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Medical Forum / General / Alternative / August 2008

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~ * NY Hospital Ignores Woman Dying on Floor

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Twittering One - 02 Jul 2008 15:19 GMT
"A culture of abuse," says Daily News

http://news.google.com/news?hl=en&tab=wn&ned=us&q=esmin+green&btnG=Search+News
Twittering One - 02 Jul 2008 15:44 GMT
"The New York City Health and Hospitals Corporation, which runs the
hospital, said six people have been fired as a result, including
security personnel and members of the medical staff.

The psychiatric unit at Kings County Hospital in Brooklyn had already
been a subject of complaints by advocates for the mentally ill.

A state agency, the New York State Mental Hygiene Legal Service, and
the New York Civil Liberties Union filed a lawsuit a year ago, calling
the psychiatric center "a chamber of filth, decay, indifference and
danger.""

~ San Francisco Chronicle
johns - 02 Jul 2008 17:30 GMT
One picture says it all.

johns
rpautrey2 - 02 Jul 2008 19:01 GMT
Did you watch the video? "A culture of abuse"! Paul

> One picture says it all.
>
> johns
Twittering One - 03 Jul 2008 15:32 GMT
> One picture says it all.
>
> johns

Here's The Pic.

http://www.nydailynews.com/ny_local/2008/07/02/2008-07-02_kings_county_hospitals
_psych_chief_secur.html

robbielynn - 03 Jul 2008 15:55 GMT
> > One picture says it all.
>
[quoted text clipped - 3 lines]
>
> http://www.nydailynews.com/ny_local/2008/07/02/2008-07-02_kings_count...

 Got it. One of the questions asked was: where was her family?
 Sick individuals need an advocate in a hospital, whether their
 family member is in the emergency room or in a bed.
 Didn't she have like 8 children.
yD - 02 Jul 2008 22:36 GMT
> "The New York City Health and Hospitals Corporation, which runs the
> hospital, said six people have been fired as a result, including
[quoted text clipped - 9 lines]
>
> ~ San Francisco Chronicle

Kings County has had a bad reputation for decades!
yD
Twittering One - 03 Jul 2008 15:26 GMT
"Health and Hospitals Corp. officials suspended and fired hospital
staffers involved.

Robert Nardoza, a spokesman for the Brooklyn U.S. attorney's office,
said a criminal civil rights investigation into KCHC, which had
started earlier based on other complaints, will now also look at the
death.

A spokesman for the Brooklyn district attorney's office said any
suspected criminality referred to it by the Department of
Investigation would be prosecuted. A DOI spokeswoman said the agency
was "aware" of the incident."

http://www.newsday.com/news/local/newyork/ny-nyment025749094jul02,0,4276078.story
Twittering One - 03 Jul 2008 16:03 GMT
Esmin Green's death:
The hospital chief responds

http://newsblogs.chicagotribune.com/triage/2008/07/esmin-greens-de.html

I dunno; I contacted Ann Sullivan MD once, and she ignored me.
Twittering One - 06 Jul 2008 16:08 GMT
> Esmin Green's death:
> The hospital chief responds
>
> http://newsblogs.chicagotribune.com/triage/2008/07/esmin-greens-de.html
>
> I dunno; I contacted Ann Sullivan MD once, and she ignored me.

I contacted Ann Sullivan MD in spring 2006 about issues relevant to my
care in New York city.

I sent her an email, and called her office.

By summer 2006, I had a broken arm, nerve damage in my arm/hand (from
having my arm bent backwards, while bearing the full weight of a man,
at the elbow), and likely an injured spine from being dropped on my
back in Bellevue Hospital.
Linda - 06 Jul 2008 07:49 GMT
> "A culture of abuse," says Daily News
>
> http://news.google.com/news?hl=en&tab=wn&ned=us&q=esmin+green&btnG=Se...

> "A culture of abuse," says Daily News
>
> http://news.google.com/news?hl=en&tab=wn&ned=us&q=esmin+green&btnG=Se...

In as much as Americans are dying while lying in wait for 12,  24, 36,
and 48 hours or more in ER waiting rooms ALL across america,  I
question the motives of those distributing videotapes of deaths while
lying in wait for DAYS in ER waiting rooms of certain select
hospitals,  but, not ALL of them.

No one knows better than I that entrusting someones life to any of
America's lying,  theiving,  murdering health care workers is akin to
playing a game of russian rouelette.

HOWEVER,  playing a game of Russian Roulette is well worth playing
when your blood is gushing out from all the bullet holes your body is
riddled with as a result of another day of life in one of the many war
zones the United Pathocracy of America has turned your local
neighborhood into,  most especially,  if you'll most likely be dead
before you can be transported to a hospital outside your "hood",  and,
the conditions at all the other publicly hospitals aren't any better
then the conditions at the hospitals being shut down.

But,  apparently,  a decision may have been made to close yet another
county hospital serving an innercity neighborhood,  so,  a video of a
death while lying in wait at that hospital was distributed to the
mainstream media to engender public outrage to legitimize the decision
to close that hospital.

There can't possibly exist any question that the distribution of the
video was in service of the evil agenda of our nations pathocrats,
because that story was carried by the ministry of disinformation a/k/a
the mainstream media and the main stream media hasn't carried a story
that didn't serve the evil agenda of the United Pathocrats of America
since the pathocrats installed Reagon in the oval office in 1980.

So if the video wasn't distributed to garner public outrage to
legitimize the pathocracy's prior decision to close Kings County
Hospital,  then,  the video was distributed for a more sinister
motive.

So I peruse all the other propagandist garbage our Ministry of
Disinformation a/k/a the Mainstream Media is inindating us with to see
if I can figure out what the hell this video was distributed to HYPE.

My first discovery is all the local news articles describing all the
americans who have filed suit for the release of video's showing the
death of their loved one while lying in wait for an eternity in an ER
waiting room ,  where their loved ones efforts to advocate for
treatment were ignored,  rebuked and/or dealt with by having the
"Bouncers" standing guard over the ER waiting room either,  escort the
patient loved ones advocating treatment of them to the hospitals
holding cell,  or,  escort both the patient and their advocate out the
hospital front door.

The fact that the Ministry of Disinformation aka Major News Outlets
didn't and isn't carrying any of the news articles describing all the
many americans fighting tooth and nail with authorities for the
release of videotapes where bystanders efforts to advocate for the
dying american had been ignored,  rebuked,  placed in a holding tank,
or,  escorted out of the hospital by bouncers,  while a woman dying
while lying in wait where bystanders hadn't advocated immediate
treatment was distributed indicates the motive for world wide
distribution of the video was to expose the lack of action of the
bystanders, while neglecting to mention the fact that those "Bouncers"
who stand guard over ER waiting rooms are employed to escort anyone
who continues to advocate for someones immediate care after being
ignored and/or rebuked by staff,  to a holding cell,  OR,  to escort
both the patient and their advocate out the front door of the
hospital.

So the motive for flashing this particular video around the globe was
NOT to showcase the depraved indiffence of the pathocrats while the
woman died lying in wait!

No sirree bob!

Their motive for flashing this particular video around the world was
to cast those hungry,  tired,  and/or infirm bystanders in a harsh
light,  in spite of the fact that it was 5-6 A.M in the morning,
and,  unlike the staff, all those bystanders had ALSO been lying in
wait in that ER waiting room for a day, or two,  or three,  during
which time, they had been or witnessed others being ignored,
rebuked,  and/or bounced out the door or escorted to a holding tank
for advocating for quicker medical treatment for themselves or others.

Any confirming evidence?

Yep!

Simultaneously the NY Times and a slew of other media outfits inundate
us with propagandist trash referencing the propagandist Milgram
experiement to persuade readers that the average person possesses the
capacity to do what the psychopaths attending yale do, when it just
ain't so.

We already know from honest research,  that a mere 5% of soldiers do
all the shooting,  and,  that the other 95% of soldiers choose to let
the other army's soldiers kill them,  rather then kill anyone.

This causes the ratio of psychopaths to average people to increase
dramatically over a two hundred year period if and when it's country
waged war every twenty years or so.......since the psychopaths from
both sides killed all the non-psychopaths on both sides.

The fact that 95% of soldiers would rather die then kill another human
being IRRITATED the psychopaths in charge of the US Armed Forces.

Hence,  50 years of bogus research to alter the behavior of the 95% of
people who rather die then kill another.

Hence,  the Milgram Study...

At Yale,  where the psychopaths of the previous generation send their
sons and daughters,  to ensure they rub elbows and form social
networks with the SPOOKS who coopted Yale for The Company.

At Yale,  where students compete to out-psychopath one another, to
receive an invite to join the skull and bones club.

At Yale,  where they fried the brains, and worse of those children
they performed ghastly experiments on in hopes of creating sleepers.

So let's do a study using a population with the highest concentrating
of psychopaths in the entire world,  therefore,  a group comprised of
a high percentage of people we already know would be willing to shock
the hell out of whoever with sadistic glee,  then,  pass off the
preordained results AS IF it's evidence of what the average person
would do,  to falsely persuade the average person that they are no
different then the psychopaths.

Now that the parasitic pathocrats or 18% of americans who frolicked
with sadistic glee while they engaged in treasonous activities to
devaste the rest of the world to plunder the other 82% of all their
hard earned wealth,  are sensing their day of reckoning is swiftly
approaching,  and,  we the people want the whole lousy rotten lot of
them tried for treasin and executed as our constitution calls for,
they begin inundating us with PROPAGANDA intended to persuade us to
show mercy to psychopaths who would have us believe they are just like
us.

Hence the images  of the woman dying while lying in wait in an ER
waiting room while others look on is being flashed round the world
while no mention is made of the fact,  that the pathocrats accountable
who exposed  their depraved indifference to human life work shifts,
whereas the bystanders those images were distributed to cast in a
harsh light,  were hungry,  tired,  and sick people who also been
waiting  24,  48,  72 hours to see a physician,  during which time
they had been beaten down by the BOUNCERS employed to stand guard over
them,  and,  employed to react to anyone who attempts to advocate for
swifter treatment for anyone after requests for swifter treatment were
ignored or rebuked,   out the hospital front door,  or,  to a holding
cell for the police to take away---in service of the pathocracy's evil
agenda.

It's disgusting!
Twittering One - 06 Jul 2008 15:55 GMT
New York home-town papers do not seem to be covering this story in
depth, especially the New York Times, which has provided the least
coverage and follow-up.

http://news.google.com/news?tab=wn&ned=us&hl=en&ned=us&q=%22esmin+green%27&btnG=
Search+News

Twittering One - 06 Jul 2008 15:59 GMT
Here's a crap perspective from the president, American Psychiatric
Association ...

http://newsblogs.chicagotribune.com/triage/2008/07/a-psychiatrist.html
Twittering One - 06 Jul 2008 16:16 GMT
Kings County Death: NAMI Calls For Criminal Probe

Survey Shows Psychiatric Emergency Room Delays Are National Problem

Michael J. Fitzpatrick, executive director of the National Alliance on
Mental Illness (NAMI), the nation's largest grassroots organization
dedicated to improving the lives of individuals and families affected
by mental illnesses, has issued this statement:
"NAMI continues to monitor the callous treatment and tragic death of
Ms. Esmin Elizabeth Green while waiting for admission to the
psychiatric ward at Kings County Hospital in Brooklyn, N.Y.

It is a sad commentary that it took a tragedy of this nature to move
New York City's Health and Hospital's Corporation to immediately
settle a lawsuit that was filed a year ago to improve conditions at
the hospital.

Legal action should not stop there.

Criminal responsibility should be investigated.

Both state and federal authorities should take a close look not only
at the circumstances of Ms. Green's death, but also systemic issues
involving the hospital and potentially other parts of the city's
mental healthcare system. That includes staffing levels, training, and
availability of hospital beds.

The Kings County tragedy is not an isolated incident. Other tragedies
are waiting to happen in emergency rooms across the United States.

In 2008, the American College of Emergency Physicians (ACEP) released
a survey that indicates emergency psychiatric care is "extremely
limited" and "getting worse."

- Over 60 percent of psychiatric patients needing admission to a
hospital have to stay in the emergency department over 4 hours after a
decision to admit them hasbeen made.

- 33 percent wait over 8 hours; 6 percent over 24 hours.

. 62 percent of emergency department medical directors indicated there
are no psychiatric services for patient care while patients are
boarded prior to admission or transfer.

- 89 percent transfer psychiatric patients every week to other
facilities due to unavailable psychiatric beds at their hospitals.

In 2003, New York was forced to confront a scandal involving adult
homes for people living with mental illness. In other states, the U.S.
Department of Justice has been forced to launch investigations.

Nationwide, we face a mental healthcare system in crisis-which on
average gets no better than a "D" grade. It is time for investment and
transformation of the mental healthcare system at all levels."

http://www.nami.org

http://www.medicalnewstoday.com/articles/114025.php
Linda - 07 Jul 2008 03:24 GMT
> New York home-town papers do not seem to be covering this story in
> depth, especially the New York Times, which has provided the least
> coverage and follow-up.

NY Times is one of several US newspapers one can pick up at the local
newstand "everywhere".

NY Times global market saturation makes the NY Times the biggest
conduit for propagandist trash The Pathocracy has.

The NY Times will NOT overtly cover the news of this or any other
individual dying whilst lying-in-wait for an eternity in an american
ER waiting room because dying whilst lying-in-wait for an eternity in
an american ER waiting room is an everyday occurance in ER waiting
rooms all across America; therefore,  it's not newsworthy.

What the NY Times will do is churn out Propagandist Trash such as it's
propagandist piece about the Milgram Study in which the incident is
weaved into it's propaganda in order to exploit the images flashed
around the world in service of the pathocracy's sinister agenda.

The local newspapers will cover the story to provide local pathocrats
a platform to grandstand about the firing the pathocrats involved,
and,  their launching a criminal investigation,  the latter of which
NEVER EVER happens.

The reason why a  *criminal investigation* of the incident will never
take place is because there's absolutely nothing for the police to
investigate to begin with,  since, the evidence of the commission of
the crime is all on tape. .

If anyone were going to be arrested, their arrest would have taken
place the nanosecond the police were furnished the tape,  as the
police do anytime the police are furnished evidence of a crime
perpetrated by any individual who isn't employed by the pathocracy,
since the police work is all over and done with once the police
possess evidence of a crime,  since,  it's up to a judge or jury of
one's peers to decide the guilt or innocence of the perps,  not the
police.

In circumstances where a pathocrat is caught "red-handed",  the term
"criminal investigation" is a code word for no action is to be taken..

Once the dust settles,  the unindicted criminals will be rewarded for
their having taking a hit in service of the agenda of the pathocracy
with a plum position at an employer of their choice.

Or alternatively,  become one of the many phantoms receiving pension
benefits from one or another of the pathocracies (energy hedge fund
bloated) pension funds,  since,  the pathocracy always takes care of
it's own,  never any of the people whom those pathocrats are employed
to teach,  serve and protect,  provide medical services to,  put out
fires to save, etc..

IMHOFWIW
Twittering One - 07 Jul 2008 15:41 GMT
"She will not die in vain," said Geneive Brown Metzger, the consul
general for Jamaica.

http://www.cnn.com/2008/US/07/06/esmin.funeral/?iref=mpstoryview

~ * See what others are saying ...
http://news.google.com/news?hl=en&tab=wn&ned=us&q=%22esmin+green%22&btnG=Search+News
Twittering One - 08 Jul 2008 16:32 GMT
~ * Don't forget ...

http://news.google.com/news?hl=en&tab=wn&ned=us&q=esmin+green&btnG=Search+News
Twittering One - 09 Jul 2008 15:28 GMT
Alan Aviles, president of the Health and Hospitals Corporation, which
oversees Kings County Hospital, said in a statement that new staff,
procedures and training since Green's death on June 19 would likely be
supplemented by further reforms.

"We failed Esmin Green and believe her family deserves fair and just
compensation," Aviles said. "HHC referred this matter to criminal
enforcement and regulatory authorities on June 20. We have been
cooperating and will continue to support any and all investigations."

The city Department of Investigation is examining the case with the
cooperation of the Health and Hospitals Corporation, said DOI
spokeswoman Dianne Struzzi. The Brooklyn district attorney's office is
also involved, and will decide whether to prosecute, Struzzi said. The
medical examiner's office has performed an autopsy and is doing
further tests to determine the cause of death.

http://ap.google.com/article/ALeqM5hyoCW83J5tuh5Dp75VzjbESAakVgD91PUGSG3
Twittering One - 09 Jul 2008 15:46 GMT
Meanwhile in Los Angeles ...

The near simultaneous release of the two tapes may tempt some L.A.
County officials and King-Harbor advocates to seek comfort in the
knowledge that what happened here has occurred elsewhere. But a
comparison of the two incidents leaves little cause for comfort.

New York City attorneys quickly turned over to plaintiffs' attorneys
the videotape of Esmin Elizabeth Green's collapse at Kings County
Hospital Center. Los Angeles County, by contrast, refused to release
the security tape of Rodriguez, even to her family, arguing that it
was confidential.

The images of the horror, which took place on public premises and
involved hospital workers on the public payroll, are available to the
public only because they were sent anonymously to The Times a year
after Rodriguez's death.

The hospital may have closed, but the county's culture of secrecy
thrives and its suspicion of the public it supposedly serves remains
strong.

http://www.latimes.com/news/printedition/opinion/la-ed-hospital7-2008jul07,0,186
0545.story

Twittering One - 10 Jul 2008 15:21 GMT
From The Gadsen Times,
Gadsen, Alabama

Psychiatric care must improve
July 9, 2008

The image is stark.

A woman lying face down in the floor of a hospital emergency room, and
people stepping over and around her. A security guard gives her a
nudge with his foot, then walks on.

It took an hour for anyone to notice Esmin Elizabeth Green was dead.
And it was all captured on videotape at the Kings County Hospital
psychiatric emergency room in New York.

The hospital’s excuse — everyone was too busy to notice. The emergency
room is so busy, the waiting room so overcrowded, patients often sleep
wherever they can.

That’s not an excuse, it’s a symptom.

It’s a symptom of the nationwide failure of the medical community,
governments, law enforcement and society as a whole to fully address
the needs of those who have mental illnesses.

A psychiatric emergency room is designed to treat those in crisis. Yet
in Kings County Hospital — and facilities like it throughout the
nation — patients wait hours to be seen and evaluated. It is believed
Green had been waiting 24 hours before she died.

We’d like to say, “Oh, that’s New York, that wouldn’t happen here.”

Could it?

No hospital in the vicinity has a psychiatric emergency room, so that
scenario is unlikely.

What is more likely is that a person with a serious mental illness
such as schizophrenia or bipolar disorder would go unnoticed and
untreated at all until he or she comes to the attention of law
enforcement.

Alabama is so underserved by mental health professionals that it can
take weeks to get an evaluation. If that evaluation shows no immediate
threat, it can take months to see a psychiatrist and be prescribed the
medications that can make the difference between going to work or
curling up in bed, unable to function in society.

Those months can mean the difference between life and death, or at
least life and a living death.

The National Alliance on Mental Illness grades each state on mental
health services.

The good news is Alabama scored above the national average in
infrastructure, earning a C to the national D. The state fell behind
the nation’s D with an F in access to information, below the nation’s D
+ to a D in services, and below the nation’s C- to a D- in recovery
support.

Providing better services will cost money. Legal movements such as
mental health parity, which would require insurance companies to cover
mental health services at the same rate as other services, could mean
higher premiums.

Building more and better psychiatric facilities, reforming the state’s
licensure process, bolstering the psychiatric programs at the state’s
teaching hospitals and providing better support services to those who
have been diagnosed with mental illnesses will cost taxpayer money.

But the state will save money in law enforcement. It could end up
saving in Medicaid and social services because people are able to
stabilize and work. Workplaces would see improved productivity if
employees were able to get better access to mental health care.
And the state could save lives.

That has to be worth it.

http://www.gadsdentimes.com/article/20080709/NEWS/999024609/1050/OPINION
Twittering One - 11 Jul 2008 18:14 GMT
No place in medicine for bad behavior ...

http://latimesblogs.latimes.com/booster_shots/2008/07/no-place-in-med.html
SMHealthNick - 12 Jul 2008 03:20 GMT
Memorial page for Esmin Green:

http://www.rememberesmingreen.info/
Twittering One - 12 Jul 2008 16:55 GMT
The New York Times
July 12, 2008
About New York

After a Death Seen on Tape, Change Is Promised
By JIM DWYER

At 6:51 on the morning of June 19, a doctor in the psychiatric
emergency room at Kings County Hospital Center wrote an order for a
chest X-ray and blood tests on Esmin Elizabeth Green, as well as
“sedation/restraints if needed.”

If needed, that is, on a corpse.

By the time that entry was made on her chart, Ms. Green had been lying
on the floor of the waiting room for 80 minutes, with no sign of life
for the last 44. See the chart [pdf] Resuscitation efforts were coming
to an end.

Ms. Green had been sitting in the waiting room for 24 hours when,
videotapes showed, she toppled out of a chair at 5:32 that morning.

aiting may have killed her: The medical examiner said on Friday that
Ms. Green developed blood clots in her legs from a long period of
physical inactivity, The Associated Press reported. These clots
traveled to her lungs. Many people spend four or five days in the
Kings County psychiatric waiting room, patient advocates say. The
medical chart from Kings County for the last hours of Ms. Green’s life
is a hive of fictions. Handwritten entries say that Ms. Green was “up
and about, went to the bathroom” at 6 a.m. and, 20 minutes later,
“sitting quietly in the waiting area.” For good measure, the chart
includes supposed figures for her blood pressure (76/38), respiratory
rate (18), and pulse (100).

Videotapes showed that actually, she was sprawled on the floor at
those times, not up and about. And if Ms. Green, 49, still had any
vital signs, no one was taking them at the times recorded on the
chart. Her first contact with a medical staff member that morning came
at 6:35, more than an hour after she hit the ground, and it consisted
of a woman nudging Ms. Green’s body with her toe.

The mayor announced that he was disgusted. The president of the Health
and Hospitals Corporation revealed that he was shocked and distressed.
Heads not only rolled: a half dozen were publicly punted clear out the
door and across Clarkson Avenue. The city has promised to pay Ms.
Green’s family, and to fix the hospital.

“I can’t explain what happened there,” Mayor Michael R. Bloomberg
said.

Someone may need to clue Mr. Bloomberg in. This death appears to be a
result of systemic failure in two areas in which the mayor is credited
with great expertise: public health and public management.

The psychiatric service at the hospital — the only mental health
provider for many poor people in Brooklyn — has been under criminal
investigation by the Department of Justice since December; it was the
subject of a critical report by a state oversight agency last summer;
and it is the target of a detailed federal lawsuit filed in May 2007
by patient advocates.

One serious problem, the city acknowledged, is that more than 60
percent of all patients who came to the Kings County emergency room
for psychiatric services were being admitted to beds, rather than
being sent to other services outside the wards. With so many people in
the psychiatric wards, the human traffic jam spilled back to the
emergency room.

The advocates’ lawsuit said the psychiatric center was a “chamber of
filth, decay, indifference and danger.” Patients waited for days to be
admitted to a bed, the lawsuit charged, often without any toiletries
to clean themselves, and usually without any place to sleep besides a
chair.

Those who managed to get on a bed in the waiting area could not risk
leaving it even for a minute, because they were sure to find someone
else in it when they came back, the lawsuit said.

Here is what the city had to say about the lawsuit when it was filed:
“The lurid allegations in today’s lawsuit are grossly inaccurate,
irresponsible and an affront to the dedicated and caring staff of
Kings County Hospital Center,” said Alan D. Aviles, president of the
Health and Hospitals Corporation, which runs the city’s public
hospitals.

Given that the lawsuit reads like a chronicle of a death foretold, Mr.
Aviles was asked on Friday whether he wanted to revisit his comments
of a year ago. Ana Marengo, a spokeswoman, said he had been speaking
dismissively of claims in the lawsuit that there was feces on the
floor and no toilet paper — conditions that the city says did not
exist. Mr. Aviles did acknowledge the overcrowding, Ms. Marengo said,
and the city is trying to address it.

The city has been in discussions for months with the advocates who
brought the suit — lawyers with the New York Civil Liberties Union,
the law firm of Kirkland & Ellis, and the Mental Hygiene Legal
Service.

Although some changes have been made — clean linen is now supplied on
a regular basis, a staff member has been assigned to distribute basic
toiletries, more workers are being hired — Ms. Marengo was unable to
say on Friday how long patients must wait for a bed. The goal, she
said, is to bring it down to 12 hours. The admission rate dropped to
40 percent in June, she said.

“We are committed to a transformation there that will address all
aspects of the operation — including environmental, staffing, the
culture, training, processes, security, etc. — to help prevent
something like this from happening again,” she said.

Beth Haroules and Robert Cohen, two of the lawyers who brought the
lawsuit, said the city had already had ample time.

“I have a question for Mr. Aviles,” Mr. Cohen said. “Would he be
comfortable sending his loved ones to the psychiatric emergency room
at Kings County?”

It is a question that everyone in the city ought to consider.

These are changes the city says it has made in recent months to the
psychiatric services at Kings County Hospital Center, as provided by
the office of the president of the city Health and Hospitals
Corporation, Alan D. Aviles:

Expanded space in the Comprehensive Psychiatric Emergency Program
(CPEP)

Created a separate child waiting and treatment area

Improved the lighting in the CPEP

Added thirty nurses and a new nurse educator

Contracted with a variety of agencies that provide temporary nurses in
order to enhance staffing.

Hired a consulting psychiatrist and a consulting nurse to make
clinical changes and improvements at the hospital

Added activity therapists, and has increased the hours of programming
provided in both the CPEP and on inpatient units.

Provided additional training in a number of specialties, such as
treatment of the chemically addicted mentally ill.

Added a new specialized support team assists in the treatment of
developmentally disabled or mentally retarded patients.

Trained 200 staff in non-violent crisis intervention

Reduced the number of restraints, in part by implementing a new
protocol for emergency response.

E-mail: dwyer@nytimes.com

http://www.nytimes.com/2008/07/12/nyregion/12about.html?_r=1&ref=nyregion&oref=slogin
JohnDoe@WrongISP.gov - 13 Jul 2008 02:36 GMT
>The New York Times
>July 12, 2008
>About New York

........

>The mayor announced that he was disgusted. The president of the Health
>and Hospitals Corporation revealed that he was shocked and distressed.
>Heads not only rolled: a half dozen were publicly punted clear out the
>door and across Clarkson Avenue.

Obviously the Times reporter doesn't know what he's talking about. He
probably has never even visited the area because if he had he'd have
known that across the road (albeit diagonally) is Downstate Medical
Center, part of SUNY, and a major teaching hospital. Of course maybe
he has visited and does know and is describing the events accurately.
It wouldn't be the first time criminally-negligent medical people had
played musical hospitals.

> The city has promised to pay Ms.
>Green’s family, and to fix the hospital.

If the rest of this is correct it doesn't sound like too much of a
"fix" to me.

>“I can’t explain what happened there,” Mayor Michael R. Bloomberg
>said.

>Someone may need to clue Mr. Bloomberg in. This death appears to be a
>result of systemic failure in two areas in which the mayor is credited
>with great expertise: public health and public management.

Like the current moron in the White House, Bloomberg will soon come
out with his equivalent of "Great job, Brownie" just as he did about
the incompetent chairman of Con Edison whose company fumbled for weeks
trying to fix the blackout in Astoria.

>The psychiatric service at the hospital — the only mental health
>provider for many poor people in Brooklyn — has been under criminal
>investigation by the Department of Justice since December; it was the
>subject of a critical report by a state oversight agency last summer;
>and it is the target of a detailed federal lawsuit filed in May 2007
>by patient advocates.

Oh yeah, this is really speeding along...

...

>Here is what the city had to say about the lawsuit when it was filed:
>“The lurid allegations in today’s lawsuit are grossly inaccurate,
>irresponsible and an affront to the dedicated and caring staff of
>Kings County Hospital Center,” said Alan D. Aviles, president of the
>Health and Hospitals Corporation, which runs the city’s public
>hospitals.

How can Bloomberg phrase it, "Great job, Al" or "Great job, Avie"?  

>Given that the lawsuit reads like a chronicle of a death foretold, Mr.
>Aviles was asked on Friday whether he wanted to revisit his comments
[quoted text clipped - 3 lines]
>exist. Mr. Aviles did acknowledge the overcrowding, Ms. Marengo said,
>and the city is trying to address it.

And just why does this fool still have a job? Probably because even
Burger King is more discriminatory.

>The city has been in discussions for months with the advocates who
>brought the suit — lawyers with the New York Civil Liberties Union,
>the law firm of Kirkland & Ellis, and the Mental Hygiene Legal
>Service.

>Although some changes have been made — clean linen is now supplied on
>a regular basis, a staff member has been assigned to distribute basic
>toiletries, more workers are being hired — Ms. Marengo was unable to
>say on Friday how long patients must wait for a bed. The goal, she
>said, is to bring it down to 12 hours. The admission rate dropped to
>40 percent in June, she said.

Oh yeah, that's a really ambitious goal! How about a target time of
zero minutes? What a revolutionary idea. Actually have the service
(bed?) wait on the customer. Never fly. Customers might get the idea
they're in charge... the MD's might have to do what they're told. What
a horrible idea.

.....

>Beth Haroules and Robert Cohen, two of the lawyers who brought the
>lawsuit, said the city had already had ample time.
>
>“I have a question for Mr. Aviles,” Mr. Cohen said. “Would he be
>comfortable sending his loved ones to the psychiatric emergency room
>at Kings County?”

Did he actually answer the question?

>It is a question that everyone in the city ought to consider.

>These are changes the city says it has made in recent months to the
>psychiatric services at Kings County Hospital Center, as provided by
>the office of the president of the city Health and Hospitals
>Corporation, Alan D. Aviles:

He's still employed?

<snipped a lot of the usual lip service designed to transfer tax
dollars to academia and assorted other leeches>

What I want is the list of people who have been fired (names and
addresses) and a list of those who have been charged with falsifying
the records. The "blame game" is essential to controlling civil
servants; carrots are only effective in private enterprise: in public
service and similar institutions heavy doses of the stick are
necessary.
Twittering One - 13 Jul 2008 18:01 GMT
John, your comments seem crafted to provoke comment, which I am unable
to do at this time.

What the NYTs articles DOES report is the following, which I have not
read elsewhere (a report on what was IN Esmin Green's medical
records); and it makes clear (if the NYTs is credible) that a
physician lied about taking vital records, eg, her blood pressure, and
the physian made notes and orders ("mild sedation, and restraint if
necessary" AFTER a woman was likely dead.

The medical staff at Kings County may have good hearts and intentions,
under overwhelming conditions, but MEDICAL FRAUD is another issue
altogether.

The NYTs says ...

"At 6:51 on the morning of June 19, a doctor in the psychiatric
emergency room at Kings County Hospital Center wrote an order for a
chest X-ray and blood tests on Esmin Elizabeth Green, as well as
“sedation/restraints if needed.”

If needed, that is, on a corpse.

By the time that entry was made on her chart, Ms. Green had been lying
on the floor of the waiting room for 80 minutes, with no sign of life
for the last 44. See the chart [pdf] Resuscitation efforts were coming
to an end.

Ms. Green had been sitting in the waiting room for 24 hours when,
videotapes showed, she toppled out of a chair at 5:32 that morning."
Twittering One - 13 Jul 2008 18:16 GMT
I seriously doubt Esmin Green was a "paranoid schizophrenic," as is
reported was her her psych disgnosis; and according to the CME, the
leg clotting and migration of clots to her lungs "exacerbated."

If YOU were dying, you would likely feel as though "demons were
stealing your spirit," and acte agitated and disoriented.

As for the problem of inactivity and pooling of blood in a person's
legs, New York City is guilty of putting many homeless people in
plastic chairs to sleep, which puts a person at risk for leg clots --
as does as long airplane flight.

I slept in a "plastic chair shelter" for a month or so, during summer
2006.

And I could not tolerate it.

The staff at the shelters are not to blame for this problem, and they
work to keep clean what facilities they are lucky enough to have.

I saw men over 50 sleep in an upright chair, and go to work at a
factory in Brooklyn at 4 am.

I can't do that; they did.
Bill Shroyer - 14 Jul 2008 00:02 GMT
<altered followups d/t server restrictions, repair them if you wish>

<snip>

> >The psychiatric service at the hospital [...] has been under criminal
> >investigation by the Department of Justice since December; it was the
[quoted text clipped - 3 lines]
>
> Oh yeah, this is really speeding along...

Perhaps that's why they called them "patient" advocates? They've been
very patient up to now. ;-)
Jan Drew - 14 Jul 2008 05:06 GMT
<JohnDoe@WrongISP.gov>

Verizon Internet Services Inc

So much for the chicken poster who does not use his real name.
Twittering One - 14 Jul 2008 16:36 GMT
Green came from a rural village near St. Catherine, Jamaica, in 2000,
and made her home among Brooklyn's Caribbean diaspora and the Jesus Is
Lord Sabbath Day Adventist Church, where she sang, prayed and
sometimes lived.

The eldest of 12 children and a mother of six, Green assumed the role
of matriarch when she was just 20, after her own mother died. In
Jamaica, she had been a shrewd businesswoman, establishing a
successful dress shop, a wholesale fishing business and a small import
company over the course of a decade.

Family and friends remember her as outspoken, vivacious and generous
to a fault, with a voice that could wake the dead and a love for
church and children that surpassed all else. "She was the light to
us," says her eldest daughter, Trecia, who is suing the hospital and
the city for $25 million. "She had a strength that drew everyone to
her."

In Brooklyn, Green struggled with poverty and bouts of depression that
friends say were triggered by a profound home-sickness.Having left her
own children, including a 6-year-old son, in Jamaica, she immersed
herself in the church's youth programs, where she ran activities and
led prayer sessions, and area day-care centers, where she worked on
and off over the years.

Without a green card, a permanent job or any health insurance, Green
relied on her pastor, Marilyn Johnson, and a patchwork of friends to
see her through dark times. But a fierce pride compelled her to hide
her illness from most of, them, so that even after she died, only a
handful knew the full extent of her suffering.

http://www.newsweek.com/id/145870
Twittering One - 15 Jul 2008 15:45 GMT
What can we learn from this dreadful event?

Esmin Green was involuntarily committed and was waiting for admission
to a psychiatric unit. She was, in the eyes of the world and the ER
staff, a "mental patient." This is a status that no one should ever
have. It's a stigma that leads health professionals to lose interest
in or to outright abuse the person.

She was almost certainly being administered antipsychotic or
neuroleptic drugs, such as Haldol, Risperdal, Zyprexa, Seroquel or
Geodon. The antipsychotic drugs vastly increase the death rate from
almost all causes in people taking them. How would a class of
psychiatric drugs cause an increase in the overall death rate?
~ Peter Breggin MD

http://www.huffingtonpost.com/dr-peter-breggin/lessons-from-the-death-of_b_11274
4.html

Twittering One - 16 Jul 2008 16:16 GMT
"First, there is the indifference that we have already noted--an
indifference that overtakes professionals after they have made up
their mind that someone is a mental patient, especially one so
disturbed that the professionals believe she requires involuntary
hospitalization and antipsychotic drugs.

After that, it doesn't matter what the person does--she can collapse
onto the floor--and it is likely to be blamed on the individual's
"mental illness" and therefore be ignored.

Second, there is the indifference that the drugs induce in the
individuals afflicted with them. Indeed, the main effect of the
antipsychotic drugs has nothing whatsoever to do with ameliorating
psychosis. The drugs, one and all, disrupt frontal lobe function
causing a chemical lobotomy.

The lobotomy-effect induces an apathy or indifference towards oneself
that is so profound that individuals can be desperately ill without
complaining about it. This failure to "complain" or even to ask for
any help is the hallmark of these drugs that makes them useful in
psychiatry. The drugged patients become docile and less troublesome.
In Medication Madness (2008), I call this effect "medication
spellbinding."

Third, there are physical effects that contribute to a variety of
disorders including clots that turn into lethal emboli.

The antipsychotic drugs enforce a physical immobility very similar to
Parkinsonism. Immobility leads to clot formation.

The drugs also cause dehydration, another factor in potential clot
formation. This is complicated by the fact that the dehydrated person
is too medication spellbound to know that they need to drink water.

These drugs also suppress cardiovascular and respiration function,
cause hypotension (low blood pressure) and weaken heart muscle,
additional risk factors for cardiovascular collapse.

And these are only some of the ways in which antipsychotic drugs
become lethal. Among many other potentially lethal drug effects,
patients can die from a syndrome called unexplained sudden death as
well as from acute drug-induced diabetes or pancreatitis and
neuroleptic malignant syndrome (similar to a severe viral encephalitis
of the brain)."
~ Peter Breggin MD

http://www.huffingtonpost.com/dr-peter-breggin/lessons-from-the-death-of_b_11274
4.html

Twittering One - 16 Jul 2008 16:57 GMT
What is ~* QT Interval Prolongation *~
you ask?

"Prolongation of the QT interval may be due to an adverse drug
reaction. Many drugs such as haloperidol can prolong the QT interval."

http://en.wikipedia.org/wiki/QT_interval
Twittering One - 19 Jul 2008 15:38 GMT
"A woman collapses on the floor of a psychiatric emergency room in New
York. She writhes with pain, then stops moving. You would think
somebody — another patient in the waiting room, security guards, a
physician, nurse, anybody — would have the decency to come to her
aid."
~ Editorial Board, SunSentinel

http://www.sun-sentinel.com/news/opinion/sfl-editajjerpatientcapsbjul19,0,175620
3.story


I looks like one patient DID rush off ... perhaps to seek help?
Twittering One - 21 Jul 2008 17:09 GMT
AMA Calls for Remedies on Bed Shortage ...

http://pn.psychiatryonline.org/cgi/content/full/43/14/5
bucephale - 21 Jul 2008 17:56 GMT
> AMA Calls for Remedies on Bed Shortage ...
>
> http://pn.psychiatryonline.org/cgi/content/full/43/14/5

Actuelement commercial dans une entreprise de matériel médical, dont
le nom vous est peut être connue robe medical www.robe.fr, j'ai suivi
avec attention votre débat.  Je pense que la situation est tres
différente dans notre pays même si nous avons, pas très loin de chez
nous, l 'affaire des irradiés d'épinal ou le ministre de la santé,
monsieur Xavier Bertrand est venu en personne. je reste à votre
disposition
www.robemedical.com
Raving - 21 Jul 2008 19:36 GMT
> > AMA Calls for Remedies on Bed Shortage ...
>
[quoted text clipped - 7 lines]
> monsieur Xavier Bertrand est venu en personne. je reste à votre
> dispositionwww.robemedical.com

Good idea!

Other possibilities ...

Multiangle chair       http://tinyurl.com/6cao6g

Cost: 18.9 Euro - quantity 1
ph.benezit@gmail.com - 23 Jul 2008 17:05 GMT
> > > AMA Calls for Remedies on Bed Shortage ...
>
[quoted text clipped - 15 lines]
>
> Cost: 18.9 Euro - quantity 1

moi aussi je suis de votre avis, ayant également travailler dans le
materiel medical de robemedical
Twittering One - 26 Jul 2008 17:16 GMT
> "A culture of abuse," says Daily News
>
> http://news.google.com/news?hl=en&tab=wn&ned=us&q=esmin+green&btnG=Se...

Artist’s ‘Esmin Green Installation’
Opens This Weekend in Red Hook

http://www.brooklyneagle.com/categories/category.php?category_id=12&id=22093
Twittering One - 28 Jul 2008 17:22 GMT
"These are just a few of the many tragic accounts of people with
mental illness who are alone, forgotten and facing death without
proper care, respect or dignity. Every day, hundreds of thousands
suffer in the same way that Esmin, Edith and Primrose have suffered.

They are the faceless and forgotten Americans. They live on the
streets, in shelters, in substandard housing, in jails and prisons.
Why do we allow it? Why don't we do enough to prevent it?"

~ Bob Sharpe,
President of the Florida Council for Community Mental Health, based in
Tallahassee

http://www.sun-sentinel.com/news/opinion/sfl-forum27mentalsbjul27,0,7446233.story
Twittering One - 02 Aug 2008 20:00 GMT
"Back in the sixties, psychologists dubbed the tendency for people to
walk away from a horror, expecting that someone better equipped would
come to take care of it, "bystander effect," or "Kitty Genovese
syndrome," after the case that came to symbolize New Yorkers' — and
Americans' — apathy about getting "involved."

"The case touched on a fundamental issue of the human condition, our
primordial nightmare,'' legendary City University of New York
psychology professor Stanley Milgram said at a conference on "Bad
Samaritanism" in 1984.

"If we need help, will those around us stand around and let us be
destroyed or will they come to our aid? Are those other creatures out
there to help us sustain our life and values, or are we individual
flecks of dust just floating around in a vacuum?''"

http://nymag.com/daily/intel/2008/08/what_todays_monster_news_tells.html
Joe Smoe - 02 Aug 2008 20:06 GMT
Gail K. Shuler will not only standby while you are destroyed, she will step in
to help destroy you.

>"Back in the sixties, psychologists dubbed the tendency for people to
>walk away from a horror, expecting that someone better equipped would
[quoted text clipped - 13 lines]
>
>http://nymag.com/daily/intel/2008/08/what_todays_monster_news_tells.html
Twittering One - 02 Aug 2008 20:17 GMT
> "Back in the sixties, psychologists dubbed the tendency for people to
> walk away from a horror, expecting that someone better equipped would
[quoted text clipped - 13 lines]
>
> http://nymag.com/daily/intel/2008/08/what_todays_monster_news_tells.html

I first leanred about Milgram in my Harvard Extension psychology
class, 1977. I memorized the name of the study, and over the years,
I'd quizz myself to make sure I remembered the name.

It's one concrete thing a liveral arts education provides: A concrete
scientific source to based real perceptions about the Real World.

I wonder if they teach it in high school social studies classes today.
Twittering One - 20 Aug 2008 18:53 GMT
Another Dead Soilder, this time in North Carolina ...

http://blogs.usatoday.com/ondeadline/2008/08/mental
Twittering One - 22 Aug 2008 19:00 GMT
Mental patient dies after being left in chair for 22 hours, report
says

USA Today
August 21, 2008

A psychiatric patient died at a North Carolina mental hospital after
nurses left him in a chair and didn't give him any food or water for
nearly a day, according to a report cited by the News & Observer.

Steven Sabock, 50, died of a heart problem about 22 hours after
someone left him on a chair in the dayroom at Cherry Hospital.

"The hospital's security video recorded Sabock's care from April 28,
when he choked on his medicine while a nurse stood by without helping
him, and through his day without food until his death from a heart
problem," the paper says. "Health care technicians, according to the
report, are seen on the recording watching television through the
night, playing cards, and talking on a cell phone while they were in
the room with Sabock."

In another case, federal inspectors say a doctor hit a teenage
patient.

“Disciplinary actions have been taken to emphasize that attentive,
quality patient care is the essential responsibility for every
employee in the hospital and that this behavior uncovered by the CMS
surveyors is absolutely unacceptable,” Dempsey Benton, the state's top
health official, says in a statement.

This sounds a lot like the case we told you about last month.
Surveillance footage from a Brooklyn hospital showed psychiatric
workers ignoring a woman who was dying on the floor of a common area.

http://blogs.usatoday.com/ondeadline/2008/08/mental-patient.html
 
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