Tuesday, November 1, 2016

-------no oversight--no interest--no autopsies and tons of regulations---------and now I take the bow and I aim----Gerol alleged the letter also seemed to play down the incident and almost blame her mother. Keeler argued “maggots are not the result of a dirty environment or unprofessional care,” and said Ignatieva liked to spend time outside in the garden, where she said flies are plentiful. The administrator also noted that in some countries, maggots are used for wound care.--But Tomberlin, the entomologist, said there is a world of difference between the “medical-grade” larvae that are reared in sterile conditions and used in some clinics, versus wild ones that can deliver nasty infections “or worse.”--“Maggots in a wound are not good,” he said. “I can’t think of a case where you could actually say it’s not negligent … If they found fully developed larvae in it, you have to wonder how frequently they’re cleaning the wound, and really paying attention to what they’re doing.”-------

I took my words
and I built a factory
where the products
were all about the truth
I laid out the goods
and they were returned to me
but I didn't give up

oh no
I kept going
I wrote for years
on playgrounds
I sat with the words
rocking them to sleep
and waking them up
I walked them to maturity


and I told myself
one day my words will work
they will return profits
to their maker
I will have change happen
I will send my words like arrows
to the targets
and when I am done   those without a voice will be powerful 


I took my words
and for years
I worked hard
and now I take the bow and I aim
I say the words of those without a voice in our society
I tell the government at all levels to listen up
we're speaking now     we can no longer be silenced
the voiceless ones have a platform        and we are changing the world now


http://www.nationalpost.com/m/wp/news/canada/blog.html?b=news.nationalpost.com%2Fnews%2Fcanada%2Fi-was-in-shock-police-probe-ottawa-nursing-home-after-elderly-woman-found-with-maggots-in-wound
‘I was in shock’: Police probe Ottawa nursing home after elderly woman found with maggots in wound
Tom Blackwell
Monday, Oct. 31, 2016
Police are investigating West End Villa in Ottawa, owned by the Extendicare nursing home chain. Julie Oliver/Ottawa Citizen
The Ottawa police elder-abuse unit is investigating a nursing home after staff discovered maggots had infested a resident’s leg wound, landing the woman in hospital and horrifying her family.
The discovery suggests flies laid eggs and larvae hatched in the sore before anyone noticed, raising anew questions about the quality of care in Canadian long-term-care facilities.
It takes days for fly larvae to reach a full-grown stage, something that should not happen in a properly treated patient, said Jeff Tomberlin, a Texas A&M University professor and chairman of the American board of forensic entomology.
“Maggots in a wound are not good,” he said. “I can’t think of a case where you could actually say it’s not negligent … If they found fully developed larvae in it, you have to wonder how frequently they’re cleaning the wound, and really paying attention to what they’re doing.”
Postmedia News
Postmedia NewsMaggots are sometimes used to treat infected wounds.
The incident comes two years after the same woman, 89-year-old Luba Ignatieva, was “viciously” attacked by another resident at West End Villa in Ottawa, sending her to hospital with a broken hip, her daughter, Lara Gerol, said.
In the most recent incident, Ignatieva failed to get one of the twice-weekly dressing changes required for a chronic “venous stasis ulcer” on her leg.
When staff finally removed Ignatieva’s bandage on Oct. 10 after six days, they found the sore crawling with maggots and sent her to hospital.
“I was in shock,” said the daughter, who believes either hospital employees or paramedics called the police. “It means the wound was not cleaned properly … It means they’re not even looking.”
In a letter to the home, she wrote: “I don’t have enough words in my vocabulary to describe the horror (we felt) when we learned my mother went to hospital with maggots in her leg.”
Extendicare Inc., West End Villa’s owner, said in a statement that it can’t comment on specific residents, but that Ignatieva is being looked after by a team that includes a doctor, while the facility is in an “open dialogue” with the family.
“We can assure you that the quality of care of our residents is of utmost importance to us,” the statement said.
In a letter to Gerol obtained by the National Post, West End administrator Kelly Keeler said the ulcer, caused by poor circulation, won’t heal partly because Ignatieva refuses to have her leg elevated. Keeler said the woman also declined twice on Oct. 7 to have the dressing changed.
But the daughter says Ignatieva told her no one even tried to replace the bandage, and that it would have been completely out of character for her to refuse.
Gerol alleged the letter also seemed to play down the incident and almost blame her mother. Keeler argued “maggots are not the result of a dirty environment or unprofessional care,” and said Ignatieva liked to spend time outside in the garden, where she said flies are plentiful.
The administrator also noted that in some countries, maggots are used for wound care.
But Tomberlin, the entomologist, said there is a world of difference between the “medical-grade” larvae that are reared in sterile conditions and used in some clinics, versus wild ones that can deliver nasty infections “or worse.”
The Ottawa force is investigating but will not comment on specifics to avoid compromising the probe, said Const. Chuck Benoit, a police spokesman.
Ontario Health Ministry spokesman David Jensen said a “critical incident” inspection was carried out at West End on Oct. 18.
An order for a “voluntary plan of correction” was issued to the home, and a report will be posted on the ministry website in November, he said.
Maggots in live humans — a phenomenon scientists call myiasis — is not unheard of, though it occurs mostly in tropical and sub-tropical countries, according to the U.S. Centers for Disease Control.
A University of California study in 2000 found 45 cases throughout the U.S., the largest group being homeless people.
Gerol said some of the staff at the home — where her mother has lived for seven years — are “wonderful, dedicated, really good people,” but that turnover is high and many other employees are less skillful and caring.
Two years ago, she had asked that West End remove the other resident living in Ignatieva’s room, believing the person to be “very dangerous.” The request was denied and her mother was almost killed in a subsequent attack, Gerol said.
She sued the home, with the case eventually settled out of court.
• Email: tblackwell@nationalpost.com | Twitter: TomblackwellNP
Posted in: News Tags: Canada, Extendicare Inc., Jeff Tomberlin, Lara Gerol, Luba Ignatieva, Maggots, West End


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