TGH - Toronto Generally Hopeless

I suppose I should have been tipped off by the fact that the surgeon who performed my Mom's angioplasty last Friday couldn't be bothered to check up on her afterward. This same surgeon discharged her Saturday morning from TGH, Toronto General Hospital - by phone.

Tuesday afternoon my Mother suffered a "False Aneurysm", this, the paramedic explained, is a fairly common side effect that may have been caused by the anti-clotting medication she has been prescribed. However I read now that "The most common cause of pseudoaneurysm is femoral artery puncture during cardiac catheterisation." Hmmmm, thanks for that followup Doctor. An angioplasty requires that an incision be made in the groin in order to access the femoral artery via which they transport the stent that keeps a plugged heart artery "open". Her femoral artery opened up like Hoover Dam. The thigh and groin swelled with the mass of blood that collected till it looked like someone had taken a baseball bat to her, inflicting perhaps the largest bruise you ever saw.

She was scared, in a great deal of pain and very weak by the time she hit TGH's ER, though commendably the paramedics had stabilized her - this was 6:20 PM. The paramedics stayed with her, monitoring her vitals and answering my questions as best they could until well after their shift ended at 7. At 8:30 PM, in order to release the paramedics my 84 year old Mother was officially admitted to TGH. Admission consisted of moving her from the ambulance gurney to a hospital gurney and pushing her 20 yards down the corridor, next to the homeless guy with the festering sores on his legs. The attentive care of the paramedics was replaced by - nothing.

We waited nearly an hour for a resident to finally stop by and enquire what the matter was. Appallingly, she had no prior knowledge of why my Mother had been admitted. My shock increased after she asked, in all seriousness, if the angioplasty had been a success. I can only assume that the look on my face caused her to retreat and summon the physician on duty. Exhibiting Solomon like wisdom, the attending doctor suggested that a physical examination was in order. She then disappeared with the resident in tow. A nurse was dispatched who informed us that my Mother would have to be undressed for the examination. Since this Angel of Mercy made no offer to assist, I took it upon myself to undress my bedridden mother in a public corridor, in full view of the passing parade of visitors, patients and staff. (Truth be told, the homeless guy was pretty discrete, or at least preoccupied.)

Mom was eventually examined, in the public corridor, and an ultrasound ordered, all while a street person dumped a filled adult diaper on the floor and replaced her own soiled bed linens in the ward next to us. At this point we were informed that the vascular surgeon would be called in to interpret the ultrasound. The Ultrasound technician showed up earlier than anticipated and Mom had her pictures done shortly before 11 pm. This procedure afforded Mom some privacy as they chose to conduct it in the unused examination room next to her "room" in the corridor. Our Angel of Mercy, the nurse, made her second appearance, sticking her head in to enquire "Who left her like this?" - -Mom had been left in a partial state of undress, uncomfortably positioned and without the recommended bags of saline solution in place to compress the swelling. I replied that the Ultrasound technician had just left, having finished her session. Five minutes later I watched our Angel of Mercy clock out to end her shift- - but thanks for asking, Florence Nightingale.

The Bitch Nurse turned up next. Her primary role as caregiver seems to involve chatting with other staff when not bitching to patients that the "real nurse" hadn't showed up for her shift. I wanted to slap her when she asked my Mother if she was on an IV, even though she obviously was not; observation and deductive reasoning are no longer taught in nursing school evidently. My mother is a stoic, with a woman's superior capacity to handle pain. I have never seen her nor anyone else for that matter cry out when giving blood, until now. Perhaps the Bitch Nurse might have reconsidered her site selection had she been in a better mood and not chosen last week's inflamed entry point. Mom was then unceremoniously dumped back in the corridor.

Around midnight the vascular surgeon showed up. It was she who confirmed that a false aneurysm had occurred, though she expressed concern that it had happened so long after the procedure. Two possible courses of action were explained. Surgery to repair the artery, or a non-invasive, much less "cardiac" risky alternative, called a Thrombin Injection. During this procedure, the site is frozen locally and the "Thrombin" is injected to form a clot in the femoral artery. The course of action would be determined after a consult with Cardiology.


As 2 PM neared, we still had no word from Cardiology. The Vascular Surgeon on call had however heard from the "Boss" of vascular surgery who allayed her concerns about potential complications. It was determined that a final course of action would be decided upon after both the Vascular Surgeon and her "Boss" had a second look at the pictures during the now scheduled 8 am session in the Vascular lab. It could not be any sooner, because the lab was not open until 8 am. To my knowledge, despite requests by staff, Cardiology never responded.

I arrived home at 3 am guiltily having left "me Sainted Irish Mother" to fend for herself in the hospital corridor. However, without at least a couple of hours rest, I would be useless to her the next day. Besides, it was both infuriating and depressing watching staff walk by pretending to acknowledge patient requests, including those of my Mother and myself, only to have them ignored. I asked the vascular surgeon at one point to please have a look at my Mother as she had begun to complain of increased pain and swelling however, she was left to fend for herself.

The procedure was indeed conducted shortly after the Lab was opened at 8 am, just as the vascular surgeon had promised. The Thrombin Injection was deemed a success by the Chief Surgeon. Gratefully we were informed that pending a quick final approval from ER, Mom would be released to my care. She was wheeled back to her "room" in the corridor by 9 am. Noon arrived and despite our numerous supplications - still no release. ER informed us that they were waiting for final approval from Vascular, who after many pages informed ER that final approval depended on word from Cardiology. With barely contained anger I informed the nurse that keeping an ill, 84 year old woman in a hospital corridor for 18 hours was not the type of care that anyone should be expected to tolerate. In fact my cat receives better treatment from his vet. It worked: we were released by 1 pm. No word on whether Cardiology ever bothered to return a call.

Very early in the AM I stumbled upon the ER's "Continuous Improvement Whiteboard"

I wrote:

Continuous Improvement? This is a cruel joke. The "level of care" at this facility disgraces the word hospital.

I was pleased to hear a staffer complain to another shortly before we were liberated:

"Whoever wrote that did it in permanent ink."

RightGirl  – (6:05 PM)  

Arnie, I'm so sorry. I hope she's resting comfortably at your place now, Pip in her lap. Let me know if there's anything I can do to help.

RG

sanwin  – (6:38 PM)  

My God, it's scary to read this stuff.

To think that one day we might undergo the same level of treatment.

But on the bright side, Mcslipplery's EHealth program is on track.

Bob Devine  – (7:00 PM)  

I think you just went past Beautification on the way to Sainthood for not coming totally and completely undone and ripping at least 6 new butt holes for those people.

I also hope your Mom`s recovery is fast. Take care.

Blazing Cat Fur  – (7:35 PM)  

It was like an episode of St. Elsewhere, very tragic to have witnessed. I spoke with a woman who was told that the drugs to control her condition were not covered. she had been informed that the drug company had offered to pick up the tab, and then the bureacracy stepped in.

Xanthippa  – (8:15 PM)  

I am so sorry your mom had to go through this!

Without an active advocate, an ill patient in our hospitals has no chance of survival! And I am NOT exaggerating...

I went through something similar at the end of June...with the same type of hospital experience in the ER.

Once out of ER, the MD's were OK - but many were EXTREMELY afraid their patients would die before they were allowed to treat them....bureaucracy at work.

And, while some of the nurses were very, very nice - and good, my biggest regret was that while I was there, I did not kill' the evil nurse'.

She had NO BUSINESS being a nurse: repeated moans and groans of one patient in our room - along with requests by 2 of us other patients to do something, her breathing tube had fallen out....she would NOT get up from her little table, saying that she did not understand what that woman wanted, didn't even know if she was speaking English (she was - but as her breathing tube fell out, she was having hard time speaking...), so what would be the point of her checking on her????

She did not get up and walk the 15 steps to help her until an MD came by to check on his patient...then, this 'nurse' feigned surprise about the breathing tube!

I so should have killed her....every procedure she did was calculated to cause the most pain possible....I once physically prevented her from 'washing' my skin, because I thought she would rip it off! I was very drugged up (they really upped the pain meds, morphine plus a few others, so I could 'survive the pain' for 3 days before they got an anesthesiologist, so they could do the surgery...), so I could have probably gotten away with it.

I may say this as a joke - but it certainly was no joke when this evil creature was in charge of my care for every 12/24 hours while I was admitted...

The doctors I overheard were afraid their patients would die, as they made one phone-call to the Ministry of Health after another, asking for approval to use the resources they need to treat their patients...and being denied, denied, denied....

It makes sense from the Ministry of Health's point of view: the fewer patients, the less they cost... It's the doctors who'll get the blame, so they'll need to be more supervised, and the more bureaucrats can be hired to do this!

Welcome to Socialism!

I am so sorry your mom had to go through this - and I do hope she'll get better soon! She's lucky to have you be there for her!

johnny maudlin  – (8:48 PM)  

I've been through these passages, BCF, with both parents, both gone now. It was horrifying, frustrating, just terribly discouraging and painful. I wish you strength through these trials, and better days ahead.

Deborah Gyapong  – (8:51 PM)  

Well, evidence that we have a great health care system as long as you don't get sick.

JR  – (9:22 PM)  

BCF, Sorry to hear your mom (and you) had to go through that. And cardiac care is supposed to be one of the things our hospitals do best! A sad commentary. I really liked your note to the staff.

Best wishes for your mom's speedy recovery. JR

Don Sharpe  – (9:31 PM)  

BCF, my heart goes out to you, your mom and your extended family.
I work in health care here in Alberta, and we've recently been 'muzzled' by Alberta Health.
You can be fired for speaking the truth, that's right, 'truth is not a defence' . . ... sounds ominously familiar, doesn't it?
This recent article details how doctors, nurses and paramedics are working to change the AHS 'Code of Conduct'.

http://www.calgaryherald.com/health/Alberta+doctors+want+conduct+code+rewritten/1811353/story.html

A strong advocate is what every patient needs these days. You were there for your mom, You Are A Hero.

Don Sharpe  – (9:33 PM)  
This comment has been removed by the author.
Dodoforever  – (9:35 PM)  

BCF - you are a good son.

jaycurrie  – (9:57 PM)  

The cliche "health care mess" does not make sense until you have the experience you just had BCF.

The odd part is that more money is not really going to help. (We it might get you mother out of the corridor.) Rather it is a system in which good people gradually stop caring.

I hope the ink stays long enough so all the people working on the ward have a chance to read what you wrote. Because it is important.

More than that I hope your mother recovers well without having to go back.

Hoarfrost  – (10:31 PM)  

Don't forget that Dr. Alan Hudson a principal of McGuinty's ehealth scandal was and is responsible for The terrible Toronto General Hospital of today.

Good health to your mom. I have been there with my parents too.

MIkhael  – (10:43 PM)  

"Continuous improvement" is one of those corporate programs generated by committee to demonstrate a proactive approach to problem solving. It's what MBAs and marketing types that work in the hospital administration come up with to justify their 100K salaries.

TGH has never been a "caring" hospital. There are good individuals there, like anywhere, but the corporate culture there is centred on research productivity and a highly visible profile. It's far from "patient centred" care. TGH is probably the last place I would take a family member unless they had a very complex problem that only TGH could deal with.

rick mcginnis  – (11:59 PM)  

So sorry you and your mom have had to endure this, Arnie. It brought back memories of my mom's own long, debilitating illness, with its misdiagnoses, and hospital stays that produced no improvement. It's amazing that anyone can defend this system - or covet it.

Barbara  – (12:23 AM)  

So sworry this has happened to you and your mom. A really strong advocate is what is needed these days. I have never been a patient at TCH for which I am glad. I've never heard good things. I had a friend who is a quad who was once. The nurse actually asked her to get herself out of bed because she wanted to change the sheets. I was amazed that I knew what quadriplegia meant but the nurse didn't! If my friend hadn't been there the stroke victim in the next bed would never have been fed. We did it. Personally I always go to Mt. Sinai. They seem to have a different attitude there.

BillyHW  – (1:26 AM)  

But at least it was free. (Free, as in the confiscation of half your paycheck for your entire life.)

JustAnotherWesterner  – (3:21 AM)  

Blaze, previous posters have said it all. I can only add my sympathy.

The LS from SK  – (3:33 AM)  

Sorry BCF that your Mom and You had to go through this.

There is no problem with the health care delivery system - just an attitude problem with many of the caregivers and delivery personnel.

Like Johnnie - I lost both of mine some time ago but perhaps it was SK and not ON - they were treated well and with dignity in their final voyage.

Decades later, I was treated for Cancer (in On) and received great care from the Doctors but the Nurses - well they (especially on Weekends) couldn't give a SHIT.

Despite all the tubes hanging out of me - I was required to empty and clean my own fluid bag.

Believe it or not - a hospital cleaner - on his own initiative took pity on me and helped me - probably against all the rules and regulations.

Revnant Dream  – (4:15 AM)  

We are prisoners in our own land by an entitled gentry . Who unlike there aristocratic forebears have no problem trying to abuse us threw our own taxes given to a system more comfortable killing its customers. Mean while they have another one for themselves. My condolences for your Mothers nightmare. Mine lasted 13 hours dying alone in a corner.
If noty for a Jewish orthodox Doctor (Who believe in a God not themselves) I would not have left alive. She is blessed to have you tending her. Think of all the older folks who have nobody to defend or succor them?
JMO

Dr.Dawg  – (7:25 AM)  

This was horrendous to read, BCF. Best wishes to your mother for a complete recovery, and, one hopes, little memory of the carelessness and incompetence you have described.

You have a pretty good op-ed here, with a few tweaks. I'd send it around if I were you.

The LS from SK  – (7:56 AM)  

Well Dawg,

I hope you read and comprehended the paramedic and police thingy.

I don't want to sandbag on top but over the pond - Pharmacists, police, firemen and paramedics are fully trained professionals with rights to not only prescribe but administer.

At the end of the day- the thin Blue line is all that is left after office hours.

They like others make mistakes but what is the line? In case of emergency "Call a Criminal or a Lawyer"?

Seraphic Spouse  – (9:03 AM)  

How awful, BCF. I am so sorry your mom and you went through that. It was very painful to read, and the only saving grace was at least you were there with her. I will pray for her speedy recovery and that health care improves in Ontario.

Osh  – (9:16 AM)  

Arnie, I'm so sorry to learn of your mother's condition, and the ordeal that followed. My wife and I have just returned from another extended trip out west to help care for my mother-in-law, who has advanced dimentia. As with a previous trip caring for my dying father-in-law a few years ago, this necessarily involves advocating for an elder parent with an often impervious health care bureaucracy. Nevertheless, we've counted some successes among our frustrations.

We wish you strength and forbearance.

Our thoughts and prayers are with your mom, you and Kathy, and the rest of your family.

natasha  – (9:51 AM)  

God, I am so sorry that your poor mother was subjected to that kind of treatment!

I wish we could say it was just a fluke, but I know better. My husband had more than one horrible experience with our socialized medical system nearly 20 years ago. And then his grandmother's nightmare treatment about 12 years ago.

It's definitely getting worse, as your mother's story demonstrates.

And what others are saying -- about patients needing a strong advocate -- absolutely right! And never let them (medical staff) intimidate you.

Praying here for your mom's speedy recovery.

Roger Pearse  – (10:33 AM)  

At least in the US you could sue.

Flea  – (10:52 AM)  

Angry now. Forwarding everywhere.

Square Mile Wife  – (10:56 AM)  

Wishing your mom a speedy recovery.

the king of vista place  – (11:17 AM)  

what a nightmare. worse yet for patients without loved ones dedicated to looking out for them. strange as it seems, your mom is one of the lucky ones - at least in that respect. i hope my own kids turn out as well as your mom's did, BCF.

The Mayor  – (12:27 PM)  

That was hard to read. So sorry for your mom, and your family, BCF.

We'll pray for her speedy recovery.

The Mayor  – (12:27 PM)  

That was hard to read. So sorry for your mom, and your family, BCF.

We'll pray for her speedy recovery.

The Phantom  – (12:48 PM)  

Fur, I'm sorry to hear about your mum. Contact me off-list via Blogger, I might be able to scare up some options for you.

I'm forced to add that, appallingly, she did better than she could have because you were there standing over her. People in worse shape sometimes spend quite a lot of time waiting outside in the parking lot. Like, all night.

Persi  – (12:53 PM)  

- Your experience shows why Canada must abandon it's broken, socialized health care system.
- The events you describe also demonstrate when happens when individuals surrender their freedom in favor of government control over their lives.

The LS from SK  – (1:18 PM)  

Thanks Persi for introducing politics into it all.

Nothing like grief eh?

I can only imagine what it would be like with medicare or medicade!

Fred  – (1:45 PM)  

hmmmm what next ?

"TGH, following the inspirational leadership of Obamassiah, is pleased to announce the formation of "Would You Like to Die Here & Now" panels as part of the Hospitals Continuous Improvement Program.

The Phantom  – (2:35 PM)  

LS said: "I can only imagine what it would be like with medicare or medicade!"

That experience in any US hospital (other than the VA) would be grounds for a very lucrative lawsuit. Canada is a back woods, third world nation compared to the USA for medicine. I worked in two really crappy NY hospitals. One was the county hospital in Mt. Vernon NY, the other was in Yonkers.

In neither place would this lady have been examined in a corridor, or left waiting until the next morning with that diagnosis. Not a chance in Hell.

Because she would OWN THE HOSPITAL after the court case went through, is why.

Screw ups happen in US hospitals, yes. They are not the standard order of business, however, the way they are at TGH. For that you have to go to the VA, which coincidentally is run by the US federal government.

But you know, even at the VA they don't have spots in the f-ing hallway taped off and numbered to serve as "rooms" like they do at f-ing TGH.

Eowyn  – (4:14 PM)  

BCF, please add my prayers -- and anger at what happened to your mother -- to others'.

You remembered me when I lost my own mum, and so now I'll pray daily for yours.

As well as start firing off letters of outrage to provincial health-care authorities (as well as the hospital itself). Hmphf. I'll really give 'em a reason to hate Yanks.

Peter L  – (5:20 PM)  

Toronto General Hospital....Well, there's yer problem right there!

skippystalin  – (6:15 PM)  

I'm keeping your family in my thoughts, Arnie.

rita  – (6:31 PM)  

I'm so sorry for your Mom and her horrific experience and for you. It's such a horrible feeling to be a spectator while someone you love is suffering and you cannot access the help you need.

My husband died in the emergency ward of the local hospital last January. I sat beside him as his condition worsened and no-one came to help. Three nurses were laughing and chatting in their office when I went to ask for help and they told me to go away--I wasn't supposed to be in their sanctified office while they socialized. I begged every passing staff for help and one orderly came to pat me on the shoulder to tell me everything would be allright. Eventually someone came and there was a flurry of activity--too little too late. He died in his vomit (from a stroke) in full view of several people visiting a lady who was complaining of chest pains (she had indigestion). It took him until the next morning to stop breathing but he was essentially gone that night. One nurse said it was too bad that he had come into emergency during their shift change and that they were busy. One staff member had spent about 15 minutes with the "indigestion" lady advising her on diet and suggesting she not consume so much pizza and beer at one sitting. All this while my husband was dying.

After he died, a nurse said a fairly sincere "I'm sorry" and some nazi bitch gave me a brochure listing the local funeral homes demanding I make my choice on the spot so they could release the remains. Heaven forbid that I should have an hour or two to weep or go home to collect myself or consult with relatives.

Then three weeks later, I received a survey inquiring how we had enjoyed our recent experience in the emergency ward. They must have adapted the survey from a customer satisfaction survey for a Walmart. One of the questions was: "would you recommend our facility to your friends?" No kidding. I composed numerous replies but I was too heartsick to bother. Nothing seemed adequate in the face of such an insulting piece of crap.

My husband would have died anyway, but he should have been allowed some privacy and dignity, and I should not have had to watch as he died, while I begged for help and received none.

When it comes my time, please someone shoot me. It would be far more dignified.

Sincere  – (6:51 PM)  

I'm so sorry for your experience. Wish I could say it was much better in the suburbs, but it ain't. Had a similar experience with my, now deceased, Dad. Though, at least he got a private cubby in emerg. Not much more attention, but at least it was fairly private.

As my Mom observed, at the time, "They don't care about old people. They figure they only have, at best, a few years left, so no point in wasting too much time in treating them".

To my shame, at the time, I didn't put much faith in her diagnosis of the system.

That is, until I spent a session with my Dad and the 'rehab' specialist who did a lot of impatient 'tut tutting' about he just didn't seem to be trying hard enough with the exercises, i.e. until you start putting forth an effort, I'm wasting my time here. At the time, I was enraged -thinking about it today, I still am.

Nurse (or whatever) Cratchit didn't know my Dad. That very proud and extremely competent man was doing the absolute best he could do in front of his eldest daughter.

He died the next day.

Now I figure, if they can't care for the elderly, what the hell are they doing in health care? The fact is, most of us will never need much intensive health care until we hit that stage of life.

Best wishes for your family. Hope your Mom sees more dignified treatment in the coming years.

Jan

Jonathon Narvey  – (12:48 AM)  

It's a horrific story.

Also wishing your mother a speedy recovery. Best wishes.

HappyPappy  – (1:11 AM)  

Sorry to hear about your mom, seeing your loved ones suffer is always hard. Hope she recovers shortly.

Having said that I don't think your experience is unique and I only say this to re-enforce how shitty our "Universal" health care is.

I have an asthmatic wife and two kids and I swear I've had one hospital horror story per year of marriage.

Ranging from spending 48 hours in the hospital simply to get pink antibiotics to having my wife bleed out in an ER room from a miscarriage to having to wait 6 hours for the attendant to "signoff" on a phucking steroid inhaler for our son which the nurses would administer anyways (which means I got home at 4 AM and had to go to work at 7 AM, point being that most people don't get to sign off when their shift is over like the bitch nurse).

And whenever I try relating these stories even to my own family I'm accused of being a redneck or hysterical.

Liberals tend to live in denial most of the time and there really is not arguing rationally with them.

Rant Off.

Dr. Mabuse  – (9:18 AM)  

I'm so sorry to hear this about your mom, BCF! This is why Canadians dread having to go to Emergency; we never know when our number in the horror lottery will come up, and it will be us or our loved ones lying in a dirty hallway among bags of feces. Canadian health policy is summed up by Jane Eyre's naive sentence: "I must keep in good health, and not die."

The LS from SK  – (12:08 PM)  

Well Phantom - we can discuss at length once BCF's Mudder is out of the crisis.

I had some acquaintance with BGH and 47 million Americans without health coverage must say something.

All I was suggesting is that most countries are experiencing significant problems with their health care systems - Lawyers strike as they are not paid $450/HOUR. Poor babies!

My solution is simple = later.

Frances  – (4:43 PM)  

We used to say my mother's primary physician was a vet. We were'nt kidding. It worked.

truepeers  – (6:11 PM)  

Very tough to read. Hope things are looking up Arnie.

Here in Burnaby we are looking forward to the opening of the Tommy Douglas Library in a few weeks:

"“You sully the name of Tommy Douglas when you suggest that the motivation is partisan to do this because I think he goes well beyond partisan. It wasn’t New Democrats alone who voted Tommy Douglas to be the Greatest Canadian [in a 2004 CBC survey].”

Then again, Corrigan added, “I don’t think anybody’s particularly surprised that somebody that is a New Democrat would think Tommy Douglas is a real hero to be emulated.

“He was a great thinker that took Canada in a very different direction and I think that is appropriately recognized in a place of learning, like a library.”

Corrigan hopes the library will eventually include space inside to honour Douglas’ accomplishments, where the area’s many new Canadians can learn about one of the country’s great citizens. The honour has been reviewed and approved by the Douglas family through Tommy Douglas’ daughter, Shirley Douglas, an actress, social activist and mother to Hollywood actor Kiefer Sutherland. They have all been invited to the library’s dedication.

While some may debate the name, it’s likely one person who wouldn’t have cared either way is Tommy Douglas himself who once said, “I don’t mind being a symbol but I don’t want to become a monument. There are monuments all over the Parliament Buildings and I’ve seen what the pigeons do to them.”"

Blazing Cat Fur  – (9:11 PM)  

Thsnks Trupeers, she is with me now. We may be in for a tough night, her arms are aching which may or may not be significant. All I know is that she refuses to go back to that charnel house, who could blame her.

Josephine  – (10:57 PM)  

I hope your Mom gets better soon, BCF.

Our health care system was better 20-25 years ago but it is hellish now.

Too many unions, no accountability, almost no compassion.

I've got enough medical horror stories to fill a book.

Good for you for leaving that comment in permanent ink.

stelex  – (9:09 AM)  

Congrats on having this published in the National Post, Fri. Oct. 2nd

ong  – (10:55 PM)  

If you guys think that your experiences are unique or just relative to a few local hospitals or centers you are dead wrong. Our health care in this country has gone further than just down hill it has gone completely busted. firstly the government has limited what the doctors are aloud to tell about what is happening in the system by threatening their very ability to practice (licenses removed).
Secondly there is a legally binding agreement that the hospitals and medi centers sign a contract with the pharmaceutical suppliers that states if the practicing physician offers too much information about the averse affects of their drugs the hospital or medi centers suppliers lose their discounts on their future purchases with the supplier (here is a link )about 5% savings
http://www.ahrp.org/infomail/05/08/05a.php
Our health services in this country has already lost the battle against the privatizing machine . big pharmaceutical company's like the Eli Lilly and Pfizer have been silencing what you are aloud to hear thru the legal system as well with their closed door lawsuits and gag orders on the plaintiffs as well as paying off the government officials that allow them to test their potential killer drugs on you..almost all of the cases where kids go columbine and proceed to go into their schools with the mentality to kill has been related to psychologically altering drugs in anger management classes "Prozac" ...here is a link

http://www.oralchelation.net/data/Lilly/data6.htm#p10
Prozac to Ritalin some one has been paid to allow you and your baby's to become testers in school and from the doctor's office.
last but not least the swine flue vaccines are a nightmare waiting to happen guys Yah Yah i'm sure you,ve heard the blather already but check these links i will drop up here for your interest k....
i live for this and you should to "listen to everything and trust nothing and you will find the truth"
www.scoop.co.nz

http://www.facebook.com/l.php?u=http%253A%252F%252Fwww.youtube.com%252Fwatch%253Fv%253DhGTv9YFzAxY&h=fd7c6d3a4966cc1e70fa915e8eecc140&ref=mf

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http://www.facebook.com/l.php?u=http%253A%252F%252Fwww.youtube.com%252Fwatch%253Fv%253DwGwCfSjSn5A&h=fd7c6d3a4966cc1e70fa915e8eecc140&ref=mf

ong  – (11:14 PM)  

Swine Flu Genocide : Part 1 (Satans Homeland Minions Exposed)

look this up on youtube...it's a thirteen part video about the swine flue hoax from your governments best and brightest sickos

kinda like a micheal moore video but not the movie "sicko" which is as real as it gets...let me know if you have any problems with the links i post kk

something neat...
http://www.facebook.com/l.php?u=http%253A%252F%252Fwww.youtube.com%252Fwatch%253Fv%253Dp61up1AJpi0&h=fd7c6d3a4966cc1e70fa915e8eecc140&ref=mf

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