Friday, April 29, 2016

Eye surgery on papilloma tumour

9:45 a.m. We went into the city to have eye surgery by the same physician who worked on hubby's ingrown eyelash follicle. It was a 93-km trip to visit the surgeon.

This is a doctor who specializes in eye surgery in Ottawa. It is a luxurious office, with amazing decor.


Arrived 11:07 a.m. for an 11:30 appointment.
Booties to put on, forms to fill.
Did the paperwork.

He'd been fasting eight hours, which isn't so much the problem as having to miss morning coffee!
They have dippy videos running. This time it was Oprah narrating the sex life of clown fish, Gobi fish, and some other wee fish I do not recall. I managed to read a small book: Harriet Quimby. It's a busy spot, with quite a few patients coming and going. He's doing quite well for himself!
There are two waiting rooms on the outside, another two within the doors.



They escorted JB to the inner room around noon. An eyelid papilloma is any lesion on the eyelid that is papillomatous, that is, of smooth, rounded, or pedunculated elevation.
This small tumour is a result of Papilloma virus.
Usually a benign tumour,
 they sent it off for biopsy.



12:34 p.m. JB came out, he told me he was still in room waiting... He suggested I go have some lunch. I was feeling a bit queasy and thought I'd skip lunch for now. Back to my book. Patients and escorts came and went. There must have been about 10 patients during my time there. Some were there for follow-ups, others for surgery. Since a sedative is involved, one cannot drive oneself home!

day 1
1:38 p.m. He was finally out of surgery. I saw him move from the surgical room to the recovery room. They gave him juice and a warmed muffin. They sit in recovery for 20 minutes to ensure that all was well.

2:00 p.m.  We were out to the car. Recovery instructions and an antibiotic salve prescription.

3:35 p.m.  We arrived home. I threw him out of the car and went into town to have his prescription filled, and find myself some lunch. I should have stopped for some water and a pit stop. Duh.
Prescription filled, I fetched some wine and a roast chicken for my lunch, back to the drug store for the Rx. He had reheated himself some leftover chili and made himself a coffee. Still somewhat relaxed and sedated.

 5:14 p.m. I finally arrived home. There were a couple of scares on Ontario's highways and biways. Sheesh, it is unnerving!

UPDATE: Day 3

shiny with the antibiotic creme


Tuesday, March 29, 2016

A Bereaved Caregiver’s Path Through the Palliative Care Journey and Beyond

FREE Educational Online Event: 

Reinventing a Life After Loss: A Bereaved Caregiver’s Path Through the Palliative Care Journey and Beyond

Click here to register!
LEARNING objectives: 
  • Increased understanding of the caregiver’s experience,  including initial and longer term bereavement issues 
  • Observe the seeds of change at each stage of the journey
  • Explore the three stages of reclaiming oneself, reinventing a life, and re-enchanting that life
Presenter Biography: Sherrill Miller will share her experience of being the primary care giver for her husband, renowned photographer and author, Courtney Milne. Together they navigated the nuances of advanced multiple myeloma and the palliative care journey.  Sherrill will talk about how she called upon her creative skills to reinvent a life after caregiving that continues to weave the past and present into a new tapestry, creating a life full of texture, grace, and enchantment.  The presentation will be illustrated with Courtney’s mystical images of sacred places around the world.
Date: Wednesday, April 6, 2016
Time: 1:30 - 2:30 PM EDT (OTTAWA time)
Where: Accessed online via phone and web
Price: FREE


This webinar will be archived on the CHPCA website approximately one week after the event takes place.

Friday, March 25, 2016

Inspections in long-term care

Yes, it's important to have inspections.


Here is the latest...from The Soo

Snap inspections reveal issues at long-term care facilities


The province ramped up inspections in 2013, doubling the inspection staff and promising every long term care home in Ontario will receive a comprehensive inspection annually.  With 49 residents in care, a Complaint Inspection conducted in December found the facility was chronically understaffed, says a report posted by the ministry.
The inspection found at times only three Personal Support Workers (PSWs) were on staff over the evening shift, one of which was on modified duties and unable to lift — leaving two PSWs to transfer, toilet and put all residents to bed.


Sunday, March 20, 2016

Beware travel health insurance

Buy travel health insurance, end up with less coverage: A Canadian couple's hard lesson

If you buy travel insurance, be aware of the 'first payer' clause

They looked at buying travel insurance through their group health insurance provider at home, Pacific Blue Cross (PBC), but decided to go with a policy from RBC Insurance because it was slightly cheaper. After a serious illness, the US bill came to more than $200,000 US. 
A "first payer" clause, standard insurance industry practice called "subrogation," means RBC sent the bill to PBC. RBC recovered $97,954.19 from the other insurer. 
Pacific Blue Cross, like many insurers, has a lifetime maximum coverage amount for its extended health plans, and they are dangerously near it, since they both have chronic illnesses (diabetes and MS).  Milaneys' Pacific Blue Cross coverage includes dental, vision, physiotherapy and medical devices.

Wednesday, March 16, 2016

New Program Could Improve Hearing Aid Use for Older Adults


This video is available for broadcast quality download and re-use. A closed captioned version is available upon request. For more information, contact Nathan Hurst: hurstn@missouri.edu.

COLUMBIA, Mo. – Hearing loss is the third most common chronic illness for older adults. It can impact everyday life and can significantly affect a person’s health and safety if gone untreated. Hearing aids are the most common treatment for hearing loss. However, in 2005 more than 325,000 hearing aids, less than four years old were unused according to a previous study in the Hearing Journal. Now, a new hearing aid adjustment program created by Kari Lane, assistant professor at the Sinclair School of Nursing at the University of Missouri, may help increase hearing aid use for those who need them.
Kari Lane,
assistant professor
at the 
Sinclair School of Nursing

The Hearing Aid Reintroduction (HEAR) program is a systematically gradual method to support adjustment to hearing aids. With HEAR intervention, the duration of hearing aid use increases slowly from one hour on day one to ten hours on day 30. HEAR also takes into account the different environments that impact hearing and exposure to different sounds. Unlike total immersion or gradual self-paced strategies, HEAR incorporates pacing that does not overwhelm the patient, uses terminology consistent with the reading level of the patient, individualizes instruction and repeats critical information frequently. HEAR also is a program that nurses can facilitate in their regular interactions with hearing aid patients.

For the initial trial, Lane tested the sample on a population of 15 men and women age 70 to 85. All participants owned functioning hearing aids that were not being used but were willing to try and adjust again. Before the HEAR intervention, all participants indicated low satisfaction with their hearing aids. In contrast, 87.5 percent of those that were able to adjust to their hearing aids after completing HEAR reported being satisfied.

The study, “Assisting Older Persons with Adjusting to Hearing Aids,” was published in Clinical Nursing Research. It was funded by the National Hartford Center of Geriatric Nursing Excellence.

Monday, March 14, 2016

Cards for those dealing with cancer

A cancer survivor designs the cards she wishes she’d received from friends and family: https://t.co/dxNJInOVac via @slate
Los Angeles–based designer Emily McDowell was diagnosed with stage 3 Hodgkin’s lymphoma at age 24, enduring nine months of chemo and radiation…
SLATE.COM/BLOGS/THE_EYE/…

Friday, March 11, 2016

A case for legislation and regulation: PSW sexual assaults

Mackenzie Richmond Hill Hospital
This is more evidence that personal support workers (PSWs) need to be regulated and registered. There is nothing to stop this sexual predator from sexually assaulting other clients in other locations. He has been fired, but has been hired elsewhere.

Staff made complaints about him, but nothing was done. Families were not informed, despite these complaints, until they investigated. The fact that they are seniors doesn't matter. It all comes down to a lack of action on the part of the hospital.

What is also shocking is that there is no way to track and ban this man from working elsewhere, to further assault patients. The hospital minimized the complaints, as well as the number of complaints against this man by both patients and staff. The hospital waited a month after firing him to inform the families.

GTA hospital didn't notify police about allegations seniors had been sexually assaulted

A Greater Toronto Area hospital didn't alert police after allegations were made that a staff member sexually assaulted at least five elderly patients, CBC News has learned.  Instead, the Richmond Hill, Ont., hospital fired the man, a personal support worker, 
and he went on to find a similar job at another health-care facility.
According to the Ontario Ministry of Health and Long-Term Care, only long-term care facilities like old-age homes are mandated to report incidents of sexual assault or other forms of patient abuse to police.
Toronto Shojaadin Mohammad-ZadehShojaadin Mohammad-Zadeh, 51, was charged with one count of sexual assault at the end of January in connection with an incident at a Richmond Hill, Ont., hospital. (York Regional Police)hospital fired the man, a personal support worker, and he went on to find a similar job at another health-care facility.

Monday, March 7, 2016

Have you been pressured to leave the hospital?

This is a difficult story. Palliative care rooms are meant for people who are palliative. They are being abused by hospital administration. Protocol at this Montreal hospital says patients cannot stay if their prognosis and/or disease trajectory is more than 9 months. How on earth do they know?

You have the right to a hospital bed if you are very ill. I have found the same thing in Ontario.
This is a fair amount of support. Some hospitals have tried to suck people into paying extra, in lieu of going home. This is not legal.
If a hospital tries to force you to go home in Toronto, contact:

ACE | Welcome to ACE www.acelaw.ca/



Suroit Hospital officials told CTV Montreal that Tomlet was never charged, but patients waiting for a room in a long-term care facility are billed between ... A Montreal man has filed a complaint against a hospital after he says his terminally-ill mother had to leave a hospital, or pay $800 a day to stay. Martin Pilon said his mother, Lise Tomlet, died one week after she left Suroit Hospital in Salaberry-de Valleyfield, Que.

Tuesday, March 1, 2016

Physician-Assisted Death is a Canadian's legal right

Publicly-funded institutions MUST offer referrals for physician-assisted death. Full stop. It's the lega
l right of citizens. Look at the mess Ontario has made of taxpayer dollars going into Catholic schools.

The language of physician-assisted death is key. It's not euthanasia, but a choice by a sentient, adult human being, who is assisted by medical professionals. It's now the law. We need good parameters. It is my right to make this choice. Most will not, but want the option. My clients with ALS, MS, approaching death and dementia, want to know they can make this choice.

Catholic hospitals refuse to comply to new doctor-assisted dying law

As the Supreme Court affirmed the right to die, it ruled doctors have a conscientious or religious right to refuse. In Canada, publicly-funded hospitals run by Roman Catholic orders are making it clear they won't be agreeing with requests for death.