Friday, October 31, 2014

what then?

and take your time
to write the stories
for you have the information to obtain
that they will provide
and when you have read the facts
you must ask more questions
to verify the requirements
of the facility
and the failures to meet the standards of care
as explicated in the process manual that tells us
how the work of the respiratory therapist is to be done
for there are regulations
even if there is no time to follow them
or do the work
or even have a respiratory therapist present
there are still regulations
and there  are audits
apparently that are done
by the oversight bodies
who do not find out that there is no respiratory therapist
for a handicapped patient
who cannot tell us her woes

no instead of this
we have obstruction of the truth
for six months while the Good Samaritan society tries to figure out
where the records are
then they have to meet to talk about a stay at home mummy
who is asking questions
after this they have to talk some more
but frankly I am bored
by this runaround
that I am used to
after the Edmonton Public School Board delays
and the endless tooth pulling of the story
of 7 year old Jack from the folks at the Edmonton Police Service
I must say
I never realized that information
was so hard to obtain in Alberta
could it be that myths and the action plans
are advertised on every billboard of the politicians
but the facts
that detail the failures in meeting the standards of care
are kept hidden from the citizens?
why is this the case?
isn't it an offence to hide the details of the services
that are not provided?
what sort of province do we live in when a handicapped citizen
does not get the respiratory therapist services that a facility is contracted
by AHS to provide for her?
what sort of laws are broken when for months the facility does not give her
the care she deserves so that she ends up in the emergency to almost
be killed by the emergency physicians at the Grey Nuns Hospital
who say that her non-compliance is the reason she is there?
but what if they knew the facts?
what if these facts told a different story?
what if the patient was unable to explain her situation to us?
what if the facility failed to provide a respiratory therapist for whatever reason?
what then?


here is the drum I beat

here is the drum I beat
I write a post to tell you another day
on the street

here is the drum I beat
to waken the dead
and move their sluggish feet

here is the drum I beat
so that you might sing with me
so that we might meet

here is the drum I beat
to tell you what sits inside me
we bare the same chest     and give the same heat


here is the drum I beat
and here is the body that will like yours
be wrapped in the same murmurer's sheet


here is the drum I beat
come with me on the road of song
   for the way is neither certain or neat 

Dear Mr. Rajotte, I have seen the Harper guy with babies and kids yapping about citizens and families--- so it must mean there is a spring election in 2015. Plus there is the matter of bribes to ameliorate stay at home mummies with some sort of income splitting business. I don't understand why you are splitting the income of rich people who don't need these sorts of breaks instead of helping the poorer families who do need major help but there you go, you must all have your reasons for doing these sort of bribes. I am not interested in the bribes but I am interested in what the MPs will do about the Dean Del Mastro guy. Will you all make an example of him? Will you kick him out of his cushy MP job? Will you ensure that voters like myself who used to be naive and innocent, will feel that there is still some sort of decency among the thieves we have elected to government?



----- Forwarded Message -----
From: "jyali" <jyali@
To: "james rajotte" <james.rajotte@parl.gc.ca>
Cc: "stephen harper" <stephen.harper@parl.gc.ca>, "thomas mulcair" <thomas.mulcair@parl.gc.ca>, "justin trudeau" <justin.trudeau@parl.gc.ca>, "elizabeth may" <elizabeth.may@parl.gc.ca>, investigations@metronews.ca, edmonton@globalnews.ca, newsroom@globeandmail.com, "Margo Goodhand (Edm Journal)" <mgoodhand@edmontonjournal.com>, gthomson@edmontonjournal.com, "Velvet Martin" <johnvel@>, "Diana Daunheimer" <dianadaun@>, "Stewart Shields" <lagran@shaw.ca>, "Jessica Ernst" <magog@sasktel.net>, "Darren Boisvert" <elephanttimes@gmail.com>, "edmonton whitemud" <edmonton.whitemud@assembly.ab.ca>, "edmonton highlandsnorwood" <edmonton.highlandsnorwood@assembly.ab.ca>, "edmonton rutherford" <edmonton.rutherford@assembly.ab.ca>, "edmonton meadowlark" <edmonton.meadowlark@assembly.ab.ca>, "edmonton castledowns" <edmonton.castledowns@assembly.ab.ca>, "edmonton ellerslie" <edmonton.ellerslie@assembly.ab.ca>, "edmonton glenora" <edmonton.glenora@assembly.ab.ca>, "calgary elbow" <calgary.elbow@assembly.ab.ca>, "calgary greenway" <calgary.greenway@assembly.ab.ca>, "calgary west" <calgary.west@assembly.ab.ca>, "calgary acadia" <calgary.acadia@assembly.ab.ca>, "calgary hays" <calgary.hays@assembly.ab.ca>, "west yellowhead" <west.yellowhead@assembly.ab.ca>, "lethbridge west" <lethbridge.west@assembly.ab.ca>, "draytonvalley devon" <draytonvalley.devon@assembly.ab.ca>, "fortmcmurray conklin" <fortmcmurray.conklin@assembly.ab.ca>, "highwood" <highwood@assembly.ab.ca>, "don iveson" <don.iveson@edmonton.ca>, "Bryan Anderson" <bryan.anderson@edmonton.ca>, "tony caterina" <tony.caterina@edmonton.ca>
Sent: Friday, October 31, 2014 7:40:39 PM
Subject: ------A judge has found Peterborough, Ont., MP Dean Del Mastro guilty of spending too much in the 2008 federal election and falsifying a document to cover it up.---------------Manu_forti It will be interesting to see if Parliamentarians will expel him from the House. One lives in hope.

Dear Mr. Rajotte,

I have seen the Harper guy with babies and kids yapping about citizens and families--- so it must mean there is a spring election in 2015.
Plus there is the matter of bribes to ameliorate stay at home mummies with some sort of income splitting business.
I don't understand why you are splitting the income of rich people who don't need these sorts of breaks instead of helping the poorer families who do need major help but there you go, you must all have your reasons for doing these sort of bribes.
I am not interested in the bribes but I am interested in what the MPs will do about the Dean Del Mastro guy.
Will you all make an example of him? Will you kick him out of his cushy MP job? Will you ensure that voters like myself who used to be naive and innocent, will feel that there is still some sort of decency among the thieves we have elected to government?

Or will you all say that this is business as normal in our deMockracy? Will you keep the Conservative MP in your flock--for although the Harper guy has distanced himself from the criminal, I believe he was hired as a Conservative MP.

Can you answer this question--will you vote to expel him?
I am curious about your character.
Is it good enough to see that this man has done a crime and needs to do the time (something I believe Mr. Harper was fond of saying at one time in his life).
I never knew that the places of politics were such  Mafia places.
Who ever knew that politics was so full of criminals?
Who ever thought that the boring politicians we hire--- lead undercover lives as subversives of the electoral process?
Who ever imagined that a stay at home mummy would be so riveted by the illegal doings of elected officials that she would read up on their crimes?

I can see why you got into politics. It is more fun than doing a desk job.  Also if this sort of junk is in your character it must be interesting to employ the skills of cunning, ruthlessness and a criminal mind. These characteristics seem to be required to get to power places and to stay there.

I encourage you and all the other MPs to turf this guy if only to keep up the pretense of democracy in Canada.
Some citizens are still innocent and you need them all to vote for the Conservatives in the next spring election.
Although I think you are a nice guy I don't think I will vote Conservative despite the Harper guy's bribes.
He is very smart to use the bribes on families; most voters are not awake and will vote for the folks who gives them money.
The recent by-elections in Alberta were proof that the Prentice guy learned this trick at the knee of Harper.
Its a cozy thing to have you, the Prentice guy, the Mandel guy and the Bryan Anderson guy all together like bottles on the same wall of dinosaur politics.
But there you go.

What was this e-mail about again?
Oh, yeah.
I suggest you do turf the Dean Del Mastro guy.
He's a disgrace to democracy.



Sincerely,
Julie Ali



http://readingchildrensbooks.blogspot.ca/2014/10/yokelman-when-conservative-mp-commits.html

Friday, October 31, 2014

yokelman When a Conservative MP commits a crime they do not go to jail for some strange reason.----------Manu_forti It will be interesting to see if Parliamentarians will expel him from the House. One lives in hope.------------A spokesman for Prime Minister Stephen Harper said the government accepts the court's decision. "Mr. Del Mastro has not been a member of the Conservative caucus for some time," Jason MacDonald told CBC News by email. Del Mastro and Richard McCarthy, who was Del Mastro's official agent in 2008, were charged with: Spending more than the election expenses limit. Under-reporting his expenses. Turning in a campaign expense report that he "knew or ought reasonably to have known" was wrong. Del Mastro was also charged with purposely exceeding the contribution limit for a candidate in his own election campaign. The judge found Del Mastro and McCarthy guilty on all counts, although the fourth was stayed at the request of the Crown, as it was the same as the third.
The ongoing erosion of democracy in Canada continues with the court finding (surprisingly) that the guy who overspent the money on his election campaign was indeed breaking the law. I am surprised by the verdict. I am now of the feeling that the Harper crew is full of folks who bend the laws of the land in order to get into power and that these folks will do anything to stay in power. It's all a game to these politicians and damn the laws of the land. Our tax dollars go to pay for these court cases, they then get found guilty and what happens in the end? Nothing. We have this MP blabbing he will stay as an MP no matter what.

yokelman When a Conservative MP commits a crime they do not go to jail for some strange reason.----------Manu_forti It will be interesting to see if Parliamentarians will expel him from the House. One lives in hope.------------A spokesman for Prime Minister Stephen Harper said the government accepts the court's decision. "Mr. Del Mastro has not been a member of the Conservative caucus for some time," Jason MacDonald told CBC News by email. Del Mastro and Richard McCarthy, who was Del Mastro's official agent in 2008, were charged with: Spending more than the election expenses limit. Under-reporting his expenses. Turning in a campaign expense report that he "knew or ought reasonably to have known" was wrong. Del Mastro was also charged with purposely exceeding the contribution limit for a candidate in his own election campaign. The judge found Del Mastro and McCarthy guilty on all counts, although the fourth was stayed at the request of the Crown, as it was the same as the third.

The ongoing erosion of democracy in Canada continues with the court finding (surprisingly) that the guy who overspent the money on his election campaign was indeed breaking the law. I am surprised by the verdict. I am now of the feeling that the Harper crew is full of folks who bend the laws of the land in order to get into power and that these folks will do anything to stay in power. It's all a game to these politicians and damn the laws of the land. Our tax dollars go to pay for these court cases, they then get found guilty and what happens in the end? Nothing. We have this MP blabbing he will stay as an MP no matter what.

What the heck is wrong with the MPs in Canada? Don't they understand when they have been found guilty of a crime? Don't they understand that they should step down from their jobs as MPs when found guilty of a crime? I also wonder why there are no laws requiring that any MP found guilty of crimes is immediately to be removed from the public teat. We should not tolerate the presence of Dean Del Mastro in parliament.

Beyond my disbelief that this guy is going back to work to represent law abiding citizens is the fact that no other politician that has played illegally with our election laws has gone to jail. If they don't go to jail then what stops them from doing this sort of illegal activity again and again?

http://www.cbc.ca/news/politics/dean-del-mastro-found-guilty-in-election-spending-case-1.2818920


As for the question of whether Del Mastro will be sentenced to jail time, Ayotte said it would be "very surprising."
"It would be precedent setting," he said.
"I don't know of any case in Canada where someone transgressed the Canada Elections Act and went to jail for it."


*********************************************

When citizens commit crimes they do jail time.
Why do politicians get out of jail free?
It's time to get tough on crime.
Politician crime.
I'll write to the Harper guy and suggest that he get tough on this politician.
I fully agree with this comment that we put these election law breakers in jail:

http://www.cbc.ca/news/politics/dean-del-mastro-found-guilty-in-election-spending-case-1.2818920

  • one more clue
From the article: 

As for the question of whether Del Mastro will be sentenced to jail time, Ayotte said it would be "very surprising." 

"It would be precedent setting," he said. 

"I don't know of any case in Canada where someone transgressed the Canada Elections Act and went to jail for it." 

__________________________________ 


I believe I is high time a precedent was set in order to encourage prospective parliamentarians to deal honestly. 
*******************************************

A precedent can be set right now.
And it needs to be set.
With the dumb bunnies we have as citizens these wolves in sheep clothing will take us all down in the current DeMockracy that is prevalent in Canada.

These politicians have real ego issues.
They seem to think that they are above the laws of the land:

http://www.cbc.ca/news/politics/dean-del-mastro-found-guilty-in-election-spending-case-1.2818920

Wray101
  • Wray101
Judge's pronouncement: guilty on all charges. 

Del Mastro: "That's her opinion. My opinion is quite different." 

Poor Dean appears to be struggling with the reality that in a court of law, the only opinion that counts is the opinion of the judge.

***********************************

This isn't a matter of opinions at all.
This is a matter of the case being settled by a judge and he has to accept the verdict unless it is overturned on appeal.
In my mind, by going to appeal, this guy is simply showing his arrogance and proving to us that he will waste more and more taxpayer dollars to avoid jail time until the final judgement when he has to go to jail.
At least I hope he goes to jail.
In Canada, the citizens do jail time.
But not the real crooks at all levels of our government.

In this case, the MPs are the ones who sentence one of their own.
Let us send messages to our MPs to encourage them to decide on evicting this wolf.
He makes all the other wolves in sheep clothing look like puppies.

http://www.cbc.ca/news/politics/dean-del-mastro-found-guilty-in-election-spending-case-1.2818920

  • LoveMyPug!
So the MP's get to decide if he keeps his seat? The majority are Conservative, so I'd imagine they'll vote to keep him, even though he has shown zero ethics or morals. Lovely....another crook in office.
****************************

It seems that the conservatives take care of their own pack; this could be because if they have to put one in jail that might open up the dam and we'd have a flood of them in jail.



http://www.cbc.ca/news/politics/dean-del-mastro-found-guilty-in-election-spending-case-1.2818920

  • yokelman
When a Conservative MP commits a crime they do not go to jail for some strange reason.
************************
I wonder if the MPs will use their brains and kick this guy out.
Or will they simply accept that all of the wolves are like this man?

  • Manu_forti
It will be interesting to see if Parliamentarians will expel him from the House. One lives in hope.

http://www.cbc.ca/news/politics/dean-del-mastro-found-guilty-in-election-spending-case-1.2818920

UPDATED

Dean Del Mastro found guilty in election spending case

Former parliamentary secretary to Stephen Harper could lose seat

By Laura Payton, CBC News Posted: Oct 31, 2014 5:00 AM ET Last Updated: Oct 31, 2014 4:04 PM ET
RAW: Del Mastro 'disappointed' 6:43
Dean Del Mastro found guilty in election spending case
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A judge has found Peterborough, Ont., MP Dean Del Mastro guilty of spending too much in the 2008 federal election and falsifying a document to cover it up.
Del Mastro, who now faces the prospect of losing his seat in the House of Commons and up to three years in jail and $6,000 in fines, told reporters he is considering an appeal.
The prosecution had argued that Del Mastro ordered $21,000 in voter identification, voter contact and get-out-the-vote services from a now-defunct company called Holinshed, but claimed only $1,575 in services because the campaign realized that claiming the full amount would put it over the limit.
Del Mastro, however, said the $21,000 he paid out of his personal chequing account was for a separate set of services that Frank Hall, Holinshed's owner, never delivered.
In her decision, Judge Lisa Cameron said that in her view, from the timing of the contract and its language, it "is plainly a contract for election services."
She also said that she found Del Mastro wasn't credible, "frequently obfuscated" during his testimony and that there were a number of inconsistencies.
Del Mastro sat stone-faced until the judge accepted the testimony of Hall, whom the defence sought to discredit, and discounted Del Mastro's own evidence. Then his face started to show some emotion at the pending decision.
Del Mastro, who was elected under the Conservative Party banner and once served as Prime Minister Stephen Harper's parliamentary secretary, has been awaiting the decision since closing arguments in early September.
The MP has been in Ottawa regularly and has taken part in the daily question period.
He now sits as an Independent MP.

Del Mastro could lose seat

It will be up to the House of Commons to determine how to proceed.
"Anyone convicted of having committed an offence that is considered to be an illegal practice under the act is not entitled to be elected or sit in the House of Commons for a period of five years from the date of conviction," Michelle Laliberte, a spokeswoman for the Office of the Commissioner of Elections, told CBC News.
Speaking to reporters outside the courtroom, Del Mastro indicated that he has no plans to vacate his seat.
"I intend to still occupy it. I've got a mandate from people in the city of Peterborough."
The judge's ruling "was not a final decision," he added.
"I've in no way broken any of the laws governing elections."
He seemed unfazed by the judge's finding that his testimony wasn't credible.
"I know what the truth is. That's her opinion. My opinion is quite different."
Del Mastro also suggested that he intends to appeal the ruling.
"We're going to take a very hard look at this ruling and we'll come up with a plan going forward," he said.

Credibility issues 'difficult to appeal': Del Mastro lawyer

But his lawyer, Jeff Ayotte, appeared to downplay the likelihood of an appeal.
"Issues of credibility are difficult to appeal," he noted.
"At this point it's tough to say if we will appeal at all.… It's certainly impossible to say at this time on what grounds we would appeal."
"I'm sure [Del Mastro's] not pleased," Crown prosecutor Tom Lemon told reporters.
"Whether he agrees with it or not, his only route with respect to a decision is to appeal that decision, otherwise the decision stands for what it says."
Lemon also said that he will "seriously consider" whether to recommend jail time for Del Mastro, but told reporters that it would be up to the House of Commons to decide what to do about his seat.
Ayotte was similarly unable to predict whether his client will be able to return to his seat on Monday.
"I'm a lawyer. I'm not a politician," he reminded reporters.
"I don't specialize in what the House of Commons may or may not do in this situation. I don't know."
As for the question of whether Del Mastro will be sentenced to jail time, Ayotte said it would be "very surprising."
"It would be precedent setting," he said.
"I don't know of any case in Canada where someone transgressed the Canada Elections Act and went to jail for it."

PMO 'accepts' court decision: spokesman

A spokesman for Prime Minister Stephen Harper said the government accepts the court's decision.
"Mr. Del Mastro has not been a member of the Conservative caucus for some time," Jason MacDonald told CBC News by email.
Del Mastro and Richard McCarthy, who was Del Mastro's official agent in 2008, were charged with:
  • Spending more than the election expenses limit.
  • Under-reporting his expenses.
  • Turning in a campaign expense report that he "knew or ought reasonably to have known" was wrong.
Del Mastro was also charged with purposely exceeding the contribution limit for a candidate in his own election campaign.
The judge found Del Mastro and McCarthy guilty on all counts, although the fourth was stayed at the request of the Crown, as it was the same as the third.

Corrections

  • An earlier version of this story incorrectly reported that Dean Del Mastro could face up to one year in jail and a $2,000 fine. In fact, he could face that penalty for each of the three counts on which he was found guilty of violating the Elections Act, bringing his total sentence to up to three years in jail and $6,000 in fines.
  • Oct 31, 2014 3:31 PM ET
With files from Janyce McGregor and Kady O'Malley (CBC News)

where there be dragons--------------------Former Edmonton mayor Stephen Mandel handily won in Edmonton-Whitemud, well ahead of the second place candidate from the NDP. Mandel said his party will get to work on the health portfolio. “We’ve decided from the beginning it’s about working with people. We’ll consult Albertans about what their concerns of on health,” he said. “We’ll find ways to help those who need help the most. We need to be a province of great heart and great soul.”-

and come to the place
where there be dragons
and look them in the eyes
see that they are like us
but they have fire

and come to the place
where you lay down the words
as the weapons that are yours
the fire will overcome the pages you write
but you will have done what you must do    and not have relented out of pity

and come to the place
where we are all human beings
but some of us are more than this    for they are the entitled Tories
even though some of us have dragon scales and lash our dragon tails
and breathe fire        come to this place and lay down the stories that are true

and come to the place
where there are no misunderstandings and only mistakes
where these mistakes are ignored and written over as moving forward
do not write over the history of negligence
instead say the truth and the facts calmly to all


and come to place
and write out each piece of the history of neglect and incompetence
for we are speaking of professionals here
who were obligated to follow the ethical rules of their societies 
and then say that your handicapped sister has survived all these incidents by the fools


and come to the place
where the words purify
the torment inside of you
for there is no justice in Alberta 
there are only lies  and so what else can you do?
 

and come to the place
where we see that the wrongdoers are promoted
they are rewarded as are the politicians are for dubious performances
and the weak are taken down in their rooms at the extended care facilities
we are the families of the handicapped citizens and we document these dissonances 


and come to the place
where no one cares
they simply mouth the words of heart and soul to us now
for these are people without any sort of power
and their voices have been silenced in every way possible that we can devise

and come to the place
of the proofs of our work
such work it is 
that it will excite your attention
these stories are really of greed and power   that defeat the innocents


and come to the place
where they now tell us that they are thinking
of the heart and the soul
and how to introduce these matters into Tory bodies
this is after they have destroyed both    yes let us laugh aloud at the new fables we are told

http://metronews.ca/news/calgary/1196193/jim-prentice-and-the-pcs-sweep-all-four-alberta-byelections/






THE CANADIAN PRESSAlberta Premier Jim Prentice, left, celebrates with his wife Karen after winning a seat in the provincial legislature following a byelection in Calgary, Monday, Oct. 27, 2014. THE CANADIAN PRESS/Jeff McIntosh

Alberta’s official opposition urged Calgary and Edmonton residents to “send the PCs a message” in four byelections on Monday and voters did exactly that – it just wasn’t the message the Wildrose had been hoping for.
The governing PCs swept to victory in all four constituencies, by a large margin in the case of Premier Jim Prentice, who handily earned his seat in Calgary-Foothills.
“Albertans want a lot more action and a lot less talk; they want a lot less politics and a lot more government,” Prentice said in his victory address. “We’re on the right path and we know the work has just begun”
Education Minister Gordon Dirks also earned a seat, albeit by a much narrower margin, in Calgary-Elbow.
“I think we won because we have a tremendous leader in Premier Jim Prentice,” Dirks said, to thunderous applause from the crowd of supporters at his campaign headquarters in the Calgary community of Mission.
Dirks called Prentice “a man of a vision, a man of integrity, a man of great skill, a man who has said this is where our province needs to go, and he’s already begun to take us there.”
Mount Royal political science professor Duane Bratt said it was an impressive win for Prentice’s PCs.
“It’s a strong endorsement  of Jim Prentice, there’s no other way of viewing that. With everything that’s occurred with the Tory party over the last year, for him to come in and win, really, a mini-election where the stakes were so high, where the opposition took out TV ads . . . it’s a pretty strong mandate.”
Bratt, meanwhile, suggested the Wildrose Party may be facing difficult questions from their membership.
“They tried to dampen expectations once these byelections were called, saying, ‘Well these are all PC seats.’ That’s true, but if you’re going to form the government, you’re going to have take seats from the PCs.”
Wildrose leader Danielle Smith said her party – which finished second in two ridings and third in the other two – received a lot of “next time” commitments from prospective voters at the doors and many commented that the party had matured.
“But an upset just wasn’t in the cards for us tonight,” she said. “Tomorrow, we get back to work holding the government to account and providing Albertans with a ready-to-govern alternative in the next election.”
Smith also scheduled a news conference for 11 a.m. Tuesday but did not specify the topic.
Mike Ellis won a close race in Calgary-West, topping former school trustee Sheila Taylor.
Former Edmonton mayor Stephen Mandel handily won in Edmonton-Whitemud, well ahead of the second place candidate from the NDP. Mandel said his party will get to work on the health portfolio.
“We’ve decided from the beginning it’s about working with people. We’ll consult Albertans about what their concerns of on health,” he said.
“We’ll find ways to help those who need help the most. We need to be a province of great heart and great soul.”
— With files from Jeremy Nolais, Yasmin Jaswal & Leah Holoiday

I send Jackie an e-mail about the bench


----- Forwarded Message -----
From: "jyali" <jyali@
To: "Jackie Leaver" <jmleaver@gss.org>
Cc: "Erin Foster" <efoster@gss.org>, "Pam Purdy" <ppurdy@gss.org>, "jillian barber" <jillian.barber@albertahealthservices.ca>, "janet davidson" <janet.davidson@albertahealthservices.ca>
Sent: Friday, October 31, 2014 10:55:51 AM
Subject: bench that will do double duty in shower and outside the shower

Hi Jackie,

I have looked at the Health care solutions brochure on line and talked with the sales people there.

http://www.healthcaresolutions.ca/catalog/

Here is the brochure:

http://www.pagegangster.com/p/9Ejwi/#/page/19

There are two possibilities for a bath bench that can then be used for her as a stable chair for the TV.
I put the choices down here:



I look at healthcare solutions at this page:
http://www.pagegangster.com/p/9Ejwi/#/page/23
There is a drive bariatic bench with back.
I will note the catalog number
It is a Drive Bariatric Bench with Back.
DMC 12029-2
AADL $189.99; it is 15% off for extended care facilities.
This supports up to 600 lbs.

I call the southside store for information.
The lady suggests another bench on page 17.
It is a drive premium bath bench with back and arms B043. DMC 12505.
This supports 350 lbs. I will send this information to Jackie. I think the first bench would be good for her to sit on in front of the TV and also use in the bath.

**********************************

I think the bench that supports up to 600 lbs is best but you can look at both of them.

When the bench is not in the tub then my sister can use it as a chair that won't tip over when she bends to do her socks.
I think she needs the bench now because just yesterday she had a fall from her bed to the chair.

Thanks,
Julie 

Mask Duty and BiPaP machine duty --Wednesday October 29, 2014

Because I am very sleepy today I will work slowly on the handicapped sister posts. I am very sluggish because of the late nights and then I can't get to sleep after coming home.  I will start this post with the  mask and machine duty from Wednesday October 29, 2014 since I am again behind in my writing.

But first I will go make a cup of tea. 

So let me get going or else I will be in an extended care facility myself before these posts get written. Documentation of a longitudinal sort is very important because you get to see patterns of poor performance.
Mask duty, BiPaP machine duty.
My sister isn't feeling very good.
She is confused and this may be because of the urinary tract infection.
It may also be the endless incidents in her life that have worn her down.
She's a real survivor.
But there is an erosion in the landscape that is clear to me.

I leave the house at 9:07 pm.
Then I get to the Good Sam at 9:24 pm.
I find her wearing her BiPap and I get her to take it off because I have to give her a small snack and then get her to the bath.She is very emotional and gives me a hug. I hand over the small pink teddy bear that I got for her. I am trying to get the big pink teddy bear to take home so I am doing the switching of bears. I haven't yet got the large pink teddy bear home for a wash but maybe this weekend.
I give her the snack of grapes and a cheese bagel.She wants some sandwich meat so I hope I remember to get some. Then I leave the other two bagels for her. She is having problems using the toaster and the microwave so I might have to help her with the toasting business. It's all downhill sometimes.
Hopefully this is just the infection causing these problems in functioning. But I am not sure. She seems more herself right now than she was yesterday,

It is now 9:54 pm.
She has finished her snack.
I give her a snack so she won't feel hungry and get up after I am gone home.
I get her to go to the bath.
I put a new sleeping gown in the bathroom for her to wear.
I put up the two new tops for her in her wardrobe. I have begun doing this as I note that she isn't able to choose her clothes and is even having problems getting out of her nightgown (is puzzled if the night gown is regular clothes).  I give her a choice of clothes because I want her to think in small ways. I have another way I test her cognitive skills. I get her to write a shopping list. If it is odd this indicates to me that the brain is fried.

While I wait for her to finish her bath I do the walk around the room. I have been throwing away junk but the room is full of junk so I check mostly to see what is dirty around the junk.


I strip the bed and change sheets and pillow cases.
I put her new pink teddy bear on her bed.
I got Diana --to clean under the bed where it was dirty. I got her to do the toilet and bath as well. I don't know where Anna and Renuka are. I haven't seen them for ages. In any case, parts of my sister's room are dirty. I have found dirt under the chairs and tables. Then the surfaces of things are dirty; I washed the table under her TV screen which is mounted on the wall. The walls by the corner near her bed is filthy. All the walls in this room need to be washed down. When will they do it?  I don't know. They have a cleaning schedule in a blue book on the microwave but the year they do things is not noted. They simply put the months down and cleaning seems to be irregular. I usually have to ask the cleaning staff to clean areas when I move things around since there are dust bunnies around things; for example the air conditioner was turned off and I moved it away from the window and there was dirt all around it. I got Anna to clean that before she disappeared. It is very disconcerting to get to know folks and have them go.  It's rather like the facility manager --Bill Taylor who was a nice man but rather lazy with reference to doing his job since it appears he has had no oversight of the respiratory program and who knows how long my sister and other respiratory patients have been without any sort of respiratory therapist care?  I mean calling in a former respiratory therapist who no longer works for the Good Samaritan doesn't seem to be a good solution to the problem of no staff. Even when I asked for the Norwood respiratory therapist to come to Millwoods Erin said no and then suddenly she was at the Millwoods branch for a shift before she quit. After she quit she again came back. It is puzzling why we are not able to retain a respiratory therapist at this site. Is it because a 0.4 position has been reduced to one shift and a human being is not a machine?  Is it because the protocols for good respiratory service provision are not being met with these time constraints and with the poor management in place that cuts corners by not providing masks to patients on a yearly basis and doesn't do any infection control as far as I can see it? Is it because illegal things are being done at this facility such as assembling worn out mask parts from god knows where to use as a functional mask on a handicapped patient who doesn't know any better? Is is because the staff have lost their ethical bearings and can pretend that they do not know their duties to provide the respiratory supplies that were formerly provided by Aids to Daily Living when the patient was at home but becomes the responsibility of the facility when the patient is transferred into long term care?  Who has failed my sister?
The short answer is we have all failed her but in the case of the family we failed because we didn't know what was going on and the staff kept telling us these problems were all due to the fact that she was non-compliant.

It's a very good excuse. The patient is non-compliant. The family has to understand that the crappy mask, the last BiPaP machine with the broken plug in and the absent data card--well these problems are the fault of the patient. The family has to understand that the fact that staff can't put on the BiPaP machine is also the fault of the patient. On the first occasion the staff failed to put on the machine for 55 out of 60 days. On the second occasion the staff failed to put the machine on for 17 out of 30 days.  When I began to watch the staff I found several instances where the staff did not put on the machine in full view of myself.  When I corrected and supervised them, mysteriously the machine data card now shows that there are no days where the machine was off.

So of course all these problems are because my sister is non-compliant right?

Nope.
The problems I have discovered are the problems of this organization which is not a professional body that is capable of delivering respiratory services that meet the standards of care because the staff is not trained to do the respiratory work that should be the job of the respiratory therapist.
The staff is also stuck in their ways. The staff has taken me five years to even understand that the high flow stroller is a health hazard for my sister. The staff has been unable to see that a checklist with one staff doing  monitoring during the day would be sufficient to ensure that my sister is putting off the stroller, putting it on, has enough oxygen in the stroller, has been on the oxygen tubing in the room. We have tons of PCAs running around and yet they can't assign a checklist to one of them to do these sorts of respiratory checks on patients?  The PCA at night could do the similar checklist of seeing if the mask has fallen off my sister's face or the mask hasn't been put back on after the trip to the toilet.  My sister has arrived at this place in 2010. It is now 2014 and yet we still have the same situation we had at the beginning.  Staff who don't understand carbon dioxide narcosis or the health challenges of my sister and sometimes who simply don't care.  There are good people here but we have to understand that we need all of the staff on the same page --not just Sathya, Violet, Jessie and Corinne; Marzena and Jessica.All the staff need to know how to do the mask and the machine.  All the staff need to do the check of the leaks and the oxygen. All the staff need to do this sort of work because the more people who check on her the better.

Late at night while my sister has her bath I think of the ways that this situation could have worked out for her so that she could have been a functional human being today. I think about the love that she did not get from all of us. I think about the fact that the facility manager who left his position as soon as I found out about the mask to be promoted elsewhere---I think about his mind set.How did he justify not having a respiratory therapist on site? How did he justify the mask in its broken pieces? How did he justify my sister as a respiratory basket case and then blaming it on her? Did he look in the mirror?  Because he was the top dog at this facility all the other workers looked the other way as well. Everyone took their cue from him. The social worker knew that the facility paid for the supplies. She kept silent. The nurse knew I was asking about the mask and she simply recorded this matter in the yearly conference record. None of these other people did their jobs in advocating for the vulnerable patient. As for myself? I was at fault in not asking questions earlier. If Erin was telling me about the mask being in pieces---why didn't I go beyond the talk with William Taylor to go higher up in the food chain?  Why did I not pursue this matter with Good Samaritan administration?  Well, if you have gone through the facility manager, the social worker and the nurses who else are you to go to?

Even when I went to the AISH worker, the Aids to Daily Living worker and the government of Alberta (Alberta Health) there was no direct chatter about the facility being responsible for the mask until the health minister (Mr. Horne) wrote a letter. The facility manager still did nothing until I yapped to him I was sending the bill to the health minister. What sort of long term care organization does this sort of unethical behavior?  I would say one that is strapped for cash and has lost its bearings as a consequence.

I don't expect anything to change at this place because changing people is almost impossible to do. I tried to alter people at the Edmonton Public School Board and the EPS system and I understand now this won't happen. Folks are entrenched in their positions and their mindsets. They won't alter. The only change will happen when the economy goes down as it is currently doing with the price of oil dropping. The building frenzy will hold up the economy for a while but further cuts are coming to health, education and long term care. We are giving away the resources to the oil and gas industry which is making trillions of dollars of profits and then turning around to fund our libraries and technical colleges with our money. Its a sham of a society and we will continue to see the problems of underfunding of services and the poor performance of our hires in all sectors.  I believe that citizens must be aware of these problems that the Tories won't solve because their job is to represent the oil and gas industry and not us. We have to do the work that the government at all levels will not do for citizens.

This is what we need to do. We need to document the care of our families. We need to advertise this systematic failure to meet the standards of care on blogs. We need to then complain through the proper channels using FOIP'ed documents. We need to make public the failures. We need to inform Albertans of the risks of their current voting patterns.  I doubt that anything will change but at least we --the families of the handicapped citizens will be on guard for our beloveds.

When she is done her bath, I French braid her hair.
She brushes her teeth and flosses.
It is now 10:13 pm.

This is not what you think it is --imminent death.
It's a sort of slow decline to nothingness.

It is 10:15 pm.
I call for the mask.
This is the ordinary day.
Much of it is about a teddy bear or a moment in time where she is aware that her life has crumbled. Out of the fog might come realization for a second and then it is gone. She has been talking to her teddy bears since she came to this place and I understand it is out of loneliness, grief and a need to have company. She has kept on the radio and TV for this same reason. She won't have the radio and TV on now because I want her to focus on sleep.
She doesn't like silence.
Silence is the chisel that shapes thought.
What are you dreaming into being? I wonder.
Night falls like a meat cleaver outside.
The moon is like a fingernail of light.
I wish I knew how to say these things about my sister's life so that you would understand that she is just like you or me--she has a heart, a body, a mind and a soul. None of them except the soul works well.

This work of writing is all about love  sorrow  death.

This is why we don't like to sit alone and write.
But if you do this sort of work, you push through pain and grief and horror to arrive at a place where you can help someone you love.

When you work you must be very clear about what you say and what you do not know. I know only the what I have discovered since March 12, 2014 and what the data card downloads have shown me. I do not know what exists in the documents that I am requesting.

How to do this sort of citizen investigative journalism is  a mystery but simply begin and go from there.
Something helps you to say the brain's convolutions.
It's like hands come out of the sky and shape your brain's dough.
Here is a piece that makes a pie crust of a blog post that will hold the cut fruit of your sister's body.
Here is a piece that has been kneaded over time into a loaf of nourishing bread.
All of it will feed the soul.

You must get use to the excess of writing that you will do as you report on her decline and fall.
It is hard work meeting with death.
You can take your time about it.
You can write as much as you must write in order to accept it.

The words sometimes feel like they are somersaulting on the trampoline of your brain.
The trampoline lifts them up like circus acrobats who keep falling instead of performing amazing feats.
What circus of poetry will carry these inept performers?

I called the nurse at 10:15 pm.
10:28 pm.
10:39 pm I call again---the person on the other end says--Yes dear--I already told the nurse. She's coming. She's coming.

Jamie--a PCA comes at 10:44 pm to check on my sister. I always mix up Jamie with Ariel but there you go.

Then a surprise. Sathya is here. She has had to do a double shift again. I don't know how she does this sort of endless work. I am trashed with the night duty with my sister. But she can go on forever and ever. As she sets up my sister on the chair for the mask she explains about the chin strap digging into her chin and causing a pressure point. I see it. Then the pressure point near her nose. Why is it that I hadn't noticed? Maybe I never look closely at the poor sister but am always like a Blue Heeler dog yapping and yipping at her to do this and go do that?
In any case we don't put on the chin strap. I write a note to staff so that they won't put it on until we have sorted out the problem of the pressure sore.

She tells me about the two bacteria that my sister has in her MSU sample. Since Sathya had the brains to give my sister the big cleaning wipes instead of the tiny ones we finally have a decent midstream urine sample which isn't overgrown with normal bacterial flora and therefore are reasonably certain that the two isolates obtained from her urine are actually pathogens. The first pathogen is sensitive to cipro and the second one is resistant. The first antibiotic course will end on November 7, 2014. They will collect a second MSU to see if the second pathogen is still present and still resistant. This is standard practice I find out from my dad; I had thought they would just give her two antibiotics.  The presence of the second pathogen with the second MSU will ensure that we have cleared up the infection of her urinary tract system at least. She might have other problems since she seems so confused and not her usual self.

Sathya and I yap as she works. She's such a nice nurse. When she is working I know that she will be thorough and I don't have to come and reinvent the wheel for staff. She can actually think and think well. She puts on the mask by 11:00 pm and runs off to do the work of one nurse with 66 patients; good thing she is young and can put up with overwork.

Mask leak is at 65 which is not below 60 but what can you do? It's the best reading we have had so far.
Red area under chin and near nose to be looked at.

When I think about those poor patients from the Michener Centre being dumped out into places like this one without family near them day and night   I almost laugh at the dumb spin stories of the Tories who try to get us to think that life in the community --which ends in death--is better than life stuck in an institution --which means life.
Just who are they kidding?
I wonder who would have snapped up the Michener Centre land for big bucks and developed a long term care facility there?
Why else are they selling public properties other than to put more money into the sky palace?

Sathya has told me my sister is uncharacteristically quiet and accepting help with her clothes.
This is a new thing as she was always very independent and never let anyone near her to do the clothes. So she must be feeling really yucky to accept help.

The OT was apparently in today so the toilet seat and accommodations in the bathtub will eventually be done. The main reason for the raised seat is to ensure she doesn't fall or can't get off the toilet. I mean she can't even bend and the chair she is on is tippy. She needs a firm chair for a large person to sit on in her room.

I look at healthcare solutions at this page:
http://www.pagegangster.com/p/9Ejwi/#/page/23
There is a drive bariatic bench with back.
I will note the catalog number
It is a Drive Bariatric Bench with Back.
DMC 12029-2
AADL $189.99; it is 15% off for extended care facilities.
This supports up to 600 lbs.

I call the southside store for information.
The lady suggests another bench on page 17.
It is a drive premium bath bench with back and arms B043. DMC 12505.
This supports 350 lbs. I will send this information to Jackie. I think the first bench would be good for her to sit on in front of the TV and also use in the bath.



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It is best to do some research so that you have stuff that has multiple uses in a room.

At 11:39 pm I go home.
I am home by 11:57 pm.