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Ottawa Infection Risk

October 21, 2011 by staff 

Ottawa Infection RiskOttawa Infection Risk, The letter from the Ottawa Public Health Jennifer MacKenzie received Tuesday made it clear: The mother of 34 years of age, of the three is one of the 6,800 former patients of a clinic in Ottawa endoscopy that may have been exposed to HIV or hepatitis .

Although MacKenzie knows the real possibilities of infection are very small – less than one in a million for hepatitis B to one in three million dollars for HIV – which is still angry with Dr. Christiane Farazli, the gastroenterologist who ran the private clinic.

“I’m angry because how could I let this happen? You just assume you can trust a doctor, but you can not trust anybody,” said MacKenzie, who had an endoscopy clinic Farazli in 2010.

While thousands of Ottawa area residents learn about improperly sterilized instruments in the clinic Farazli, expressions of frustration, helplessness and anxiety are giving way to a profound loss of confidence in the health system.

The objectives of your area Farazli distrust of herself to family physicians referred patients to her. Medical City health, Dr. Isra Levy, has also been criticized for appearing slow to reveal the identity of the clinic.

Above all, there is anger at the revelation of visceral Until recently, private clinics to endoscopy were not subject to provincial regulations that required medical follow-up as Farazli appropriate infection-control practices.

That changed in 2010 when, after years of lobbying by endoscopists themselves, reviewed the provincial legislation finally shown the safety standards. It also allowed the agency that regulates the medical profession to inspect 270 private clinics for surgery in Ontario, which performs procedures ranging from liposuction and endoscopy to plastic surgery.

In May, the clinic Farazli failed an inspection by the Ontario College of Physicians and Surgeons. The inspection team found the clinic, which is used to perform gastroscopy and colonoscopy, are not always properly cleaned between tests. The lapses are believed to have occurred between April 2002 and June 2011.

The shock of the infection as a result has exposed some dirty truths patient’s underlying assumptions about private clinics.

“When you are a patient, you are in a very vulnerable position.’re Depending on someone to help. And I feel betrayed by a professional who was supposed to help me,” Catherine said Brohm, another former Farazli patients. “I want to know how he concealed for so long.”

Brohm, who had at least a gastroscopy clinic, said he walked in the event that was regulated, and a hospital.

“Honestly, it never crossed my mind that it was not. And I come into the clinic thinking I had to ask if they were sterilizing their equipment. Now, I ask.”

However, advocates of patient safety are two views on encouraging patients to cope with health workers. Although they say that is entirely within the right of a patient, some providers react defensively, making it difficult for patients to obtain clear answers.

And while patients have the right to remove a doctor who is not happy with reality is to opt for another provider often leads to further delays for the diagnosis or treatment.

“It gets really hard when you’re in a small community and only a physician, I understand that,” Dr. Michael Gardam said, head of infection control in Health Network, University of Toronto.

“But when we are talking about Ottawa, other gastroenterologists. And if someone is not satisfied, they always have the right to another doctor.”

Gardam understand how intimidating it can be a challenge for health professionals. Earlier this year, suffered a perforated ulcer and became a patient in their hospital.

“I saw health workers spend wondering if he had washed their hands. And I was not comfortable doing them. So how the hell I can tell a patient to do that?”

The bottom line is health care workers should be more responsive to patients who ask questions, said Gardam.

“When people ask us, or ask what we are doing, those are very uncomfortable questions for health workers to answer because the usual response is, in fact I do not know. Well, maybe they should know.”

If used correctly, the shock of Ottawa infections may trigger positive changes, but only if officials from the unit Farazli public health and medical regulator, are “open, honest and truthful about what happened,” said Donna Davis, co-chair of the Canadian Patient Safety.

“Every time something like this comes out and we can learn from them, only makes care safer. It clinics, doctors and organizations take a second look and say, ‘How can we improve?”

Others say that the Ontario College inspections of all private surgical clinics have the potential to restore a measure of public confidence in the facility.

“Once completed, people will be able to walk and be sure that the clinics have been accredited and is of good level,” said Dr. Fred Bray, a gastroenterologist at Ottawa.

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