

  • Rating 1/5
    arnoldkilby's Review on hrrh.ca Posted on 01/15/2012
    Seeking Transparency and Accountabily IMPOSSIBLE
    Terra Dawn Kilby died 12 hours after being released from the Hospital--- colon resection broke down and bled to death.

    Firstly, the family of Terra appreciate the Hospital effort in creating a Memorial Garden at the hospital site in her memory.

    KILBY VS DR. L. KLEIN
    Negligence (Lat. negligentia, from neglegere, to neglect, literally "not to pick up something") is a failure to exercise the care that a reasonably prudent person would exercise in like circumstances. The area of tort law known as negligence involves harm caused by carelessness, not intentional harm.

    A breach of the standard of care requires that the plaintiff establish that the defendant physician has failed to provide the care to his patient that an average physician of the same academic qualification licensed to pratice in the same area would have provide to that patient.

    According to the Ontario College of Physicians and Surgeons, Ontario is the only place in North America and every developed country of the world where it is acceptable "standard of care" and not "negligence"

    1. to have open abdominal surgery to perform a colon resection without "antibiotic prophylaxis"! That's what they expect Ontario citizens to believe!
    "The Surgical Care Improvement Project (SCIP) has established clear guidelines on antibiotic prophylaxis prior to all surgery (timing, type). Here in the US our hospital is literally graded on compliance with the SCIP protocols. As a department chair I am responsible for compliance on my team and have to have appropriate procedures in place to assure compliance."
    Lishan Aklog, MD Surgeon from outside Canada

    "There is very good evidence that mandates that patients receive broad spectrum IV antibiotics prior to having colon surgery, especially if they haven't received a bowel prep. If this wasn't done this is not in line with the standard of care in the US."
    David A Lanning, MD, PhD Surgeon-in-Chief, Surgeon from outside Canada

    2. to have no antibiotics what so ever, (considering there was no antibiotic prophylaxis given at time of induction) during the entire hospital stay even when the entire abdominal incision became infected and all staples removed and was oozing puralent fluid even at time of release! That's what they expect Ontario citizens to believe!
    “If there is a documented infection it is mandatory to treat it with antibiotics”
    Wendel Smith, M.D Surgeon from outside Canada

    “There is no doubt she should have been given pre-operative and post operative antibiotics." Mike Perelman MD Surgeon from outside Canada

    3. to have a patient on a liquid diet for more than nine days consuming only 587 calories per day with no supplemental nutrition! That's what they want Ontario citizens to believe!
    “It does not seem that her nutritional supplementation was adequate. Finally, it seems that she was discharged while still infected.”
    I'm sorry to hear about the death of your daughter. A parent should never lose a child.
    Allan Stewart MD Surgeon from outside Canada

    "The nutritional aspect is contributory in that with a prolonged postoperative ileus, supplemental nutrition should reasonably have been considered."
    Matthew M. Cooper, MD FACs Surgeon from outside Canada

    4. to have a test result come back indicating "many gram negative bacillia" and not to have it treated! That's what they want Ontario citizens to believe!

    “Gram negative bacteria on the cultures from a wound with foul drainage suggest an intestinal injury or anastomotic leak.” Dr Lanning Surgeon from outside Canada

    5. to have the patients abdomen go from flat to rounded to large with no investigation as to what was going on to cause this.
    That's what they want Ontario citizens to believe!

    “The discharge of somebody with abdominal distention who had undergone a wound packing for infection also seems well below acceptable standards here in the US. Usually if abdominal distention arises post op the etiology of that distention needs to be sought prior to discharge.” Paul Kirshbom, MD Surgeon from outside Canada

    “Finally, it seems that she was discharged while still infected.”
    Allan Stewart MD Surgeon from outside Canada

    “The temperature curves and the reported abdominal fullness are concerns that seem discounted by the College assessment.”
    Dr. Max Mitchell Surgeon from outside Canada

    6. to release a patient who did not have a solid bowel movement after consuming her only two solid meals, her last two meals.
    That's what they want Ontario citizens to believe!

    “I think that she needed to have a bowel movement prior to discharge. We do this for our cardiac patients and they have not had any bowel procedures. Bleeding from a stapled anastomosis that leads to hemorrhage shock and death seems a little unusual.
    I see negligence in this case” Ron Hill, MD, FACS Surgeon from outside Canada

    “Your daughter needed pre-op antibiotics, post-op antibiotics, and antibiotics when a wound infection occurred. I think that she needed to have a bowel movement prior to discharge. We do this for our cardiac patients and they have not had any bowel procedures. Bleeding from a stapled anastomosis that leads to hemorrhage shock and death seems a little unusual. I see negligence in this case”
    Ron Hill, MD, FACS Surgeon from outside Canada

    The College of Physcians and Surgeons as well as the Chief Coroner of Ontario have ignored all of the following as concerns of pre and post operative care????

    THE INCISION from July 15 to release from hospital, incision was infected

    ABDOMINAL SWELLING from July 13 to release from hospital With significant nausea, vomiting, or abdominal distension, x-rays of the abdomen should be obtained.

    MANY GRAM NEGATIVE BACILLI SEEN as stated in hospital records & not treated

    MANY PMN’S Polymorphonuclear Neutophils greater than 15/LPF as stated in hospital records

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

    Inadequate nutrition all meals consisted of only jello, tea, juice and broth = 587 calories per day

    Temperatures 23 out 38 recorded temperatures were not in the normal range

    Breathing It should be noted that Terra’s breathing to the most part indicated concern. (see hospital records)

    All Five Hemoglobin test scores below normal range.

    All Five Hematocrit test scores below normal range.

    Red Blood Cell Count test scores---one at lowest of normal and other four below

    All five Absolute Lymphocytes well below normal range.

    All four UREA Blood Urea scores well below normal range.

    Page 6 of 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. 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.”

    AN ABSOLUTE DISGRACEFUL DECISION

    The Ontario College of Physicians and Surgeons are quilty of the following forms of bias:

    Confirmation bias = seeking or interpreting information that (one thinks) will support one's favored hypothesis or diagnosis.
    Ego bias = biasing probability estimates in a self-serving way.

    Deaths at Humber River Regional Hospital

    Over a 6 month period September 2009- February 2010 there were 5 deaths within 30 days of surgery. With the help of the coroner’s office, the program was shut down while an external review was done by a well known expert

    Difficiencies Found in the Program

    Poor selection of patients
    Medical conditions not optimized prior to surgery
    Lack of integration between anaesthesia, internal medicine, surgery and bariatric clinic
    Inadequate post-op monitoring
    Diagnostic laparoscopy when problems occur not utilized enough

    All My Love, Dad
    Christmas 2011

    Christmas Day has come and gone,
    Without you here, I don’t belong.
    Six wintry years have eventually passed.
    The pain endures and forever lasts.

    I send to you on Christmas Day,
    My cell text message with love to say.
    How beautiful you are; will forever be.
    My love exposed for all to see.

    We try so hard to celebrate,
    To play carol songs and decorate.
    But within our hearts it can not be,
    Like it once was - - - a family.

    Christmas tears are tears of joy.
    Most of ours, a mere decoy.
    Our lives can never be the same.
    Continued injustice done to your name!

    Perhaps one day we will find in part,
    Within those deceitful ones - - - a heart! -- (Dr. Klein, OCPS, Chief Coroner's Office)
    To provide to us the needed closure,
    Easing our pain and providing our cure.

    So future Christmas’ will again once be,
    A time of joy, a time of glee.
    A time to reflect on our Terra Dawn
    A time to rejoice her life reborn.

    Arnold W. Kilby

    "Terra Dawn Kilby, An Angel In Our Lives"
    April 22, 1978--July 21, 2006


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