FYI - Ontario regions

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  • snowyday
    snowyday Member Posts: 1,478
    edited April 2013

    Dear Gracie:  Just found your post from CBC news.  I feel horrible for everyone that is receiving these letters.  Thanks for posting this info.  I saw it at 4:45 a.m. on ABC news, they gave now time lines, but said it was caught a a small cancer centre, apparently a nurse mixing this meds realized things weren't adding up.  Thank the Lord for good nurses they really are the frontline workers.  Now to really sit down and say a prayer for all that received the wrong doses.  Snowy.

  • ChemicalWorld
    ChemicalWorld Member Posts: 172
    edited April 2013

    I went weak this morning when I saw this on the news, as I did my treatment in NB, albeit not in Saint John which is where they have identified, at least for now.  I was earlier as well, but it's still nagging away in the back of my mind.  I had cyclophosphamide as part of my FEC.  My father had gemcitibine last fall, but not in either of these regions.

    This went undetected for so long, and that's what really scares me.  I think I was told in my hospital that the chemo drugs were mixed on site, is that not always the case?

    The doctor or whoever it was on the news this morning made some comment about how patients would have to speak to their oncologists to see if they should be concerned.  I thought to myself, oh honey, believe me, anyone remotely affected by this is already worried. 

    Here is the news release from the Saint John Regional Hospital with contact info etc:

    http://www.horizonnb.ca/home/information-news/news-releases/the-saint-john-regional-hospital-informs-patients-of-chemotherapy-drug-underdosing.aspx

  • leggo
    leggo Member Posts: 3,293
    edited April 2013

    This is all sounding really fishy. The CEO of the Windsor Hospital was on the news this morning and said in no uncertain terms that if they mention the name of the company that did the mixing, the hospital would be facing legal ramifications. So what? Are they serious? Name the company!!! They should go down.....hard. Apparently, in the Windsor Hospital alone, of the 290 people affected, 17 have died and some have been receiving watered-down chemo for up to one year. Sure, it could have been for other reasons, but we all know how oncs make a HUGE deal of getting your chemo on time and in the absolute correct dosage for someone's height and weight. I seriously can't believe they can't mention who's responsible. Are they nuts? What if it went the other way and they added too much of the chemo drug? People would have been dropping like flies. I can't tell you how many times I've seen people react badly to a chemo drug at the right mix, never mind an improper one. Jeezuz, something weird is going on here that this company is being protected, who BTW, insist they have done nothing wrong??????

    ChemicalWorld, as far as I always knew, these drugs were mixed on site. At my cancer center, I watch them do it. In this particular situation, I can only surmise that this was a cost-saving move, so I'm blaming our (insert your own adjective) PM. Actually, it wouldn't surprise me at all, if we find out later that this company was run by one of his buddies. Sorry to get political, but this just reaks of something crooked. Not mentioning the name sounds awful weird to me.

    Snowyday, you are so right. Thank gawd for the nurses who picked up on this. Heads should roll.

    edited to add: I don't know if either of you saw the CEO of the Windsor Hospital speak this a.m., but it appeared he badly wanted to say things he couldn't. He was very guarded about what he was saying and the words he was choosing. It took him forever to spit out a sentence.  At least he made it clear that they were being bullied by the company in not being able to release the name. This is going to get ugly. I can't imagine a family member of a recently deceased recipient isn't going to go ballistic.

    edited again to remove my name-calling. Apparently, I offended someone.

  • rozem
    rozem Member Posts: 1,375
    edited April 2013

    i just read this in the toronto star...I also thought the meds were mixed on site.  At least at sunnybrooke i know that i would check in and my chemo would happen at least 1hr later because the pharmacy had to get the meds ready.  I remember reading dr.marlas book and she said to always check your first dosage and make sure it is always the same.  However in this case i dont know how a patient could have caught it - very very disturbing.  In the article i read it states that patients should not be overly concerned because the dosage was lowered by about 20% and MOs can safely lower dosages by up to 25% - not sure if this is just a spin tactic.  I did have my taxotere dosage lowered by 20% -

  • leggo
    leggo Member Posts: 3,293
    edited April 2013

    I'm thinking spin. This makes me so angry!!!! I feel so bad for these people. Rozem, was your dosage lowered by Dr.'s orders or were you affected by this? If so, I'm so sorry.

  • ChemicalWorld
    ChemicalWorld Member Posts: 172
    edited April 2013

    I've read a little more and while I think meds are mixed on site, in that particular case it may not have mattered because it was the saline bags that were over volume.  It was explained really well on one of the Ontario hospital links. They remove so much saline out of a bag before injecting it with the actual chemo, and that larger bag is used to draw several treatments from.  Obviously that would vary depending on the chemo, like the red glow juice (as I called it *gag*) wasn't bagged at all. 

    rozem, I had to have my Taxotere reduced after my first dose too, but that was because they said they had actually OVER-dosed me the first time.  I guess sometimes they don't always get it right on the first try. 

    btw, not to be nit-picky, but from what I've read in several places, it was a pharmacy tech, not a nurse, who picked up on the error. 

    ETA:  It would appear that the company has been named: "The liquid drug was prepared by Marchese Hospital Solutions" as noted in this article: http://www.mississauga.com/news/article/1599698--did-cancer-patients-die-because-of-watered-down-chemo-cocktail "

  • leggo
    leggo Member Posts: 3,293
    edited April 2013

    Thanks for the info ChemicalWorld. Please be nit-picky. These people will need all the correct information they can get. Thank you in particular for posting the name of the company. Knowing saline bags are over-filled is pharmacy 101. How did having such incompetent pharmacists (if they were indeed pharmacists) for such an important job happen (for so long)?

  • AlaskaAngel
    AlaskaAngel Member Posts: 1,836
    edited April 2013

    And thanks for the above, noting that a pharmacy tech caught the problem. The more accurate info provided, the better.

    A.A.

  • rozem
    rozem Member Posts: 1,375
    edited April 2013

    gracie - i had my tax dosage lowered because of really bad SE - my MO did tell me the same thing mentioned in the article, that dosages can be safely adjusted by up to 25%.   The TS also named the company (marchese). 

  • rozem
    rozem Member Posts: 1,375
    edited April 2013

    just wanted to add that this was my biggest fear when getting chemo - too much, too little - i saw how busy the chemo ctr/pharmacy was and often wondered if they made mistakes - to err is human as we all know.  I always checked the bags but even if the outside was correct who knows what was mixed inside.  Pretty scary

  • leggo
    leggo Member Posts: 3,293
    edited April 2013

    It is very scary. I guess I'm hyper-sensitive to these issues. When we had our blood bank tragedy, I received a letter that I may have received contaminated blood product (RH factor during pregnancy). I also lost two hemopheliac friends due to their error. I've never really gotten over that.

  • AlaskaAngel
    AlaskaAngel Member Posts: 1,836
    edited April 2013

    Thanks for keeping an eye open for us all here, gracie1. (bump)

  • beth1965
    beth1965 Member Posts: 455
    edited April 2013

    I got my call this morning

    they said i will be getting information letters and i need to talk to my oncologist to see if it will make a diffrence in the treatment i had

    anyone else have info

  • ChemicalWorld
    ChemicalWorld Member Posts: 172
    edited April 2013

    So sorry you are dealing with this beth, my heart goes out to you and anyone directly affected.  No one needs this.  There was a lot of info on the Windsor hospital site, including the patient letter.  http://www.wrh.on.ca/Site_Published/wrh_internet/windsorregionalnonav.aspx?Body.QueryId.Id=50297

    I hope in everyone's case that there was the most minimal of dilution occurred with no impact on the overall treatment given. 

  • leggo
    leggo Member Posts: 3,293
    edited April 2013

    So sorry Beth. I hope your onc can ease your worries. Hugs. 

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