Dr Butt emails

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Dr. Butt listens when I point out vital life saving missinformation. Butt, Peter <[email protected]> Sept 9, 2016 5:00 PM Good points. Dr. P.R. Butt, MD, CCFP, FCFP Assoc. Prof., Department of Family Medicine, University of Saskatchewan, Saskatoon, SK. c/o Mental Health & Addictions, 314 Duchess St., Saskatoon, SK. S7K 0R1 Phone: 306-655-0452 Fax: 306-655-0457 Email: [email protected] From: James Thompson [mailto:[email protected]] Sent: September-09-16 2:27 PM To: Butt, Peter Subject: Re: Naloxone training Ontario Thanks for the info, have seen this before. A little add on from different districts attached. I thinks it's Denmark starts teaching first aid in grade two and the teaching continues through high school. Dr. Gabor Mate started an overdose training in Vancouver early 2000's of which I was part of. The RCMP tried to stop the program, Dr. Mate taught the RCMP some wisdom "Not only will these people save OD's but anyone else that suffers any respiratory emergency" program was allowed to continue. Final attachment got this email this morning OPA 10:20 am inquiring if I received my certificate of completion OPA's Take Home Naloxone. Replied Yes I did and voiced my concerns. Looks like my response may have reached everyone. Too much fun "suffering fools gladly" Have talked with Tim Nickelbaugh and Johar of ext. 2212 many times over the last few months.

Transcript of Dr Butt emails

Page 1: Dr Butt emails

Dr. Butt listens when I point out vital life saving missinformation.Butt, Peter <[email protected]> Sept 9, 2016 5:00 PM Good points. Dr. P.R. Butt, MD, CCFP, FCFPAssoc. Prof., Department of Family Medicine,University of Saskatchewan,Saskatoon, SK.c/o Mental Health & Addictions,314 Duchess St.,Saskatoon, SK. S7K 0R1Phone: 306-655-0452Fax: 306-655-0457Email: [email protected]

From: James Thompson [mailto:[email protected]] Sent: September-09-16 2:27 PMTo: Butt, PeterSubject: Re: Naloxone training Ontario

Thanks for the info, have seen this before. A little add on from different districts attached. I thinks it's Denmark starts teaching first aid in grade two and the teaching continues through high school.

Dr. Gabor Mate started an overdose training in Vancouver early 2000's of which I was part of. The RCMP tried to stop the program, Dr. Mate taught the RCMP some wisdom "Not only will these people save OD's but anyone else that suffers any respiratory emergency" program was allowed to continue.

Final attachment got this email this morning OPA 10:20 am inquiring if I received my certificate of completion OPA's Take Home Naloxone. Replied Yes I did and voiced my concerns. Looks like my response may have reached everyone. Too much fun "suffering fools gladly" Have talked with Tim Nickelbaugh and Johar of ext. 2212 many times over the last few months.

Have a great weekend@GaryCPR

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Ontario Pharmacist Association emails Sept. 9, 2016 What?

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From: Butt, Peter <[email protected]>Sent: September 9, 2016 1:57 PMTo: James ThompsonSubject: RE: Naloxone training Ontario

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Here’s the approach Saskatchewan adopted from BC and Alberta. The Save Me poster is also a decal attached to the inside of the naloxone kit: you can see it in the picture in the Kit poster.

Dr. P.R. Butt, MD, CCFP, FCFPAssoc. Prof., Department of Family Medicine,University of Saskatchewan,Saskatoon, SK.c/o Mental Health & Addictions,314 Duchess St.,Saskatoon, SK. S7K 0R1Phone: 306-655-0452Fax: 306-655-0457Email: [email protected] THROWS THESE BARRIER MASKS IN THE GARBAGE

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Dr. Butt listens when I point out some vital missing info from Saskatchewan See above CPA info

From: James Thompson [mailto:[email protected]] Sent: September-09-16 11:48 AMTo: Butt, PeterSubject: Re: Naloxone training Ontario

 

Thanks for the interesting conversation running into a lot of closed mouthed people in Ontario. This is the original Ontario Pharmacist Training video Part 3 https://youtu.be/VIOL17ZaOxYListen my comments I put in a complaint College Physicians Surgeons Ontario Aug 11. OPA's revision Aug 23 https://youtu.be/2BgF2IVu5Lo CPSO wrote a letter Aug. 31 "After review we have no control over a Doctors Power Point"

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Attached photo Dr. Klaiman's office 69 Queen St East Aug 24 She is an opioid replacement therapy specialist. Note as in original protocol, chest compression's only. Talked with her staff they know that the protocol is wrong, killing any breathing emergency patient, but say nothing. Best WishesGary Thompson

“You would think it brutal to withhold from the less capable [ANYONE] the air they need. The moment you begin discriminating against the less capable, you establish conditions that breed dissatisfaction and resentment: you invite envy, discord and strife.” Alexander Berkman “Life of an Anarchist” p.282

From: Butt, Peter <[email protected]>Sent: September 9, 2016 12:19 PM

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To: James ThompsonSubject: RE: Naloxone training Ontario

Thanks for your email and call. I wasn’t aware of this controversy. People with a witnessed opioid overdose descend into respiratory failure and then progress, if it is not reversed or is sustained, into cardiac arrest. CPR with compressions is recommended for the cardiac arrest but if they are in respiratory failure, even with a weak pulse, one should oxygenate and reverse the OD with naloxone. That is the standard of care in most jurisdictions. Perhaps what they missed in Ontario is that most of these OD’s are witnessed, or found soon after, and are not yet cardiac arrests.

You are right in identifying the wrong response to most people in an opioid OD state, and the harms caused by unnecessary CPR. Naloxone is the evidence based intervention. Any unnecessary delay to its administration worsens the prognosis.

Hopefully the message will get through. Someone has been ill-advised.

PRB

Dr. P.R. Butt, MD, CCFP, FCFPAssoc. Prof., Department of Family Medicine,University of Saskatchewan,Saskatoon, SK.c/o Mental Health & Addictions,314 Duchess St.,Saskatoon, SK. S7K 0R1Phone: 306-655-0452Fax: 306-655-0457Email: [email protected]

Dr. Butt:

I got your email from this power point 'Opioid Agonist Therapy Conference' As you know Naloxone is being rescheduled. Ontario College of Pharmacist and Ontario Pharmacist Association has sent out training literature. Unfortunately they stress chest compression's only and are very misleading about the need for respiratory assist.

Naloxone program in Ontario started Aug 31, 2011. Ten's of thousands of lay responders have been taught all the signs of acute respiratory failure. Then trained to give chest compression's only, majority of harm is happening to non overdoses. http://journal.cpha.ca/index.php/cjph/article/view/3788

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This programs teaching increases drug use and abuse, loss of trust in the medical profession, addictions counsellors and front line harm reduction workers. Clinicians are making themselves sick as our hospitals are dealing with an increase of morbidity and mortality to many respiratory emergency patients and say nothing.

234 Doctors, other health care professionals and myself signed a letter to Ontario's Premier Wynne and Minister of Health Dr. Eric Hoskins about this life threatening intervention. I was published in the 2015 AHA & ILCOR guidelines about this practice, found this link.https://www.linkedin.com/pulse/letter-kathleen-wynne-dr-eric-hoskins-gary-thompson

Please share this info widely, stop needless suffering. Save your own lives.

Best WishesGary Thompson718-77 Finch Ave EastToronto ONM2N 6H8647-864-6609

Attached OPA's power point 'Take home Naloxone' June and August 2016 https://aliascpr.wordpress.com/2016/09/04/dr-klaiman-take-home-naloxone/