Are Medical Services Safe?  
  

bullet1 Are you sure about this?   Are Medical Services Safe?

 By Donna Young


A Globe and Mail article, by Anne McIlroy and Paul Taylor, March 23, 2001, informed us that 60 percent of the medical students watched a doctor training them to act unethically; 47 per cent of 103 students interviews reported they feel pressure to act unethically very frequently, frequently or occasionally. Perhaps we should be concerned of the 53 percent who did not complain? Did they not know what was ethical or unethical practice?

McIlroy and Taylor reported this survey, started three years ago at the University of Toronto, indicated 60 percent of the graduating students were required and/or expected to: perform pelvic examinations on women under general anesthesia who had not given their consent; perform unnecessary procedures on unwary patients, including those who were comatose or unconscious; close wounds when they didn.t know how; give psychotherapy sessions without supervision; to complete post delivery visits with patients who hadn't seen a doctor since giving birth; and to ask patients to return for follow-up visits that were purely for teaching purposes. Students complained they had little help from the doctors in assessing patients. Students felt they were providing substandard care, which included being instructed by a doctor to repair a child.s scalp with inappropriate supplies and being part of a team that secretly administered intravenous drugs to a woman who had requested a narcotic-free vaginal delivery of her baby.

Dr. Richard Frecker, the U of T's associate dean of undergraduate medical education, said the data was compiled to let students know they don't have to comply with requests to act in a way they feel is unethical . Dr. Frecker implied that if unethical practices were happening at the U of T, it is happening across Canada and the US. He was sure of that. No truer words were spoken . . . The New York Times, March 27, 2001: Doctors punished are still prized by hospitals. It reported 44,000 deaths of some 98, 000 persons hospitalized. Dr. Novello in her efforts to discipline doctors, last year in New York, took action against 411 doctors, a 21 percent increase over 1996. What are the BC and local statistics? No Oath, today, is required?

Infant Care by today's Practices:  

    The report from the U of T, caused concern when I enquired as to one of their graduate's practice, in Kamloops, BC.  He was trained to do immediate cord clamping on an infant's pulsating cord.    He said he would not change his practice unless told to do so otherwise.   I asked what was his authority, and he mentioned magazines he prescribed to but would NOT say which one had the authority to change his practice by his training and licensed to do that in BC, or implied license.  The licensing from Province to Province is by the College of Physicians and Surgeons, assuming the doctors are adequately trained to deliver a baby without harming it or risking it to unnecessary endangerment.  

     I call blood deprivation, that yet the victim lives, assault.   The College of Physicians and Surgeons have NO policy for the protection of the babies, who are citizens of the public, so the babies are being discriminated against by not having equal protection as would an informed adult with choices.   The vulnerable have no one to advocate for them at the Boards of the Colleges of Physicians who know of the change of trends allowing hasty clamping to be licensed and approved, apparently, in British Columbia, and across Canada.  It is my opinion, breach of trust is being done by the Royal Colleges and those governing and controlling Provincial, Territorially, and into the States, and on a world wide scale.

    That practice, is said to be now routine by our BC Ministry of Health, who have demonstrated a So What attitude.   Locally, I did confirm that there is one doctor who does still do delayed management of the pulsating cord.  But they are of the older generation, adequately and morally and ethically trained.   The local hospital permits both delayed and immediate clamping of the infant's umbilical cord. Infant's born in c-sections are most vulnerable to immediate cord clamping.  Premature babies are most vulnerable because of their volume of cord stem cells.  These cord stem cells while small in quantity, are greater in the form red cord stem cell blood, that the baby, when born prematurely needed for all those to aid its continued growth.  But premature babies are clamped almost immediately, and now one is witnessing what has happened to the blood trapped in the placenta.  Is it burned?   I hardly think so.  It is likely well sought after by science labs.  Next, vulnerable are the babies born by c-section.

    Mothers are more risk to have their baby's blood robbed if they are planning to have a c-section.  C-sections now represent 22 percent of the deliveries. Most of them are caused by the mother accepting drugs for contractions she is not well educated can be controlled by position and warm water baths.  

    One doctor that raised concern of higher unnecessary medical costs, is Dr. M. Wagner, New Zealand. His various reports, on the internet, indicate that the mother is said to be failing to progress within 12 hours of the deadline, she will be convinced she needs a c-section.   This time limit is meant to physiologically make the mother feel she has a problem to birth her child normally.  Generally, it is the fearful atmosphere of the hospital that causes the mother to fail to progress.

    In the 1950's 36 hours labour was normal, and 24 hours during the 1960's. Drugs are used to quicken the contractions, to have a woman comply to birth within 12 hours. The drugs can risk the mother to uncontrollable pain; the placenta may prematurely pull away from the mother.s womb, resulting for a C-section, and a birth of a distressed child.

     Immediate cord clamping of the pulsating cord adds to the risk of a compromised child C-section children have a higher statistics of being assaulted children. They run a higher risk of mental retardation of subtle degrees but have normal appearances.

    Their damage is associated with the need of a C-section, not the drugs/cord clamping. Parents should be requesting full copies of a C-section babies birth report, by all in attendance of the delivery, including the 3 Apgar Scores.  They should be asking, was the need of the C-section, medically caused.

    Immediate cord clamping when done is without the knowledge and/or informed consent of the mother. The practice may accommodate cord blood banks operating in Toronto, Edmonton, and Vancouver. Doctors going with this third stage labour management of the cord have no regard that immediate cord clamping can deprive the infant up to 80 percent of the total blood volume that should have been inside the infant's body.

     That information is fact as to reports given out on the Internet by the cord blood banks. Their take of the cord blood from an infant can be 80 to 200 ccs.  An infant weighing 9-pounds should have 10 ounces of blood after full transfusion of blood takes place between the placenta and the infant, after birth.  Divide 200 ccs by 28.4 oz. and you get close to 7 ounces, and the biggest take of a child's blood was reported to be 200 ccs by a mother who gave birth, and she was employed by the cord blood bank, that accepted that amount of blood without questioning the need to have deprived the baby of so much.  But you cannot control the clamp.

    Infants victimized by immediate clamping are: limp/listless, have no grips in their fingers, slow in reflexes, pale in colour, may have heart murmurs, suffer iron deficiencies, had jaundice, are nervous children, easily frightened, may be prone to leukemia, more likely to experience learning and behavior problems, not evident in some cases, until the child begins school. Some teachers are asking for classes of seven. Toronto had over 60 percent grade 10 students fail an exam.

    Action:  Protect Babies -- A Moratorium on immediate umbilical clamping is needed. C-sections increase should be questioned. Future Births . . . over 4 Million just in the United States.


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