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INDEX

• Opening: What are the Focus & Goals of this brief.
• Service : Lethbridge Ambulance Services.
• Service : Chinook Hospital Emergency Department.

• Service : Imaging & X-Rays.
  Real Opportunities for Talking.
  • R.O.F.T. : Ignorance creates confusion, anxiety, fear, doubt.
  • What is : An Epidural Block Injection?
• Service : Laboratory Tests.
• Service : Pharmaceutical.

• Side Effects: General.
  Real Opportunities for Talking.
  • R.O.F.T. : Pharma-chemical mind twisting.
  • What is : Trauma Memory Development?

• Department: 4C -- Room 452.
  Real Opportunities for Talking.
  • R.O.F.T. : Location, Stability, Reality, a Baseline.
  • What is : Trauma Memory Reassociations?

• Department: 4C -- Ward 438, Bed 01.
  Real Opportunities for Talking.
  • R.O.F.T. : Imposing savings can sabotage healing.

• -Discharge-: MedRec, Care Plan, .
• Community: Access-A-Ride, Homecare, Meals delivery.
  Real Opportunities for Talking.
  • R.O.F.T. : Services integration or Readiness Disaster.

• Outcomes : What has/is happening since hospital discharge.

  - Internet- : Links to research.

  Personnel : Primary.

  Personnel : Secondary.

  Personnel : Post Hospital.

  What's Next: Developing Realities.

  Update: A Year Later, Changes and Inertia.

Opening: What are the Focus & Goals of this brief. INDEX

The focus of this brief comprises the experiences which I, as a patient, recently experienced, AND, feedback which will provide options for an improved client-centred service ... which could increase respect and effectiveness, enhance health recovery times, and could decrease longer-term service expense.

My contact with this institution and its personnel and policies reflects an authority biased service which imposes medical procedures, projective diagnoses, pharmaceuticals, and obligations on the clients of the service. Briefs, like this one are denied, avoided, and not encouraged by the mere fact that there are no e-mail addresses which I could find to which a brief from a patient could be offered. This is an insult to the integrity and capabilities of all patient-clients. It suggests that clients have no relevant experience, skills, or awareness from which administrative, organizational, research, communication, or compassion suggestions could be made to improve structures mandated by and for the providers who project policies from a non-client perspective.

If those who receive this brief do not forward it on to personnel who set and evaluate policy and those who elect to manage the carrying out of those policies, then you will be responsible for the failure of any consideration of the difficulties, concerns, and hazards shared here and will dutifully and unfortunately either experience personally or by way of a family or friend's exposure the continuation of uneconomic and disrespectful service as you come to require and request them.

Ask not why needless pain, suffering, confusion, expense, and failure continue if you are unwilling to contribute to changes which are possible if only when an awareness of them is brought to those in positions of leadership.

Service : Lethbridge Ambulance Services. INDEX

On Monday, October 29, 2018, I experienced severe pain from 10:30 am extending continuously from my right buttock to my right ankle, seemingly originating in the centre of the hip and leg bones.

At 1:12 pm, unable to modify or remedy the pain and its debilitating influence on any activities, I phoned for the Lethbridge Ambulance service for transportation to the local Lethbridge Chinook Regional Hospital. I was able to stand briefly only with excruciating pain. The ambulance arrived shortly and I did my best to request that one of the attendants pack some minimal clothing for me and I had placed my Alberta Health Card, Alberta Blue Cross Card, and a previous hospital wrist band (from ???) in an easy access plastic bag. In the pain, distraction, and rush I failed to realize until later that I had left behind my other identification including credit card and cash.

Shortly later I arrived at and was taken into the Emergency Department.

My second ambulance trip was the next afternoon.
At about 10:30 am, after doing a daily medical procedure, the Pain Reality stepped up to the next level of intensity.
I suddenly could not place ANY weight or pressure on my right hip or leg. If I did, the structural muscles would immediately shake and give way. Perhaps it was temporary and would lessen or go away. Didn't happen. I had to move around on my knees or writhe along the floor. To urinate, I had to pee into a container from a kneeling position. Even sitting was impossible. I called for an ambulance at 1:00 pm.

I was better prepared this time.
I had full identification, a change of clothes, a shaver, cellphone charger, and some other things.
To assist the ambulance team so they did not have to bring a stretcher to the apartment ... I dragged and pushed myself along the carpeted hallway and single flight stairs to the lobby entry door. I fell down part of the flight of stairs ... it was more like an unplanned slide.

Struggling and crawling to the lobby entrance, I opened the door for the 2 ambulance personnel.
My intent had been to save them the effort of having to bring a stretcher up the stairs and carry me down.
Their initial comments were to recognize me from the previous day and indignantly mention that I had already been to the ER.
I did my best amongst the pain and the annoyance to state that it was now a worse situation.
Their attitude was that I was wasting their time and didn't or couldn't have a valid concern.
I believe that almost anyone would have been able to tell that I was not being a hypochondriac.
They did not overly assist me into the ambulance and eventually onto the stretcher cot.

I do understand that there are likely many persons they come in contact with who just want attention.
To assume that an Emergency Department ALWAYS finds sources of complaints and always effects a remedy is an unfortunate yet unrealistic socially taught and institutionally reinforced belief. The ER had NOT found a solution the previous day. I had been advised of a solution to take over-the-counter drugs. I had taken quite high doses of not just 2 pain killers but 4 ... with not only NO benefit to relieving the CONSTANT pain, but with the conclusion that the medical situation was now far worse ... as would be found, shown, and treated later.

A few reminder notices of these types of client-patient experiences to ambulance personnel could encourage them NOT to adopt the worst expectations about their customers and perhaps especially men who are not bleeding or have obvious broken bones. They repeatedly see only the start of a medical scenario. It would hold them in the reality to provide them with a follow-up on the patients they bring to a hospital. This kind of feedback could also provide them with a wider range of details about a FORM of presentation and allow them to constructively extend and integrate the reality so as to better equip them for a future similar call.

Service : Chinook Hospital Emergency Department. INDEX
--- Arrival by ambulance, Sunday, October 27, 2018.

On Monday, October 29, 2018 (or, the day earlier, Sunday, October 28th), I experienced severe pain from 10:30 am extending continuously from my right buttock to my right ankle, seemingly originating in the centre of the hip and leg bones.

At 1:12 pm, unable to modify or remedy the pain and its debilitating influence on any activities, I phoned for the Lethbridge Ambulance service for transportation to the local Lethbridge Chinook Regional Hospital.

Shortly later I arrived at and was taken into the Emergency Department.
I eventually was attended by Dr. PETER KWAN in an exam room.
I was not in a position to make notes at the time. My memory may have confused some developments between the first and second visits as to what took place at which visit. A blood sample was sent to the laboratory, X-rays were taken in Imaging, a momentary electrocardiogram was taken, Dr Kwan used a device to confirm that my blood pressure was similar between leg and torso, he attempted to anally check my prostate (not possible due to interference with hemorrhoids), and, I indicated that pressing on my leg in specific areas resulted in intense pain. I was cold at one point and a nurse brought me a warm blanket. The lighting was very bright in the exam room and with my pain, they stimulated even greater discomfort by interfering with efforts I was making, mentally and physically, to counter the pain. I asked a nurse if the lighting could be reduced and she reduced it.

After these tests and results together with personal examination, Dr. KWAN concluded that he could not determine the cause of the pain. He advised that I return home and take (Tylenol 975 mg x 4/day, and, Advil 600 mg x 3/day).

SUGGESTIONS:
What would assist the memory of the patient and lessen their sense of abandonment and anxiety is a pull-string alarm within the reach of the examination bed, a sign mounted by the door WITHIN the room indicating the room number or designation, and, someone providing a 1 or 2 sentence update every 20 minutes. Also, an ability to either reduce the intensity of the light or to provide/offer the client-patient with an eyeshade ($1.25 at a DollarStore) would both bring comfort and lessen the experienced negative stress. When some people are in pain, myself included, bright lighting shinning in one's eyes upshifts any pain already being felt. It is far easier to relax and focus on calming oneself and being patient if each of these tactics are utilized: resolution of urgencies (perhaps a need to use a bathroom), communication with a staff member, reduction of stimuli (bright lighting). Yes, I am in the best place to make such Practical rather than academic suggestions as I was a patient in the environment.

Service : Imaging & X-Rays. INDEX
Lethbridge Chinook Regional Hospital

On my first day to the Emergency Department by ambulance, x-rays were taken of my right leg and lower back to ensure that the problem was not a fractured or broken bone. The staff were polite and professional as well as friendly and were excellent in transferring me from the gurney to the table, moving me into position, and transferring me back to the gurney.

On November 01, I received a scheduling notice for an CRH SP EPIDURAL/BLOCK INJECT proposed for Monday, November 5, 2018, at 9:00 am. This was termed a "FLUOROSCOPY SPECIAL PROCEDURE" to be carried out in the Diagnostic Imaging Department at the Chinook (Lethbridge) Regional Hospital. On the day in question, at 9:45 am, I was informed that the procedure had been postponed until later in the day. Near noon, I was transported to the diagnostic/surgery room and prepared for the procedure. Again, the procedure was postponed. This time it would be rescheduled for another day. Apparently, the doctor responsible for the surgery chose at the last moment to stand in for another surgeon who had suddenly left to attend the birth of his baby. This is quite understandable and the explanation removed any anxiety that would be connected with confusion, disappointment, and ignorance. I was back in Room 452 by 2:00 pm.

The procedure was rescheduled for Wednesday, November 7th at 1:00 pm.
On this day, delays occurred again. I was suddenly taken to surgery near or after 3:00 pm
Again, I was prepared for the procedure by being laid supine on a flat table.
Unlike therapy tables used by chiropractors, massage therapists, bodyworkers and others who work with people at times in a face down position, this table had NO option for relaxed, comfortable, health safe placement of one's head. I had 4 direct options. I could turn my head either fully to the left or right (at great strain for me and others who have experienced neck injuries previously whether recovered from or not), I could bury my face and nose into the cushioning and attempt to remain calm and not smother (while still exposing my neck to tension and strain), or, I could reject the procedure and ask it to be terminated. Was remaining on high doses of a battery of medicines with significant side effects or failing to recover from completely debilitating pain really an option?

By 4:00 pm I had returned to the now ward accommodation.
Over a period of decades, I had received 3 severe whiplash injuries in various work and non-work associated vehicle accidents.
Typically, the severity of the injury is directly related to how long the accident victim remains in shock and unaware of the injury and not in pain. The shorter the period of shock ... the sooner you feel the pain .. the less intense the injury. The range of shock delay and severity tends to extend from a day or less to 21 days (3 weeks). In every one of the 3 instances, mine came to awareness after or on the 21st day. Initially, medical authorities advised that I would NEVER recover. It did take me research, effort, learning, and skill development to fully recover from the first one in 7 YEARS. With what I had learned in recovering from the first instance together with interim continuation of skill building, I recovered from the 2nd mishap in 7 WEEKS. A third instance happened. This time, I fully recovered in 7 DAYS. Full Recovery here means that I would seldom require any chiropractic adjustment and almost never experienced neck stiffness or pain ... even though I continued to be a fairly physically active male. Still, if one breaks their arm 3 times and it fully heals ... there is a reality that that arm will harbour a quiet weakness. Foolishly challenging an area exposed to repeated structural injury will, often, create a new or partial injury reality.

ROFT : Ignorance creates confusion, anxiety, fear, doubt. INDEX
Real Opportunities for Talking.

SUGGESTIONS.

I implore the hospital management to approve a scanning table that is structured NOT to either impair nor strain the neck and shoulder muscles of client-patients ... especially those who have experienced one or multiple severe neck injuries in their past. I would also highly recommend that ANY doctor providing details about a surgery and its recovery to a client-patient provide consistent details and information to the client-patient. Before I left the hospital several days later, I had received multiple conflicting reports of what had been done and what I could expect as an outcome.

The surgical staff had advised me that I could expect the anaesthetic to wear off in about 2 days.
Then, I would feel even MORE pain for a further 2 days. Finally, during the 3rd set of 2 days, the benefits of the surgery would settle in. Several doctors independently shared the view that a "filler" had been injected into the damaged vertebral disc, pain should disappear almost immediately, and, the benefits would likely wear off after a period of approximately 3 months. When I saw my esteemed chiropractor, Dr. Chelsea Power, almost a week after my discharge (delayed by a long weekend holiday and my level of health on the day of my discharge), her understanding of the EPIDURAL/BLOCK INJECT from the consistent reports she received from her patients was ... it was impossible to inject anything into a damaged disc, and, how long the anaesthetic would remain effective could range anywhere from 1 day to 3 months!

When I could use some of my energy to research an EPIDURAL/BLOCK INJECT on the internet, the resulting reality was depressing and shocking. Essentially, I was carrying a time bomb with no way to tell when it was set to explode! Doesn't that just make a client-patient have confidence in the healthcare system? A better option was either too expensive to consider, or, I had been given a Bandaid and rushed out of the hospital so everyone could enjoy the long weekend, except me. I could just increasingly wonder over the next several weeks as to which instant everything would fall apart and I would be taking an ambulance back to the Emergency Department. This dynamic does not help people heal faster and for longer.

What is : An Epidural Block Injection ? INDEX
https://www.spine-health.com/treatment/injections/
lumbar-epidural-steroid-injections-low-back-pain-and-sciatica
By Richard A. Staehler, MD --- Updated: 07/17/2007

LINK 2:https://emedicine.medscape.com/article/149646-overview
Updated: Oct 09, 2017 --- Author: Jasvinder Chawla, MD, MBA; Chief Editor: Erik D Schraga, MD

LINK 3: http://apmspineandsports.com/diagnosis/epidurals/ (2018)
LINK 4: https://treatingpain.com/treatment/epidural-nerve-block
Injected Corticosteroid Medication Decreases Pain and Inflammation.

Epidural nerve block has become a significant advance in neuraxial anesthesia and analgesia.
Dr. James Leonard Corning described the procedure in 1885 and Cuban anesthesiologist Manual Martinez Curbelo, in 1947, first used an epidural catheter.

Epidural steroid injections (ESIs) are a common treatment option for many forms of low back pain and leg pain.
They have been used for low back problems since 1952 and are still an integral part of the non-surgical management of sciatica and low back pain. The goal of the injection is pain relief; at times the injection alone is sufficient to provide relief, but commonly an epidural steroid injection is used in combination with a comprehensive rehabilitation program to provide additional benefit.

Most practitioners will agree that, while the effects of the injection tend to be temporary - providing relief from pain for one week up to one year - an epidural can be very beneficial for a patient during an acute episode of back and/or leg pain. Importantly, an injection can provide sufficient pain relief to allow a patient to progress with a rehabilitative stretching and exercise program. If the initial injection is effective for a patient, he or she may have up to 3 in a one-year period. (This stated frequency varies between articles, and, between research reports. )

An epidural nerve block is the injection of corticosteroid medication into the epidural space of the spinal column.
This space is located between the dura (a membrane surrounding the nerve roots) and the interior surface of the spinal canal formed by the vertebrae.

After a local skin anesthetic is applied to numb the injection site, a spinal needle is inserted into the epidural space.
To ensure accuracy and safety, our physicians perform the procedure under fluoroscopic (x-ray) guidance, using a contrast agent to confirm needle placement. Local anesthetic and corticosteroid anti-inflammatory medication are delivered into the epidural space to shrink the swelling around nerve roots, relieving pressure and pain.

Sometimes additional fluid (local anesthetic and/or a normal saline solution) is used to help 'flush out' inflammatory mediators from around the area that may be a source of pain.

The epidural space encircles the dural sac and is filled with fat and small blood vessels.
The dural sac surrounds the spinal cord, nerve roots, and cerebrospinal fluid (the fluid that the nerve roots are bathed in).

Typically, a solution containing cortisone (steroid) with local anesthetic (lidocaine or bupivacaine), and/or saline is used.

1. A steroid, or cortisone, is usually injected as an anti-inflammatory agent.
   Inflammation is a common component of many low back conditions and reducing inflammation helps reduce pain.
   Triamcinolone acetonide, Dexamethasone, and Methylprednisolone acetate are commonly used steroids.

2. Lidocaine (also referred to as Xylocaine) is a fast-acting local anesthetic used for temporary pain relief.
   Bupivacaine, a longer lasting medication, may also be used. Although primarily used for pain relief, these local anesthetics also act as 'flushing' agents to dilute the chemical or immunologic agents that promote inflammation.

3. Saline is used to dilute the local anesthetic or as a 'flushing' agent to dilute the chemical or immunologic agents that promote inflammation.

Epidural steroid injections deliver medication directly (or very near) the source of pain generation.
In contrast, oral steroids and painkillers have a dispersed, less-focused impact and may have unacceptable side effects.
Additionally, since the vast majority of pain stems from chemical inflammation, an epidural steroid injection can help control local inflammation while also "flushing out" inflammatory proteins and chemicals from the local area that may contribute to and exacerbate pain.

Steroids inhibit the inflammatory response caused by chemical and mechanical sources of pain.
Steroids also work by reducing the activity of the immune system to react to inflammation associated with nerve or tissue damage. A typical immune response is the body generating white blood cells and chemicals to protect it against infection and foreign substances such as bacteria and viruses. Inhibiting the immune response with an epidural steroid injection can reduce the pain associated with inflammation.

If anesthetic is placed around a nerve root or epidural space, you may experience a period of numbness in that region or limb for 3 to 8 hours. The steroid medication may begin working anywhere from 6 hours to 3 days after the injection. Some individuals do experience a period of soreness 1 to 2 days after the injection. An application of ice may help during this period. Within one to five days, you may start noticing significant pain relief.

Potential Risks of Epidural Steroid Injections
As with all invasive medical procedures, there are potential risks associated with lumbar epidural steroid injections.
In addition to temporary numbness of the bowels and bladder, the most common potential risks and complications include:

1. Infection.
   Severe infections are rare, occurring in 0.1% to 0.01% of injections.

2. Dural puncture ("wet tap").
   A dural puncture occurs in 0.5% of injections.
   It may cause a post-dural puncture headache (also called a spinal headache) that usually improves within a few days.
   Although infrequent, a blood patch may be necessary to alleviate the headache.
   A blood patch is a simple, quick procedure that involves obtaining a small amount of blood from a patient from an arm vein and immediately injecting it into the epidural space to allow it to clot around the spinal sac and stop the leak.

3. Bleeding.
   Bleeding is a rare complication and is more common for patients with underlying bleeding disorders.

4. Nerve damage.
   While extremely rare, nerve damage can occur from direct trauma from the needle, or from infection or bleeding.

... potential side effects from the steroid medication itself.
These tend to be rare and much less prevalent than the side effects from oral steroids.
Nonetheless, reported side effects from epidural steroid injections include:

• Localized increase in pain
• Non-positional headaches resolving within 24 hours
• Facial flushing
• Anxiety
• Sleeplessness
• Fever the night of injection
• High blood sugar
• A transient decrease in immunity because of the suppressive effect of the steroid
• Stomach ulcers
• Severe arthritis of the hips (avascular necrosis)
• Cataracts

Service : Laboratory Tests. INDEX
Lethbridge Chinook Regional Hospital

In the evening of October 27, 2018, a blood sample was sent to the Chinook Hospital Laboratory by Dr. P. Kwan from the CLRH Emergency Department.

I received a copy of the results before leaving.
Results were indicated for about 30 components.
There was NO indication of a Safety range for any of the items, or, if any were deficient or excessive.

SUGGESTION:
Doctors may find that an informed client-patient is more willing to work with them rather than against or in spite of them. That can only happen if reports of laboratory results do NOT hide the relevancy of the results.

Service : Pharmaceutical. INDEX
Cathy ??, Lethbridge Chinook Regional Hospital, Pharmacy Department.

Cathy, from Pharmacy:
I met Cathy on or before Sunday, November 04th.
Cathy worked on my request of a database monograph on most of the drugs I was then taking.
Monday, Nov 05: Cathy returned with copies of details on the drugs for me.
She returned the next day, Tuesday, November 6th.
On the evening of Monday, Nov 05, I was moved to a ward at 9 pm
Cathy came to visit me on the early afternoon of November 06.

Unknown until later, the side effects of the drugs I was taking had effectively wiped from my memory any recognition of her as a person. I was unable to truthfully acknowledge her. This dynamic, of meeting a significant and very likable person to me, and then having NO MEMORY of it became the most dramatic, tragic, and traumatic "memory" event during this period of healthcare service at the hospital.

I never saw Cathy again before leaving the hospital.
I don't know her last name. I hope she gets to read this and realizes that I was NOT denying her nor trying to minimize her concerns and professionalism, nor, being good at hurting her. I was just answering her with the Truth as I then knew it ... and that Truth, to me in that instance, was undeniable and clear.

I have this account because I kept a diary of notes for much of the time I was at the hospital.
Her name and what she had done were in my notes. The monographs were at my bedside and extensively reviewed both before and after I was in the hospital. I therefore KNOW that I met her, yet, my earlier awareness of her was that SOMEBODY had spoken with me about the drugs. SOMEBODY had acquired and brought the drug details to me. SOMEBODY I had a positive emotional and intellectual communication with. Yet, that somebody in my memory was like a fog before me with no form speaking to me without words.

Side Effects: General. INDEX
https://www.drugs.com/article/drug-side-effects.html

Every one of us is unique.
However, certain individual factors make some of us more likely than others to suffer certain side effects.

The most significant of these factors is age.
The very young and the very old are ALWAYS more susceptible to unwanted reactions.

Children are not small adults.
The way their bodies absorb, metabolize and eliminate drugs differs from adults, and this is especially true in babies.
Younger children tend to absorb medicine more slowly from the stomach, but have faster intramuscular (IM) absorption rates.
In early life, they have a higher body water to lipid ratio and a larger liver to body weight ratio. Liver enzymes are immature as is their kidney function. In addition, the permeability of the blood-brain barrier (the layer of cells that restricts the passage of substances from the bloodstream to the brain) is higher.

Older adults typically take more medicines and studies have shown they are twice as likely to go to ED (Emergency Department) because of an adverse drug event and seven times more likely to be hospitalized (than younger persons). They are more likely to be on medicines with a narrow margin between being effective or toxic such as warfarin, insulin, digoxin, and anti-seizure medications. Their bodies tend to have more fat and less water which may increase the duration of effect of certain drugs. In addition, metabolism in the liver and excretion through the kidneys is typically reduced (from the average). Their brains are also more sensitive to the sedating effects of a drug, and pre-existing problems, such as dizziness, eye, and ear problems, may be exacerbated, increasing the risk of falls.

Several other factors also play a significant role in your likelihood of side effects. Some notable examples include:

1. Genetics:
   Pharmacogenetics is the name given to the study of how your genes influence your reaction to drugs and genetic factors account for 20-95% of patient variability. ... codeine requires metabolism through CYP2D6 for conversion to one of its active metabolites, morphine. 5-10% of patients are poor metabolizers - which means that very little codeine is converted to morphine which results in insufficient pain relief. However, 1-2% of people are ultra-rapid metabolizers and more codeine is converted into morphine than normal, resulting in a higher risk of toxic reactions including respiratory depression

2. Kidney function
   If your kidneys are not functioning at full capacity, then side effects are more likely if you are taking drugs that are excreted through the kidneys. Some other drugs also cease to be effective when kidney function is reduced.

3. Gender:
   Females have a lower activity of certain hepatic enzymes, a higher body fat to water ratio, and a decreased clearance of drugs through the kidneys than men. Studies have shown the incidence of drug-induced liver toxicity, gastrointestinal side effects, allergic skin reactions, and long QT syndrome is higher in females.

Level of understanding about a medicine:
Side effects are more likely if instructions are not clear, or a person is confused as to why they are taking a medicine; ....

ROFT : Pharma-chemical mind twisting. INDEX
Real Opportunities for Talking.

After being admitted into the hospital, within a very short period of time ... a few days, I began receiving a collection of drugs, both by pill and by injection after being assessed in the Emergency Department. At NO time was any information offered to me as to what I might encounter in the way of side effects, either for any one of these, for a collection of them, or, for the whole lot.

Consider this:, (SE) = "Side Effect"; [#] = Number of Sources.

• Elderly persons tend to express more of the known side effects than others; I am aged almost 73.
• I have developed a high pain threshold; when I feel INTENSE pain, others feel the earth move.

• - [4] - Unusual DRY MOUTH is a (SE) of Diclofenac, Flexiril (Cyclobenzaprine),
  ------------- Gabapentin (Neurontin), Hydromorphone (Dilaudid)

• - [4] - Unusual WEAKNESS is a (SE) of Pantoprazole, Flexiril (Cyclobenzaprine),
  ------------- Gabapentin (Neurontin), Hydromorphone (Dilaudid)

• - [4] - Unusual SWEATING is a (SE) of Pantoprazole, Flexiril (Cyclobenzaprine),
  ------------- Gabapentin (Neurontin), Hydromorphone (Dilaudid)

• - [3] - Feeling SLEEPY is a (SE) of Flexiril (Cyclobenzaprine),
  ------------- Gabapentin (Neurontin), Hydromorphone (Dilaudid)

• - [2] - MEMORY PROBLEMS is a (SE) of Gabapentin (Neurontin), Hydromorphone (Dilaudid)

• - [2] - FEELING CONFUSED is a (SE) of Gabapentin (Neurontin), Hydromorphone (Dilaudid)

• - [1] - Change in EYESIGHT is a (SE) of Hydromorphone (Dilaudid)

• - [1] - DROWSINESS is a (SE) of Diclofenac,

• "Do not take this drug if you are 65 or older" is advised for some drugs ... Flexiril (Cyclobenzaprine).
• "If you are 65 or older, use this drug with care" is advised for some drugs ... Gabapentin (Neurontin).
• ONE symptom Source can be enough to result in an INTENSE expression of a Side Effect.



It seems clear to me, from the consistent attitudes and actions of others that MOST nurses, doctors, and patients are completely unaware of the reality of these symptoms, dissociate from them (not difficult when you have never been in a position to personally evaluate such symptoms) , and, construct unflattering mental and emotional profiles of what a "Patient" is. If there is ONE source of side effects and you respond full force to one or multiple side effects associated with that ONE ... what might it be like to have 4 STRONG drugs pounding one or multiple of these above noted side effects into your identity?

And, these changes will happen almost seamlessly as a confusing scent blowing over you.
You can't see anything different. No one else is acknowledging WHERE these symptoms are coming from, and, most of the time when you query any of these to those around you, you receive blank stares, comments suggesting that you may have mental problems, that you are becoming the "typical" complaining patient, and, that you have been placed into a zoo to function like a display subject viewed momentarily as the day of a passerby pushes past you.

1. Cathy, from Pharmacy:
   I met Cathy on or before Sunday, November 04th. Cathy worked on my request of a database monograph on most of the drugs I was taking.
   Monday, November 05: Cathy returned with copies of details on the drugs for me.
   She returned the next day, Tuesday, November 6th.
   On the evening of Monday November 05, I was moved to a ward at 9 pm
   Cathy came to visit me on the early afternoon of November 06.

   Cathy introduced herself and asked if I remembered her.
   I must have looked confused, for she repeated the question, and her introduction.
   Most often, I am direct, open, and truthful ... or at least tactful, in my replies.
   This time there was a confidence and confusion in my response.
   "No, I had never seen her before!" She appeared shocked, hurt, & disappointed.
   In more urgent tones, she asked incredulously if I did not remember her.
   Again, my answer was "No, I had never seen her before!"
   Then she commented that she had been by several times earlier in the day.
   I had been sleeping and she had not wanted to wake me. Why was I sleeping so much?
   Scrambling for words, I blurted out that at least in sleep there was no pain.

   This was proving to be a most hurtful encounter for her, and that hurt cut through me.
   How could I NOT remember this physically and spiritually attractive person before me?!
   She left. I did not piece together until later that this "Cathy" must be the lady who had answered my earlier request and searched, downloaded, and printed me copies of the drug profiles I still had to analyse. This reality of NOT being able to connect with this obvious-to-me significant person and the emotional pain that such had brought to her was so painful that I cried myself. What was happening to me? This was not a dream or a hallucination? What was real? It was one or two more days before I could review the data on the drugs. THEN, it began to make horrifying sense. The drugs were stealing my memory and ruining my communication and empathy and making me look insane to others and even to myself.

   I never saw Cathy again before leaving the hospital.
   I don't know her last name. I hope she gets to read this and realizes that I was NOT denying her nor trying to minimize her concerns and professionalism, nor, being good at hurting her. I was just answering her with the Truth as I then knew it ... and that Truth, to me in that instance, was undeniable and clear.
   
   

2. Justin Miller,
   A volunteer with plans to become a doctor, first came to visit me on Thursday, October 31st.
   On November 7, near 10:00 am, I met Justin for the second time.
   I could remember his name, the reality of his first visit was written down, so it was assured.
   Yet, on the second visit, I had NO MEMORY of him as a person with a face, body and voice.
   When he re-introduced himself, I had a strong sense that we had conversed meaningfully previously.
   It was a repeat of the CATHY memory episode ... now with a greater realization of what was happening.
   A pattern of memory loss seemed to be repeating ... cover up the memory of the identity of persons recently of Value to me.
   
   

3. Dr. Christina Walton:
   Who this person was/is also fell into the BLANKOUT dynamics, although not as dramatically as the above two persons.
   I know that she had been one of the several Emergency Department doctors I had seen. I had written it down at the time.
   She had asked many family questions. I know because I had written that down. I know she was respectful and sincere, and professional. Beyond that, nothing remained nor has become accessible again. I don't now where we had the interview. I don't know what she tested for. I have no image of her. There is no memory of a face, voice, body build, person. In ALL of these cases, for me, the combination of two powerful drugs with MEMORY side effects is that persons in light-hearted, intellectually stimulating and emotionally pleasing experiences have been distorted. They, as persons have been WIPED, hidden, covered up, ERASED .. in memories of events I shared with them.

No one made the connection between the drugs, the side effects, and the reality of my shocking and terrifying experiences.
Neither the persons involved, nor any doctor, nor any nurse ever asked me if I were experiencing ANY of the well noted side effect symptoms in the literature. If I had not requested the information directly myself and reviewed it later, BEFORE leaving the hospital, I might have questioned my own sanity and my safety in leaving the hospital.

On the day of my discharge, Thursday, November 8th, I took NONE of my morning pocket of pills.
The on-duty nurse expressed concern that I was not taking them. I conveyed my Reality to her and to Dr. Mtshali, as well as at least one other staff member: "If I take these pills, I will be choosing to have my IQ slashed by 80 points. I cannot function in society at that level. I have to take the challenge. Either the surgery works, or, the pain will resurface. If the last happens, I will take the ONE dose of pills I am keeping and I will be forced to return to the ER, die naturally, or commit suicide. I will NOT put myself and others at risk by abusing myself by taking this next dose.

How many client-patients even have this choice of knowing how to research the drugs themselves, make sense of the side effects, integrate the info, avoid confusion, terror, paranoia, depression, and lack of confidence?? And ALL that it would require to assist most patients to avoid these forms of highly unhealthful experiences would be for at least one staffperson to brief them on the Possible side effects of the drugs and invite the client-patient to share any relevant experiences. That way, sparks could be doused before building into a wildfire. Once the wildfire has been stoked, denied, and ignored ... it becomes much more difficult to extinguish, much more effort.

More than a week after being discharged and with not taking ANY of the prescribed medicines noted here from the morning of that day ... I took 1 Flexeril and 1 Flomax tablet. It was to both relieve some tension that had been building, reduce my prostate a little to increase my urine flow, and, as a test on the influence of the drugs with the SMALLEST "initial" dose. Within 15 minutes I passed out into a sleep for 2 hours. By that time, the Flomax was fully active. For the next 6 hours It was a struggle to even consider thinking, moving, or, working at a computer. The symptoms of WEAKNESS, TIREDNESS, DROWSINESS, and DRY MOUTH were so strong and integrated that even trying to summon motivation was nearly impossible. And this was the influence of the two "weakest" drug influencers out of a total of at least 8. And the influence of the Flexeril dominated my abilities and awareness for 12 hours.

SUGGESTIONS:
It has been my observation, backed by many decades of consistent practice as demonstrated by Canadian physicians in the provinces of Ontario and British Columbia ... that doctors are trained to make prescribing decisions based on superstition or otherwise spurious associations. Doctors have told me, and I have heard others told also, that by the regulations they, the doctors, must follow as part of their government employment, they can only consider ONE symptom per 10 minute visit. As some ailments can easily present 7 or 8 symptoms, and, as any one symptom can indicate up to 16 different medical problems ... some of which are contradictory, making a "medical" decision within 10 minutes based upon ONE symptom and almost always resulting in a drug prescription with no or minimal client-patient preparation is no more than superstitious projection.

A scientific approach would require a consideration of ALL of the symptoms both noticed by the client and observed by the physician. To this observation and interview would be added a detailed patient health history including previous records of medical tests. Correlated, these would suggest one or more relevant tests to be currently run. With those results, a prescription might be made, the client-patient would be educated as to how and when to take any pharmaceuticals, they would be further informed of common side effects experienced by others, and then requested to call the doctor's office if any troubling experiences happened. And the physician would return any such calls in a timely and sincere manner.

Let's all acknowledge the political restrictions which are imposed on healthcare workers in Canada.
As told to me by a young physician in 2015, and demonstrated repeatedly behind the scenes with minimal reporting by a mass media dependent on government advertising revenues. Each province is independently responsible for setting a healthcare budget. To work within this budget, limits are imposed on use of medical tests, activity of medical specialists, length of appointment times, reporting restrictions on medical examiners, sanctioning of drugs, supplements, and their uses. If the province has assessed that it can only afford to run 1200 CT scans per year and 800 have been requisitioned by the halfway date, any further requisitions must meet EXTREME requirements. Costly tests, which can sometimes be much more accurate and definitive than less costly ones, are simply avoided. Guesswork rules. And in most hospital admissions and in all surgical operations, the client patient must sign a waiver absolving those healthcare workers involved of ALL responsibility if their actions, or inaction, are to the detriment of the patient: error, incompetence, ignorance, etc. Indeed, any such "problems" escape any reporting avenue making any record for responsibility or extended learning and skill development absent.

Physicians routinely prescribe drugs rationally for what the manufacturer promotes their use.
They, and most pharmacists, in my experience and that reported by many others, are oblivious to what side effects are on record and what those side-effect names actually mean. Empathy arises from shared experiences. Empathy can minimize prescription errors, side-effect disasters, and reduce patient mental illness patterns. Why not have healthcare workers take a minimum dose of one common prescribed drug for 3 days during each week of a 30-week period within their training programs. Not everyone responds to every drug with the same side effect soup, yet, in this safe one-at-a-time minimum dosage many would gain a context in reality as to how it might influence a patient-client in their daily lifestyles. And, if the drug is not safe for healthy persons to take, why are sick persons being given it? If prescribing persons knew the potential influence of the side effects of the drugs they are quick to write for, they might prescribe less for greater evidence.

My mother at age 65 had been put on 8 prescription drugs by her doctor.
Uncharacteristic with the rest of her life, she had stopped socializing, was depressed, tired, and disoriented.
With prayer, I asked her to go off 7 of the medicines. Within 3 weeks, she was socializing, more clear thinking, able to laugh again and went on to live for longer than 25 years in a retirement home. My father was placed on prescription drugs for failing health at about age 55 by two medical specialists. Three weeks later he had to use a commode chair, could not walk, was almost unable to speak for weakness. At 6 weeks, his kidneys failed and he had a stroke. A further several days and he died, distraught with his health decline. At a time when autopsies had value, the medical examiner found that he had an original problem of pericarditis. The drugs given to him had not remedied the problem and had destroyed his kidneys, weakened his liver, enabled his heart to fail and precipitated the stroke. The two specialists visited my mother later with the autopsy results. They were remorseful for their errors and had learned valuable lessons from the autopsy. They accepted their responsibility and vowed to do better. That is a dynamic that has long since been abandoned. There are thousands of similar experiences that have happened in the past few decades, including some of my own.

What is : Trauma Memory Development? INDEX

Post Traumatic Stress Syndrome (PTSD) is what the topic is here.
It is an area in which I developed specialised knowledge and skills and assisted individuals to release "layers" of energy blocks which they had either inherited and/or developed from their own experiences. Only the most brief data will be shared here. Most humans had a collection of energy blocks by 1998. There are few health enhancement services capable of assisting such persons to release these nerve blocks and fewer with any true understanding of them. Faced with an experience of intense challenge for which we have no previous training or experience, no abiding mentor, no understanding, and sometimes no conscious awareness ... yet often requiring a seemingly life or death NOW response, our consciousness (Ego and SuperEgo) freezes. Our Reptilian Structure brain is responsible for keeping us PHYSICALLY alive and our body dynamics in balance. It works by associations and rituals not by rationalization and persuasion. Consciousness is foreign to it. It only "freezes" interaction in death. A coma can be a state of hyperactivity for our Reptilian Structure, without the hindrance and distraction of consciousness.

Forced by a paralysis of consciousness to make a decision of action, our Reptilian Structure brain opts for some form of involvement.
If the association - decision is positive (we stay alive, we avoid injury), our Reptilian Structure catalogs this transaction for future reactive response in situations in which currently noted features of the experience are stored as beacons of a similar high stress situation about to happen again. Those "beacons" could be the presence of a color, a scent, a room structure, a word or phrase spoken, a form of relationship with another or the surrounding ... and often a collection of such. Attitude and/or behavior have now become ADDICTIVE reactions. It is not the function of our Reptilian Structure to think by rationalizing large amounts of academic data and persuasive teachings into consciously chosen responses. It associates. And when forced to associate in situations that are NOT it's responsibility, it imposes an action and sets any "successful" outcome into the stone of ritual, obsession, compulsion. It will not revisit this distraction and horror. Exposed again to a developing experience which our Reptilian Structure perceives a previously recorded set of beacons in, it imposes an attitude and/or behavior. Then, typically, we make an excuse for our actions.

I found a way to understand this dynamic and ways with homeopathics and details of assisting clients to learn from them and release them. This removed patterns of self-sabotage which fostered broken relationships, many forms of abuse and victimization, repetitive losses in career and economically, chronic illnesses, addictions to drugs, behaviors and destructive thinking. Such persons left behind histories of failure, pain, suffering, violence ... and began new and fulfilling lives filled with personal Choice. I had released all of the energy blocks I had been born with and developed from traumatic episodes decades previously in the development of the assistive therapy I used.

Recently, I had experienced 2 lengthy periods of continuous pain for which it seemed that only patience would resolve.
Several months previous to the experiences which precipitated the current visits to the Emergency Department, I had suddenly, within minutes, experienced pain running from my right buttock, through the bones in my leg to my ankle. I have a high pain threshold made possible through the development of self-hypnotic-like responses of endorphins, and a learned (imprinted) pattern of RELAXING to pain ... to counter chronic and intermittent pains. Facial and other movements and voice tone alert me to the fact that pain is present, yet I have no conscious awareness of it. This Pain I felt, so it must have been intense. Retired, I looked after myself as best as possible. For confirmation of a non-spinal problem I went to my chiropractor after 3 days. Mrs. Power found only a few minor adjustments of benefit to adjustment. One was in the lumbar region. Following the treatment, there was NO perceptive difference in pain presence. The spine seemed to be ruled out. On day 10, all pain ceased, within MINUTES.

Step forward several months, and the same scenario appeared to be replicating.
Exactly the same type and extent and immediacy of PAIN presence. This time, after 10 days of no benefit, I revisited my capable chiropractor, Mrs. Chelsea Power and received the SAME result as with the previous experience. I found that if I could keep my right foot and leg above heart level when I was laying down or sitting, I could reduce the pain intensity by up to 80%. Any outings for groceries or other items required me to use a walking stick and limp along. By day 36, the reality was getting old. Suddenly, the intensity of pain and discomforts jumped up to HIGH when any pressure was placed on the leg or foot and there was no option of mediating it. I called for an ambulance. My first visit to the Emergency Department yielded only a collection of possibilities that were ruled out as sources of the pain. I was sent home with advice to take doses of two high strength pain medications: Tylenol 975 mg x 4/day, and, Advil 600 mg x 3/day.

I obtained the above suggested medications and set out the old supplies I had of OTC pain medications.
Regular pain meds have been ineffective with me for decades so I have used non-drug pain mediators whenever required before. This time, those options were not effective. Over the next 12 hours I took between 10 and 14 tablets each of Acetaminophen, Naproxen, Advil, and Tylenol. This package of pain relievers had ZERO influence on the pain. The next morning while showering in the bathtub, following completing my daily required colon flush, my right leg suddenly shook and collapsed. I was unable to place ANY weight on the leg and any suggestion of doing so resulted in excruciating pain. I did my best over the next several hours to reduce or control the pain, and then, to prepare for what was best: a second visit to the Lethbridge Chinook Regional Hospital, Emergency Department. At this point, movement had to be accomplished on all fours or by dragging myself around. Urinating meant kneeling and peeing into a container. Sitting and standing were no longer options.

The pain before my previous day ambulance trip to the Emergency Department and the trauma of intensity, duration, inability for me to control or understand it, had resulted in a reaction response of going to the Emergency Department for an end to the experience. This step had been taken with much aversion not differing significantly from committing suicide. For decades, from my own experiences and those of others I knew or had heard of ... going to a hospital was for the purpose of dying near a morgue. This would result in the least disruption of the lives of others. There seemed to be no other option the previous day. Nothing I could do. No drugs in my possession that were likely to be useful. A great inability to move enough to even get to the lobby and take a taxi. So, my Reptilian Structure built a new layer of 3 energy blocks and a pattern that if these 3 triggers came together again, there would be an automatic action of calling for an ambulance.

1. Pain: extreme, continuous, debilitating.
2. Confusion: no conscious ability to define and undertake any effective pain management.
3. Abandonment: there was nowhere else that I could request assistance.

This was a dangerous pattern.
I had experienced extreme pain a number of previous times with the result being either a coma, short-term insanity, or an otherwise readiness to acknowledge and work with the pain to reveal new insights and develop new skills. The latter was not an option this time as that direction had already been repeatedly explored.

Department: 4C -- Room 452. INDEX
Lethbridge Chinook Regional Hospital

The hospital bed, both in this room, 452, and later in the ward, was a significant advancement in utility and technology over beds I had experienced in hospitals earlier in life. Earlier beds were adjusted from a flat position by means of one or more crank up gearing structures with manual brakes or locks. These adjustments were not available for client-patient use. Requests for assistance or emergency consisted of pull lanyards hanging on the wall near the bed. Previously, there was no option for intercom communication with any nurse or other staff. Flower gifts and standing water were frequently common in patient rooms and wards in earlier times.

Today (2018-11) , in my experience, the beds are technologically advanced, automated and have electronic features.
From easily accessible push buttons mounted on a side frame of the bed, I could summon and speak by intercom with the nursing station. Other push-buttons enabled me to raise or lower different areas of the mattress. Flowers and standing water, now recognized as harbingers of fungal spores, allergens, negative memories, and pathogens ... were absent from all hospital areas I was in. Lighting for above the bed, and either or both pointing down, or pointing upwards lighting at the head of the bed are available, yet, can be difficult to access without getting out of the bed. Lanyards are present for the head-of-bed lighting options. I tied these to bed railings so I could more easily reach them.

Dr. Eugene Plotnyk, beginning on November 1st and ranging perhaps as long as until November 5th, was, for me, a bright light of hope. Perhaps because we shared some personality traits and particularly because we shared attitudes and beliefs which contributed to effective diagnostic outcomes ... his presence suggested that I might actually recover. By using muscle testing techniques with the assistance by phone of a noted Calgary specialist, he was able to determine that my medical problem was originating with the L5 spine vertebrae. This assessment would later lead to the Epidural Nerve Block, originally scheduled for Monday, November 05.

Lamike (Physiotherapist?) brought me a wheeled walker to use for walking in the hallway with assistance.
My notes are sketchy on this so I may be incorrect with the name. I disliked the noise and way that the cart moved along the floor, and under the influence of the drugs, I raised the front or back of it off the floor as I walked. I did quite well with it and this was also hopeful for me. This was also during the early days of taking the potent drugs. Lamike suggested that I might request such a device for use at home. This seemed impractical for there was not enough space about my apartment to allow for it and there were no elevators in the building. Negotiating stairs with it did not seem possible. It was definitely most helpful for flat areas with adequate open space. I did use it in the later ward setting where medication side effects terminated anything beyond necessary short travels, usually to the bathroom and return.

Blood Thinners.
I had initially, and again later, been put on a blood thinner.
I did explain several times that a blood thinner would likely result in my bleeding in the anal area from my hemorrhoids.
On Wednesday, October 31st, I began bleeding, until the blood thinner use was discontinued. The scenario would be repeated several times again after I was moved to a ward. I would there show a nurse the blood colored toilet bowl water so she could report on it.

On Thursday, November 1st, I was running out of underwear briefs and t-shirts .. almost all the clothing I had hastily brought with me to the Emergency Department. I washed this clothing and several pairs of socks in the bathroom wastebasket, rinsed them, squeezed them out, and hung them over support bars around the bathtub, curtain rails, and equipment supports.

Personal bathroom use.
My health condition for the previous 3 years with some form of obstruction blocking my small and large intestine and with NO peristaltic action ... had required a daily colon flush with an enema syringe to avoid auto-toxification and a slide towards a coma. The urgent departure from home had resulted in my not bringing my enema syringe, water container and coconut oil with me. Survival demanded that I maintain this routine. I requested a rectal syringe. On November 01, after some confusion as to how and when one could be acquired for me, i was brought a FLEET Enema kit. I explained that these forms of forced flush-out ingredients had not worked in the previous years. I had once used TWO of such solutions before a planned CT Scan. After 8 hours, nothing had happened so I had performed the usual manual approach with success.

For 3 years, both in the province of British Columbia, and more recently in the province of Alberta, I had sought the assistance of doctors towards determining the medical problem I was experiencing and formulating a recovery plan. The routine was always the same. I was not continuously bleeding. I was not continuously screaming in pain. I LOOKED as if I was obese and overweight by the distended shape of my belly ... a possible increase of as much as 20 pounds and the size of a small football. Yet, by touch, any sincere person would be able to judge that my abdomen was tight and firm and not mushy like a paunch of fat would feel.

With continued effort on my part, a CT Scan was effected in each province, yet the resulting assessment in both cases was completed in several MINUTES. Professionals assessing CT Scans for decades in the USA had lamented online that interpreting a CT Scan in less than 40 minutes was both unprofessional and opened the door to many errors of denial and misdiagnosis. I could not afford to pay for a reading by an out-of-Canada professional. I had attempted to have an endoscopic examination done to determine if cysts, tumors, parasites, or some other problem could be addressed. Again, I could not afford non-Canadian attention and the medical community in Canada were continually uncooperative because I was not bleeding, screaming, or going to the press. There were published examples of CT and MRI exams in Canada being misread even to the extent that civilians had self-trained, re-read the scans, and, in one notable case, a patient was found to have stage 3 prostate cancer, and then, was scheduled for emergency surgery. He was still alive 10 years later.

I used the Fleet enema, and then refilled the enema with tap water numerous times to effect a minimum flush.
After 4 hours, the Fleet solution prompted some activity ... well after the water flush. After a further 1-1/2 hours, another small expulsion happened. I had kept an empty plastic water cup and together with the now empty rectal syringe, I restarted daily colon flushes. As always, all items were thoroughly cleaned afterwards by me and tucked away amongst my things ... ready for the next use.

A right foot slap condition was noticed at 2:30 pm on Friday, Nov 02 when going on a pass from the hospital to pick up some clothing and toiletries from my apartment. I only knew of the medical problem as a "foot drop" from the time when an uncle had acquired it at least 20 years earlier when he was about my present age. At the time, doctors in the USA assessed it as having resulted from a mini-stroke. To my knowledge he was neither provided with any medications or physiotherapy to mediate it. He did use a cane from then forward and he may have eventually had some form of shoe modification. After leaving the hospital and after seeing my general practitioner, Dr. McKay Steed, and working to mediate my drug side effect symptoms and then remaining physical weaknesses .. I did my own research.

What I and my uncle both had is now termed "Foot Slap".
As the causes for and treatment of a "Foot Drop" and a "Foot Slap" are entirely different, the distinction is significant.
I assembled my own digital summary and report for my own and other's awareness and self-direction. It is not included here.
I saw a physiotherapist, Jordon Heninger, for the first time on Tuesday, November 27th. He was most helpful with explanations and a recommended exercise routine.

I was signed back into hospital at 8:00 pm, later than I expected, and was given a full range of drugs immediately.

Side Effects of Medication.
I began to notice what would later prove to be dramatic medication side effects (drowsiness, weakness, foggy eyesight, gurgling intestines, pain in the front, lower right abdomen, lower right leg going into spasm, increasing intestinal gas, dizziness, mouth VERY dry yet not thirsty, neck stiff) in the early am of Saturday, November 03. I did report these though no one seemed to note them or provide any understanding of them. I believe I was prescribed at least one additional drug to medicate against one or more of these symptoms. It added and amplified yet more side effects.

Early in the morning of Sunday, November 4th, I found myself hallucinating, a very different and concerning symptom for me. I had brought back a notebook computer with me from home. Customarily, I used a computer, connected to the internet or not, for a minimum daily of an hour. This was mostly for research data collection, report writing, and a minimum of e-mails. After Sunday evening, November 4th, and until after I had been home 3 days, I did not turn on this or any other computer. I do not have a smartphone for an alternative access to the Internet or my work base. I do have a cellphone. I phoned no one. One or several times daily, a client from my volunteer support service would call me to share their personal concerns and challenges and request my feedback as to what more positive options and understanding I could offer them. For me, there was no benefit in alarming relatives or friends who could do nothing to assist, who were mostly located outside the province, and would be best informed either after my recovery, after I had a full understanding of my after-hospital maintenance and living options, or, after I had died.

Around 9:00 pm on Monday, November 5th, several nurses and staff hurriedly moved me from Room 452 to 4C, Ward 438, Bed 01, without a word of explanation. This dynamic would soon prove to be greatly alarming to me and a significant, though personally quickly dealt with, drag on health improvement.

R.O.F.T. : Location, Stability, Reality, a Baseline. INDEX
Real Opportunities for Talking.

As little as a single sentence of explanation can avoid creating anxiety, confusion, and dread in a client ... all of which hamper healing. A one or two sentence acknowledgement of WHY there is a move and what can be looked forward to at the next location could prevent the Reptilian Structure of the client from associating the present with a possible earlier highly traumatic event, forcing the patient to relive a horror, and threatening mental wellness ... as well as frustrating communication with the staff.

Post Traumatic Stress Disorder (PTSD) is acquired when a person has an intense experience which they are unprepared for, cannot consciously and quickly determine a preferred response for, and they feel pushed into taking an action or inaction which later may seem to be less than ideal. That is, they may be feeling desperate, life threatened, terrorized, or confused (often an experience involving physical or emotional violence or threat of) and the action taken is later questioned consciously by their sense of morality, imprinting, or, social values. For those familiar with a little psychology theory, one cannot make a decision based upon their personal values (Ego) or social values (SuperEgo) so their Reptilian Structure (Id or Physical Survival) which takes action according to associations between elements of the present situation and past experiences ... imposes a solution. I learned a highly effective means of releasing these addictive/compulsive patterns of decision making decades ago, first to help myself, and then to assist hundreds of other persons. These are ADDICTIVE patterns. Conscious choice and behavior modification have little influence over the result or in reframing memories to enable change. I had released ALL of my PTSD-type Energy Blocks decades previously.

During the 1970's, I was employed for a large multinational minicomputer company as a Customer Engineer.
The work required me to drive long distances, sometimes hundreds of miles, sometimes along long stretches of expressways, to and from my customers. There, I would inspect, test, and repair their minicomputer. I took and interest in the machine operators, managers, and business owners. Often, listening to and acknowledging their current conflicts and frustrations "cured" the machine problems by resolving their internal distractions. I began having experiences of driving long distances, both during the day and at night, after which I had NO memory of the drive for dozens of miles. Once, it even happened with a trainee associate sitting in the passenger seat and me intending to point out a favoured restaurant when we passed it. My memory and consciousness were blank from about a dozen miles before the restaurant until as many after. My main concern was that I would involve others in an accident.

I ended up speaking to an Internal Medicine doctor at the Joseph Brant hospital in Burlington, Ontario.
It was early afternoon and I had stopped in for a short appointment on a Friday between a work trip and returning home.
The doctor prescribed an immediate Lumbar Puncture operation to rule out any brain tumor or problem.
Soon, I found myself in a hospital bed, first speaking with a psychiatrist, and then having a Lumbar Puncture.
I was given NO preparation for the operation; NO advisories as to how long I would be in the hospital; NO cautions as to what I could do or was best to do, or would be dangerous following the operation. No forms were signed and i was not admitted. It seemed like it would be a simple 20 minute or so test.

Following the operation, within 30 minutes, feeling a bit stiff and being an active male in my 30's, I got out of bed, did some knee bends, bent over and touched my toes a number of times, and, headed for a walk up and back down the hospital corridor. On my way back down the hall, two doctors passed me by and queried if I should be out of bed and walking? They provided no further information to place their query in perspective. A nurse came in, after an hour, and when she heard of my "exercising" she expressed concern. Her experience and knowledge was that persons who had Lumbar Puncture surgery were NOT to move for 12 hours or longer. Those who had moved anytime during that period, and sometimes longer, experienced a headache so severe that they might end up vomiting and greatly distressed.

I was in a room shared with another man.
He had heard my conversation with the psychiatrist and my concern that I might endanger others in an accident.
Having survived a severe accident himself and now undergoing the latest in a long list of surgeries, he disliked my presence and apparently asked the doctors to transfer me to another room. I ended up in a two bed room by myself later on a Friday afternoon. I was given no further information as to when I was going to be allowed to leave and go home. The doctors involved quietly left for their weekend without seeing me. I was beginning to get a bad headache. Again, I was given no information on how long I was expected to remain at the hospital. I later learned that the on-duty nurse was to have given me pain medication, but, there was none available and her shift was changing ... so she left a note for the next nurse. That nurse never saw the note, nor did anyone notice it in the next 60 hours (2-1/2 days) or so.

The magnitude of the headache escalated.
The room darkened as nightfall came. For the rest of the weekend, from Friday late afternoon until Monday mid-morning (2-1/2 days), no one queried about offering me water or food. A nurse entered the room several times during that interval, never turned the light on, and, as I remained quiet, assumed that I was sleeping. Even during the day on Saturday and Sunday, the dark drapes were drawn and the room mostly dark. Throughout that time, the severity of the headache was such that if I moved a sharp pain cut through my skull like a knife. I could not blink. I resisted taking a breath. Speaking suggested an exercise in self-torture. Even the act of swallowing resulted in a feeling of skull rending. The emergency call lanyard hung on the wall 3 feet away. Moving a millimeter resulted in pain as one might associate with the image of a needle or nail being rammed through their skull. There was no sleeping, just 60 hours (2-12 days) of constant panic of movement and repeated torturous pain. If moving my lips set off another crescendo of pain, crying out for help suggested insanity.

Monday morning arrived.
After more than 60 hours with penetrating severe pain with every movement, no water, no food, no sleep, constant darkness and silence, no end in sight ... I was broken. I took the rotary blades from my razor (I took a razor everywhere with me as I was best to shave 2 or 3 times daily and I was often away for all or most of a day), somehow, and used all of my remaining strength in an attempt to cut my left wrist. All of my strength and my wrist seemed to be harder than steel. I barely made a mark and slightly scratched the skin. Again, somehow, and in embarrassment for my failed effort, I moved my wristwatch from my right wrist to my left to cover my attempts. Somehow, my mother had found out that I was in the hospital and had come to visit me. She noticed the wristwatch anomaly, looked, and called the doctor. I was soon transferred to the Psychiatric unit. As far as I was informed, NONE of the persons responsible for my care were ever held responsible for their part.

The police had noticed my car in the parking lot on Saturday and after checking the registration had called my wife.
Isobel was accustomed to my sometimes arriving home late at night from a distant customer. When I failed to show up on the Saturday, she began to worry. I had not mentioned the hospital stop to her as it was only supposed to be a short stop on my way home in mid-afternoon. The hospital staff had taken very little information from me. I had not signed any papers authorizing the surgery ... so how dangerous could it be. I had not completed any papers for contacts in times of emergency ... so no one had been contacted. Sometime on Sunday, the police figured out that I might be IN the hospital. My wife had become distraught and gone to stay with a local girlfriend as I was missing, the police had not contacted her yet, the hospital had not contacted her. Somehow, they reached my out-of-town mother before my in-town wife. My wife became even more distressed and confused when the hospital told her that I was in the psychiatric ward due to a suicide attempt! She was not told anything about the Lumbar Puncture surgery, the medical muck ups, and the long torture I had endured.

This is the kind of Medical/Hospital experience that can result in PTSD.
PTSD is a pattern of associations which our Reptilian Structure identifies with the trauma and assigns an action to.
Mine, in this case, associated the following together:

• Intense continuous pain for hours/days,
• Abandonment by those responsible for my care,
• Inability for me to consciously take any beneficial action.

Once such a pattern has been set in stone, as an Energy Block or set of, a recognition of these triggers coming together to fit the memory pattern imposes the same action as was taken in desperation initially. It is a compulsive, addictive reaction, not a response, not a rationalization: automatic. Fortunately for my survival, I had learned how to release such traumas and released this one with all others.

Yet now, in Lethbridge, the triggers laying in old memories (our memories are never forgotten unless we have retrograde amnesia imposed by a physical shock and coma interrupting the transfer of short-term to longer-term memory) were being recognized and reforming to possibly make a new trauma reaction. When I was suddenly moved from Room 4C, 452 to 4C -- Ward 438, Bed 01, my Reptilian Structure associated the following:

• Continuous pain for 36 days, followed by excruciating pain for 2 days,
• Abandonment by those responsible for my care - snatched from safety and thrust into a vacuum,
• Inability for me to consciously take any beneficial action.

I found myself in the ward and immediately felt TERROR.
Emotionally, it was as if I were re-feeling the decades earlier scenario compressed into minutes versus the original duration of days.
Fortunately, I gathered as to what was happening within 30 minutes. I could not stop the Energy Blocks forming, but I could counter the intense depression that initially flooded in. I could not release the layer of Energy Blocks until I reached home and my homeopathic remedies and determine the required supporting detail. I would not even be aware, in my drug side effects state, that I had built any new Energy Blocks.

After arriving home and discovering that I had built an earlier layer of Energy Blocks from the experience of two partial days of extreme pain at home before the ambulance arrived, I found this second built layer. Each "nerve block" had to be discerned in detail, accessed with the remedies, and released in sequence, so I could continue towards health.

Consider, ALL of this second association-stimulated PTSD pattern could have been AVOIDED with one or two simple sentences of explanation from ONE staff member, any staff member. If something similar happens to another client-patient, and they don't have my skills, awareness, and knowledge ... such a PTSD pattern will either kill them or send them to a psychiatric ward or for extensive mental health support.

What is : Trauma Memory Reassociations? INDEX

Another form of PTSD trauma event construction of Energy Block pattern is the one which connects to previous experiences that were almost traumatic and amplifies the influence of the current exposure through projection and fear. Described differently, it is a re-introduction of oneself into an environment, location, or social situation which mirrors a past experience that was highly challenging and for which we earlier did not have any constructive or beneficial options for involvement, or, we had utilized those for no benefit, or, they had been sabotaged by our own past reactive patterns or imprinting. Our Reptilian Structure (biological housekeeping functions including heart beat, respiration rate, body temperature balance, immunological response, digestion and assimilation, organ functioning and inter-activity) is again forced into a survival reaction of action and attitude because we consciously are not making a decision. We may have attempted every conceivable option for improvement or avoidance in the earlier scenario. We may be so confused, fearful, or disoriented that the integration rationally of past and known response options to the current reality proves impossible in the moment. Consciously, we Pause, for a second, for a minute, for many minutes. Our Reptilian Structure, tasked with our PHYSICAL survival can't wait for our inept consciousness. It reacts with an action and attitude which have proven acceptable previously and can be associated with the current scenario.

We may have endured a previous physically, mentally, and spiritually demanding experience that may have lasted for minutes, hours, days, or many days and not have developed any Energy Block trauma reaction patterns and trigger associations. This time, it is as if we are inside a burning house which mirrors with its triggers of flame, heat, smoke, smell, sound ... the burning house earlier experience which threatened our life. Our Reptilian Structure is sensitized to the triggers and the scenario by how long it took us to respond consciously (Ego and SuperEgo) to the previous dynamic. It may also be currently distracted by the demands on it to cope with drug side effects, abandonment (being alone and not receiving assistance that could have been provided), and, a denial or or lack of conscious awareness of the reality that certain ingredients of the earlier experience are being recognized as present now and stressing out our Reptilian Structure into a reaction of TERROR.

I arrived home from the hospital late on a Thursday afternoon preceding a long weekend.
I was fatigued, weak, disoriented, and sleepy from drug side-effects which would slowly lessen over the next further 24 hours.
For 36 days I had sought on a moment-by-moment basis to cope with constant pain. Several months previously I had suddenly acquired the same pain in my right leg and hip. Historically, I knew that any OTC pain killers were useless for me. I also knew that I had developed self-hypnotic and other forms of awareness and response that could raise my pain threshold and effectively numb pain intensity by up to 80%. I had been patient for several days while I worked with different potentially helpful options. After several days I had gone to my chiropractor to affirm and confirm that the pain either originated from a spinal subluxation or not. The pain was unlike anything I had previously had and didn't feel like a spinal source pain in that it was totally displaced if it were. Dr. Chelsea Power found little to adjust including a very minor adjustment in the lumbar region. I left the therapy with NO improvement. It couldn't be spinal sourced. I consciously rationally put together several possible associations during the extended experience, ALL of which later proved to be incidental or contributory to the real source, but NOT significant. On the 10th day, ALL of the symptoms disappeared within SECONDS, just as they had arrived. In the recent scenario I hoped for a repeat of the earlier experience ... gone in 10 days or so.

This time the pain pattern did NOT resolve in 10 days, nor 20 days.
I visited my chiropractor again just for reassurance and confirmation. The result was the same, no benefit.
I kept hoping for resolution and kept utilizing cautions which benefited reducing or controlling the pain.
These included keeping my right leg at or above my heart level when sitting or laying down to rest or sleep.
Walking and pressure on the right leg aggravated the pain so I minimized walking and using Lethbridge Transit.
In conditions of negative stress, such as pain, our Reptilian Structure takes part in whatever ways it can.
It "thinks" by association between stimuli, factors, dynamics from Past to Present; NO rational ability.
The longer a stressful experience persists, like pain, the more obvious it becomes that consciousness is not helping.
Our Reptilian Structure remains distracted yet open to reactions which could be associated with previous similar events. When there are no previous events that were clearly resolved with specific actions and responses, it has nothing to associate with.

So, here I am at home: the location of long-term physical discomfort which eventually degraded into 2 days of torture.
My Reptilian Structure is distracted (above) and for effective mediation of its responsibilities of blood pressure, sleep, digestion, heart rate, respiration and dozens of other biochemical processes ... it doesn't need a potentially traumatic experience to be dumped on it. I do my best to put away my things from the hospital and to prepare a laundry for whenever. I do my best ... have to with the side-effects ... to not stress myself physically. I am fatigue, tired, and weak ... yet my consciousness, separate from the rest of my body, is having none of it. I am mentally alert, active, not ready or able to sleep ... the reverse of my muscles and other organs. I lie down to rest and am enveloped by feelings of Terror with a fast heartbeat and a sense of doom. There is nothing in my bed or bedding to be fearful of. No bugs or pests. There are no options like meditation, self-hypnosis, food or beverages ... which have ANY influence on calming down my Reptilian Structure. I have had little sleep in 36 hours following the last and sleepless night in the hospital. This is not good.

Finally, I start to be humble enough to put together some associations and awareness which are difficult for me to acknowledge as being real for me considering my skill development background and recovery from many traumatic experiences: My Reptilian Structure was reacting to the FORM of my bedding and the chair I frequently relax in, as harbingers of another episode of extended PAIN. It was reacting in TERROR. It wanted me OUT of the apartment, for its safety. OK. I reorganized my bedding and reoriented it and did the same for the chair. That helped, but not enough. More hours of waiting and testing before I again, finally, asked about what seemed impossible to my conscious Ego and SuperEgo: did I have any Energy Blocks? YES!

As an Energy Balancing Facilitator who had assisted myself and performed many hundreds of sessions to enable clients to release addictive-compulsive self-sabotaging patterns and attitudes (Energy Blocks) , I had the tools and the skills required for this necessity. I unpacked my homeopathic remedies, discerned that I had a layer of 3 Energy Blocks, and set out the number of drops required for each of the 3 particular remedies which could catalyze a release of the neuro-based pattern. I took the remedies. For full benefit and release, it would take 12 hours for THIS set of blocks to release. In the interim, within an hour, I was able to fall asleep in my reoriented bed. Twelve hours later the feelings of terror and over-stimulated consciousness had drained away.

When a patient-client is returning to a sole occupied residence where they have experienced extended illness and challenging health symptoms for a period of time, it is likely a good suggestion by a care provider at the hospital to advise that staying with a friend or relative (different location from home) for a few days may make it an easier transition than going directly from the hospital. Of course, if the individual had not subjected themselves to such a duration of pain and discomfort before going to the hospital, the fearful association might not have been constructed. Yet, for me, it has been my CONSISTENT experience with Canadian Emergency Departments, regardless of province, that the personnel and policies are unsuited to treat anything beyond the 4 "B"s: Bloody, Broken Bones, Burns, Blackout ... and I had none of these. Did I really need the dismissiveness of medical personnel and the sometimes direct mention that I was wasting their time because I wasn't dead?

Department: 4C -- Ward 438, Bed 01. INDEX
Lethbridge Chinook Regional Hospital
(I remained in this ward from the evening of Monday, November 5th to discharge on Thursday, November 8th afternoon)

My being rushed into this ward without explanation was not a good start as noted elsewhere.

Food/Meals.
A nutritionist came to see me once or twice regarding my meal selections and consistency of food.
As I have no teeth and had not brought my dentures to the hospital, and usually eat without them, I requested the "minced" choice. In addition, due to my chronic LOW blood pressure, I requested 4 salt packages per meal. As a personal preference, I also requested 2 packets of brown sugar and 2 creamers with my tea or coffee. Usually, I preferred coffee in the morning and evening and tea with lunch. I found the food selection close to excellent. The food was served in a timely way, with courtesy, and hot where relevant.

From the beginning, I requested NOT to receive the orange juice and milk and the white sugar which came with every meal.
These requests were never met. i asked and was informed that any foodstuffs which were not eaten were discarded. I dislike waste so when possible I offered my untouched "extras" to the staff or to other patients. It appeared as if someone was receiving personal benefits from the suppliers in order to mandate the provision of milk, orange juice, and white sugar to everyone. There was no notice or mention if some of the dishes were to be returned for re-use or if they were to be, or would be discarded. It seems to be a needless expense to use the plastic bowls once and then discard them.

Laundry.
I have typically changed my underwear briefs and undershirt daily along with having a shower.
Arriving at Emergency, I doubt that many people bring a weeks worth or more of underwear.
I did bring one extra pair. Later, when I received a partial day pass to go home to bring back urgent belongings, I brought perhaps another 4 briefs and 3 or 4 undershirts. I had no perspective on how long I would be in hospital. While I had laundered my then available underwear before leaving the room, noted above, there was no privacy or apparent option to continue to self-provide in the ward. No laundry service was available and when I noted a concern with a lack of clean underwear, I was given 2 hospital one-size-fits-all briefs. For persons who end up staying longer than 3 or 4 days, it would be more hygienic to have some means for either the patient-client to launder their clothes, or for their clothes to be picked up and laundered and returned.

Bathroom.
The bathroom was always cold.
This was an extension of the fresh/filtered (??) air that was circulated throughout the building.
Cold does not encourage one to relax. Defecating and urinating in the cold are made more difficult when one is already in pain, confused, anxious, and tired. The soap dispenser was on the side wall BEHIND the much larger paper dispenser making it awkward and difficult to reach. The toilet paper dispenser was the large continuous roll variety housed in a large housing mounted low on the wall near the toilet. Unperforated, it was difficult to tear away a portion of the paper. A commode chair was often pushed into the shower; sometimes it occupied half of the space in front of the sink/vanity. It would have been helpful to have some indication on the outside of the entrance to show if anyone were inside. Sometimes, persons leaving would shut the door. The bathroom and other areas were cleaned at least once per day. I only found the toilet seat to be dirty once.

Lighting.
Unless you have been quite ill, taking prescription drugs, and fatigued enough to be sleeping at times other than usual ... you may not have experienced that bright lights can give one a headache when the rest of the surroundings are dark. Particularly on the last night that I was in the ward ... when the client-patient next to me had diarrhea and was up at least every hour, and when I had a headache after surgery ... leaving the entrance door to the ward open allowed the bright hallway lights to shine directly on me. Putting a towel over my eyes proved to be too hot. Turning my back to the door was not possible for some reason having to do with the drug side effects. Many times after a nurse had attended my neighbour and left without closing the door, I got up and used the walker provided for me to go and close it. At some point I made a request to the nurse. Another time, a nurse noticed that I had closed the door several times and apologized for not closing it. And still, the door was left open. This amplified the intensity of my headache, making it necessary for me to get up when my sleep was already frequently disturbed, and made it even more desirable for me to leave the hospital, perhaps earlier than would have been best.

ROFT : Imposing savings can sabotage healing. INDEX
Real Opportunities for Talking.

1. Cold Bathroom.
   Most people are aware that cold causes the body to tense and muscles to contract.
   This reduces the ease with which one may urinate or defecate. In a hospital setting, due to reduced privacy, side effects of drugs, pain and anxiety associated with the cause for one being there ... restraint and unease is already present. Why amplify it? A thermostatically controlled ceiling mounted radiant heat panel would be a great benefit. This would also contribute to positive attitudes in the personnel and easier recoveries.

2. Toilet Paper Availability.
   Certainly myself, and possibly others, were experiencing drug side effects of extreme fatigue, drowsiness, and weakness. A toilet paper dispenser that provides paper, without sheet perforations, from a huge roll within a large enclosure presents significant difficulties over perforated sheet roll paper dispensers. First, the position of the dispenser in this ward bathroom was difficult to reach. Secondly, tearing a section of paper from the roll is always difficult ... even when one is healthy! Why make a daily health recovery necessity an energy demanding effort?

3. Room organization.
   A mirror is less important to hygiene than access to the soap dispenser.
   Access to the shower is more hygienic than storing a commode chair in the shower.
   The mirror could easily be cut narrower. The paper towel dispenser could then be mounted beside the mirror.
   The soap dispenser could then be remounted to where the paper towel dispenser is, making it easily accessible.
   Encountering a soap dispenser which one cannot find or cannot reach easily encourages one to not use it. There is ample space outside the washroom where walkers and wheelchairs and supplies were stored while I was there.
   When not in use, why could the commode chair not be placed at the front of that area ... easily accessible when needed.

Doing things because they may be more economical does not always make them more accessible, useful, or respectful of those they are intended for. Do we want to simply supply devices and supplies, or, do we actually want those they are intended for to use them?

-Discharge-: MedRec, Care Plan, . INDEX
Contact / Support Worker: Dr. Christina Ruth Walton, Chinook Hospital, ER Physician.
Contact: Prescriber: Dr. Raphael Thulani Mtshali, Chinnok Hospital, Ward 438.

Ms Walton assisted me in completing part "R" of the Goals of Care Designation (GCD) Order.
It was provided to me in a protective plastic folder for later completion and readiness should I ever return to an Alberta hospital.

Dr. Mtshali completed a MedRec for Discharge prescription list on the afternoon of Thursday, November 8th.

I was asked for the name and contact number of a pharmacist.
The only one I could bring to mind in my drugged state was the one located in the same building as my General Practitioner, The Medicine Shoppe. By way of Dr McKay Steed's office, the shop and its phone, fax, and address were obtained. The LIST was faxed to that location of the Medicine Shoppe.

At no time did anyone query me as to what I may have been experiencing as side effects from either a separate medication, or, from all of the medications in total or in part. Neither were the ingredients of the medications shared to enable me to raise a caution regarding ingredients which I had SIGNIFICANTLY reacted to previously. It was only after 5 days at home and additional research made online that I discovered that Pantoprazole Magnesium, a stomach drug, contained Sorbitol. I have consistently reacted in significant ways previously to this synthetic sugar chemical. It would be health endangering for me to choose to take this drug for any period of time.

Again, due to extreme fatigue, reappearance of trauma built Energy Block location associations, and sleep deprivation ... I was unable to contact the pharmacist, KENDON EVANSON before 4:30 pm Friday, November 9th, afternoon. With the store closing at 5:00 pm, the day's deliveries picked up before 2:30, the Remembrance Day weekend closing, and the far distance from me ... it would be Tuesday late afternoon, November 13 before I could obtain any of the health maintenance prescriptions, at the earliest. Recovering from a terrifyingly painful medical condition and having undergone significant surgery for an Epidural Block Injection on mid-afternoon of Wednesday, November 7th, the outlook was poor.

The surgeon (I don't know his name having only heard it quietly once) had advised that the anaesthetic would likely take 2 days to release, followed by two days of accentuated pain, followed by a further two day for the injection to work ... that is, right through the weekend with no drug support and a likely return of extreme pain experience.

My body, as it tends to do with my assistance and prayers, did better than the suggestions.
While I experienced a significant headache for what seemed like 12 hours after the surgery due to the inappropriateness of the surgical table for those having experienced neck trauma previously (noted elsewhere in this document), the anaesthetic seemed to clear from my back in a matter of perhaps 6 hours. Following that, I experienced a highly defined "Burning" sensation in my lumbar region, followed by minimal pain. After-the-fact, it may have been a blessing that I had to, and could go off all the drugs immediately on the morning of Thursday, November, 8, my discharge day.

I had the reality of my discharge day confirmed that morning.

As shared with several nurses, doctors and support workers, my hospital stay drug experience had left me with a cognitive drop of 80 IQ points (estimated) due to their accumulative side effects. IF I took the drugs I would be unable to function outside the hospital whether at home or not. If I were going home, I had to terminate the drug use at least until I was settled at home. Even without the drugs, it took me 24 hours to recover to a state of effectively looking after myself --- late Friday afternoon.

Under the circumstances of end of the week, long weekend, closure of the pharmacy ... it would have been totally client centred to have provided me with enough medication to carry me through until I could obtain filled prescriptions from a retail pharmacy.

Community: Access-A-Ride, Homecare, Meals delivery. INDEX
Lethbridge Chinook Regional Hospital
Contact / Support Worker: Lauren Walsh. Occupational Therapist.

Ms. Walsh assisted me in completing an application for Access-A-Ride and faxed it to their office early afternoon on Thursday, November 8, 2018.

I left the hospital to return home later in the afternoon of Thursday, November 8, 2018.
Due to the side effects of the drugs I had been taking for some days in the hospital, it took me total rest together with self-directed reorganization of some of my apartment to break a longer-term experience association with the apartment and enable my Reptilian Structure to cease panic and stimulation and enable me to rest.

Fortunately, I am skilled in the use and application of homeopathic remedies in the release of addictive terror patterns created by one's Reptilian Structure when exposed to trauma, as mine had been during the torturous episodes of pain on Monday, October 29 and again on Tuesday, October 30. Graced with having an adequate supply of the remedies required for the release of two layers of Energy Blocks, I was finally able to acquire some sleep and rest after two days of being constantly alert and sleepless. Location aversion and reaction following an experience of trauma is more common than general acknowledged by the medical community. Terms like war stress, shell-shocked, and PTSD (Post Traumatic Stress Syndrome) are more commonly used terms.

Access-A-Ride.
On Friday, later in the afternoon, I contacted the Access-A-Ride office to follow-up on my application.
I was advised that applications typically take a week to be processed.
Hospital staff had made an appointment for me with my General Practitioner, Dr. McKay Steed, for early afternoon, on Thursday, November 15th.
From a previous trip from his office by taxi, I was aware that the one-way fare would meet or exceed $25.
Without the Registration and acquisition of an Access-A-Ride Breeze card by Wednesday, November 14th, round-trip taxi access to the doctor would cost me as much as $60 ... a very high cost to me.

On Tuesday, November 13th, I called the Access-A-Ride office again and was informed by an agent that PEGGY, the manager, was absent that day for staff time off and procedures had been additionally delayed by the Remembrance Day holiday and closing on the Monday, November 12th. The agent marked my application "Urgent" and I was best to call again the next day to confirm if arrangements would be completed in time for me to use the service on the Thursday for the trip to and from my doctor's office.

Scheduling pickups and drop-offs must be confirmed the day before ... which in this case would have to be on the Wednesday, following approval and my over-the-phone purchase of the special pass with a credit card.

This dynamic did create an atmosphere of anxiety and urgency.

On Wednesday, November 14th I again contacted Access-A-Ride.
CHRIS clarified that applications for the Access-A-Ride service usually take 2 to 4 weeks to be completed.
Her manager, MICHELLE, is responsible for application approval including ensuring that forms are fully completed and that the applicant qualifies for the service. MICHELLE was currently out of the office. When an application has been approved, or rejected, it is CHRIS who will convey the result to the applicant, process the registration, accept fees, issue special Breeze passes, and begin booking trips for the client. No contact was received by any means to the end of the day. I would face a $60 return taxi fare cost the next day to attend an appointment with Dr. McKay Steed, my General Practitioner, arranged by the hospital staff before my hospital discharge.

By Thursday, November 29, four weeks had passed and I had received no communication from Access-A-Ride regarding my application.

Homecare.
I was questioned on Thursday early afternoon about my expectations for need of Homecare services.
At the time, I was 6 hours or less into a multiple drug withdrawal which would take about 30 hours.
The side effects of the drugs had proven to be quite debilitating and mentally disorienting.
I likened their combined influence to one sacrificing 80 points from their IQ. score.
I had received spinal surgery within the previous 24 hours: afternoon of Wed, Nov 07.
I had NEVER taken any of the 8 drugs before entering the hospital nor had the surgery before.
I had NO perspective as to what I might be able to do in respect to the surgery after effects and the discontinuation of all or most of the drugs. I answered for no Homecare services on the basis of what my hoped for recovery would mean.

This proved troublesome before long as I could not safely navigate 4 flights of stairs one way to the basement laundry room, especially if I were carrying a large amount of laundry with me. It became necessary for me to pay a neighbour $20 to take me to and from a laundromat.

Meals delivery.
These options proved to be unhelpful for me.
I had no personal transportation in terms of a car or other vehicle.
The 2 or 3 stores that I acquire all of my groceries from were either not listed, or, did not deliver.
Those stores which would assemble a list of groceries would do so for a cost and require them to be picked up.
I have a highly defined diet of few foodstuffs compared to the average person, minimizing the benefit of in-store collection.

R.O.F.T. : Services integration or Readiness Disaster. INDEX
Real Opportunities for Talking.

1. Consistency of Communication.
   I received contradictory explanations or summaries of what the Epidural Nerve Block surgery was from the surgeon and two doctors. I later received what mirrored information I found on medical Internet sites from my chiropractor some days following leaving the hospital. It was suggested to me that a solution had been injected into the "collapsed" disc to enable it to provide a cushion for the nerves nearby. It was mentioned by another that a disc had slipped out of place and that the surgery pushed it back into place. Both the Internet sources and the feedback from Dr. Chelsea Power, my chiropractor indicated that these "hospital" explanations were both incorrect and impossible. It is better NOT to offer an explanation unless one is well informed than to offer an explanation which one assumes will bring comfort and confidence to an ignorant and fearful client-patient, yet encourages misunderstanding and false confidence.
   
   

2. Side-Effects Recovery.
   For a client-patient being discharged from the hospital after having been on the assortment of drugs I was given with NO instruction as to what the side-effects could be, if one was experiencing same, how long it would take to disburse such side-effects after one stopped taking the drugs, when and if to suspend taking the drugs, and, what might the residual effects of the drugs be ... how could anyone make an intelligent evaluation of if and for how long some form of assistance might be safe, efficient, and supportive of an early full recovery. Some drugs have additional side effects if they are suspended too quickly. Others have a tendency to interact with different specific drugs to produce sometimes tragic results. Not being aware of the likelihood of some symptoms, such as the "Memory Loss" discussed above, can challenge one's sanity and fracture communication and relationships such that divorces have happened, friendships have been broken, and much needless interpersonal conflict has been generated.
   
   

3. Appointments made by the hospital staff.
   I am retied and living on a minimum retirement income.
   I was using Lethbridge Transit as my main means of transportation previous to hospital entry.
   I live 3 blocks from the nearest bus stop; 6 blocks on a return trip. I am advised, medically, not to walk more than necessary and avoid stairs as much as possible until after I am firmly established with a physiotherapist and recognize benefits to limit re-injury. The result is a necessity to use Access-A-Ride, or, taxis. An appointment was made with my General Practitioner for a week following my discharge, presumably to set up contact with a physiotherapist, review my prescriptions, prepare for subsequent endural injections, and other details.
   
   

4. Access-A-Ride.
   Access-A-Ride has proven to take 4 weeks before my application, submitted from the hospital, with hopefully no errors due to their experience, was approved and I was notified. That equals up to 4 weeks of travel by me at taxi rates which range up to $25 + tip for a one-way trip to my doctor and/or physiotherapist. With Access-A-Ride, the cost of this longer trip would have been $6 round trip, not the $60 taxi fare. It would be a great benefit to client-patients such as myself if hospital staff were aware of this possible scenario, and/or Access-A-Ride either had additional staff to respond more quickly, or, gave some allowance for applications submitted by doctors or nurses at a hospital.

   I phoned their office 3 times within the first week after my hospital discharge to both present the urgency of my application approval and to discern more realistically the procedures of the organization. It would seem that the messages I left were ignored. I was never contacted by Access-A-Ride staff by phone, text, e-mail. I did receive an "Acceptance" package by mail on Friday, November 30, too late to book a ride to the later appointment I had that day with Chinnok Cardiology. Sending this information only by MAIL in the middle of a postal strike would seem to be an oversight. The acceptance and the package information were dated November 21st. Had I received notice by phone or e-mail at that time I could have booked rides for both the the 27th and the 30th at a savings of over $60.

   As noted above, the co-ordination of a hospital sourced request and an application for Access-A-Ride services is non-existent. In view of the likelihood of the SUDDEN requirement of the client-patient, following surgery and/or other medical treatment, it would be relevant to create a fast-track procedure for such instances. How difficult can it be to cross-check the details submitted on the application? Or is it that Access-A-Ride intentionally delays application acceptance so that patients that are "too ill" die before receiving their personal identification number, required for booking their rides at least 24 hours in advance.

Outcomes: What has/is happening since hospital discharge. INDEX
(as of November 30, 2018)

1. Arrival home: Thursday, November 07, late afternoon

2. Drug side effects detoxing: November 07 to November 10

3. Re-orientation of bed and bedding to reframe trauma memory, Friday, November 09.

4. Re-orientation of primary seating to reframe trauma memory, Friday, November 09.

5. Discernment and release of 3 Energy blocks formed in extended severe pain duration: Fri, Nov 09

6. Discernment and release of 6 Energy blocks, Layer 2, formed from old trauma memory: Sat Nov 10

7. Began using Pole Walking staff as a continuous cane support: Sunday, Nov 11th.

8. Began taking Manerix to disperse Aspergillus intestinal plugs: Sun, November 11th.
   
   

9. Awakened suddenly with strong numbness in both forearms: Tuesday, Nov 13, 4:15 am
   --- First experience with more to follow at varying times of day, every several days ...

10. Chiropractic appointment to correct neck following surgery: Wed November 14th **

11. Prescriptions pickup from Medicine Shoppe Pharmacy: Thursday, November 15th **

12. First of many taxi rides due to walking restrictions, $25 + tip one way: Thu, Nov 15th

13. General Practitioner appointment with Dr. McKay Steed: Thursday, November 15th

14. First time taking 1 each of Flomax & Flexeril: Side Effects (!!), Friday, November 16

15. Determination with research between Foot Drop/Foot Slap: Sunday, November 18

16. Determination of necessity to suspend Showers and replace with Baths: Nov. 18

17. Left hip area very painful all day; better after a hot bath: Tuesday November 20
    
    

18. Concern building about much more frequent development of Aspergillosis plugs.

19. Sudden nosebleed from left nostril at 2:30 am on Monday, November 26.

20. Physiotherapist first appointment with Dr. Jordon Heninger: Tuesday, November 27.

21. General Practitioner appointment with Dr. McKay Steed: Tuesday, November 27.

22. Concern increasing with rising sensitivity of lumbar displaced pain symptoms.

23. Chinook Cardiology appointment for 24 hour Holter Monitor: Friday, November 30.

24. Receipt of Access-A-Ride Personal Identification Number by MAIL: Friday, Nov 30.

• Pending: Cryo-Ligature surgery for hemorrhoids.

• Pending: Results from the 24 hour Holter Monitor.

• CT-Colonoscopy, or, colonoscopy to check for intestinal abnormalities.

• Pending: Possible Brain CT Scan to evaluate presence of tumor.

- Internet -: Links to research. INDEX
Wolters Kluwer database, requires SIGN-IN for Access.

INDEX
• Flomax, Tamsulosin -- helps prostate shrink.

• Flexiril, Cyclobenzaprine -- Muscle relaxant.

• Gabapentin, Neurontin --- for nerve pain.

• Hydromorphone, Dilaudid -- Pain Control.
  
  

  Advil, --- pain relief.

  Dicofenac Diethylamine, Volteren Emugel Extra Strength -- .
  --- prescribed as a gel but could only get in tablet form.

  Fleet Enema, --- intestinal flush.

  Naproxen, --- pain relief.

  Pantoprazole Magnesium, TECTA --- Reduces stomach acid; contains Sorbitol.

  Tylenol, Acetaminophen --- pain relief.

  Tiazaparin, (Inohep, Tinzaparin) --- blood thinner, usually given subcutaneously.

  Reactine, (Cetirizine dihydrochloride, and, Pseudoephedrine hydrochloride)
  ---- Anti-histamine, longer acting.

Personnel: Primary. INDEX
Lethbridge Chinook Regional Hospital
Both by documents received and by diary notes made, I was able to recall these.

Dr. Peter Kwan,
Chinook Hospital ER Department.
(Constructive in determining what was NOT the problem)
Phn: 403-388-6111 --- Fax: 403-388-6183

Dr. Eugene Plotnyk,
Chinnok Hospital, Floor 4C
(Provided excellent diagnostic strategies)
Phn: 403-388-6111 --- Fax: 403-388-6011

Dr. Raphael Thulani Mtshali,
(Listened to my concerns before I left hospital)
Chinnok Hospital, Ward 438
Phn: 403-388-6200 --- Fax: 403-388-6226

Dr. Christina Ruth Walton
Chinook Hospital, ER Physician,
(Took extensive family medical data)
Grand Cache ??
Phn: 780-827-2540 --- Fax: 780-827-5698

Anne Gibbons,
Chinnok Hospital, Advance Care Planning,
(Provided and partially helped complete forms)
Phn: 403-732-4592

Lauren Walsh,
Chinnok Hospital, Occupational Therapist,
(Provided many after hospital service options)
Phn: 403-388-6000 x 1671
lauren.walsh2@ahs.ca

Lamike,
Chinnok Hospital, Physiotherapist,
Phn: 403-388-6182 (??)

Cathy ,
Chinnok Hospital, Pharmacist,
(Provided Lexicomp Outline of MAI drugs prescribed ...
These became critical to my symptom understanding & sanity.)
Phn:

Justin Miller,
Chinnok Hospital, Volunteer,
(He was a best social support & assisted in my understanding of memory loss symptom)
Phn:

Personnel: Secondary. INDEX
Nursing and other Support Staff that I encountered (not complete)
By diary notes made, I was able to recall these from the 4th Floor at
Lethbridge Chinook Regional Hospital, early November, 2018.

Andrea, 
Anna, 
Bailey, 
Bob, 
Brice, 
Christina, 
Courtney, 
Dawn, 
Dilal, 
Gabrielle, 
Gloria, 
Jill, 
Katie, 
Kayal, 
Kristi, 
Matt, 
Megan, 
Nina, Charge Nurse 
Sharla, 
Shaylyn, 
Susan, 
Tanya, 
Tiffany, 
Tracy, 

Personnel: Post Hospital. INDEX
Lethbridge medical & health enhancement services.
Attended to date after being discharged from the hospital.

Dr. Chelsea Layden-Power, D.C. ,
Power Health Chiropractic,
503 5 Street South, Lethbridge, AB T1J 2B9
info@powerhealthchiro.com
Phn: 403-320-7073

Kendon Evanson, BSP, Pharmacist,
The Medicine Shoppe Pharmacy,
Southgate Medical Centre,
20-15 Southgate Blvd. South, Lethbridge, AB T1K 6S5
mso374@store.medicineshoppe.ca
Phn: 403-394-0404 --- Fax: 403-394-0401

Jordon Heninger, Physiotherapist,
Southgate Medical Centre,
10-15 Southgate Blvd. South, Lethbridge, AB T1K 6S5
elitesportsmedclinic@gmail.com
Phn: 403-942-7790 --- Fax: 403-942-0651

Dr. McKay Steed,
Southgate Medical Centre,
10-15 Southgate Blvd. South, Lethbridge, AB T1K 6S5
elitesportsmedclinic@gmail.com
Phn: 403-942-7790 --- Fax: 403-942-0651

John R. Sennett ,
Energy Balancing Facilitator,
404, 268 7A Avenue South, Lethbridge, AB T1J 1N4
applesauce@airpost.net
Phn: 250-535-0768

Chinook Cardiology,
925 - 19th Street South, Lethbridge, AB T1J 3H4
Phn: 587-425-3246 --- Fax: 587-425-3247

What's Next: Developing Realities. INDEX
Based on Personal health historical trends and currently revealing realities.
(to November 30)

• Endural Nerve Block repetition.
  The perspective I am left with by factual medical reports and by the reported experiences of former recipients of Endural Nerve Block operations is that my blocked pain response is temporary and that it may last anywhere from 1 day to 3 months before becoming ineffective. That is like carrying around a time bomb with a hair trigger that could detonate at any moment depending upon the unpredictable influences that I or others could unwittingly release. It is important to note that NOTHING has been corrected, mended, or renewed. The evidence of the breakage is pain, and that pain is simply blocked. As of late November, I am already receiving Lumbar sourced referred pain twinges from some movements.

  Since the reported source of the nerve blockage is an anaesthetic, the substance is acting like a toxin in the system.
  For the year prior to this "accident" I had been detoxing a large number of highly toxic heavy metals and other substances. I had been successful in release at least 80% of the presence and influence of those toxins. Many of those toxins have been known for decades to encourage the development of cancers, the depression or stimulation of the activity of organs, and to provide anarchy in the metabolism and assimilation of nutrition. In addition, they weaken immune responses and can encourage and support parasite infestations. Regaining my health after losing my intestinal peristaltic action was clearly tied to the temporary and permanent damages effected by these toxins. I am now faced with NOT completing my detoxing which supported a hope of crossing a health threshold to greatly improved health ... because further detoxing could more quickly remove the nerve block presence and effectiveness and force a more frequent requirement for a renewal operation.
  
  

  It has become "normal" and understandable that as long as the Endural Nerve Block is effective, my left leg will continuously feel a degree of numbness with occasional pain nerve stimulation when specific movements that might have contributed to the development of the condition, and certainly act as warnings of current re-injuries, are engaged in. Since returning home, and with the mediating influence of the Nerve Block, these specific lifestyle changes have become highlighted:

  1. Bathing in place of Showering.
     For many years, partly as a water saving measure and partly as a time saving measure, I have chosen to have a daily shower for personal hygiene. After returning home, I noticed during my first shower that it was a practice that I stand on one foot while soaping and washing the alternate one. Reaching and washing the free leg and foot required that i bend the leg at the knee and partially twist the leg in front of me. Showering was often done after I had completed a daily colon flush protocol required to sustain my health in the absence of peristaltic action. That meant that I was always tired and weak from the standing and flushing actions of the intestinal cleansing. Assuming this single leg standing and twisted leg stance placed noticeable strain on my lumbar area. It also triggered a nerve pain twinge warning of the injury that was now nerve blocked. Outcome: NO more showering.
     
     

  2. Intestinal Flush.
     As mentioned above, this has become a health necessity for the past 3 years and longer due to the inability of the medical and healthcare field providers in the provinces of British Columbia and Alberta providing NO options for understanding the diminished capacity nor offering any effective solutions. Indeed, most healthcare politically sanctioned doctors display a total misunderstanding and ignorance of intestinal peristalsis. This is to be expected when the educational academic practice for learning almost universally accepts the quick-and-simple exercise of speed reading Internet documents which are frequently inaccurate and incomplete. A statistic which hasn't changed in 40 years is that speed reading guarantees that, on average, the reader will miss 80% of the detail and have a high likelihood of misinterpreting the remainder. Only in North America are doctors totally ignorant of the influence of and how to test for heavy metals and toxic levels of other substances. The result is that the medical industry leaves me abandoned to die, or, do my own research, spend my own savings, and make my own sacrifices and efforts so as to maintain a degree of health and an ability to continue assisting others through my volunteer work.

     Since returning home, it has become apparent through the nerve pain twinges at specific moments that internal abdomen pressure will act against the lumbar region from inside and pressure stress that area. Such pressures can arise when I am completing an intestinal fill of up to 2 litres of water prior to a flush. It can also arise when I am experiencing an aspergillosis blockage which accentuates peristalsis inaction by gluing shut one or several of the one to 8 sphincter/valves which segregate parts of the intestines for nutrient metabolism and assimilation before enabling forward passage. If stool cannot progress, it will accumulate. As it accumulates, its mass will enlarge and pressure will be placed against all surrounding structures and organs. When that pressure has exhausted its forward, sideways and upwards limits, it will push backwards, against the lumbar area and my fragile lumbar nerves. Since returning home, I have had more aspergillus plug incidents in 3 weeks than I would have had in any earlier 6 month period. It may be that something has encouraged the aspergillosis growth, or, that it is being driven out of my bones and other tissues and out of my abdominal cavity into the intestines where is originated. The latter could mean that a threshold might be reached such that the aspergillosis no longer proved a health hazard.

     The intestinal flush dynamic, for me, requires 2 to 4 hours of dedicated time daily.
     This may not be so much a time waster, annoyance, and frustration as a health BENEFIT, especially at my age.
     I was surprised and pleased to hear, about 6 months ago, a fellow in his early 90s, mention that he had been doing a daily intestinal flush for 30 years. It had provided a degree of health benefit to him in that he had no chronic or acute illnesses and had avoided same for at least most of the 30 years. I do recognize that it does modify colon functions including reducing a requirement for sleep ... presumably necessary for some colon biochemical processes that normally contribute to additional quantities of some hormones, such as melatonin.

  
  

• Physiotherapy Mediation.
  Physiotherapy was highlighted by two Lethbridge Hospital physicians to me, on the day of my discharge, as a certain means of ensuring the maximum length of benefit from the Endural Nerve Block. I was referred to Jordon Henesey, a physiotherapist at the same clinic as my General Practitioner, Dr. McKay Steed. As their location is at a distance from me, and as I am cautioned against walking more than absolutely necessary, traveling by Lethbridge Transit is no longer a current option. It is necessary for me to walk further than 4 blocks each way, to and from bus stops. By taxi, the fare is $25 + tip each direction. I am on a limited retirement income and have spent most of my savings over the past 3 years supporting my health and enabling my volunteer work.

  An application for Access-A-Ride service was submitted for me from the hospital.
  After numerous urgent calls to them, I was finally informed that applications took 3 to 4 weeks to be process.
  So, I made my FIRST appointment as delayed as I dared in hopes of receiving approval for the Access-A-Ride before the appointment. That significantly delayed treatment considered by some to be fundamental to maintenance of the Endural Nerve Block. I had my first appointment and Jordon was most informative and I gained a relevant exercise routine to strengthen the muscles and tendons in my lower leg which were contributing to the Foot Slap.

  It was suggested to me that 2 or 3 visits per week for an initial duration which may last months would be preferable.
  If I am paying $60 per visit for transportation, anything more than once a week will be beyond my budget in any context of prudence. Jordon has suggested that with the situation being as acute as it is that going SLOW would be the most reasonable and effective strategy. That means one appointment every week or 10 days at this beginning. I received my Access-A-Ride approval and PIN on Friday, by mail, November 30th.
  
  

• Heart Attack or Stroke.
  I have previous experienced heart problems, at least according to the patterns of sudden symptoms (chest pain, arm numbness, difficulty in breathing, feeling weak and faint, vision problems). I learned decades ago that going to an Emergency Department was foolish on my part. By the time I arrived there, the symptoms had abated, and the doctors involved proved to be less informed about heart tests and meaningful results than I was. As usual, I did my own research, lost a little weight (20 pounds) used large doses of Hawthorn herb extract, and had no more symptoms. Periodically, this scenario has been repeated with no time or duration pattern. i found it beneficial at times when the herbal extract was unavailable to do a self-heart-massage: pound the center of my chest hard a series of times. I could often directly feel the improvement almost immediately.

  Following leaving Lethbridge Hospital this time, I have experienced what appears to be a heart disorder symptom never as clear, intense, nor debilitating as previously. It seems to happen every 2 to 6 days, so far at differing times of the day, and takes the following pattern of symptoms:

  BOTH of my forearms go fully numb simultaneously.
  My heart appears to stop .. can't feel any beat.
  I become physically weak in my legs .. unable to stand up without support.
  I have wakened up to this dynamic. I have been watching TV and had it happen.
  I have been walking and it happened. I was once talking on the phone and it occurred.
  It happened recently at 9:00 am while I was waiting for a taxi to go to physio and my doctor.
  The self-chest-massage has been my only immediate option.
  It may have worked or it was coincidental and the time duration was significant.
  Previously, the episodes cleared completely in 20 minutes or less.
  The more recent one on the 27th lasted for 2 HOURS before fully clearing.

  As noted, going to the hospital for such a concern is just asking to be ridiculed.
  I did mention it to my Physician and he has initially arranged for me to have a 24 hour Holter Monitor to check for a longer-term for my heart functions. If that proves OK, the next step could be a brain CT Scan to check for a pituitary or other tumor.
  
  

• Emergency Prescription Drug Use.
  Twelve hours before being discharged from Lethbridge Hospital I declined to take any further medications.
  About 36 hours later, most or all of the drug side effects had dissipated giving me some ability to care for myself.
  Since then, over the intervening 20+ days, I have taken ONE Flexeril (muscle relaxant). I had hoped that it would assist in relaxing muscles that were building tension in my back and neck. It zonked me out for 12 hours! I now regard it as a hazard. I have found that taking a Flomax (prostate reduction) on average every 4 or 5 days provides me with the best results and least side effects for that drug. The pulsed use of prescription medicines both within a hospital and at home could be a valued consideration for effective care. Many of the prescriptions written for me and that I had filled, I am keeping aside for use when my Endural Nerve Block disintegrates ... especially if it happens before a long weekend or at a time when I cannot schedule a do-over surgery for several or more days. Crawling around on all fours with intense pain is not my idea of a holiday.

  I do take Manerix as one of the few drugs defined in medical research in the early 2000's as effective in killing aspergillosis. I have had recurrent bouts of aspergillosis intestinal blockage since the late 1990's. When I have had high levels of toxic substances in my system (mercury, lead, aluminum, arsenic, gadolinium) which depress organ functions including peristalsis, aspergillosis fungus can become systemic. Periodically, sometimes months or weeks apart, an outbreak or expansion has occurred. The blockage it causes in me cannot be moved safely without the Manerix. Going to an Emergency Department, in Canada, has only resulted, consistently, in being given a prescription for a Fleet-type of cathartic ... which has NEVER worked for me in 20 years.

  Taking 2 to 4 Manerix tablets (quantity confirmed by muscle testing-like skills) ensures that the plugs will begin to be susceptible to break apart with an HOUR. Symptoms of a blockage can be very evasive resulting in a non-recognition of the intensifying problem for many hours. They range from mental fogging to feeling bloated to eye-vision problems to tiredness to physical weakness. Manerix, as few know, and like many other drugs, provides a range of significant side effects (including headache, nausea, sweating, fatigue, hyper-mental activity, disorientation, mental fogging) which originate from the type of rodent virus carried in the batch one has purchased. Variations can even exist within batches. I could become clear headed, energized, and able to do computer and other work for 12 to 16 hours, or, I might become so fatigued that I must rest/sleep for almost 12 hours. In the 20+ days since returning from the hospital I have experienced aspergillosis "attacks" more frequently during that period than during a previous 6 month duration.
  
  

• Death.
  With my personal experiences and knowledge of the Canadian healthcare system, my only usual more recent (last 4 years) reason for going to a hospital outside of for serious cuts, burns, obvious broken bones, or because I have blacked out, is expected death. Most hospitals have a morgue. It is far less a bother, mess, and imposition on others, in my opinion, if one does not die at home. If one sincerely accepts and follows a set of spiritual principles including an acceptance, awareness, and personal interaction with a God-Source, there is no reason to fear death when one may hope to rejoin in an energy positive realm with one's Creator. Having faced imminent or likely death many times, I know that my lack of fear of death has likely safeguarded me from less healthy outcomes that could have resulted.

  In THIS instance, my major motivation for making the significant effort to stay alive by risking a hospital entry and stay was so that I could continue to assist a person who throughout November has depended upon me, at a distance by phone, to calm, encourage and confirm options for her through what has been a residence moving experience (nightmare) that presented many opportunities for her to be traumatized. That has now ended. The Endural Nerve Block situation and my persisting intestinal difficulties do not provide much realistic positive expectation for my future. Consider how other patient-clients may feel if they leave the hospital with a lack of support communication, no awareness of drug side-effects apart from personal sanity, misinformation about procedures and surgeries they may have had, and aggressive mandates to follow services which they may have poor access to. Helping others use their talents in the most effective manner only improves relationship dynamics, job performance, taxable income, and positive community contributions while DECREASING healthcare costs longer-term. But for that, involved leadership and a commitment to teamwork, including patients, is required.

This is a revised document with fewer spelling and grammatical errors, and a few corrections, than the original.

The original was created as quickly and completely as possible while negotiating the sometimes debilitating symptoms of pharmaceutical side effects, Endural Nerve Block cautions and weaknesses, basic living requirements, service delay complications, and Energy Block demands. The concern at that time was that I might not survive until the end of November.

The content is intended to enable more respectful and effective healthcare services for my fellow Albertans.

INDEX