My survey now includes 14 out of 14 bus users that did not know what a medical DNR is. And those that have agreed to DNRs or Advanced Directives I am sure when questioned would not know what they were really agreeing to: a patriotic duty to end one's life sooner than necessary. After agreeing to a DNR are you sure you are going to get optimal care. There is evidence/research to suggest otherwise. The question is does anyone trust the hospital system. Even doctors don't trust their colleagues so where does that leave us.
And another thing I have been wanting to do was to confess to my ignorance of the hospital system. I blamed Tanu the Nurse Ratchet of GPC when she told me the first time she spoke to me that I could not talk to anyone unless that person talked to me first. The protocol on how to approach the monarchy. But her telling me does not excuse her from not showing me a written policy. When Randy was at St. Paul's in December I noticed that there were notices posted stating that visitors are not allowed to talk to others. I wonder how long this policy would exist if it was posted on a huge bill board outside the entrance of St. Paul's -- next to the bill board asking for public $donations.
I am still at odds as to why Dr. Patricia Daly hasn't decreed that masks should be put at the entrance of the hospitals especially during flu season. It isn't staff you have to worry about spreading the flu, it is visitors, vendors and the like who might not even know they have the flu. Even if you a flu shot, it is only 60% effective.
The problem with VCH is that no one is in charge but then that is what democracy is all about: chaos and stupidity.
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Showing posts with label Geoff Plant. Show all posts
Showing posts with label Geoff Plant. Show all posts
Tuesday, January 22, 2013
Sunday, January 20, 2013
Get DNRs: Save $.
Higher 30-Day Mortality for Surgery Patients With DNR
Compared with non-DNR patients, more than twice as many DNR patients died within 30 days of surgery (8.4% versus 23.1%, P<0 .001=".001" and="and" at="at" colleagues="colleagues" em="em" in="in" md="md" online="online" reported="reported" roman="roman" sanziana="sanziana" university="university" yale="yale">Archives of Surgery
. As well, the DNR patients were more likely to die no matter what surgical procedure was performed (35.5% versus 17.8%, and 16.6% versus 5.5% for emergent and nonemergent procedures, respectively, P<0 .001=".001" all="all" for="for" p="p">.
Monday, January 14, 2013
Geoff Plant 9
I have been feeling totally demoralized over the incidents so far. I cannot rest comfortably as I know now how fast Randy can end up in hospital. I remember the YouTube video which explains how VCH deals with the public: delay; deny, divide, discredit and demoralize. Each day this is still happening. I am afraid even to speak to anyone any more. Not that I am afraid afraid but because it seems a waste of time. Even the organizations which are out there after an initial consult abandon me. All the E/Ds know each other and purple dot those that need help much like how VCH purple dot troublemakers which VCH creates in the first place. I am always told that I am not alone and what happened to me happens to others and then silence.
Piecing together what happened with the DNR fiasco it is beyond comprehension. I lived with Randy for six years prior to his accident and for 900 days since his accident I visited him in hospital and I was told I unduly influenced Randy to rescind the Do Not Rescue Order he alledgedly placed on himself so it was not removed. Although on Friday before Christmas 2012 I was told that his coding was changed to FULL CODE I have yet to see any written proof of it. It doesn't really matter in any event as a physician can change it the next day and there is no legal obligation for him to tell me or even tell Randy as it might upset us. So much for paternalism, truth and transparency in our health care system.
Piecing together what happened with the DNR fiasco it is beyond comprehension. I lived with Randy for six years prior to his accident and for 900 days since his accident I visited him in hospital and I was told I unduly influenced Randy to rescind the Do Not Rescue Order he alledgedly placed on himself so it was not removed. Although on Friday before Christmas 2012 I was told that his coding was changed to FULL CODE I have yet to see any written proof of it. It doesn't really matter in any event as a physician can change it the next day and there is no legal obligation for him to tell me or even tell Randy as it might upset us. So much for paternalism, truth and transparency in our health care system.
Thursday, December 27, 2012
Geoff Plant 4
Randy looked so healthy today. St. Paul's did wonders for him. Finally, I think staff has come to the realization that I am also part of Vancouver Coastal Health. I cannot understand how they can divide people like they do. They can't deal just with Randy; they also have to deal with me. What happens to Randy also affects me and I am part of VCH.
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Tuesday, December 25, 2012
Geoff Plant 3
As expected without notice St. Paul's transferred Randy without his consent or mine at 3:00 pm Monday December 24 2012. back to GPC. Now he faces Christmas in an institution he doesn't want to be in. St. Paul's didn't even tell him of the decision.
I received no assurances that anything will be done to ensure Randy will be more safe at his "home."
No one even told me if he fully recovered from his pneumonia.
Vancouver Coastal Health has no fear. Maybe a plea to the public not to donate money to St. Paul's or VGH might be more effective.
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I received no assurances that anything will be done to ensure Randy will be more safe at his "home."
No one even told me if he fully recovered from his pneumonia.
Vancouver Coastal Health has no fear. Maybe a plea to the public not to donate money to St. Paul's or VGH might be more effective.
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Sunday, December 23, 2012
Geoff Plant 2
I was hoping by now that I would receive written confirmation that Randy was FULL CODE at GPC. Even if I did it does not discount that Randy is not safe at GPC (when he is returned without him wanting to and I being forced to convince him) would still be outstanding.
I suspect the reason Geoff Plant can't help us is because to do so would be an admission by Vancouver Coastal Health that Randy is not getting the standard of care he is entitled to.
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I suspect the reason Geoff Plant can't help us is because to do so would be an admission by Vancouver Coastal Health that Randy is not getting the standard of care he is entitled to.
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Wednesday, December 19, 2012
Geoff Plant...604-891-1186
I received an email from Geoff Plant yesterday saying that he could not help us. Geoff Plant is the Chair of Providence Health (St. Paul's Hospital). If he can't help us, who can.
When I was talking to Chris Shaw, Patient Relations, from St. Paul's yesterday, Bob Chapman's counterpart, he sounded just like Bob Chapman, so no help there. He said that Randy would be returned to GPC although Randy does not want to go there because it is unsafe
Later today I spoke to the social worker at St. Paul's. She said that Randy was going to be returned to GPC without him even going upstairs to recover. When I argued that it was not safe for Randy to return to GPC her comment was that she had no evidence. It is not her to make the determine if GPC is safe for Randy or not. It is up to her to make sure a full investigation is done and concluded before Randy is transferred anywhere. Her job is to make sure Randy is safe. Randy became pissed off with me as she did not include him in the discussion. And I couldn't tell him him that St. Paul's was going to send him back. It was just too hard not knowing how he would react. I will have to leave that until Thursday.
Randy of course does not want to go there. He wants to stay at St. Pauls.
Last time Randy was moved from VGH to GPC he was terrified when he realized where he was going, he pulled out his trach when he reached GPC.. He also has a history of self-harming himself. But his psychological state means nothing.
I still cannot fanthom how they could even consider a DNR order when he is clinically depressed. As soon as Randy is returned to GPC, the DNR order will be reinstated and this time the staff will make sure that I am not privy to any health complications. Randy cannot change his mind only Dr. Done can make that determination. Randy doesn't even have to sign anything; only Done's word is regal. Representation agreements are a joke. If staff think a family member might influence a loved one, the family member is excluded from everything. There is already a dictate by Ro Ang saying No Conversation with You, Audrey. How can I make sure Randy is being cared for it I can't talk to anyone and my visiting hours are restricted to the point that I might as well not be there. On Thursday last (a week ago tomorrow) Randy's lawyer was to get the DNR removed and I haven't heard a word from him although he promised to tell me of his success last Friday. You can't trust the medical system, you can't trust your lawyer, who can you trust.
It is not Randy's fault that his injuries are such that GPC cannot treat him properly and it is too expensive to keep him in an acute care hospital.
No other institution would force anyone to return to an abusive dangerous situation expect for Vancouver Coastal Health and also now St Paul's: a hospital that values life and family and religion..
The definition of abuse is any action or inaction by any person that causes harm or risk of harm to a person. I suspect VCH gets around the definition by saying that VCH is not a person.Abuse includes physical, emotional, or mental harm and neglect.
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When I was talking to Chris Shaw, Patient Relations, from St. Paul's yesterday, Bob Chapman's counterpart, he sounded just like Bob Chapman, so no help there. He said that Randy would be returned to GPC although Randy does not want to go there because it is unsafe
Later today I spoke to the social worker at St. Paul's. She said that Randy was going to be returned to GPC without him even going upstairs to recover. When I argued that it was not safe for Randy to return to GPC her comment was that she had no evidence. It is not her to make the determine if GPC is safe for Randy or not. It is up to her to make sure a full investigation is done and concluded before Randy is transferred anywhere. Her job is to make sure Randy is safe. Randy became pissed off with me as she did not include him in the discussion. And I couldn't tell him him that St. Paul's was going to send him back. It was just too hard not knowing how he would react. I will have to leave that until Thursday.
Randy of course does not want to go there. He wants to stay at St. Pauls.
Last time Randy was moved from VGH to GPC he was terrified when he realized where he was going, he pulled out his trach when he reached GPC.. He also has a history of self-harming himself. But his psychological state means nothing.
I still cannot fanthom how they could even consider a DNR order when he is clinically depressed. As soon as Randy is returned to GPC, the DNR order will be reinstated and this time the staff will make sure that I am not privy to any health complications. Randy cannot change his mind only Dr. Done can make that determination. Randy doesn't even have to sign anything; only Done's word is regal. Representation agreements are a joke. If staff think a family member might influence a loved one, the family member is excluded from everything. There is already a dictate by Ro Ang saying No Conversation with You, Audrey. How can I make sure Randy is being cared for it I can't talk to anyone and my visiting hours are restricted to the point that I might as well not be there. On Thursday last (a week ago tomorrow) Randy's lawyer was to get the DNR removed and I haven't heard a word from him although he promised to tell me of his success last Friday. You can't trust the medical system, you can't trust your lawyer, who can you trust.
It is not Randy's fault that his injuries are such that GPC cannot treat him properly and it is too expensive to keep him in an acute care hospital.
No other institution would force anyone to return to an abusive dangerous situation expect for Vancouver Coastal Health and also now St Paul's: a hospital that values life and family and religion..
The definition of abuse is any action or inaction by any person that causes harm or risk of harm to a person. I suspect VCH gets around the definition by saying that VCH is not a person.Abuse includes physical, emotional, or mental harm and neglect.
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