{"id":1589,"date":"2014-11-04T13:44:57","date_gmt":"2014-11-04T18:44:57","guid":{"rendered":"http:\/\/www.ontariohealthcoalition.ca\/?p=1589"},"modified":"2020-04-17T17:23:44","modified_gmt":"2020-04-17T21:23:44","slug":"hospital-mum-on-reasons-for-womans-death-after-a-dental-abscess","status":"publish","type":"post","link":"https:\/\/www.ontariohealthcoalition.ca\/index.php\/hospital-mum-on-reasons-for-womans-death-after-a-dental-abscess\/","title":{"rendered":"Hospital mum on reasons for woman&#8217;s death after a dental abscess"},"content":{"rendered":"<p>(October 31, 2014)<\/p>\n<div class=\"c-article-header\" data-lpos=\"article|header\">\n<div class=\"mainart-container c-article-header__mainart mainart-landscape\" data-lpos=\"article|multimedia\">\n<div class=\"image pure-image\">\n<div class=\"image__body white-background\"><img loading=\"lazy\" decoding=\"async\" class=\"\" src=\"https:\/\/images.thestar.com\/1Xf6SPSX67cQeTbmhKIgK0bIZ9k=\/1086x1072\/smart\/filters:cb(2700061000)\/https:\/\/www.thestar.com\/content\/dam\/thestar\/life\/health_wellness\/2014\/10\/31\/hospital_mum_on_reasons_for_womans_death_after_a_dental_abcess\/pamela_minocha2.jpg\" srcset=\"https:\/\/images.thestar.com\/1Xf6SPSX67cQeTbmhKIgK0bIZ9k=\/1086x1072\/smart\/filters:cb(2700061000)\/https:\/\/www.thestar.com\/content\/dam\/thestar\/life\/health_wellness\/2014\/10\/31\/hospital_mum_on_reasons_for_womans_death_after_a_dental_abcess\/pamela_minocha2.jpg 1086w,https:\/\/images.thestar.com\/BkN53slRKpFy1TyeMW3CQPza3yE=\/968x955\/smart\/filters:cb(2700061000)\/https:\/\/www.thestar.com\/content\/dam\/thestar\/life\/health_wellness\/2014\/10\/31\/hospital_mum_on_reasons_for_womans_death_after_a_dental_abcess\/pamela_minocha2.jpg 968w,https:\/\/images.thestar.com\/KA_--sVmSwcv3sw0M8C50nf8bMQ=\/850x839\/smart\/filters:cb(2700061000)\/https:\/\/www.thestar.com\/content\/dam\/thestar\/life\/health_wellness\/2014\/10\/31\/hospital_mum_on_reasons_for_womans_death_after_a_dental_abcess\/pamela_minocha2.jpg 850w,https:\/\/images.thestar.com\/mwiMaKKvlqCV2k1025STaQzfGds=\/650x641\/smart\/filters:cb(2700061000)\/https:\/\/www.thestar.com\/content\/dam\/thestar\/life\/health_wellness\/2014\/10\/31\/hospital_mum_on_reasons_for_womans_death_after_a_dental_abcess\/pamela_minocha2.jpg 650w,https:\/\/images.thestar.com\/iZV3wqmLNV6QM8DYNstaIMy4b6E=\/605x597\/smart\/filters:cb(2700061000)\/https:\/\/www.thestar.com\/content\/dam\/thestar\/life\/health_wellness\/2014\/10\/31\/hospital_mum_on_reasons_for_womans_death_after_a_dental_abcess\/pamela_minocha2.jpg 605w,https:\/\/images.thestar.com\/DlvglbGEuFspZz7rQTUj_oq3mIA=\/480x474\/smart\/filters:cb(2700061000)\/https:\/\/www.thestar.com\/content\/dam\/thestar\/life\/health_wellness\/2014\/10\/31\/hospital_mum_on_reasons_for_womans_death_after_a_dental_abcess\/pamela_minocha2.jpg 480w,https:\/\/images.thestar.com\/4Jirr_9JWOcDtAab-ae16rBwoz0=\/400x395\/smart\/filters:cb(2700061000)\/https:\/\/www.thestar.com\/content\/dam\/thestar\/life\/health_wellness\/2014\/10\/31\/hospital_mum_on_reasons_for_womans_death_after_a_dental_abcess\/pamela_minocha2.jpg 400w,https:\/\/images.thestar.com\/xGaOK6dKVw7jN-B4_JAgs8L0IHk=\/320x316\/smart\/filters:cb(2700061000)\/https:\/\/www.thestar.com\/content\/dam\/thestar\/life\/health_wellness\/2014\/10\/31\/hospital_mum_on_reasons_for_womans_death_after_a_dental_abcess\/pamela_minocha2.jpg 320w\" alt=\"Pamela Minocha was a healthy, smart, vibrant 33-year-old woman who unexpectedly died in a Toronto hospital in May 2013, apparently from an allergic reaction to a medication. Her family still don't know what happened in the hours before she died.\" width=\"320\" height=\"316\" \/><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"c-article-body\" data-lpos=\"article|body\">\n<div class=\"c-article-body__content\">\n<p class=\"text-block-container\">Pamela Minocha, 33, died in a Toronto hospital after a toothache. Because of a provincial secrecy loophole, her family doesn\u2019t know why.<\/p>\n<p class=\"text-block-container\">Her parents don\u2019t know if her unexpected death could have been prevented, because what happened is a secret shielded by the sweeping Quality of Care Information Protection Act (QCIPA).<\/p>\n<p class=\"text-block-container\">Invoking the act is discretionary, and critics say some hospitals interpret the act to mean they don\u2019t have to share how an incident happened or what\u2019s being done to prevent it from happening again.<\/p>\n<p class=\"text-block-container\">QCIPA can trump all other legislation, including freedom-of-information law, and allow Ontario hospitals to hide the results of critical care investigations from families, the public and even coroners.<\/p>\n<p class=\"text-block-container\">Toronto medical malpractice lawyer Paul Harte said the act has created \u201congoing problems with the openness and transparency of our entire health care system.\u201d<\/p>\n<p class=\"text-block-container\">\u201cIt\u2019s very common for a hospital to first of all hide behind a QCIPA shield and secondly to be very inaccurate and sloppy in their quality-control investigations because of it,\u201d Harte said.<\/p>\n<p class=\"text-block-container\">In September, Ontario Health and Long-Term Care Minister Dr. Eric Hoskins launched a review of QCIPA to improve the legislation after a Star investigation.<\/p>\n<p class=\"text-block-container\">The series included a\u00a0<a class=\"text-block__link\" href=\"https:\/\/www.thestar.com\/news\/gta\/2014\/07\/08\/hospital_suicide_prompts_review_of_secrecy_in_quality_of_care_law.html\">family unable to get answers<\/a>\u00a0after their 20-year-old son committed suicide under psychiatric care, and a hospital that refused to release any information about how a\u00a0<a class=\"text-block__link\" href=\"https:\/\/www.thestar.com\/news\/gta\/2013\/04\/05\/former_oha_head_questions_hospitals_silence_on_investigation_of_baby_wrongly_declared_dead.html\">newborn baby was wrongly declared dead<\/a>. Hoskins\u2019 review is due to be completed in mid-December.<\/p>\n<div class=\"article-related-inline\">\n<div class=\"c-related-articles\" data-lpos=\"ymbii|1\">\n<div class=\"star_web_ymbii c-related-articles-inline__content\">\n<div class=\"c-mediacard-img c-mediacard__image-wrapper c-mediacard-img--row c-mediacard-img--aspect-ratio-3x2-condensed c-mediacard-img--small-only-row c-mediacard-img--medium-only-row c-mediacard-img--large-only-row\" data-test-id=\"medicard-image-container\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<p class=\"text-block-container\">QCIPA was created to allow health-care workers to freely share mistakes in a confidential environment in an effort to prevent future errors.<\/p>\n<p class=\"text-block-container\">Minocha\u2019s death was\u00a0<a class=\"text-block__link\" href=\"https:\/\/www.thestar.com\/life\/health_wellness\/2014\/07\/10\/toronto_hospitals_vary_widely_in_sue_of_secrecy_law.html\">the subject of one of 12 critical-care investigations<\/a>\u00a0held at St. Joseph\u2019s Health Centre in the past three years, the Star has found.<\/p>\n<p class=\"text-block-container\">St. Joseph\u2019s chose to place all 12 incidents under the protection of QCIPA \u2014 making it one of only two health centres in Toronto that keeps all critical investigations secret.<\/p>\n<p class=\"text-block-container\">In contrast, Toronto East General hasn\u2019t used the controversial act in more than five years.<\/p>\n<p class=\"text-block-container\">The discrepancy \u201cunderlines the problem in having important public policy left to the discretion of individual hospitals to such an extent,\u201d Natalie Mehra, executive director of the Ontario Health Coalition, previously told the Star.<\/p>\n<p class=\"text-block-container\">\u201cIt should not be up to hospitals to so widely interpret what the public can and can\u2019t have access to.\u201d<\/p>\n<p class=\"text-block-container\">Minocha was a healthy, vibrant MBA student at Wilfrid Laurier University who was admitted to St. Joseph\u2019s with a swollen face last May, according to medical records obtained by the Star.<\/p>\n<p class=\"text-block-container\">A day earlier she had been diagnosed with a dental abscess and prescribed Clindamycin, an antibiotic for serious infections, by a dentist. Minocha began to feel unwell and started vomiting after taking the medication, her medical records show.<\/p>\n<p class=\"text-block-container\">Her brother, Arvin Minocha, told the Star that after she was admitted to hospital, doctors spoke to her Calgary-based parents over the phone and said she was alert, stable and going to be \u201cfine.\u201d<\/p>\n<p class=\"text-block-container\">Her parents boarded a four-hour flight to Toronto. Minocha died before they touched down.<\/p>\n<p class=\"text-block-container\">A preliminary autopsy report lists her cause of death as hypersensitivity myocarditis \u2014 an allergic reaction to the drug she took that attacks the heart.<\/p>\n<p class=\"text-block-container\">In May this year, Minocha\u2019s family received a short letter from the hospital on the findings of the review.<\/p>\n<p><span id=\"contentLongBreakPoint\"><\/span><\/p>\n<p class=\"text-block-container\">The letter contains only nine sentences and said Minocha received \u201cintensive and appropriate treatment.\u201d<\/p>\n<p class=\"text-block-container\">It offers no other details about her care.<\/p>\n<p class=\"text-block-container\">When family asked for more information, St. Joseph\u2019s said the review was complete and it would \u201cnot respond to further communications about this matter,\u201d according to a follow-up letter from the hospital.<\/p>\n<div class=\"cta-container\" data-lpos=\"newsletter|get-some-good-advice-in-your-inbox\"><\/div>\n<p class=\"text-block-container\">In an emailed statement to the Star, St. Joseph\u2019s chief of staff, Dr. Ted Rogovein, said a quality of care review into Minocha\u2019s death was \u201cprotected under QCIPA.\u201d<\/p>\n<p class=\"text-block-container\">Rogovein, who was not made available for an interview, said the legislation had not prohibited the hospital from sharing the facts of the review with the family, including a follow-up phone call and Minocha\u2019s patient chart.<\/p>\n<p class=\"text-block-container\">Last Friday, after the Minocha family\u2019s fight for information was highlighted by CTV News, St. Joseph chief executive Elizabeth Buller and other hospital leaders called the family to discuss their concerns, Rogovein said.<\/p>\n<p class=\"text-block-container\">The family has not been given a copy of the quality of care review and has no idea what it covered. They still don\u2019t know what happened in the hours leading up to Minocha\u2019s death, or if it could have been prevented.<\/p>\n<p class=\"text-block-container\">What answers the family has been able to glean from St. Joseph\u2019s over the past year and a half have been contradictory, they say.<\/p>\n<p class=\"text-block-container\">\u201cAnyone can imagine how painful it would be to receive a five-sentence letter from a hospital containing no information at all about the death of your child,\u201d Mehra, of the Ontario Health Coalition, said.<\/p>\n<p class=\"text-block-container\">QCIPA was a \u201cgiant secrecy loophole\u201d that gave hospitals the discretion to decide what they would and would not tell families in critical situations such as this, she said.<\/p>\n<p class=\"text-block-container\">The unanswered questions and inconsistencies in information surrounding Minocha\u2019s death have stolen her family\u2019s time of mourning, Arvin Minocha said.<\/p>\n<p class=\"text-block-container\">He described his sister as a selfless individual who loved life. She volunteered to feed the homeless during holiday seasons and had dreams to one day get married and have five children.<\/p>\n<p class=\"text-block-container\">\u201cRather than celebrate the person my sister was and grieve this tragic loss, we are still at a loss for how a system could lack such transparency and ownership,\u201d he said.<\/p>\n<p class=\"text-block-container\">\u201cWe were told she was going to be fine, and then her heart just stopped. We are still waiting to know whether something more could have been done.\u201d<\/p>\n<p class=\"text-block-container\">NDP federal health critic France Gelinas said the case raises more questions about the act itself.<\/p>\n<p class=\"text-block-container\">\u201cThis law is in need of clarification,\u201d she told the Star.<\/p>\n<p class=\"text-block-container\">A coroner\u2019s investigation into Minocha\u2019s death continues.<\/p>\n<\/div>\n<\/div>\n<p><span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"http:\/\/www.thestar.com\/life\/health_wellness\/2014\/10\/31\/hospital_mum_on_reasons_for_womans_death_after_a_dental_abcess.html\" target=\"_blank\" rel=\"noopener\">Click here for original article<\/a><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>(October 31, 2014) Pamela Minocha, 33, died in a Toronto hospital after a toothache. Because of a provincial secrecy loophole, her family doesn\u2019t know why. Her parents don\u2019t know if her unexpected death could have been prevented, because what happened is a secret shielded by the sweeping Quality of Care Information Protection Act (QCIPA). Invoking [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[21],"tags":[],"class_list":["post-1589","post","type-post","status-publish","format-standard","hentry","category-ohc-in-the-news"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Hospital mum on reasons for woman&#039;s death after a dental abscess - Ontario Health Coalition<\/title>\n<meta name=\"description\" content=\"(October 31, 2014) Pamela Minocha, 33, died in a Toronto hospital after a toothache. 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