Saturday, January 14, 2017

Is a confrontation likely between doctors and the province?

The doctors have agreed to no longer charge for ophtalmic drops and similar office expences.  But they draw the line when it comes to expensive scanner equipment.  Hospitals are not equiped to handle the demand from the general population.  Doctors are willing to purchase equipment providing that their fees reflect this major expense.  Procedures like vasectomies generally involved a fee from the patient.  To protest the situation, doctors are refusing to schedule some procedures.  Who will win?

Homeless montreal man shot by police

Jimmy Cloutier was near the Old Brewery Mission where he was sheltered when the police intervened.  The 38 year-old man was in and out of sheltersfor the last 11 years.  He had a knive.

Coming events and conferences 2017

AMI-Quebec (action on mental illness) is the main community service point for Montreal's anglo community.  Their calendar can be consulted at www.amiquebec.org . You will notice that they have meetings for the family on some wednesday evenings at 598 Bellevue North, Greenfield Park.  There is also Friends for mental health Dorval.  If you can understand French, you should consult my main website at www.schizomonteregie.blogspot.com . APAMM-RS, the association for family and friends of the mentally ill for Montreal's South shore organizes several conferences at 7PM, prior registration is required: feb7:Borderline P D, feb 13 wills and mandates, march 16 : guilt feelings, april 18 : Emotions, May 25: Too close or too far from my ill relative?, 12 june: OCD, Those conferences are in French.

JUNE 2017

Exhibition at Georges d'Or library, Longueuil, until 12thofJune.  Artifacts by participants of our PIS-J'EMBARQUE program for welfare recipients who participate in our art workshop. Items are for sale.

APRIL 2017

tuesday 11 Financial planning with Alain Théroux, at 1 Curé Poirier, longueuil, 5$ for non-members of CSSM-M (450-677-4347) presentation in French.

FEBRUARY 2017

thursday 9, Performance anxiety for youth,7PM EST at iusmm.  The event is sold out but the event will be webcasted at:http://new.livestream.com/santementalemtl The young are encouraged to listen with their parents.
thursday 9 Conference : measuring social support for research.  Stéphane Guay will speak from 9 AM to noon.  Reserve your free seat at 514-251-4000 ext 3180
friday 3 Series of conferences from 9AM to 5PM on psychotherapy, free, reserve your seat at 514-251-4000

Monday, July 1, 2013

Spending cuts at Montreal hospitals

The Montreal health agency has cut hospitals' budget by 100.9 million dollars.  Here is how the 13 main hospitals fare.  (annual cuts in millions of dollars)
CUSM 12.6M
CHUM 12.4M
Maisonneuve-Rosemont 5.1M
Jewish General 4.8M
Sainte Justine 4.5M
Sacre Coeur 4.3M
Douglas Institute 2.6M
Institut de Cardiologie 2.5M
Institut en sante mentale (new name for Hippolite Lafontaine) 2.4M
Saint Mary's 1.8M
Santa Cabrini 1.6M
Philippe Pinel  1.5M
Riviere des Prairies 1.3M
To keep things in perspective, the total (annual) budget of the Douglas is 118.8M, of which 83M is devoted to salaries.  The institut en sante mentale spends 111M in salaries an 46M in other expences.  The Pinel Institute spends 48M in salaries and 9M on other items despite a 6.7M accumulated deficit.

Friday, June 28, 2013

Another Taser victim

Alton (Bernard) Cuyugan, 33, was thretening to injure himself with a knife at his Renfrew street, East Vancouver home.  Police taserd him and he died in hospital on nov 13, 2012.  The new B. C. Independant Investigations Office is investigating.  For more information about Tasers, use this link: www.truthnottasers.blogspot.com

Thursday, June 27, 2013

Conferences about mental health

July 21 to 24, 2013  National conference to end homelessness in Washington, D.C.
September 9 to 11 Schizophrenia society of Canada national conference in Winnipeg www.sccnationalconference2013.ca
October 18 to 20 ONPHA in Toronto, 123 Queen st. West
October 21 to 23 symposium of the association des intervenants en toxicomanie du Quebec Delta hotel in Trois Rivieres
October 28 to 30  Canadian alliance to end homelessness in Ottawa, 101 Lyon N, regular place 650$
Applications for scholarships for the homeless or former homeless to cover registration and hotel may be sent by e-mail but must be received by July 15.
November 7 Societe de schizophrenie de la Monteregie invites Dr Boomer at Centre Jeanne Dufresnoy, 1 Cure Poirier, in French
November 7 AMI Quebec and Concordia University invite all to the annual Low-Beer Lecture at the Oscar Peterson concert hall, 7141 Sherbrooke west, free admission, in English

When the summer will be over, the following organizations will offer conferences in the Montreal area:
ALPABEM (usually at Cite de la sante, at the end, ask for your parking coupon)
Societe Quebecoise de la schizophrenie www.schizophrenie.qc.ca usually at 7401 Hochelaga, (metro Radisson)
Societe de schizophrenie de la Monteregie  ( www.schizophrenie-monteregie.com )

Death of Justin Scott Saint-Aubin in Montreal

These notes are prepared from the coroner’s report. The regie de l’assurance maladie reports that Justin Scott did not consult a doctor in 2005,2006 nor 2007 before the events that led to his death on 28 November 2007. Justin Scott lives with his mother and had temporarily suspended his job as a telephone pollster to concentrate on his other job as a DJ. He smoked pot every day.


On the night of 18 to 20 November 2007, he is very agitated and transported by ambulance to Santa Cabrini hospital. The doctor concludes it is a case of hyperventilation and follows up with an appointment as an outpatient on the 24th. He leaves the hospital at 7 AM. He doesn’t work on the 20th to the 23rd. On the evening of the 23rd, he has an altercation with his mother, the police intervenes and he is transported by ambulance to Maisonneuve-Rosemont hospital. At midnight, he is transferred to a police station, the centre operational Est and a family member happens to cross his path as he is leaving the hospital. The policeman on the scene assures her that he will be better at the police station.

Police investigators prepare charges of inflicting wounds. They conclude the report with this paragraph: “According to family members who have a background in psychiatry, he is about to be diagnosed with schizophrenia. The mother is scared of Justin Scott but she doesn’t want to accuse him. A psychiatric evaluation is needed because the suspect is a danger to the public.”

At 9:15, on the 24th of November, he is transferred from centre operationnel Est to centre operationnel Nord for a videoconferenced court appesrance which takes place at 14:15 and lasts 2 minutes. The lawyers present do not ask for a psychiatric assessment. Justin Scottt asks why he is accused and his bail hearing is set for the 26th. At 5 PM a bus transfers him to the etablissement de detention Riviere des prairies (EDRDP). He is admitted to the clinic, which has 32 beds including 4 isolation cells designed to accept suicide risks or people who are violent or contagious. This evening (we are the 24th) he is reported as coucou and unpredictable. He hits the walls and tries to hang himself. He is tied up. On the 25th he is praying at 4 PM and a doctor prescribes 5mg Haldol and 2 mg ativan by telephone. The medication is administered at 8 PM. On the 26, he is taken to the Palais de Justice de Montreal. He is calm but disorganized. He is sent back to EDRDP around 7:30 PM. That evening, the judge asks for a psychiatric evaluation of his ability to appear in court and of his criminal responsibility. This expertise is to be provided by Institut Pinel, accompanied by guards. The night of the 26th to the 27th is agitated.

On the morning of the 27th, Justrin Scott is seen by the consulting psychiatrist three times. He concludes that an urgent transfer to Pinel is required. The transfer is planned for 1 PM, then reported to the 28th.

On the 28th, at 2 AM, Justin Scott floods his cell and shouts a lot. Correctional agents restrain Justin Scott and then notice he is unconscious. The death is

confirmed at Santa Cabrini hospital at 3:33 AM. The chaplain notifies the family who had not heard of Justin Scott since the chance entounter on the night of 23 to 24 except for a short call by the police on the 24th to say he was in a police cell. The autopsy reveals a broken incisor.

The coroner concludes that legal psychiatry is not given adequate resources. The need for more resources and better coordination was a conclusion of the March 2001 report of Brian Bedard’s death which occurred on 27 April 2000. The number of experts’ reports required by Pinel grew from 600 per year to 1000 for year 2007-08 so one third of those reports are prepared at EPRDP. Pinel is planning a reduction of its services because of an expected decrease of available psychiatrists.



Here is a list of deaths in a provincial jail:

Janiak Zbigniew, 2001-02-21, transfer, psychiatry

Fitzroy Clarke, 2001-04-04, no meds for his epilepsy

Marc-Antony Christie, 2001-10-19 lack of communication

Yan Rossignol, 2003-02-08 poor communication, psychiatry

Sylvain Guindon, 2004-01-08 no agreement between Bordeaux jail and Sacre Coeur hospital.

Steeve Saint Germain, 2004-01-08 was uder methadone treatment

Yves Chenier, 2005-02-09 problem with communication of notes

Eric Archambault, 2005-06-13 goes through 3 jails

Alain Picard, 2005-12-06 disorganized care

Sylvain Lemelin, 2006-01-03 Baie Comeau

Roger Lalonde, 2006-12-12 death in a federal prison after bad care at EDRDP

Paul-Joseph Pinette, 2007-12-02 Baie Comeau

Hermes Lennis, 2007-01-25 manque de coordination entre lEDRDP et le Palais de Justice de Montreal