Obviously, Dr. Klein has not changed since my daughter’s death. Before reading my story, take a look at excerpts from the following HPARB decision. From an HPARB Review held on July12, 2017
A PRIMER ON THE LAW OF DEFAMATION IN ONTARIO
"Defamation is
comprised of two subcategories between libel (libel refers to written
defamatory statements)and slander(broadcasting of spoken defamatory
words)
Proving a Claim in Libel and/or Slander
"the statement must be false!"
Defences to Actions in Libel and Slander
TRUTH--
"The first defence is the defence of truth. The defence can be made
that the statement was truthful and therefor there was nothing false
about the statement, meaning therefore, that the statement was not
defamatory."
FAIR COMMENT--
"The second defence to an
allegation of libelous statement is that the statements made were made
as a fair comment. The defence of fair comment would be considered by
the Court in situations where, by looking at the statement made, the
facts and the situation, a conclusion can be made that the statements
made were in actuality a fair commentary on the situation at hand and
that the comments were fair and were not malicious."
QUALIFIED PRIVILEGE--
"The defence of qualified privilege arises normally in situations where
the individual publishing these statements will escape any liability if
it can be proven that the public good could be furthered in open
debate. -- especially considering the numerous deaths which occurred
after my daughter's death and the one in Dec of 2012. Who really knows the real total being concealed by all?
*******************************************************
HUMBER RIVER HOSPITAL STILL
COVERS UP MEDICAL NEGLIGENCE(Dr. Laz Klein)-, CEO B. CollinsA PRIMER ON THE LAW OF DEFAMATION IN ONTARIO
"Defamation is
comprised of two subcategories between libel (libel refers to written
defamatory statements)and slander(broadcasting of spoken defamatory
words)
Proving a Claim in Libel and/or Slander
"the statement must be false!"
Defences to Actions in Libel and Slander
TRUTH--
"The first defence is the defence of truth. The defence can be made
that the statement was truthful and therefor there was nothing false
about the statement, meaning therefore, that the statement was not
defamatory."
FAIR COMMENT--
"The second defence to an
allegation of libelous statement is that the statements made were made
as a fair comment. The defence of fair comment would be considered by
the Court in situations where, by looking at the statement made, the
facts and the situation, a conclusion can be made that the statements
made were in actuality a fair commentary on the situation at hand and
that the comments were fair and were not malicious."
QUALIFIED PRIVILEGE--
"The defence of qualified privilege arises normally in situations where
the individual publishing these statements will escape any liability if
it can be proven that the public good could be furthered in open
debate. -- especially considering the numerous deaths which occurred
after my daughter's death and the one in Dec of 2012. Who really knows the real total being concealed by all?
*******************************************************
Memorial Plaque done by HRRH |
Memorial Area done by HRRH |
surgery would be performed laparoscopically to remove a mesenteric cyst. However,
during the surgery he determined it was necessary to immediately remove what he
suspected was more concerning than a simple mesenteric cyst. He could not rule out
sarcoma at that time, and it was not until after he converted to a laparotomy that it was clear that this cyst could not be removed without a bowel resection.”
AS LONG AS THIS HOSPITAL'S CEO CONTINUES TO CONCEAL MEDICAL NEGLIGENCE AND GRANT HOSPITAL PRIVILEGES TO DR. LAZ KLEIN, ALL PATIENTS OF HRH ARE IN EXTREME RISK.
Humber River Hospital -North York, Toronto
My twelve year struggle resulting in failure to bring about the truth, protect Ontario citizens and open up true transparency and accountability.
Will the Patient Ombudsman's Office be another failed institution?? WELL, I WAS RIGHT--ANOTHER WASTE OF TIME.
SHOULD YOU OR A FAMILY MEMBER SUFFER AN ADVERSE EVENT IN AN ONTARIO HOSPITAL---THE TRUTH WILL NEVER BE REVEALED, INSTEAD NEGLIGENT MEDICAL CARE WILL BE COVERED UP BY ALL INSTITUTIONS UNDER THE AUTHORITY OF THE PRESENT LIBERAL GOVERNMENT.THE NEWLY CREATED PATIENT OMBUDSMAN'S OFFICE IS A COMPLETE WASTE OF OUR TAX DOLLARS AND PORTRAYS A FALSEHOOD THAT A CITIZEN CAN TURN TO SHOULD THEY FEEL A HOSPITAL HAS MISTREATED THEM.
I DON'T BELIEVE THERE IS A PROVINCIAL PARTY, AT PRESENT, THAT WILL GO UP AGAINST THE CPSO AND CMP
Regardless of the friendship between Ms Elliott and Ms Collins, I feel she should be fully engaged in the investigation as this is far to important to disqualify herself! As the Patient Ombudsman, how can she investigate if she has friendships with the administrators of Ontario hospitals and disqualifies herself?
I met with the Patient Ombudsman, Christine Elliott, my MPP, Steve Clark and a patient ombudsman investigator, Marie-Claire Muamba with regard to HRH and Dr. Klein. This occurred several months ago, September 22/2016. I was told not to post anything until they had been in touch with HRH. This has occurred.Marie, I am a little hesitant with regard to the coming phone call today, January 11, 2017, as I have had so many from so many investigators who merely want to inform me that there is nothing to be done! All these phone calls do is raise my blood pressure and anger me. They ignore the evidence and do a lame job of trying to explain why they find nothing to my concerns, which of course, is absolutely ludicrous!
HRH has an opportunity to bring forth the truth after concealing it for over ten years. The patients of Humber River Hospital should have the assurance that should an adverse event occur, this hospital will not conceal the truth by remaining silent. I and all of whom are aware of Terra Dawn's hospitalization and death would certainly not go to this hospital nor recommend Humber River Hospital to anyone. The problem is most Ontario citizens are completely unaware!
Ms Collins, knowing that my complaints with regard to Terra's care or lack thereof has been ongoing for ten plus years, one would feel compelled to reopen my file when the Excellent Care For All came it effect.
Keep in mind, I met with five HRRH administrators in May of 2008 whereby they didn't respond to a single question/concern of mine. This was before I actually had the hospital records. Once studying the records, I often sent my new concerns to Ms. Collins.
Excellent Care For All
- Have practices in place for handling patient complaints as part of the organization's overall patient relations process. As part of these practices, health care organizations are be required to:
have processes in place for reviewing and resolving complaints made by patients and caregivers record, monitor, and analyze key information about each complaint, including the name of the person who made the complaint (except in the case of an anonymous complaint), the date the complaint was made, the subject matter, whether the complaint was resolved, and if so, when and how the complaint was resolved
Remember this is after Terra's death--considering this surgeon has multiple deaths, and the fact that his department was temporarily shut down due to multiple deaths in 2009 up to Feb of 2010, the CEO and COO should have realized there was a serious problem present. Let's not forget the death of Crystal Rose in Dec of 2012. Perhaps, HRH's lack of action led to these deaths and continue to do so.
Duty where serious problem exists CEO and COO were well aware of a serious problem! But ignored it for the years.
(3) If an officer of the medical staff who is responsible under subsection (1) or (2) becomes aware that, in his or her opinion a serious problem exists in the diagnosis, care or treatment of a patient, the officer shall forthwith discuss the condition, diagnosis, care and treatment of the patient with the attending physician. 2006, c. 4, s. 52 (12).*************************
Should they not, the Ontario Citizens should be able to access a public document from the Patient Ombudsman's Office indicating HRH's lack of transparency and accountability and their excuse to hide behind the "Excellent Care Act" and conceal the truth with regard to a surgeon's negligence which resulted in many more deaths after Terra Dawn Kilby.
Also: If the phone call has to do with what I want from HRH. l doubt they will do the following.. They will not want to put anything on record.
For example-- a written response to some of the following questions. There are many more questions!
The Patient Ombudsman’s Office cannot get answers to any of the questions posed below.
1. Is it hospital policy and the standard of care for Humber River Hospital and its Surgeon to change to an open abdominal surgery to perform a colon resection and removal of a tumor after attempting a colon resection laparascopically without administering the mandatory antibiotic prophylaxis???
2. Is it hospital policy and the standard of care for Humber River Hospital and its Surgeon not provide the patient with antibiotics when the abdominal incision became so infected that all staples had to be removed, considering the patient did not receive the mandatory antibiotic prophylaxis at the time of surgery???
3. Is it hospital policy and the standard of care for Humber River Hospital and its Surgeon not provide antibiotics to the patient when test results indicated the "presence of many gram negative bacilli" considering the patient had not received any antibiotics whatsoever???
4. Is it hospital policy and the standard of care for Humber River Hospital and its Surgeon not provide supplemental nutrition after five days of the patient only receiving a liquid diet and where records indicate the patient was not tolerating current diet???
5. Is it hospital policy and the standard of care for Humber River Hospital and its Surgeon to keep a patient on a liquid diet for nine days without nutritional supplementation??
6. Is it hospital policy and the standard of care for Humber River Hospital and its Surgeon to ensure the patient had a solid bowel movement after consuming her only two solid meals just prior to discharge??
7. Is it hospital policy and the standard of care for Humber River Hospital and its Surgeon to see the patient the day of discharge??
8. Is it hospital policy and the standard of care for Humber River Hospital take over two years to substantiate my assertion that the mandatory antibiotic prophylaxis was not administered even though the surgeon kept telling the COO that he had done so???? And this was only done so during a phone call I had with Ms Collins.
9.Would HRH not consider all of the above to be negligence on the part of the surgeon and perhaps the hospital???
PLUS SO MANY MORE QUESTIONS WHICH HRH CAN EASILY SEE BY STUDYING THE HOSPITAL RECORDS.
CPSO's Decision “The routine use of antibiotics prior to bowel surgery is an important aspect of care that was NEGLECTED by Dr. (Laz) Klein in this case.” The CPSO issued a secret written caution to Dr. Klein and stated that PERHAPS he MIGHT want to CONSIDER administering the mandatory antibiotic prophylaxis in THE FUTURE when converting from minimal evasive to open surgery!
*******************
Ms Deborah Dennie, e-mail send to Ms Dennie with no response.
Director of Education, Quality Support and Risk Management. HRH
My MPP and I will be meeting with the new Patient Ombudsman.I know you will undoubted run to the new CEO about this, however I am hopeful you will bring forth the truth after it has been conceal for such a long time.
Ms Dennie
I understand you conduct in-hospital deaths without consulting with nursing or medical staff who were involved in that incident. And then, quite often, you would go to the program director and get some information from her or him to prepare your report. It is now time to bring forth the truth!
Did you and another party investigate the death of Terra Dawn Kilby when she passed away on July 21st, 2006 less than 12 hours after being discharged by HRRH, Finch Street Site.What was the date of this investigation?
Who else was involved in this death investigation?
Were copious notes kept of this investigation?
What was the result of this investigation? Scott Jarritt stated at a meeting you found no concerns!! I would love to put you on the stand before a Judge/Jury to have you commit purgery!
How many times have you investigated an in-hospital death of one of Dr. Laz Klein's patients? He must have kept you very busy!
Newsflash! Dr. Devlin, Congratulations upon your upcoming retirement from HRH as its CEO. A FEW MONTHS BACK, RUMOUR HAD IT THE MINISTRY OF HEALTH WAS FORCING RETIREMENT ON YOU.
Perhaps, it is time to come forth with the truth with regard to the negligent care received by Dr. Laz Klein and provide me with a copy of the supposed in-hospital death investigation which you have continued to refuse to grant me.I am deeply sorry to think this but the run around the hospital have been giving me over the years, I can’t help thinking this as a truth!
I wonder if Dr. Devlin's religious commonality with Dr. Klein prevented the truth from coming out concerning the death of a common Gentile? One must also wonder if Terra's care would have been far superior that it was had she been Jewish? I believe should the Hospital and the CPSO compared patient hospital charts for those of different faith, they would certainly discover a tremendous difference with respect to post operative care provided by Dr. Klein! bcollins@hrh.ca rdevlin@hrh.ca
******************************************************************
Be Forewarned --If the CEO and COO covers up negligence, should you or a loved one consider going to the newly built hospital. THINK HARD.
Sadly, a deceased woman is less valued than one who remains alive in a vegetative state-- one reason why a malpractice suit is rejected by law firms. But in this case, besides the Surgeon, Dr. Klein, I believe a suit could be filed against all who supposedly looked into this death--- Humber River Regional Hospital, Chief Coroners Office of Ontario, the Death Investigation Oversight Council, the Ontario Ombudsman's Office, the Ministry of Health, the Ministry of Community Safety and Corrections, the Health Professions Appeal and Review Board. A knowledgeable Law Firm would know the exact reasoning for a suit against the above publicly funded institutions But "Breach Of Trust" would not in the least bit be difficult to prove.
Message from beyond:
"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”
*********************************************************
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 College recommended to the surgeon that perhaps "he might consider the use of antibiotic prophylaxis in the future when converting to open surgery" HE MIGHT CONSIDER???????
The Chief Coroner's Office, the College of Physicians and Surgeons of Ontario, the Health Professions Appeal and Review Board, the Death Investigative Oversight Council, the Liberal government and Liberal Health Ministers and Premier Wynne apparently agree that it is perfectly within the accepted Standard of Care to:
--have open abdominal surgery without the mandatory antibiotic prophylaxis
--having not had the above, accepted that there was no need for antibiotics when the abdominal incision was oozing purulent liquid and was so infected that all staples were removed An example of something purulent is an open wound that's not healing properly.
--when test results showed "many gram negative bacilli", still it was quite acceptable to provide no antibiotics
A VERY DANGEROUS PRECEDENCE HAS BEEN SET BY ALL OF THE ABOVE AS THIS DECISION CAN NOW BE USED TO JUSTIFY SIMILAR COMPLAINTS. EVEN THOUGH, IT WAS AN OBVIOUSLY WRONG DECISION.
******************************************************
From: Arnold Kilby awkilby@hotmail.com> Sent: September 15, 2009 11:49 AM To: barbara collins Subject: Dear Ms Collins, I am still requesting a copy of ...
Dear Ms Collins,I am still requesting a copy of the internal investigation to my complaints which I ask for in a letter sent around Oct 22 of 2008. I would also suggest that you review your internal investigation as it would appear that it was not very thorough, even though I have not seen it. I presented a very strong case to the HPARB panel this week.
With respect, Arnold W Kilby
**********************************
Subject: FW: Terra Dawn Kilby's Death HRRH From: Arnold Kilby awkilby@hotmail.com
>Sent: July 5, 2010 12:14 PM
To: barbara collins; rdevlin@hrrh.on.ca; steve clark; a horwath; andre marin; bentley; central health integrated network; Christina Blizzard; Collette Gooden; d matthews; dmcguinty.mpp.co@liberal.ola.org; domonique Pierre; Elizabeth Witmer; rbartolucci.mpp@liberal.ola.org; Rick Bartolucci; Talia Talaga; Tim Hudak; Toronto Star; w 5; laz Klein
Dr Devlin & Ms Collins Just wondering whether you are following your lawyers advice not to communicate with me again? There is no lawsuit so I'm not sure why the lack of transparency on the hospital's part? I will be distributing Terra Dawn's flyers shortly after the fourth anniversary of Terra's death. Still waiting patiently for a response. I would still, after several attempts made to you, request a copy of your internal investigation which took place in the 2008 year. I believe I am entitled to this as it pertains to my complaints I submitted to you, and tried to address during the May 2008 interview with your five administrators who sat by deaf and muted. I am re-sending the previous e-mail as I did not receive a response.
Respectfully yours, Arnold W Kilby
From: Arnold Kilby awkilby@hotmail.com> Sent: June 26, 2013 10:02 PM To: barbara collins
If there is no cover-up then could I have a copy of the internal death review that was done after Terra's death, which I have asked for on numerous occasions. And how can a patient, regardless of it changing from laparoscopic to open, for removal of tumour and a colon resection be done with no antibiotic given at all, at any time --prior, during and after. I still remember that meeting when it was said that the hospital found no issues???? How in depth was this investigation? Certainly this aspect should be noted in the review as a concern. It is very difficult to believe that the hospital feels Dr. Klein acted in a knowledgeable, professional, ethical etc manner with respect to all aspects of Terra's care, prior, during and after her operation.
**********************************************************************
Twelve Attempts made with no response:
a letter sent around Oct 22 of 2008 September 15, 2009 11:49 AM
Sat 2015-12-12 6:28 PM June 26, 2013 10:02 PM
Sat 2016-01-02 9:03 PM Mon 2016-01-11 4:45 PM
Thu 2016-01-21 9:52 AM Fri 2016-02-05 3:15 PM
Wed 2016-02-10 11:14 PM February 11, 2016 6:25 PM
Feb 23, 2016 March 4, 2016
--- MS COLLINS AND MR DEVLIN IT IS NOW FEBRUARY 23, 2016. PERHAPS YOU THOUGHT OF CRYSTAL ROSE YESTERDAY, AS IT WAS HER BIRTHDAY. PERHAPS, I WILL GET A RESPONSE BEFORE TERRA'S BIRTHDAY, APRIL 22 --- WHICH IS EARTH DAY AND WE NAMED HER TERRA DAWN NOT KNOWING ABOUT EARTH DAY.
*****************************************************
Oh, and I forgot the Ombudsman's Office inquired and yes I know they did so not officially since they do not have the authority and the answer was HRH did one but will not reveal it to them.
Ms. Collins told me the following about your request for a copy of "the report":
- you are asking for a copy of their "internal investigation report"
- you were told that the hospital investigates all deaths in the hospital and that they do a complete review of each case
- she has been in communication with you since a week after your daughter died
- they have provided you with all of the information that they can provide to you - everybody has tried to be understanding but there is nothing more that she can give you
- you have the entire health record - you cannot have all of their internal documents as you are asking for private and confidential information
- there is NO REPORT, she emphasized, but only internal notes and documents
- you have appealed to the Privacy Commissioner to get all of the information from the hospital and the Privacy Commissioner is currently investigating
- the Privacy Commissioner will decide if you can get any further information This is the information that was provided to me.
The last two comments above are incorrect, what I went for dealt with the Chief Coroner's Office, not the hospital.
I appreciate your comments about our lack of jurisdiction over the hospital sector and, I think you know, our Ombudsman is working very hard to try to get his jurisdiction expanded to include the hospital sector as well as the other sectors which our province does not allow him to oversee. I share your optimism that this will be "coming sooner than later" but, sadly, it is not in place now. Unfortunately there is nothing further that I can do to assist you with this issue. I think it is good news that you have taken your concerns to the Privacy Commissioner and given that she is investigating your complaint at this time perhaps you will be satisfied when she has finished her review and can report back to you. I am going to close your complaint on this issue to our office as there is nothing further that I can do. Having said that you know that you can contact me again, directly, at any time, if there is anything you want to discuss.
Fran Cappe Investigator Office of the Ombudsman of Ontario
COO Ms B. COLLINS AND CEO, DR. DEVLIN OF HUMBER RIVER HOSPITAL IN TORONTO. bcollins@hrh.ca rdevlin@hrh.ca
It is now February 18, 2016 and still no response. This will prove to be beneficial in the future.
I, once again, am requesting a copy of HRRH's internal death investigation of Terra Dawn Kilby. I am the father; I deserve this report. We all know who the surgeon is so you can omit his name for privacy reasons. But the facts must become public, for the interest of patient safety, accountability and transparency!
I am still asking for a copy of the supposed internal death investigation done after Terra's death. I kind of suspect that you don't have one. Actually I know you didn't at the time but may have come up with one several years after the fact. I would like to see that one.
I'm sure your death investigation would have dealt with these concerns even though for two years you maintained Terra had received the mandatory antibiotic prophylaxis prior to surgery simply because you asked Dr. Klein and he said yes. Two years to finally look at the records to discover he lied! Remember, I have Dr. Phillip Hebert's questions that were answered by HRRH in the fall of 2008.
The following is the answer to the first question:
Dr Hebert's first question: a. Was antibiotic surgical prophylaxis done at the proper time before time of operation?
HRRH's Response: Dr. Klein has advised that Terra was given the appropriate pre- operative antibiotics.
Why didn't you look at the operation chart to see he attempted a colon resection without the mandatory antibiotic prophylaxis being administered? Then he lied and said he didn't know he had to do a colon resection until after he converted. The operational chart shows the opposite--- Look at the first Procedure. Why do you continue to cover up negligence when this surgeon is responsible for so many deaths? WHICH WAS A COMPLETE LIE TO YOU AND TO EVERYONE
It is so wrong to think this, but I am convinced in a hospital setting a surgeon/doctor could actually commit a murder and get away with it. They are getting away with negligence contributing to adverse events and deaths taking place in hospitals with no fear of being reprimanded or held accountable. The record of Terra’s surgeon remains spotless although there are more deaths associated with him, and there is no way for citizens to be aware of his past. This is the reality within Ontario. Humber River Hospital by concealing the truth contributes to the above.
HRH has never addressed any of the medical concerns I have sent to you via numerous e-mails in the past. All of which dealt with Terra's pre and post care!
If you recall, often you had mentioned that we could meet, and I had said that unless some measure of acknowledgement that Terra's care should have been better then there was no point in meeting. You never commented on this. Considering the numerous unquestionable issues this was not an unreasonable request. If you recall I met with five administrators in May of 2008 whereby not a single issue was address by Dr. Barkin. So really, how does one expect that a meeting with HRRH would be any different?
The first meeting assessment written by Terra's Aunt who attending this meeting:
HRRH’s Communication Efforts?
“The general attitude of senior staff at HRRH (we met five senior staff members, including Dr Jack Barkin, Chief of Staff, at our meeting of May 15, 2008) appears to be one of complete haplessness: as they have been cleared (by the College of Physicians/Surgeons) of not meeting standards in Terra’s post-operative care, they have expressed a lack of interest in further discussion and have given us the impression that they consider Terra’s death to be a fluke/bad luck/ “just one of those things” / a medical mishap for which there is no explanation and show absolutely no inclination to conduct their own inquiry.
Their truculence to say anything at all, indicates to us that any discussion initiated by them may be taken as an admission of culpability. Is it not incumbent upon hospitals, when these types of totally unexpected deaths occurs, to conduct an investigation, to shed some light on the situation (in Terra’s case, the cause of death was DIC) as some measure of solace to relatives, and also to educate other medical professionals and to advance the body of knowledge on the subject - in other words, perform a public service?
Our family expected HRRH would provide this kind of service to us - that they would tell us what happened/may/could have happened. On the contrary, we have had to conduct our own research, much of it via the internet, via journals, but it can be accessed only by subscribing and paying a fee.
This state of affairs should be unthinkable in our province. Our family knows the CAUSE of Terra’s death - what should be investigated are connections between the events of Terra’s hospital stay and their connections to the onset of DIC. This is the heart of the matter. Terra’s father, has done a meticulous job, researching medical records, organizing documents etc. while at the same coping with his overwhelming grief. He deserves credit for this.”
“It is common knowledge that on very rare occasions, a patient, even a young healthy patient dies after surgery. However, until every detail of the surgery/post-operative period in HRRH have been examined by specialists in the field, we are not prepared to accept the fact that Terra’s death has no explanation.”
Note: Terra's Colon Resection broke down and she bled to death. We had been told that she had DIC which the Chief Coroner later retracted.
**************************
As well, when the parents of another of Dr. Klein's patient (who died in Dec of 2012, Crystal Rose), requested a meeting with the hospital, HRRH agreed to meet. HRRH asked Mr & Mrs Rose to submit the questions/concerns they wanted addressed at the meeting. Then, upon receiving Mr Rose's questions/concerns, HRRH cancelled the meeting! But later in 2016 they met and nothing was resolved.
So, things have not really changed at all!!! REAL CLOSURE WILL NEVER COME ABOUT FOR US AS LONG THE TRUTH CONTINUES TO BE CONCEALED.
HOW RESPONSIBLE IS DR. LAZ KLEIN FOR TERRA'S DEATH AND THIS HOSPITAL FOR CONCEALING THE TRUTH? DR. KLEIN CAN ANSWER THIS.
Dr.John Hagen, Dr. Klein's partner in MIS surgery operating out of Humber River Regional Hospital, delivered this presentation during May 2010 in Montreal as part of a symposium on diabetes.
IN 2010, "With the help of the Coroner's Office, the program was shut down while an external review was done by a well-known expert." (according to this power point display which mentions 5 deaths within 30 days of operation of patients) My sources say it is higher.
From Dr. Hagen’s Power Point
From letter sent to the College by Dr. Klein which I had not previously seen.
July 13, 2011
Ms. Angela Bates Manager, Committee Support Area Investigations and Resolutions
College of Physicians and Surgeons of Ontario 80 College St. Toronto ON M5G2E2
RE: Ms. Terra Dawn Kilby - Your File #77429
Antibiotics
"The independent assessor is correct that Ms. Kilby did not receive preoperative antibiotics. I agree with the independent assessor's opinion in response to your subsequent letter that preoperative antibiotics would not have been a contributing factor to the anastomotic leak. Antibiotics are used to prevent or treat an infection. They have no preventative or beneficial effect for an anastomotic leak."
"Furthermore, it is not my practice to prescribe antibiotics for a planned laparoscopic surgery with possibility of conversion to an open procedure."
"As I have explained in my initial response, Ms. Kilby did develop a superficial wound infection postoperatively that was treated appropriately. I do not feel that the wound infection 'was in any way related to the outcome of this case."
L Klein
**********************************
Oh, my God!!!! Dr. Klein has not learned a thing from Terra's death and is obviously going to continue as he did!
One, antibiotic antibiotic prophylaxis is a standard of care and yes, Terra had an abdominal infection as noted by the nurses and the lab test results indicating the presence of ‘many gram negative bacilli’
Dr. Klein’s own words contradict himself
“Antibiotics are used to prevent or treat an infection”
“Ms. Kilby did develop a superficial wound infection postoperatively that was treated appropriately”
So superficial that all staples had to be removed???
But the College, HPARB, CORONER’S OFFICE fail to consider this and is distracted only with Terra’s anastomotic leak resulting in death.
This is detrimental to the safety of patients that are under his care!!!!!!
I have not seen this prior to receiving this from HPARB and Humber River Hospital refuse to comment on the concerns I point out regarding Dr. Klein's letter to the CPSO. I have included my comment within to address concernsDr. Klein’s letter to the College:
July 9, 2010
Ms. Sandra Keough Investigator
College of Physicians and Surgeons of Ontario
80 College St. Toronto ON M5G 2E2
Dear Ms. Keough:
Re: Dr. Lazar Klein
Your File No. 08-CRV-0097
“I understand that this matter has been referred by the Health Professions Appeal and Review Board ("HPARB") back to the Inquiries, Complaints and Reports Committee ("ICRC") for further consideration and the issuance of a new decision. I write to clarify my response to Mr. Kilby's initial complaint and to address the specific aspects of the HPARB decision.:
Committee's Findings
The Committee had found that:
“Ms Kilby's cause of death was determined to be intra-abdominal haemmorrhage with coagulopathy [i.e. DIC]. It is very odd that Ms Kilby had no signs of coagulopathy while in hospital, and that it affected her so suddenly and fatally. Overall, Ms Kilby's case is an extremely unusual one, and the Committee could find no information in the hospital chart or other medical records to predict the horrific outcome, nor any information to suggest that there were flaws in surgery performed by me or the care that I provided that directly or indirectly resulted in Ms Kilby's untimely death. It is an unfortunate fact that the delivery of appropriate and adequate medical care does not guarantee positive results, and that sometimes it is not possible to avoid a tragic outcome, particularly when an unpredictable clinical presentation occurs and when a patient's symptoms do not coincide with the underlying pathology.”
With respect to the postoperative care, the Committee found that:
“Dr Klein's account of the visits paid to Ms Kilby and attention to her wound are supported by information in the hospital chart, which contains my post-operative notes, documenting that Ms Kilby was seen daily. While the Committee cannot tell from the chart whether Ms Kilby's wound was assessed daily, the record does contain my diagnosis and treatment of a minor wound infection that developed post-operatively.”
AWKILBY’s Response: Take a good look at Dr. Klein’s notes, lacking thorough examination on various issues. Also, important to note, the College does not require the length of time to be noted, for obvious reasons. So, a ten second visit counts-----how on earth can one truly care for a patient in ten seconds, and the Wednesday prior to her release she was asleep when he was in the room? On one other occasion I waited in the TV room four doors down from Terra’s room, counted “ten steamboats” and then went to my daughter’s room. Dr. Klein was not only gone from the room but also the floor, as I had asked the nurse to locate him. She couldn’t find him.
Issues Raised by Mr. Kilby
The HPARB panel noted that the Committee did not specifically address in its Reasons certain concerns of Mr. Kilby related to his daughter's postoperative wound infection that he believed to be relevant to his complaint. In particular, Mr. Kilby:
• pointed to observations in the nursing notes regarding the odour and oozing from Ms. Kilby's wound, as well as abdominal distension;
• questioned whether Ms. Kilby should have been ordered antibiotics;
• queried whether her wound infection may have been related to DIC; and
• questioned whether a CAT scan would have been warranted in the circumstances.
As I stated in my initial response letter, Ms. Kilby did have a superficial wound infection postoperatively.
“Postoperative wound infections such as the one experienced by Ms. Kilby are common after bowel surgery. I treated Ms. Kilby's infection promptly by opening the wound and draining the fluid on the fourth postoperative day. As this was a superficial wound infection, antibiotics would not have been necessary. Further, there would have been no need to perform a CAT scan since Ms. Kilby did not have any signs of a systemic infection. As stated in my response letter, she had no fever, no tachycardia, no elevated white blood cell count and normal bowel function”.
AWKILBY’s Response: It was on Saturday, Day five after the surgery not Day 4 and the infection spread to the entire incision by Tuesday. Thus, her entire incision was now opened up. Since she was given no antibiotic prophylaxis, wouldn’t one think that for this incision infection, an antibiotic would be warranted? Also, what about the gram negative bacilli—left untreated. Gee, an enlarged abdomen doesn’t warrant a cat scan or further investigation? Also when the nurse asked about antibiotics Dr. Klein’s response was “The Body Will Heal Itself” --- Well just maybe, Terra’s body needed a little help.
(Pulse Rates >90) (tachycardia) Please go back and see Terra’s pulse rates. Again, I believe this is proof the Dr. Klein paid no attention to the nursing records.
34/38 of Terra’s recorded pulse rates were above 90 during her stay
Please refer back to comments made by the surgeons I contacted with regard to the incision.
Concerns of abdominal distension were not communicated to me at any time during my daily assessments of Ms. Kilby. As I stated in my response letter, Ms. Kilby continued to recover well after surgery, and the time of discharge she was feeling well and had no complaints. In any event, abdominal distension is not uncommon after abdominal surgery and in my view, would not have given any indication of DIC.
AWKILBY’s Response: Again, did Dr. Klein not look at the nursing records or talk to the nurses? See description of abdomen. As well, how on earth can a nurse communicate with Dr. Klein when his visits are timed in seconds. Who knows whether the nurse was present in the room while Dr. Klein was temporarily there or not.
As I stated in my initial response letter, Ms. Kilby did not show any signs that would have alerted to me to any cause for concern. Her death was extremely unusual and tragic.AWKILBY’s Response: So none of the following are a concern requiring further investigation????
Did Dr. Klein look at the nursing records and test results??
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
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
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.
AWKILBY’s Response: From my research
What Complications Can Occur with a Colon Resection?
These complications include:- Bleeding
- Infection
- A leak where the colon was connected back together.
- Injury to adjacent organs such as the small intestine, ureter, or bladder
- Blood clots in deep veins in your legs that may travel to your lungs.
When to Call Your Doctor
Be sure to call your physician or surgeon if you develop any of the following:- Persistent fever over 101 degrees F (39 C)
- Bleeding from the rectum
- Increasing abdominal swelling YES
- Pain that is not relieved by your medications YES
- Persistent nausea or vomiting YES
- Chills YES
- Persistent cough or shortness of breath YES
- Purulent drainage (pus) from any incision YES
- Redness surrounding any of your incisions that is worsening or getting bigger YES
Gee, why did Dr. Klein discharge her?
- You are unable to eat or drink liquids YES
Lazar Klein
************************************************
From July 11th after her operation up to July 20th lunch, Terra was on a liquid diet with no nutritional supplementation. A liquid diet should not go more than five days. As well, records show she was not tolerating current diet. Her dinner on the 20th and breakfast on the 21st were regular meals. So, this was the first time she ate regular food. She did not have a bowel movement prior to discharge at noon on the 21st.
Gee, one would probably think that the colon resection should have been tested to see if she could pass a solid bowel movement. But not this hospital. She was not seen by any doctor on the day of her discharge. The day prior to her discharge she was seen my Dr. Klein while she was sleeping???? So really, the last time Dr. Klein spoke to her was on two day prior on the 19th when I though my hissy fit about the infected incision. It took quite some time to locate him that day.
http://thepatientfactor.com/canadian-health-care-stories/the-unholy-alliance-between-organized-medicine-and-government-a-fathers-quest-for-truth-and-justice-in-public-health-care/
http://www.torontosun.com/2013/10/11/why-did-woman-die-after-routine-surgeryhttp://www.torontosun.com/2013/10/18/secret-medical-cautions
Should you wish to send your MPP your concerns the addresses of all Ontario MPPs as of August 2020 are listed below:
Legislative office
Room 263
Legislative Building, Queen's Park
Tel.: 416-326-7528
Fax: 416-326-7504
Constituency office
Unit 11
7895 Tranmere Dr.
Tel.: 905-696-0367
Fax: 9-696-7545
*************************************
Constituency office
803 St. Clair Ave. W
Tel.: 416-656-0943
Fax: 416-656-0875
Legislative office
Room 115
Main Legislative Building, Queen's Park
Tel.: 416-325-0071
Fax: 416-325-4728
*************************************
Legislative office
Room 159
Main Legislative Building, Queen's Park
Tel.: 416-325-1872
Fax: 416-325-1912
Constituency office
155 Clarke Rd.
Tel.: 519-668-1104
Fax: 519-668-1941
*************************************
Constituency office
2nd Floor
181 St. Andrew St. E
Tel.: 519-787-5247
Fax: 519-787-5249
Toll Free: 1-800-265-2366
Legislative office
Room 180
Main Legislative Building, Queen's Park
Tel.: 416-325-3880
Fax: 416-325-6649
*************************************
Legislative office
Room 203
North Wing, Main Legislative Building, Queen's Park
Tel.: 416-325-0168
Fax: 416-325-0088
Constituency office
The LaSalle Mews
Suite 2
303 Bagot St.
Tel.: 613-547-2385
Fax: 613-547-5001
*************************************
Legislative office
Room 444
Main Legislative Building, Queen's Park
Tel.: 416-326-7114
Fax: 416-326-7113
Constituency office
830 Sheppard Ave. W.
Tel.: 416-630-0080
Fax: 416-630-8828
*************************************
Legislative office
Room 265
Main Legislative Building, Queen's Park
Tel.: 416-326-7111
Fax: 416-326-7099
Constituency office
Suite 207
4002 Sheppard Ave. E
Tel.: 416-297-6568
Fax: 416-297-4962
*************************************
Ministry office
Ministry of Government and Consumer Services
5th Floor
777 Bay St.
Tel.: 416-212-2665
Constituency office
Suite 102
805 Christina St. N
Tel.: 519-337-0051
Fax: 519-337-3246
*************************************
TOBY BARRETT, HALDIMAND--NORFOLK
Constituency office
39 Norfolk St. N
Tel.: 519-428-0446
Fax: 519-428-0835
Ministry office
Ministry of Agriculture, Food and Rural Affairs
11th Floor
77 Grenville St.
Tel.: 416-325-8404
*************************************
Constituency office
Unit 5A
3110 Kingston Rd.
Tel.: 416-261-9525
Fax: 416-261-0381
Legislative office
Room 385
Legislative Building, Queen's Park
Tel.: 416-325-0908
Fax: 416-325-0685
*************************************
Legislative office
Room 372
Main Legislative Building, Queen's Park
Tel.: 416-325-1620
Fax: 416-325-1424
*************************************
Constituency office
1821 Danforth Ave.
Tel.: 416-690-1032
Fax: 416-690-8420
Legislative office
Room 241
North Wing, Main Legislative Building, Queen's Park
Tel.: 416-325-2881
Fax: 416-325-2780
*************************************
Constituency office
Suite 213
1550 Kingston Rd.
Tel.: 905-509-0336
Fax: 905-509-0334
Toll Free: 1-888-444-1730
Ministry office
Treasury Board Secretariat
Whitney Block
Room 4320
4th Floor
99 Wellesley St. W
Tel.: 416-327-2333
***********************************
GILLES BISSON, TIMMINS
Constituency office
Suite 202
60 Wilson Ave.
Tel.: 705-268-6400
Fax: 705-266-9125
Toll Free: 1-800-461-9878
Legislative office
Room 114
Main Legislative Building, Queen's Park
Tel.: 416-325-7122
Fax: 416-325-7181
*************************************
STEPHEN BLAIS, ORLEANS
Legislative office
Room 410/411
111 Wellesley St. W.
Constituency office
Unit 204
4473 Innes Rd.
Tel.: 613-834-8679
Fax: 613-834-7647
*************************************
Ministry office
Premier's Office
Whitney Block
Room 6522
99 Wellesley St. W
Tel.: 416-326-7092
Constituency office
Suite 101
96 Nelson St.
Tel.: 519-759-0361
Fax: 519-759-6439
*************************************
Constituency office
28 Circle St.
Tel.: 705-335-6400
Constituency office
Unit 6
631 Front St.
Tel.: 705-372-6400
Fax: 705-372-6440
Legislative office
Room 116
Main Legislative Building, Queen's Park
Tel.: 416-326-7351
Fax: 416-326-6972
*************************************
Constituency office
Unit 102
60 King St.
Tel.: 905-732-6884
Fax: 905-732-9782
Legislative office
Room 355
Main Legislative Building, Queen's Park
Tel.: 416-325-3990
Fax: 416-325-3415
*************************************
Legislative office
Minister Without Portfolio
Room 223
Main Legislative Building, Queen's Park
Tel.: 416-325-7754
Fax: 416-325-7755
Constituency office
Suite 400
37 Sandiford Dr.
Tel.: 905-642-2588
Fax: 905-642-1618
Toll Free: 1-866-531-9551
*************************************
Ministry office
Ministry of Finance
Frost Building South
7th Floor
7 Queen's Park Cres.
Tel.: 416-325-0400
Constituency office
111 Sheppard Ave. W
Tel.: 416-733-7878
Fax: 416-733-7709
*************************************
Ministry office
Ministry for Seniors and Accessibility
College Park
5th Floor
777 Bay St.
Tel.: 416-314-0797
Constituency office
Unit B
4559 Sheppard Ave. E
Tel.: 416-297-5040
Fax: 416-297-6767
*************************************
Ministry office
Ministry of Municipal Affairs and Housing
17th Floor
777 Bay St.
Tel.: 416-585-7000
Fax: 416-585-6470
Constituency office
Suite 101
100 Strowger Blvd.
Tel.: 613-342-9522
Fax: 613-342-2501
Toll Free: 1-800-267-4408
*************************************
Legislative office
Government Caucus Office
Room 251
Main Legislative Building, Queen's Park
Tel.: 416-325-1331
Fax: 416-325-1423
Constituency office
Suite 101
114 Dundas St. E
Tel.: 905-430-1141
Fax: 905-430-1840
*************************************
Constituency office
237 Montreal Rd.
Tel.: 613-744-4484
Fax: 613-744-0889
Legislative office
Rm. 412/413
111 Wellesley St. W.
Tel.: 416-325-0007
Fax: 416-325-0172
*************************************
MICHAEL COTEAU, DON VALLEY EAST
Legislative office
Room 416
Main Legislative Building, Queen's Park
Tel.: 416-325-4544
Fax: 416-325-4525
Constituency office
Suite L02
1200 Lawrence Ave. E
Tel.: 416-494-6856
Fax: 416-494-9937
*************************************
Ministry office
Ministry of Infrastructure
4th Floor
777 Bay St.
Tel.: 416-326-7591
Constituency office
Unit 1
74 Rebecca St.
Tel.: 905-827-5141
Fax: 905-827-3786
*************************************
Ministry office
Treasury Board Secretariat
Whitney Block
Room 5340
5th Floor
99 Wellesley St. W
Tel.: 416-326-7239
Constituency office
Unit 1 & 2
120 Lakeshore Rd. W
Tel.: 905-274-8228
Fax: 905-274-8552
*************************************
Constituency office
Unit 14
20 Bell Farm Rd.
Tel.: 705-726-5538
Fax: 705-726-2880
Ministry office
Ministry of the Attorney General
11th Floor
720 Bay St.
Tel.: 416-326-2220
Fax: 416-325-1219
Toll Free: 1-800-518-7901
*************************************
Ministry office
Ministry of Children, Community and Social Services/Associate Minister Responsible for Women's Issues
7th Floor
438 University Ave.
Tel.: 416-325-5225
Constituency office
14 Coldwater Rd. W
Tel.: 705-326-3246
Fax: 705-326-9579
Toll Free: 1-800-304-7341
Constituency office
TD Canada Trust Bank Plaza
Unit 6
295 King St.
Tel.: 705-526-8671
Fax: 705-526-8600
*************************************
Ministry office
Ministry of Health
5th Floor
777 Bay St.
Tel.: 416-327-4300
Fax: 416-326-1571
Constituency office
Unit 22
16635 Yonge St.
Tel.: 905-853-9889
Fax: 905-853-6115
Toll Free: 1-800-211-1881
*************************************
Ministry office
Ministry of Economic Development, Job Creation and Trade
18th Floor
777 Bay St.
Tel.: 416-326-8475
Constituency office
219 Main St. E
Tel.: 705-474-8340
Fax: 705-474-9747
*************************************
Legislative office
Deputy House Leader
Main Legislative Building
Room 223
111 Wellesley St. W
Tel.: 416-325-7754
Fax: 416-325-7755
Ministry office
Ministry of Children, Community and Social Services (Children and Autism)
7th Floor
438 University Ave.
Tel.: 416-325-5225
Fax: 416-325-5240
Ministry office
Mailing address: Ministry of Children, Community and Social Services
Hepburn Block
6th Floor
80 Grosvenor St.
Constituency office
Unit 4
4281 King St. E
Tel.: 519-650-9413
Fax: 519-650-7006
*************************************
Legislative office
Room 154
Main Legislative Building, Queen's Park
Tel.: 416-325-6913
Fax: 416-325-6942
Constituency office
Suite 220
100 Regina St. S
Tel.: 519-725-3477
Fax: 519-725-3667
*************************************
DOUG FORD, ETOBICOKE NORTH
Constituency office
823 Albion Rd.
Tel.: 416-745-2859
Fax: 416-745-4601
Legislative office
Premier's Office
Room 281
Legislative Building, Queen's Park
Tel.: 416-325-1941
Fax: 416-325-3745
Ministry office
Ministry of Intergovernmental Affairs
Queen's Park
Tel.: 416-325-1941
*************************************
JOHN FRASER, OTTAWA SOUTH
Legislative office
Room 448
Main Legislative Building, Queen's Park
Tel.: 416-325-4670
Fax: 416-325-4671
Constituency office
1828 Bank St.
Tel.: 613-736-9573
Fax: 613-736-7374
*************************************
Legislative office
Room 185
Main Legislative Building, Queen's Park
Tel.: 416-325-0117
Fax: 416-325-0084
Constituency office
Unit 2
78 Centre St. N
Tel.: 905-723-2411
Fax: 905-723-1054
*************************************
MERRILEE FULLERTON, KANATA--CARLETON
Ministry office
Ministry of Long-Term Care
6th Floor
400 University Ave.
Constituency office
Suite 100
240 Michael Cowpland Dr.
Tel.: 613-599-3000
Fax: 613-599-8183
Toll Free: 1-800-267-1020
*************************************
Legislative office
Room 169
Main Legislative Building, Queen's Park
Tel.: 416-212-6102
Fax: 416-212-6106
Constituency office
Unit 1
6746 Morrison St.
Tel.: 905-357-0681
Fax: 905-357-9456
Constituency office
Douglas Heights Seniors Centre
265 High St.
Tel.: 905-871-8868
Fax: 905-871-4717
*************************************
Legislative office
Room 186
Main Legislative Building, Queen's Park
Tel.: 416-325-9203
Fax: 416-325-9185
Constituency office
Hanmer Valley Shopping Plaza
Suite 15
5085 Hwy. 69 N
Tel.: 705-969-3621
Fax: 705-969-3538
*************************************
Constituency office
Unit 30
6179 Perth St.
Tel.: 613-838-4425
Fax: 613-838-6045
Legislative office
Room 212
Main Legislative Building, Queen's Park
Tel.: 416-325-4890
*************************************
Ministry office
Ministry of Municipal Affairs and Housing
Suite 2302
23rd Floor
777 Bay St.
Tel.: 416-585-7000
Constituency office
Unit 206
400 Main St. E
Tel.: 905-878-1729
Fax: 905-878-5144
*************************************
Tel.: 416-603-9664
Fax: 416-603-1214
Legislative office
Room 343
Main Legislative Building, Queen's Park
Tel.: 416-326-7196
Fax: 416-326-7172
*************************************
MICHAEL GRAVELLE, THUNDER BAY--SUPERIOR NORTH
Legislative office
Room 421
Main Legislative Building, Queen's Park
Tel.: 416-325-4757
Fax: 416-325-4752
Constituency office
179 Algoma St. S
Tel.: 807-345-3647
Fax: 807-345-2922
*************************************
Legislative office
Room 172
Main Legislative Building, Queen's Park
Tel.: 416-325-0235
Fax: 416-325-0873
Constituency office
2443 Dougall Ave.
Tel.: 519-977-7191
Fax: 519-977-7029
*************************************
Constituency office
2nd Floor
12 Perry St.
Tel.: 519-537-5222
Fax: 519-537-3577
Toll Free: 1-800-265-4046
Ministry office
Ministry of Agriculture, Food and Rural Affairs
11th Floor
77 Grenville St.
Tel.: 416-326-3074
*************************************
Legislative office
Room 328
Main Legislative Building, Queen's Park
Tel.: 416-326-7648
Fax: 416-326-7639
Constituency office
109 Catherine St.
Tel.: 613-722-6414
Fax: 613-722-6703
*************************************
Ministry office
Ministry of Natural Resources and Forestry
Whitney Block
Room 6601
6th Floor
99 Wellesley St. W
Constituency office
Unit 3 & 4
63 Arthur St. S
Tel.: 519-669-2090
Fax: 519-669-0476
*************************************
Legislative office
Room 325
Main Legislative Building, Queen's Park
Tel.: 416-326-6961
Fax: 416-326-6957
Constituency office
1965 Weston Rd.
Tel.: 416-243-7984
Fax: 416-243-0327
*************************************
Legislative office
Room 363
Main Legislative Building, Queen's Park
Tel.: 416-325-6773
Fax: 416-325-6795
Constituency office
Unit 1
5452 Tecumseh Rd. E
Tel.: 519-251-5199
Fax: 519-251-5299
*************************************
RANDY HILLIER, LANARK--FRONTENAC--KINGSTON
Legislative office
Whitney Block
Room 1304
99 Wellesley St. W
Tel.: 416-325-2244
Constituency office
Unit 1
105 Dufferin St.
Tel.: 613-267-8239
Fax: 613-267-7398
*************************************
Constituency office
Unit 21
195 Norseman St.
Tel.: 416-259-2249
Ministry office
Solicitor General
George Drew Building
18th Floor
25 Grosvenor St.
Tel.: 437-288-7903
*************************************
Legislative office
Room 381
Main Legislative Building, Queen's Park
Tel.: 416-325-7116
Fax: 416-325-8222
Constituency office
Suite 200
20 Hughson St. S
Tel.: 905-544-9644
Fax: 905-544-5152
*************************************
MITZIE HUNTER, SCARBOROUGH--GUILDWOOD
Constituency office
Unit B1
3785 Kingston Rd.
Tel.: 416-281-2787
Fax: 416-281-2360
Legislative office
Room 447
Main Legislative Building, Queen's Park
Tel.: 416-325-4800
Fax: 416-325-4785
*************************************
Ministry office
Solicitor General
George Drew Building
18th Floor
25 Grosvenor St.
Tel.: 416-325-0408
Fax: 416-326-0498
Constituency office
Suite A
3rd Floor
180 Broadway Ave.
Tel.: 519-941-7751
Fax: 519-941-3246
*************************************
Legislative office
Room 441
Main Legislative Building, Queen's Park
Tel.: 416-325-4850
Fax: 416-325-4884
Constituency office
Unit 5
450 Alden Rd.
Tel.: 905-305-1935
Fax: 905-305-1938
*************************************
Legislative office
Whitney Block
Room 1308B
99 Wellesley St. W
Constituency office
Suite 101
498 Eagle St. N
Tel.: 519-650-2770
Fax: 519-650-3918
*************************************
Legislative office
Room 204
North Wing, Main Legislative Building, Queen's Park
Tel.: 416-325-3017
Fax: 416-325-2937
Constituency office
2849 Dundas St. W
Tel.: 416-763-5630
Fax: 416-763-5640
*************************************
Ministry office
Mailing address: Ministry of Heritage, Sport, Tourism and Culture Industries (Culture and Sport)
6th Floor
438 University Ave.
Constituency office
Suite 103
2175 Sheppard Ave. E
Tel.: 416-494-8778
Fax: 416-494-0110
Ministry office
Ministry of Heritage, Sport, Tourism and Culture Industries (Culture and Sport)
1st Floor
400 University Ave.
Tel.: 416-325-6009
*************************************
Legislative office
Room 362
Main Legislative Building, Queen's Park
Tel.: 416-326-7568
Fax: 416-326-7580
Constituency office
Unit 105
400 York St.
Tel.: 519-432-7339
Fax: 519-432-0613
*************************************
Constituency office
Unit 1
237 Mapleview Dr. E
Tel.: 705-722-0575
Fax: 705-722-8835
Ministry office
Ministry of the Environment, Conservation and Parks
5th Floor
777 Bay St.
Tel.: 416-314-6790
*************************************
Legislative office
Room 269
Legislative Building, Queen's Park
Tel.: 416-326-7005
Fax: 416-326-6999
Constituency office
8 Dundas St. W
Tel.: 613-308-9625
Fax: 613-308-9685
Constituency office
26A St. Lawrence St. W
P.O. Box 70
Tel.: 343-600-3310
Fax: 343-600-3329
Toll Free: 855-229-6676
*************************************
Legislative office
Room 429
Main Legislative Building, Queen's Park
Tel.: 416-326-7102
Constituency office
Unit 708
10 Kingsbridge Garden Circle
Tel.: 905-890-1901
*************************************
Ministry office
Ministry of Education
5th Floor
438 University Ave.
Tel.: 416-325-2600
Constituency office
Unit 1
2220 King Rd.
Tel.: 647-560-9700
Fax: 647-560-9701
*************************************
Constituency office
Suite 212
25 Frederick St.
Tel.: 519-579-5460
Fax: 519-579-2121
Legislative office
Room 170
Main Legislative Building, Queen's Park
Tel.: 416-326-7221
Fax: 416-326-7217
*************************************
LISA MACLEOD, NEPEAN
Ministry office
Ministry of Heritage, Sport, Tourism and Culture Industries
6th Floor
438 University Ave.
Tel.: 416-314-1400
Ministry office
Mailing address: Ministry of Heritage, Sport, Tourism and Culture Industries
Hearst Block
9th Floor
Constituency office
Unit 222/3
250B Greenbank Rd.
Tel.: 613-823-2116
Fax: 613-823-8284
*************************************
Legislative office
Room N201
Legislative Building, Queen's Park
Tel.: 416-326-7692
Fax: 416-326-7690
Constituency office
Unit 104
73 King St.
P.O. Box 176
Tel.: 807-737-2210
Fax: 807-737-1592
Toll Free: 1-888-444-1723
*************************************
Legislative office
Room 160
Main Legislative Building, Queen's Park
Tel.: 416-325-1938
Fax: 416-325-1976
Constituency office
14 George Walk
Tel.: 705-461-9710
Fax: 705-461-9720
Toll Free: 1-800-831-1899
*************************************
Ministry office
Ministry of Health
5th Floor
777 Bay St.
Tel.: 416-327-4300
Constituency office
2882 Dufferin St.
Tel.: 416-781-2395
Fax: 416-781-4116
*************************************
Ministry office
Ministry of Francophone Affairs
15th Floor
56 Wellesley St. W
Tel.: 416-325-4947
Constituency office
Centre Street Square
Unit 4
1136 Centre St.
Tel.: 905-731-8462
Fax: 905-731-2984
*************************************
Constituency office
Time Square
120 Second St. W
Tel.: 613-933-6513
Fax: 613-933-6449
Ministry office
Ministry of Municipal Affairs and Housing
Suite 2302
23rd Floor
777 Bay St.
Tel.: 416-585-7000
*************************************
Ministry office
Ministry of Labour, Training and Skills Development
14th Floor
400 University Ave.
Tel.: 416-325-4910
Constituency office
Unit 104
472 Brock Ave.
Tel.: 905-639-7924
Fax: 905-639-3284
************************************
MONTE MCNAUGHTON, LAMBTON--KENT--MIDDLESEX
360 James St.
Tel.: 519-627-1015
Fax: 519-627-7174
Ministry office
Ministry of Labour, Training and Skills Development
14th Floor
400 University Ave.
Tel.: 416-326-7600
Constituency office
81 Front St. W
Tel.: 519-245-8696
Fax: 519-245-8697
*************************************
Constituency office
289 Queenston Rd.
Tel.: 905-545-0114
Fax: 905-545-9024
Legislative office
Room 357
Main Legislative Building, Queen's Park
Tel.: 416-325-0707
Fax: 416-325-0853
*************************************
Ministry office
Ministry of Intergovernmental Affairs
Frost Building South
6th Floor
7 Queen's Park Cres.
Tel.: 416-325-1012
Constituency office
Unit 1
165 Manitoba St.
Tel.: 705-645-8538
Fax: 705-645-8148
Toll Free: 1-888-267-4826
Constituency office
26 James St.
Tel.: 705-746-4266
Fax: 705-746-1578
Toll Free: 1-888-701-1176
*************************************
Constituency office
2063 Lawrence Ave. E
Tel.: 416-615-2183
Fax: 416-615-2011
Legislative office
Room 427
Main Legislative Building, Queen's Park
Tel.: 416-326-7374
Fax: 416-326-7377
*************************************
Legislative office
Room 207
North Wing, Main Legislative Building, Queen's Park
Tel.: 416-325-9820
Fax: 416-325-9800
Constituency office
Suite 105
105 Main St. E
P.O. Box 1886
Tel.: 807-597-2629
Fax: 807-597-2402
Constituency office
409 George St.
Tel.: 807-622-1920
Fax: 807-622-3263
Toll Free: 1-833-673-4129
*************************************
Legislative office
Room 344
Main Legislative Building, Queen's Park
Tel.: 416-326-7171
Constituency office
329 Parliament St.
Tel.: 416-972-7683
Fax: 416-972-7686
*************************************
Ministry office
Ministry of Francophone Affairs
25th Floor
700 Bay St
Ministry office
Ministry of Transportation
5th Floor
777 Bay St.
Tel.: 416-327-9200
Constituency office
Unit 8
45 Grist Mill Rd.
Tel.: 905-895-1555
Fax: 905-895-0337
*************************************
Legislative office
Room 369
Legislative Building, Queen's Park
Tel.: 416-325-0714
Fax: 416-325-0980
Constituency office
316 Talbot St. N
Tel.: 519-776-6420
Fax: 519-776-6980
Toll Free: 1-800-265-3909
*************************************
Constituency office
Unit B
115 Erie St. N
Tel.: 519-326-3367
Fax: 519-326-0404
Constituency office
Suite 100
111 Heritage Rd.
Tel.: 519-351-0510
Fax: 519-351-7714
Toll Free: 1-800-265-3992
Legislative office
Room 440
Main Legislative Building, Queen's Park
Tel.: 416-325-9099
Fax: 416-325-9000
*************************************
Ministry office
Ministry of Education
5th Floor
438 University Ave.
Tel.: 416-326-1697
Constituency office
Unit M1
4961 King St. E
Tel.: 905-563-1755
Fax: 905-563-1317
*************************************
Constituency office
Unit 602
3601 Hwy. 7 E
Tel.: 905-474-3288
Fax: 905-474-2878
Ministry office
Mailing address: Ministry of Heritage, Sport, Tourism and Culture Industries (Tourism)
6th Floor
438 University Ave.
Ministry office
Ministry of Heritage, Sport, Tourism and Culture Industries (Tourism)
1st Floor
400 University Ave.
Tel.: 416-325-6009
*************************************
Ministry office
Ministry of the Attorney General
11th Floor
720 Bay St.
Tel.: 416 326-2220
Constituency office
23 King St. W
Tel.: 905-697-1501
Fax: 905-697-1506
*************************************
MICHAEL PARSA, AURORA--OAK RIDGES--RICHMOND HILL
Ministry office
Treasury Board Secretariat
Whitney Block
Room 5340
5th Floor
99 Wellesley St. W
Constituency office
Suite 201
13085 Yonge St.
Tel.: 905-773-6250
Fax: 905-773-8158
Toll Free: 888-486-5352
*************************************
Ministry office
Ministry of Agriculture, Food and Rural Affairs
11th Floor
77 Grenville St.
Tel.: 416-326-3073
Constituency office
Unit 2
55 Lorne Ave. E
Tel.: 519-272-0660
Fax: 519-272-1064
*************************************
Ministry office
Ministry of Finance
Frost Building South
7th Floor
7 Queen's Park Cres.
Constituency office
Suite 209
1 Rossland Rd. W
Tel.: 905-427-2060
Fax: 905-427-6976
*************************************
Ministry office
Ministry of Colleges and Universities
5th Floor
438 University Ave.
Tel.: 416-326-1600
Ministry office
Mailing Address: Ministry of Colleges and Universities
14th Floor
315 Front St. W
Constituency office
117 Peter St.
Tel.: 905-372-4000
Fax: 905-885-0050
*************************************
Constituency office
Unit 38
2300 Finch Ave. W
Tel.: 416-743-7272
Fax: 416-743-3292
Legislative office
Room 330
Main Legislative Building, Queen's Park
Tel.: 416-326-7585
Fax: 416-326-7634
*************************************
Legislative office
Room 271
Legislative Building, Queen's Park
Tel.: 416-326-7028
Fax: 416-326-7085
Constituency office
Unit 315
1420 Burnhamthorpe Rd. E
Tel.: 905-238-1751
Fax: 905-238-4918
*************************************
Ministry office
Ministry of Energy, Northern Development and Mines
Whitney Block
Room 5630
5th Floor
99 Wellesley St. W
Tel.: 416-327-0633
Fax: 416-327-0665
Constituency office
300 McClellan Ave. East Room
Tel.: 807-467-2415
Fax: 807-467-2641
Toll Free: 1-800-465-8501
Constituency office
Unit 1
279 Scott St.
Tel.: 807-274-7619
Fax: 807-274-3721
Constituency office
Unit 2
439 Government St.
Tel.: 807-223-6456
Fax: 807-223-6593
Toll Free: 1-800-465-8501
Ministry office
Ministry of Indigenous Affairs
Suite 400
160 Bloor St. E
Tel.: 416-327-4464
*************************************
Ministry office
Ministry of Children, Community and Social Services
7th Floor
438 University Ave.
Tel.: 647-309-4348
Constituency office
Unit 500
1580 Merivale Rd.
Tel.: 613-721-8075
Fax: 613-721-5756
*************************************
Ministry office
Ministry of Colleges and Universities
5th Floor
438 University Ave.
Tel.: 416 326-1600
Constituency office
Suite 102
390 Bay St.
Tel.: 705-949-6959
Fax: 705-946-6269
*************************************
Constituency office
Unit 40
4181 Sladeview Cres
Tel.: 905-820-8851
Fax: 905-820-4307
Ministry office
Ministry of Heritage, Sport, Tourism and Culture Industries
1st Floor
400 University Ave.
Tel.: 416-326-7253
Fax: 416-326-7244
*************************************
Legislative office
Room 261
Legislative Building, Queen's Park
Tel.: 416-326-6903
Fax: 416-326-6899
Constituency office
Unit 309
10 Gillingham Dr.
Tel.: 905-595-1532
Fax: 905-457-8496
*************************************
Ministry office
Ministry of Economic Development, Job Creation and Trade
7th Floor
56 Wellesley St. W
Constituency office
Unit 412A
7700 Hurontario St.
Tel.: 905-796-8669
Fax: 905-796-8069
*************************************
Constituency office
Unit 106
240 Commissioners Rd. W
Tel.: 519-657-3120
Fax: 519-657-0368
Legislative office
Room 359
Main Legislative Building, Queen's Park
Tel.: 416-325-6908
Fax: 416-325-7030
*************************************
Legislative office
Room 451
Main Legislative Building, Queen's Park
Tel.: 416-325-4664
Fax: 416-325-4666
Constituency office
173 Woolwich St.
Tel.: 519-836-4190
Fax: 519-836-4191
*************************************
Ministry office
Ministry of Infrastructure
5th Floor
777 Bay St.
Tel.: 416-327-4412
Constituency office
14 Lindsay St. N
Toll Free: 1-800-424-2490
*************************************
Legislative office
Room 202
North Wing, Main Legislative Building, Queen's Park
Tel.: 416-326-6890
Fax: 416-326-6885
Constituency office
177 King St. W
Tel.: 905-628-2755
Fax: 905-628-1280
*************************************
AMANDA SIMARD, GLENGARRY--PRESCOTT--RUSSELL
Room 425
Main Legislative Building, Queen's Park
Tel.: 416-325-6206
Fax: 416-325-6182
Constituency office
290A McGill St.
Tel.: 613-632-2706
Fax: 613-632-1554
Toll Free: 1-800-294-8250
*************************************
Constituency office
Unit 307
1 Gateway Blvd.
Tel.: 905-799-3939
Fax: 905-799-9505
Legislative office
Room 156
Main Legislative Building, Queen's Park
Tel.: 416-326-7178
Fax: 416-326-7166
*************************************
Legislative office
Room 331
Main Legislative Building, Queen's Park
Tel.: 416-326-7610
Fax: 416-326-7615
Constituency office
Lakeridge Plaza
Unit 12
456 Vodden St. E
Tel.: 905-454-1233
Fax: 905-454-8292
*************************************
Ministry office
Ministry of Economic Development, Job Creation and Trade
17th Floor
777 Bay St.
Constituency office
Suite 104
2000 Garth St.
Tel.: 905-679-3770
Fax: 905-679-0288
*************************************
Constituency office
Unit 4
1123 Water St.
Tel.: 705-742-3777
Fax: 705-742-1822
Ministry office
Ministry of Energy, Northern Development and Mines (Northern Development and Mines)
Whitney Block
Room 5501
5th Floor
99 Wellesley St. W
Tel.: 416-326-7406
Ministry office
Ministry of Indigenous Affairs
Tel.: 416-326-7406
*************************************
TODD SMITH, BAY OF QUINTE
Constituency office
Unit D
5503 Hwy. 62 S
P.O. Box 6-2
Tel.: 613-962-1144
Fax: 613-969-6381
Ministry office
Ministry of Children, Community and Social Services
7th Floor
438 University Ave.
Tel.: 416-212-7432
Fax: 416-212-7431
Ministry office
Mailing address: Ministry of Children, Community and Social Services
Hepburn Block
6th Floor
80 Grosvenor St.
*************************************
JENNIFER STEVENS, ST. CATHARINES
Constituency office
Unit B
209 Carlton St.
Tel.: 905-935-0018
Fax: 905-935-0191
Legislative office
Room 387
Legislative Building, Queen's Park
Tel.: 416-326-7127
Fax: 416-326-7126
*************************************
Legislative office
Room 157
Main Legislative Building, Queen's Park
Tel.: 416-326-7202
Fax: 416-326-7200
Constituency office
1199 Bloor St. W
Tel.: 416-535-3158
Fax: 416-535-6587
*************************************
Ministry office
Ministry of Transportation
5th Floor
777 Bay St.
Tel.: 416-327-9200
Fax: 416-327-9188
Constituency office
Lloydmanor Shopping Centre
Unit 102
201 Lloyd Manor Rd.
Tel.: 416-234-2800
Fax: 416-234-2276
*************************************
Legislative office
Room 165
Main Legislative Building, Queen's Park
Tel.: 416-325-3250
Fax: 416-325-3252
Constituency office
923 Danforth Ave.
Tel.: 416-461-0223
Fax: 416-461-9542
*************************************
Constituency office
Unit 110
154 Queen St. S
Tel.: 905-569-1643
Fax: 905-569-6416
Ministry office
Ministry of Economic Development, Job Creation and Trade
7th Floor
56 Wellesley St. W
Tel.: 416-326-8475
*************************************
Legislative office
Room 371
Main Legislative Building, Queen's Park
Tel.: 416-325-1796
Fax: 416-325-1863
Constituency office
Unit 202
555 Concession St.
Tel.: 905-388-9734
Fax: 905-388-7862
*************************************
Constituency office
Unit 105
8130 Sheppard Ave. E
Tel.: 416-283-8448
Fax: 416-283-1597
Ministry office
Ministry of Transportation
5th Floor
777 Bay St.
Tel.: 416-327-9200
*************************************
Constituency office
408 Queen St.
P.O. Box 426
Tel.: 519-523-4251
Fax: 226-523-9296
Ministry office
Ministry of Government and Consumer Services
5th Floor
777 Bay St.
Tel.: 416-212-2665
Constituency office
Unit 2
807 Queen St.
Tel.: 519-396-3007
Fax: 519-396-3011
Toll Free: 1-866-396-3007
*************************************
MICHAEL TIBOLLO, VAUGHN--WOODBRIDGE
Constituency office
Unit 3
5100 Rutherford Rd.
Tel.: 905-893-4428
Fax: 905-893-4537
Ministry office
Ministry of Health
Whitney Block
Room 1618
99 Wellesley St. W
*************************************
Ministry office
Ministry of Long-Term Care
6th Floor
400 University Ave.
Tel.: 416-325-6200
Constituency office
Unit 570
2525 Old Bronte Rd.
Tel.: 905-825-2455
Fax: 905-825-0663
*************************************
Legislative office
Room 348
Main Legislative Building, Queen's Park
Tel.: 416-325-2000
Fax: 416-325-1999
Constituency office
2nd Floor
193 King St.
Tel.: 705-753-0200
Fax: 705-753-0800
Constituency office
Pinewoods Centre
Unit 5
247 Whitewood Ave.
P.O. Box 398
Tel.: 705-647-5995
Fax: 705-647-1976
Constituency office
63B Government Rd. W
Tel.: 705-567-4650
Fax: 705-567-4208
*************************************
Ministry office
Ministry for Seniors and Accessibility
College Park
5th Floor
777 Bay St.
Tel.: 416-314-0797
Constituency office
Suite 409
9555 Yonge St.
Tel.: 905-884-8080
Fax: 905-884-1040
*************************************
Ministry office
10th Floor
77 Grenville St.
Tel.: 416-325-6242
Constituency office
Suite 100
920 1st Ave. W
Tel.: 519-371-2421
Fax: 519-371-0953
Toll Free: 1-800-461-2664
*************************************
Legislative office
Room 347
Main Legislative Building, Queen's Park
Tel.: 416-326-7144
Fax: 416-326-7280
Constituency office
Unit 4B
555 Barrydowne Rd.
Tel.: 705-675-1914
Fax: 705-675-1456
*************************************
JIM WILSON, SIMCOE--GREY
Constituency office
50 Hume St.
Tel.: 705-446-1090
Fax: 705-446-3397
Constituency office
Suite 28
180 Parsons Rd.
Tel.: 705-435-4087
Fax: 705-435-1051
Legislative office
Whitney Block
Room 1306
99 Wellesley St. W
Tel.: 416-325-2069
Fax: 416-325-2079
*************************************
KATHLEEN WYNNE, DON VALLEY WEST
Legislative office
Room 420
Main Legislative Building, Queen's Park
Tel.: 416-325-4705
Fax: 416-325-4726
Constituency office
Suite 101
795 Eglinton Ave. E
Tel.: 416-425-6777
Fax: 416-425-0350
*************************************
Ministry office
Ministry of Natural Resources and Forestry
Whitney Block
Suite 6630
6th Floor
99 Wellesley St. W
Tel.: 416-314-2301
Constituency office
The Victoria Center
Unit 6
84 Isabella St.
Tel.: 613-735-6627
Fax: 613-735-6692
*************************************
Legislative office
Room 206
North Wing, Main Legislative Building, Queen's Park
Tel.: 416-326-6727
Fax: 416-326-6726
Constituency office
Unit 7
10215 Kennedy Rd. N
Tel.: 905-495-8030
Fax: 905-495-1041
*************************************
Constituency office
Suite 201
750 Talbot St.
Tel.: 519-631-0666
Fax: 519-631-9478
Toll Free: 1-800-265-7638
Ministry office
Ministry of the Environment, Conservation and Parks
5th Floor
777 Bay St.
Tel.: 416-314-6790
*************************************
No comments:
Post a Comment