Fairplay

16 Jun 19
The Denver Post
More than 60 patients[cq comment=”cq”] who suffered post-surgical infections are suing Denver’s Porter Adventist Hospital over a breach in sterilization procedures, which a state investigation found was far more serious than the hospital divulged a year ago. The lawsuit, filed at 12:02 a.m. Saturday [cq comment=”cq”], alleges the hospital’s failure to adequately clean equipment caused “hundreds of severe infections” in patients as far back as 2015[cq comment=”cq”] — and at least one death.[cq comment=”cq”] “This is not about money, it’s about Porter not doing this to anybody else,” said Michael Pitcock, a plaintiff who said he developed an infection after a knee replacement four years ago[cq comment=”cq”]. “This should be preventable.” RELATED: “So many people hurt”: More than 60 patients file lawsuit against Porter Adventist Hospital When Porter in April 2018[cq comment=”cq”] publicly revealed its problems cleaning equipment used in surgeries, hospital officials said there was only one case in which a contaminated tool came close to a patient. Hospital officials also downplayed the risk patients faced in getting infections. “We have not seen a bump in our overall totals or infection rates,” Dr. Patty Howell, Porter’s chief medical officer, told The Denver Post as she and other officials offered insights into the trouble with the hospital’s sterilization practices. But a 2018 [cq comment=”ca”]state investigation of Porter found hospital officials knew more of their patients were developing post-surgical infections by early 2017[cq comment=”cq”] when a hospital committee was told of a jump in infections related to hip and spine surgeries, according to results of the health department’s investigation, which was obtained by The Denver Post. The investigation documented 76 times[cq comment=”cq”] contaminated surgical instruments and trays — tainted by blood, chunks of bone, cement, hair and even a dead insect — were brought into operating-room suites in 2017 and early 2018.[cq comment=”cq”] This photo shows Porter surgical instruments after purportedly being sterilized. The state’s investigative report said Porter failed to track data and change its operations, leading to “ongoing incidents in which contaminated surgical instruments were being delivered to the operating room for surgical cases and potentially contributed to an increase in surgical site infections and adverse patient events.” However, Dr. Tista Ghosh, chief medical officer at Colorado Department of Health and Environment, said in a statement the state has never conclusively linked infections to the sterilization problems. Centura Health, which operates Porter, declined to comment for this story. Sterilization problems revealed in 2018 Porter announced it had trouble with its sterilization process for surgical instruments in April 2018 by sending roughly 5,800[cq comment=”cq”] letters to patients, warning that those who had orthopedic or spine surgeries dating back almost two years were at risk for contracting hepatitis B, hepatitis C or HIV. Pitcock, who got an infection after a knee replacement, remembers receiving the letter from Porter and getting tested for the viruses. “It scares you to death,” he said. The news prompted state health officials to investigate the hospital and Porter briefly suspended surgeries after the department found problems with how instruments were cleaned. At the time, the state’s Department of Public Health and Environment confirmed “a number of patients” at Porter had infections, but said it could not directly connect them to the hospital’s sterilization problems. Dr. Larry Wolk,[cq comment=”cq”] former executive director of the agency, also said the risk of patients getting HIV, hepatitis B or hepatitis C was “very low.” On Saturday, Ghosh said in a statement that the agency spoke with the Centers for Disease Control and Prevention at the time of the sterilization breach and determined that while there was a low risk for HIV, hepatitis B or hepatitis C, the risk was higher than what is typical. “When there is an increased risk of bloodborne pathogens, we take action,” Ghosh said. “In this case, we informed the hospital they needed to notify patients of the possible risks of surgical site infections and bloodborne pathogens and that patients should be tested for bloodborne pathogens.” Timeline of incidents State health officials say Porter knew of at least 76 instances of contaminated surgical instruments and trays being sent to operating rooms. Below are a few examples of their findings: Jan. 24, 2017 Chunks of bone were found inside a surgical pan Jan. 25, 2017 A surgical instrument was noted as clogged with the previous patient’s blood Jan. 26, 2017 Blood was found on a surgical drill bit Feb. 16, 2017 Cement was found on the surgical instrumentation March 8, 2017 Visible bone and blood were found in the surgical pan April 21, 2017 Blood was found on top of spinal surgical instruments June 1, 2017 A surgical instrument was found to have dried blood on it June 28, 2017 Black residue was found on a surgical instrument June 29, 2017 Operating room staff documented a dead bug in a surgical tray Aug. 28, 2017 Crusty blood or tissue was found on a surgical instrument Nov. 22, 2017 Blood from a previous surgical case was found on a piece of a surgical instrument Jan. 23, 2018 A piece of bone was found in the bottom of a surgical tray Feb. 19, 2018 Hair was found on surgical instruments March 12, 2018 Bone was found in the bottom of a surgical tray and “contaminated” the “entire setup” March 29, 2018 “Rust/blood” was found on a surgical drill April 2, 2018 Questionable residue was found on instruments which “lead to cancellation of surgery” Porter is on a conditional license, which means it requires increased monitoring from the state Department of Public Health and Environment. The lawsuit, which was filed in Denver District Court, alleges the issues with Porter’s surgical instruments were not just limited to orthopedic or spine surgery patients as previously stated. In total, the lawsuit was filed by 67 patients and 20 of their spouses.[cq comment=”cq”] Among them is a woman who developed infections after a mastectomy. Another patient ended up with an infection following an eye procedure, the lawsuit states. As Porter patients sought treatment for the illnesses, they amassed massive medical bills — as much as $2 million for one patient — for emergency room and hospital visits, additional surgeries and antibiotics, according to the attorneys representing them. “From the information, we have obtained, it appears that the sterilization problems at Porter caused extensive infections in surgical patients,” David Woodruff[cq comment=”cq”], a partner with Denver Trial Lawyers, said in an email. “It also appears that Porter may not have accurately reported these infections to the Department of Health as required by law.” The 93-page lawsuit alleges Porter didn’t use “reasonable care” to make sure equipment was properly sterilized as required by state and federal law, industry practices and hospital protocols. As a result, the patients in the lawsuit had surgeries performed on them with instruments that were “improperly” sterilized, causing infections in their surgical sites or other bloodborne infections, according to the document. Patients developed hepatitis B, meningitis, and urinary tract, e. coli and staph infections, the court document claims. Two patients were under general anesthesia and ready for surgery when their procedures were canceled because of contaminated instruments. In one case, a doctor had started the surgery, cutting the patient’s skin, when he discovered a brown-yellowish, pasty material on an instrument. After other equipment showed residue, the doctor decided to cancel the operation, the lawsuit alleges. The lawsuit also alleges a patient died three months after his surgery at Porter in 2017 [cq comment=”cq”]for a fractured femur. Thomas Wriston, 78, [cq comment=”cq”]died after he was diagnosed with sepsis, respiratory failure, pneumonia, anemia, and subacute kidney injury, according to the court document. Betty Wriston holds a photo of her and her late husband Tom and their dog at her home in Fairplay, Colorado on June 12. The quilt covering her bed is made from Tom’s shirts, of 21 matching shirts and dresses she made for them over the years. One of the patients in the lawsuit is Rebecca Brown, a 33-year-old [cq comment=”cq”]who was diagnosed with sepsis, a life-threatening infection, following her lumbar fusion surgery at Porter in 2017[cq comment=”cq”]. She was also diagnosed with clostridium difficile [cq comment=”cq”]– also known as C.diff — infection, which causes inflammation in the colon. The diagnosis meant additional trips to the hospital and antibiotics, according to the lawsuit. “It wasn’t just my life they affected, they affected my kids, they affected my husband, they affected my job, they affected every single part of me that was me and I’ll never get any of that back,” Brown said. Rebecca Brown struggles to rise from the couch at home with her children after a trip to the emergency room in Castle Rock on June 7. In their investigation, state health officials noted that not only did Porter know there was an increase in surgical-related infections in 2017, but the hospital also didn’t report a number of them to a national infection tracking system in 2018.[cq comment=”cq”] The state report did not say how large the increase was. In one case, a patient had two procedures — a spinal fusion and laminectomy — in late 2017[cq comment=”cq”] and visited the emergency department in January 2018 [cq comment=”cq”]because of back pain. At the emergency department, a physician noted the patient — who is not named in the state’s investigation — had white, milky fluid with pus at the spot of the surgery. Tests later determined there were bacteria that cause infections, the documents show. A month later[cq comment=”cq”], the patient was back in the emergency department — this time complaining of paralysis of the lower body. Test results showed an infection at the spot of the surgery, according to the state investigation. Staffing issues at Porter  The breakdown in Porter’s sterilization process coincided with staffing issues in the department responsible for cleaning surgical instruments, state records show. [related_articles location=”right” show_article_date=”false” article_type=”curated” curated_ids=”3008850,3008272,3124540″] And when employees reported problems with how the equipment was cleaned, hospital leaders failed to provide them with additional training or change how the department operated, the state report said. The state records show that in one year, at least 17 of 22[cq comment=”cq”] employees in the department experienced one or more incidents involving contaminated surgical tools. One employee, who is not named in the report, was involved in at least 63 incidents [cq comment=”cq”]where there were concerns with surgical trays he or she processed, such as when chunks of bone were found in a pan, according to the health department. The technician received a written warning for dirty instruments, but contaminated tools still appeared. In one case, staff in the operating room found a dead insect in a surgical tray, the records show. When state officials spoke with a manager, he said he was aware contaminated trays were making their way into the operating room but he didn’t have time to check the equipment after they were sterilized. At one time, the department processed instruments for up to 50 [cq comment=”cq”]cases a day, which was “not safe,” he said. “I don’t have enough staff,” he told officials in the investigation.
16 Jun 19
The Denver Post
Betty Wriston[cq  comment=”cq”] knew something was wrong when her husband spiked a fever a few months after his surgery. Before, Thomas Wriston,78[cq  comment=”cq”], had been healthy and strong. He was always busy working on projects, such as rebuilding the engine of an old Jeep, Betty recalls. But then, he fell in March 2017[cq  comment=”cq”] and fractured his femur and hip, requiring surgery at Porter Adventist Hospital. After the procedure, he developed a cough and fever, and then, an infection. Now, Betty Wriston is among those [cq comment=”cq”]suing Porter, claiming the hospital’s failure to properly sterilize equipment resulted in patients developing infections that some are still treating years after their surgeries — and that, in the case of Thomas Wriston, led to his death. “What’s really sad is there’s just been so many people hurt by this,” Wriston,78,[cq comment=”cq”] said. “I’m not the only one.” Thomas Wriston died in June 2017 after developing sepsis, respiratory failure, pneumonia, anemia, and subacute kidney injury, according to the lawsuit. Betty Wriston’s favorite photo of her husband Tom and their dog Heidi is displayed in her home in Fairplay, Colorado on June 12, 2019. The complaint, which includes 67 patients and 20 spouses[cq comment=”cq”], was filed Saturday. It comes a year after Porter revealed problems with how surgical tools were sterilized at the hospital. Attorneys representing the patients said they have three other Porter patients and a spouse with cases pending. RELATED: Porter Adventist failed to address widespread infections from poorly sterilized surgical equipment, state report confirms One patient, Bill Suarez[cq comment=”cq”], has had seven knee surgeries so far because of the severity of the infection and necrotic tissue that developed after his surgery at Porter in 2017, according to the lawsuit. He ended up with seven types of bacteria in his knee after the procedure — including a type normally found in a pregnant woman’s vagina or rectum, according to the lawsuit. Bill Suarez, 71, of Vail is one of 67 patients filing suit against Porter Adventist Hospital. This photo shows tape over his knee while talking about his injuries during an interview. Suarez says the persisting problems with his knee have affected his sleep and he hasn’t been able to do things he enjoys, such as hiking, skiing and surfing. “I’m a little bit more recluse,” he said. “I’m a little bit more withdrawn, but I’m not dying of cancer.” The prospect of another surgery worries Suarez, waking him up some nights. “I’m scared to death that this could go wrong,” he said. Bill Suarez, 71, of Vail, during an interview on May 31 in Denver. Another patient, Rebecca Brown,[cq comment=”cq”] said she’s lost the trust she had in hospitals after developing sepsis, a life-threatening infection, and clostridium difficile (or C.diff) following her surgery at Porter in 2017[cq comment=”cq”]. Rebecca Brown shows some of the scars from her operations as her husband Russell looks on during an interview in Denver on May 20. Now, she says she waits as long as she can before seeking medical care at a hospital. “I have severe PTSD with surgeries,” Brown said. “I don’t even like getting my blood drawn anymore. I have no trust in any of the hospitals that are anywhere near us.” “And no amount of therapy can ever get that trust back,” she added. Mackenzie, 7, rests with her mother Rebecca Brown after Rebecca made a trip to the emergency room in Castle Rock on June 7. Rebecca is one of 67 patients filing suit against Porter Adventist in Denver.
16 Jun 19
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16 Jun 19
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15 Jun 19
Snippets

For most of your life, you live out your existence here in the middle of the chain of human experience where everything is normal and reassuring and regular, but failure catapults you abruptly way out over here into the blinding darkness of disappointment.  The remedy for self-restoration is to do what you love, creativity, invention, […]

15 Jun 19
Friar Writes

I was, am, in love with Bruce Timm’s run on Superman, Batman, Justice League, and Justice League Unlimited. I love the art style. I love the self contained mythos informed by the comics. So when I heard there was an all new universe from the mind of Bruce Timm I jumped at it. I was […]

15 Jun 19
Gender Critical Facts

Full thread on the Guardian Thread above details links between Guardian Trustees and the funding of Gender Identity Ideology.  Below is an expanded reflection on the first tweet. The Marie Dean case. As a lifelong Guardian reader I expected it to be at the vanguard of fighting for women’s rights , and for the vulnerable. […]

15 Jun 19
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15 Jun 19
The Journey of Nicholson 583

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14 Jun 19
Lamar Ledger
The morning started slowly for angler Matt Smiley, who was fishing the Flaming Gorge Reservoir which straddles the Utah-Wyoming border. But when he got a bite, it was a big one. The fish Smiley caught on May 4 was recognized this week as the Utah state record for a catch-and-release lake trout, measuring 48 inches. He weighed it at just under 53 pounds but almost let it go without measuring it. Just to get an idea of its size, an average boy in the month he turns 7 has a height of 48 inches and weight of nearly 51 pounds, according to the National Center for Health Statistics of the Centers for Disease Control. “I had been wanting to catch a fish over 50 pounds for a long, long time,” said Smiley, a Fairplay resident who once held the Colorado record with a lunker that weighed 44 pounds, 5 ounces. “I was pretty sure it was over 50 pounds, looking at it, but when we (weighed it), I was so excited. I put it back in the net and had it over the side of the boat, getting ready to let it go, and my buddy in the boat with me stopped me. He was like, ‘Man, we’ve got to measure that fish, do you have a tape measure in here?’ I’m like, ‘I don’t even care, man, I broke 50 pounds, I’m good with it.’ He’s like, ‘No, that’s the longest fish I’ve ever seen, you need to measure that thing.’ “ Matt Smiley of Fairplay fishing at Utah’s Flaming Gorge Reservoir on May 4, the day he caught a 48-inch lake trout that was recognized this week as a Utah state record. (Provided by Matt Smiley) They pulled it back out of the water, measured its length and let it go. “It wasn’t even until a couple days later, we were like, ‘Wow, that’s long enough to be the ‘release’ state record,’ ” Smiley said. “I wouldn’t have even measured it if he hadn’t kind of forced me to. It’s kind of lucky that I had him in the boat that day.” Smiley’s four-day trip to the reservoir in northeastern Utah, 25 miles west of the Colorado state line, started inauspiciously. The first day they didn’t get in much fishing because Smiley’s boat was having engine trouble that required attention from a local mechanic. The next two days went well. “I had two really great days with a lot of action and some big fish each day, kind of a great bounce-back after the boat issues to start the trip,” Smiley said. “The (fourth) day, the bites almost completely stopped. We had gone all morning without even catching a fish, which was a big change from the two days before that. Finally got a bite, and it ended up being that one fish. It ended up being the only fish I caught that entire day.” It took Smiley close to an hour to get the behemoth into the boat, although it wasn’t a very dramatic battle. “The unique thing about the fight was it literally didn’t do anything for about 45 minutes, just sat on the bottom, wouldn’t even shake its head, wouldn’t move, wouldn’t run,” Smiley said. “Finally after 45-50 minutes, it kind of gave up and threw a few head shakes. He kind of came up directly under the boat so we couldn’t see it. It finally drifted out from under the boat to where my buddy could net it. It was a shocking thing to see the first time, it was so big.” Smiley has made history before. On April 11, 2003, he caught the lake trout that gave him the Colorado state record at Blue Mesa Reservoir near Gunnison. That record has since been broken. Subscribe to our weekly newsletter to get outdoors news sent straight to your inbox.
14 Jun 19
Canon City Daily Record
The morning started slowly for angler Matt Smiley, who was fishing the Flaming Gorge Reservoir which straddles the Utah-Wyoming border. But when he got a bite, it was a big one. The fish Smiley caught on May 4 was recognized this week as the Utah state record for a catch-and-release lake trout, measuring 48 inches. He weighed it at just under 53 pounds but almost let it go without measuring it. Just to get an idea of its size, an average boy in the month he turns 7 has a height of 48 inches and weight of nearly 51 pounds, according to the National Center for Health Statistics of the Centers for Disease Control. “I had been wanting to catch a fish over 50 pounds for a long, long time,” said Smiley, a Fairplay resident who once held the Colorado record with a lunker that weighed 44 pounds, 5 ounces. “I was pretty sure it was over 50 pounds, looking at it, but when we (weighed it), I was so excited. I put it back in the net and had it over the side of the boat, getting ready to let it go, and my buddy in the boat with me stopped me. He was like, ‘Man, we’ve got to measure that fish, do you have a tape measure in here?’ I’m like, ‘I don’t even care, man, I broke 50 pounds, I’m good with it.’ He’s like, ‘No, that’s the longest fish I’ve ever seen, you need to measure that thing.’ “ Matt Smiley of Fairplay fishing at Utah’s Flaming Gorge Reservoir on May 4, the day he caught a 48-inch lake trout that was recognized this week as a Utah state record. (Provided by Matt Smiley) They pulled it back out of the water, measured its length and let it go. “It wasn’t even until a couple days later, we were like, ‘Wow, that’s long enough to be the ‘release’ state record,’ ” Smiley said. “I wouldn’t have even measured it if he hadn’t kind of forced me to. It’s kind of lucky that I had him in the boat that day.” Smiley’s four-day trip to the reservoir in northeastern Utah, 25 miles west of the Colorado state line, started inauspiciously. The first day they didn’t get in much fishing because Smiley’s boat was having engine trouble that required attention from a local mechanic. The next two days went well. “I had two really great days with a lot of action and some big fish each day, kind of a great bounce-back after the boat issues to start the trip,” Smiley said. “The (fourth) day, the bites almost completely stopped. We had gone all morning without even catching a fish, which was a big change from the two days before that. Finally got a bite, and it ended up being that one fish. It ended up being the only fish I caught that entire day.” It took Smiley close to an hour to get the behemoth into the boat, although it wasn’t a very dramatic battle. “The unique thing about the fight was it literally didn’t do anything for about 45 minutes, just sat on the bottom, wouldn’t even shake its head, wouldn’t move, wouldn’t run,” Smiley said. “Finally after 45-50 minutes, it kind of gave up and threw a few head shakes. He kind of came up directly under the boat so we couldn’t see it. It finally drifted out from under the boat to where my buddy could net it. It was a shocking thing to see the first time, it was so big.” Smiley has made history before. On April 11, 2003, he caught the lake trout that gave him the Colorado state record at Blue Mesa Reservoir near Gunnison. That record has since been broken. Subscribe to our weekly newsletter to get outdoors news sent straight to your inbox.
14 Jun 19
Biker Dan's Blog

Friday, 6/14/2019 Miles: 25.9 Average speed: 9.6 mph Vertical gain: 1,348 ft. Despite being a short, relatively easy day, my legs and psyche just had no pop. I think it’s the after-effects of yesterday’s ride. There was no possibility of riding on to Fairplay today, as I suggested in yesterday’s post. Instead, I had lunch, […]

14 Jun 19
The Denver Post
The morning started slowly for angler Matt Smiley, who was fishing the Flaming Gorge Reservoir which straddles the Utah-Wyoming border. But when he got a bite, it was a big one. The fish Smiley caught on May 4 was recognized this week as the Utah state record for a catch-and-release lake trout, measuring 48 inches. He weighed it at just under 53 pounds but almost let it go without measuring it. Just to get an idea of its size, an average boy in the month he turns 7 has a height of 48 inches and weight of nearly 51 pounds, according to the National Center for Health Statistics of the Centers for Disease Control. “I had been wanting to catch a fish over 50 pounds for a long, long time,” said Smiley, a Fairplay resident who once held the Colorado record with a lunker that weighed 44 pounds, 5 ounces. “I was pretty sure it was over 50 pounds, looking at it, but when we (weighed it), I was so excited. I put it back in the net and had it over the side of the boat, getting ready to let it go, and my buddy in the boat with me stopped me. He was like, ‘Man, we’ve got to measure that fish, do you have a tape measure in here?’ I’m like, ‘I don’t even care, man, I broke 50 pounds, I’m good with it.’ He’s like, ‘No, that’s the longest fish I’ve ever seen, you need to measure that thing.’ ” Matt Smiley of Fairplay fishing at Utah’s Flaming Gorge Reservoir on May 4, the day he caught a 48-inch lake trout that was recognized this week as a Utah state record. (Provided by Matt Smiley) They pulled it back out of the water, measured its length and let it go. “It wasn’t even until a couple days later, we were like, ‘Wow, that’s long enough to be the ‘release’ state record,’ ” Smiley said. “I wouldn’t have even measured it if he hadn’t kind of forced me to. It’s kind of lucky that I had him in the boat that day.” Smiley’s four-day trip to the reservoir in northeastern Utah, 25 miles west of the Colorado state line, started inauspiciously. The first day they didn’t get in much fishing because Smiley’s boat was having engine trouble that required attention from a local mechanic. The next two days went well. “I had two really great days with a lot of action and some big fish each day, kind of a great bounce-back after the boat issues to start the trip,” Smiley said. “The (fourth) day, the bites almost completely stopped. We had gone all morning without even catching a fish, which was a big change from the two days before that. Finally got a bite, and it ended up being that one fish. It ended up being the only fish I caught that entire day.” It took Smiley close to an hour to get the behemoth into the boat, although it wasn’t a very dramatic battle. “The unique thing about the fight was it literally didn’t do anything for about 45 minutes, just sat on the bottom, wouldn’t even shake its head, wouldn’t move, wouldn’t run,” Smiley said. “Finally after 45-50 minutes, it kind of gave up and threw a few head shakes. He kind of came up directly under the boat so we couldn’t see it. It finally drifted out from under the boat to where my buddy could net it. It was a shocking thing to see the first time, it was so big.” Smiley has made history before. On April 11, 2003, he caught the lake trout that gave him the Colorado state record at Blue Mesa Reservoir near Gunnison. That record has since been broken. Subscribe to our weekly newsletter to get outdoors news sent straight to your inbox.
14 Jun 19
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14 Jun 19
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