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Help: surgery by force

Started by Kateryna · · Last activity · 2 posts · 578 views

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General fitness, health and nutrition
Published
23 April 2004
Last activity
24 April 2004
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Kateryna
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  1. Plz. urgent advice needed, below my letter to an official
    which explains a little bit a situation. I substituted the
    name of my daughter by *****. She is pretty scared after the
    talk with social workers from the Children Aid. The worker
    told her openly we take you from your parents and remove
    your gallbladder againist your and our wish. Who has the
    experience with all this stuff, any advice is welcomed- my
    daughter is pretty scared,she can end up as a disabled
    person as a result of this messy situation.
    =====================
    3.04.2004

    Dear Sir/Madam, I believe my daughter ******** *******is
    facing now discrimination from representatives of Childrens
    Hospital of Eastern Ontario (CHEO) which I believe can be
    considered as an attempt of
    I. unusual cruel treatment which is possibly based on:
    II. her religious and national background As a result I
    believe her health could be in danger as a result of
    this situation. Please, undertake nessessary
    investigations and steps to help us.

    In more detailes I. unusual cruel treatment: We believe that
    the patients rights of our daugter ********* **********were
    violated during her treatment at CHEO last year. We made a
    formal complaint to The College of Physicians and Surgeons
    of Ontario (please see below some relevant materials).

    As you can see even from the text below ******** received
    different discrepant diagnoses during her 2 years treatment
    at CHEO. One of her last diagnoses sounded as inflamation of
    her gallbladder as a result of calculi in her gallbladder.
    This type of health problem has different types of possible
    treatment which include- a)surgical removal of the
    gallbladder itself,
    b)surgical removal of the calculi from the gallbladder,
    c)spliiting the calculi by ultrasound, d)chemical
    dissolving of the calculi. During our talks with surgeon
    Dr.Cheo and Dr.Mack we indicated that we are strongly
    opposed to the a) way of treatment because every operation
    has a risk of death for ********* and also removal of a
    vital organ can result in negative health consequences for
    our daughter.

    As we understood from the talk with Dr.Cheo, other
    representatives of the CHEO and from medical literature this
    type of sickness has no direct danger for health of a
    patient actually the patient can live all life with stones
    in gallbladder, sometimes the stones can dissolve itself. As
    a result during November 2003- January 2004 **********'s
    case was not considered as urgent by CHEO we were fighting
    that period of time just for appointment with
    gastroenterologist. All CHEO representatives told us that
    our case is totally non-urgent(letter from CHEO) in the case
    of pain we should just go to the emergency department of the
    CHEO. During our second last appointment with Dr.Mack we
    clearly indicated that we were choosing non-surgical way of
    ******** treatment (i.e. chemical stones dissolving).
    ba.Mack agreed with us but told that only small gallstones
    (diameter less 1cm) can be chemically dissolved and sent
    ******** to ultrasound to determine the size of the
    gallstones (statement signed by me and a representative
    of CHEO). The team of the doctors who performed
    ultrasound told that ******** had not formed, "ghosty"
    formation in her gallbladder which was not solid (no
    traces of calcium- no shadows on ultrasound pictures).
    The size of the gallbladder formation were less than 4mm
    which made for example chemical dissolving treatment
    possible. But in the letter from hospital with the
    results of ultrasound the size of the calculi was not
    even mentioned.

    Later in March 2004 Den Teneycke tel (613)7477800 ext 2137
    from Childrens Aid of Ontario contacted my daugter, my son
    and my wife and informed them that
    bb.Mack had written a letter with indication that the
    operation of gallbladder is necessary for ******** and
    their father (me) has problems problems with his
    "attitude" that can damage ******** health. During an
    interview with ******** he told her that she also has the
    same "attitude" problems similar to her father
    (bc) and that she must change herself as soon as possible.
    Actually these types of humilating remarks deeply
    offended my daughter. She concidered herself as a
    bright individuals withing decent family of high
    educated canadians without any types of negative
    records in the past. Also Mr.Teneycke informed my
    family that the Aid has power to take her from the
    parents (us) by force and to make the surgical removal
    of her gallbladder againist our will. In his letter he
    indicated that our case now under investigation by the
    Aid and we (my wife me) are concidered as parents who
    does not want or are not able to provide necessary
    treatment for our daughter. I believe that the actions
    of CHEO representatives can be concidered as an attempt
    of unusually cruel treatment. In the situation of
    multiply diagnoses for ******** our complaint,
    different possible treatment for ******** the
    representatives of CHEO (i.e.Dr.Mack, Dr.Cheo) created
    the artificial situation when theoretically the
    situation that the worst and most cruel treatment will
    be applied for ******* and will make her handicaped for
    the rest of her life is possible.

    In more detailes I believe ********* human rights can be
    violated as a result of
    II. her religious and national background.
    I.e.during our second last appointment with Dr.Mack he asked
    about our nationality and religion. I told him that we
    are proud to be canadian though originally we were from
    the Ukraine and belong to christian orthodox church. Dr.
    Mack in presence of my wife, my daughter, and a nurse
    told us that it is will be very "hard for us here"
    though "********accent is almost unnoticable", and "my
    accent can be understood" and that we must move away
    from Ottawa, somwhere to other places "like Toronto,
    Quebec or somwhere where there are a lot of ukrainians
    like you" to "look for a treatment there". He also
    recommended may be even to move back to the Ukraine and
    look for a treatment there if we "do not like canadian
    treatment". Actually during last appointment in January
    2004 the situation went totally wrong almost out of
    control when he hit a few times the table with brutal
    force using hardcopy of ******* medical records and
    shouted in my face a humilating remark about my mental
    capabilities.

    Sincerely,

    ==========================
    The Children's Aid Society of Ottawa March 25

    ............. As we discussed with you .... during our
    telephone conversation on March 23, 2004, the Children's Aid
    Society of Ottawa is investigating a concern regarding your
    daughter ******* health. The Child and Family Services Act
    of Ontario section 37(2)e states that a child is in a need
    of protection where "the child requires medical treatment to
    cure, prevent or alleviate physical harm or suffering and
    the child's parent or the person having care of the child
    does not provide, or refuses or is unavailable to consent
    to, the tretment".

    The information of CAS has received from Dr.David Mack of
    the Childrens Hospital of Eastern Ontario (CHEO), indicates
    that ***** requires surgery to remove her gallbladder.
    During our telephone conversation, you indicates that you
    have sought a second or alternate medical opinion which
    differs from this assessment. The Children Aid Society has
    an obligation to verify this information.

    During our telephone conversation I asked for the name of
    the doctor who provided the second opinion of *******
    condition and recommended tretment. At that time you refused
    to provide me with this name. I am writing to you to again
    ask for the name of this doctor and to request that you sign
    a consent to disclose information for him/her (as enclosed)
    to verify this information. If you have any question about
    this request or the consent, please contact me at the number
    below and I will be pleased to discuss it with you. Please,
    sign this consent and return it to the society by April 2,
    2004. If you refuse to comply with this request, the CAS
    pursue a court order to compel you to do so.

    Sincerely,

    Dean Teneycke B.S.W. Child Protection Social Worker
    Childrens Aid Society of Ottawa

    --------------------------------------

    April 20, 2004

    ...........

    I am writing to advise you that I have received additional
    information from Dr.Mack of the Childrens Hospital of
    Eastern Ontario. I had requested further clarification from
    him regarding the risk that ******* condition presents to
    her as well as his recommendation for further assessment. I
    received a letter dated April 7th, 2004 from
    If.Mack which indicates that ******* current condition may
    result in serious, possibly fatal complications which may
    have a very sudden onset. Dr.Mack reccomendation is that
    ***** must be seen by pediatric surgeon for gallbladder
    removal at a major pediatric care centre outside of CHEO,
    such as the Hospital for sick Children in Toronto. He
    recommends that this be completed within two months. I
    have requested that Dr.Mack send a copy of this letter to
    you and to Dr. *****.

    As well I have contacted Dr.****** and the *******Medical
    Centre. Although it is clear that you have been seeking
    medical care for ******** at their Centre unfortunately none
    of the physicians she has been seen are specialists in the
    area of surgery. As a result, the recommendation of Dr.Mack
    is still outstanding. It is imperative that you arrange to
    have ***** seen by another pediatric surgeon for gallbladder
    removal within two months. If you do not comply with this
    recommendation, I will make an application to the court for
    a supervision order to compel you to do so. Please contact
    me by April 27th, 2004 to advise me of your decision and any
    steps you have taken to address this matter.

    Sincerely,

    Dean Teneycke Child Protection Worker Childrens Aid Society

  2. Dean Teneycke Children's Aid Society of Ottawa

    April 23, 2004

    Dear Mr. Teneycke,

    Thank you for your letter dated April 20, 2004. In my
    previous letter I gave you the permission to access *******
    medical records at CHEO, ****** Medical Center and the
    College of Physicians and Surgeons of Ontario. Actually
    ******** received care at CHEO and the Center during around
    2-2.5 years, has been checked by different doctors many
    times. The College also collected a lot of information
    regarding treatment of ****** as part of my complaint
    process which must be included in your investigation in
    order to reflect opinions of all doctors. Based on the
    information from your letter you did not check Tamar's files
    at these organizations (including CHEO) which include
    opinions of dozens of doctors others then Dr.Mack.. I
    believe these negligence by you of important information in
    her files can lead to mistake in ******* case. For example:
    1) Last time Dr.Mack checked ******** at the end of 2003.
    Nobody from the hospital performed the check for *******
    since that time. The last time in January 2004 when we
    saw Dr.Mack, the meeting went out of control and ended up
    in a few minutes. Please, pay attention 1a) nobody from
    the hospital insisted on the surgical treatment at that
    time and actually Dr.Mack sent ******** for ultrasound in
    order to check the size of gallbladder stones which is
    critical parameter for chemical dissolving of the stones;
    1b) nobody from the hospital considered her case as
    emergent (let her go home, did not contact and did not
    inform either me or you). Dr.Mack had no new information
    since that time about *******including her current
    conditions so his letter mentioned by you (unfortunately
    I did not receive and did not see it) with statements
    does not correspond well the above 1), 1a) 1b) points;
    1c) the other doctors, for example a team of doctors from
    the emergency department of the hospital&surgeon has not
    found any gallbladder stones for ******** in November, a
    few days before Dr.Cheo found them; 1d) CHEO hospital is
    now under investigation by the College of Physicians and
    Surgeons of Ontario for possible violation of *******
    patients rights and false treatment/diagnoses which could
    make some of the actions of the CHEO doctors (incl.
    Dr.Mack recommendations) illegal after the finalization
    of the process in a few months.

    I. Based on points 1), 1a), 1b), 1c), 1d) I propose we must
    not consider Dr.Mack recommendations as final and
    outstanding. Please, check the above points in ********
    files and consider his opinion as the second/ third
    together with opinions of the team of doctors from the
    emergency department& the ******* Medical Centre.

    2) During numerous talks with doctors from CHEO and the
    ******* Medical Center we received four major
    recommendations for ******* gallbladder treatment:
    3) gallbladder removal
    4) gallbladder stones removal
    5) gallbladder stones chemical dissolving
    6) gallbladder stones ultrasound splitting
    7) diets for "silent" gallstones

    2a) During numerous talks with the above mentioned doctors
    we strongly opposed 1) method of treatment because of the
    nonzero possibility of death for ******* as the result of
    the surgery and negative consequences for her health
    mentioned by CHEO personell.
    Dr.Mack agreed with us and sent us to determine the size of
    the gallbladder formation by ultrasound which is critical
    for 3) method. Because of the Health Protection Act we,
    as the parents of ******** have the right to exclude
    1)method from the possible treatment for ******** as too
    dangerous for her with negative consequences for her
    future. In this case the referral of Dr.Mack to a surgeon
    does not correspond the agreement signed by CHEO
    representative and us and I believe must be corrected.
    2b)Also we could use the service and the referral of
    other doctors
    D.s. from ******* Medical Center despite the fact that the
    Center does not have pediatric surgery which is not
    necessary for chosen by us method of treatment. Please
    pay attention that the doctors from the ******* Medical
    Centre did not make any referral to other specialists
    as they would be obliged by the law in the case if they
    were not able to provide a diagnosis or to recommend a
    treatment for ******* as it was mentioned in the second
    paragraph of your letter (please, check it in *******
    medical files).

    II. Based on the above points 2a), 2b) I would like to
    contact doctors who would be able to perform chosen by
    us, ******* Medical Center and CHEO (incl. Dr.Mack-
    please see signed statement by CHEO representatives and
    us included in my previous letter) method of treatment
    in mentioned by you time scale and to follow their
    recommendations and referrals for ********

    Please, feel free to contact me if you have any questions
    or concerns regarding I. and II. conclusions. I am ready
    to discuss it in order to find the best solution for
    ****** tretment.

    Sincerely,

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