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N.S. family blames hospital staff for ‘hastened’ death

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The last morning Tracy Gilbert saw her father alive, she walked into his room at the palliative care unit in Truro, N.S., and noticed he was struggling.

He was pulling at the sheets and moving his arms, she says, and it was obvious something was wrong.

At first, Gilbert thought her father was itchy. But two hours later, she realized it was much more severe — the bedside oxygen machine her family had become used to hearing had gone silent.

« There is no way that anybody can look at us and tell us that they didn’t know he needed oxygen to live, » said Gilbert.

Donnie Taylor’s plan was to die at home, looking out at the lake. He ended up in the palliative care unit at the Colchester East Hants Health Centre one month before he died. (Submitted)

Donnie Taylor’s family alleges he went 13 hours without oxygen after he was returned to his hospital room following a family gathering down the hall.

The 69-year-old man died the next day — Aug. 23, 2017.

Taylor had a long battle with chronic obstructive pulmonary disease (COPD) believed to be caused by asbestos exposure on the job. In his final months, he was diagnosed with lung cancer.

But Taylor’s family claims the lack of oxygen « hastened » his death.

Hospital staff doesn’t agree. However, changes were made on the palliative care unit following Taylor’s death. 

« Instead of celebrating a birthday we were at a funeral home for his 70th birthday, » said Kelly Knox, Taylor’s daughter.

Donnie Taylor is remembered by his family as a loving great-grandfather. Despite his illness, he spent as much time with them as possible. (Submitted )

Health records obtained by CBC News confirm Taylor was prescribed five litres per minute of oxygen, but was only getting 10 per cent of that on the morning of his death. When the family notified a nurse about their discovery, the nurse immediately turned Taylor’s oxygen level back up to five litres.

Pushing for answers

Seventeen months later, the Taylor family continues to push for answers. They recently filed a complaint with the College of Registered Nurses of Nova Scotia, hoping it will lead to disciplinary measures.

The Nova Scotia Health Authority (NSHA) conducted its own quality review following Taylor’s death that resulted in several policy changes at Colchester East Hants Health Centre. The Department of Health also completed two investigations after the family filed a complaint.

The family has had several meetings with hospital officials, including at least one with senior management. The health authority has apologized to the family in writing and in person for their loss.

« It tells me that somebody said, ‘Uh oh, something wrong here. We need to check this out,' » said Taylor’s widow, Sandra. 

« And, in the hospital’s mind, they knew they were in trouble. »

Donnie Taylor died a few days before his 70th birthday. He suffered a long battle with COPD and lung cancer, following exposure to asbestos on the job. (Submitted)

As a result of the quality review, staff at Truro’s palliative care unit was ordered to « review documentation practices related to checking oxygen administration levels throughout each shift » and « provide intentional education regarding the role of oxygen on the Palliative Care Unit. » 

Staff were also trained on « development of communication skills. »

Hospital response

The health authority will not comment on the case. Because it was a « serious reportable event » that led to a quality review, the health authority said all details are confidential.

Dr. Dave Henderson, senior medical director of integrated palliative care at the health authority, said a lot of work is happening behind the scenes to improve palliative care in Truro and across the province.

He said more than 1,200 health professionals have received additional training through a program called Learning Essential Approaches to Palliative Care (LEAP) in the last few years.

« Often still in nursing schools and medical schools, we don’t get as much training as we would like in palliative care, » said Henderson. « So we’re working on that both provincially and nationally but also for those people that are out working already. »

Dr. Dave Henderson, senior medical director of integrated palliative care at the Nova Scotia Health Authority, says more training is needed for health care staff. (Robert Short/CBC)

In the last year, the health authority’s northern zone, which covers Colchester, Pictou County and Cumberland, received funding for three part-time palliative care social work positions. A full-time social worker has also been hired to focus on bereavement, grief and wellness counselling for the region.

One of those social workers has been working closely with the Taylor family.

Dying plan

Sandra Taylor said her husband knew he was dying and he had spent months preparing with palliative care staff for a comfortable death.

« He thought, you know, eventually, ‘I would just sleep longer, and one time I just won’t wake up.’ And it should have been that way. That was the whole plan, » she said.

Instead, his loved ones believe he spent his last day in pain.

Taylor’s hospital charts indicate he was not in distress the night before his death. Rather, that he had apnea and appeared « congested. » Sandra Taylor was called by staff around 6 a.m.

A review conducted by the Department of Health determined the family’s claims of neglect were unfounded. Although on the question of how the drastically reduced oxygen levels ultimately affected Taylor’s death, the report is inconclusive.

Donnie Taylor had an early birthday celebration in the palliative care unit with his family. His loved ones say he was no longer verbal but he was aware of his surroundings. (Submitted)

In her report, compliance officer Adele Griffith said: « It was reported by palliative care staff that it cannot be definitively determined that the affected patient did not suffer any discomfort because of the incorrect oxygen flow being administered; however, there is also no evidence to the contrary from staff. »

It was also not confirmed in Griffin’s findings that Taylor required continuous oxygen 24 hours a day.

Birthday party

The family strongly believes Donnie Taylor did require continuous oxygen.

They allege it was never turned back on following an early birthday party for Taylor the day before he died. Taylor was wheeled down the hall to a party room on portable oxygen, where his wife and daughters say he wasn’t verbal but was aware of his surroundings.

Once the party was over, the family left around 8 p.m. Sandra Taylor said when she was walking out the door, nurses were moving him back to his room. 

« When he didn’t get the oxygen turned on [on] the wall, when that happened that may have been a chaotic error, maybe, you know, it’s possible things like that can happen, » she said.

But Taylor said she got angry when no one owned up to the alleged mistake.

« He didn’t have oxygen and somebody didn’t give it to him. And in this case they were special palliative care nurses and doctors. »

Knox believes the « culture of acceptability » within the palliative care unit needs to change.

« It’s because you’re dealing with somebody who isn’t going to remember anyway. You know, they’re pretty much really not going to know, right? And that is not acceptable, » she said.

« Why would you say that about a man who spent his whole life caring about people and their rights. To have that happen to you and to your family … it’s just wrong. »

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Anglais

Nostalgia and much more with Starburst XXXtreme

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Get a taste of adventure with Starburst XXXtreme based on the legendary NetEnt Game. The nostalgic themes are sure to capture fans of the classic version as they get treated to higher intensity, better visuals, and features. The most significant element of the game is its volatility. Patience will not be an essential virtue considering the insane gameplay, and there is a lot of win potential involved. It retains the original makeup of the previous game while adding a healthy dose of adrenaline. 

Starburst Visuals and Symbols

The game is definitely more conspicuous than before. The setting happens over a 5-reel, 3-row game grid with nine fixed win lines, which function if a succession from the left to the right reel is present. Only those players that that attain the highest win per bet line are paid. From a visual standpoint, the Starburst XXXtreme slots illustrates lightning effects behind the reels, which is not surprising as it is inherited from the original version. Available themes include Classic, Jewels, and Space. The game is also available in both desktop and mobile versions, which is advantageous for players considering the global pandemic. According to Techguide, American gamers are increasingly having more engaging gaming experiences to socialize to fill the gap of in-person interaction. Starburst XXXtreme allows them to fill the social void at a time when there is so much time to be had indoors. 

Starburst XXXTreme Features

Players get to alternate on three features which are Starburst Wilds, XXXtreme Spins, and Random Wilds. The first appears on reels 2,3, or 4. When these land, they expand to cover all positions while also calculating the wins. They are also locked for a respin. If a new one hits, it also becomes locked while awarding another respin. Starburst XXXtreme offers a choice between two scenarios for a higher stake. In one scenario with a ten times stake, the Starburst Wild is set on random on reels 2,3, or 4, and a multiplier starts the respin. The second scenario, which has a 95 times stake, starts with two guaranteed starburst wilds on reels 2,3, or 4. it also plays out using respin game sequence and features. The game also increases the potential with the Random Wilds feature to add Starburst Wilds to a vacant reel at the end of a spin. Every Starburst Wild gives a random multiplier with potential wins of x2, x3, x5, x10, x25, x50, x100, or even x150.

The new feature is sure to be a big hit with the gaming market as online gambling has shown significant growth during the lockdown. AdAge indicates the current casino customer base is an estimated one in five Americans, so Starburst XXXtreme’s additional features will achieve considerable popularity. 

What We Think About The Game

The gambling market has continued to diversify post-pandemic, so it is one of the most opportune times to release an online casino-based game. Thankfully Starburst XXXtreme features eye-catching visuals, including the jewels and space themes. These attract audience participation and make the gameplay inviting. The game also has a nostalgic edge. The previous NetEnt iteration featured similar visuals and gameplay, so the audience has some familiarity with it. The producers have revamped this version by tweaking the features to improve the volatility and engagement. 

That is characterized by the potential win cap of 200,000 times the bet. Starburst XXXtreme does not just give betting alternatives for players that want to go big. The increase of multipliers also provides a great experience. If the respins in the previous version were great, knowing that multipliers can go hundreds of times overtakes the game to a new level. 

Players should get excited about this offering. All of the features can be triggered within a single spin. Whether one plays the standard game or takes the XXXtreme spin route, it is possible to activate all of the features. Of course, the potential 200,000 times potential is a huge carrot. However, the bet size is probably going to be restricted and vary depending on the casino. It is also worth pointing out that a malfunction during the gameplay will void all of the payouts and progress. Overall, the game itself has been designed to provide a capped win of 200,000 times the original bet. 

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Anglais

‘We’re back’: Montreal festival promoters happy to return but looking to next year

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In downtown Montreal, it’s festival season.

In the city’s entertainment district, a musical act was conducting a sound check on stage Friday evening — the second day of the French-language version of the renowned Just For Laughs comedy festival. Tickets for many of the festival’s free outdoor shows — limited by COVID-19 regulations — were sold out.

Two blocks away, more than 100 people were watching an acoustic performance by the Isaac Neto Trio — part of the last weekend of the Festival International Nuits d’Afrique, a celebration of music from the African continent and the African diaspora.

With COVID-19 restrictions continuing to limit capacity, festival organizers say they’re glad to be back but looking forward to next year when they hope border restrictions and capacity limits won’t affect their plans.

Charles Décarie, Just For Laughs’ CEO and president, said this is a “transition year.”

“Even though we have major constraints from the public health group in Montreal, we’ve managed to design a festival that can navigate through those constraints,” Décarie said.

The French-language Juste pour rire festival began on July 15 and is followed by the English-language festival until July 31.

When planning began in February and March, Décarie said, organizers came up with a variety of scenarios for different crowd sizes, ranging from no spectators to 50 per cent of usual capacity.

“You’ve got to build scenarios,” he said. “You do have to plan a little bit more than usual because you have to have alternatives.”

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MELS new major movie studio to be built in Montreal

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MONTREAL — MELS Studios will build a new film studio in Montreal, filling some of the gap in supply to meet the demand of Hollywood productions.

MELS president Martin Carrier said on Friday that MELS 4 studio construction will begin « as soon as possible », either in the fall or winter of next year. The studio could host productions as early as spring 2023.

The total investment for the project is $76 million, with the Quebec government contributing a $25 million loan. The project will create 110 jobs, according to the company.

The TVA Group subsidiary’s project will enable it to stand out « even more » internationally, according to Quebecor president and CEO Pierre Karl Péladeau. In the past, MELS Studios has hosted several major productions, including chapters of the X-Men franchise. The next Transformers movie is shooting this summer in Montreal.

Péladeau insisted that local cultural productions would also benefit from the new facility, adding that the studio ensures foreign revenues and to showcase talent and maintain an industry of Quebec producers.

STUDIO SHORTAGE

The film industry is cramped in Montreal.

According to a report published last May by the Bureau du cinéma et de la télévision du Québec (BCTQ), there is a shortage of nearly 400,000 square feet of studio space.

With the addition of MELS 4, which will be 160,000 square feet, the company is filling part of the gap.

Carrier admitted that he has had to turn down contracts because of the lack of space, representing missed opportunities of « tens of millions of dollars, not only for MELS, but also for the Quebec economy. »

« Montreal’s expertise is in high demand, » said Montreal Mayor Valérie Plante, who was present at the announcement.

She said she received great testimonials from « Netflix, Disney, HBO and company » during an economic mission to Los Angeles in 2019.

« What stands out is that they love Montreal because of its expertise, knowledge and beauty. We need more space, like MELS 4, » she said.

There is still not enough capacity in Quebec, acknowledged Minister of Finance, the Economy and Innovation Eric Girard.

« It is certain that the government is concerned about fairness and balance, so if other requests come in, we will study them with the same seriousness as we have studied this one, » he said.

Grandé Studios is the second-largest player in the industry. Last May, the company said it had expansion plans that should begin in 2022. Investissement Québec and Bell are minority shareholders in the company.

For its part, MELS will have 400,000 square feet of production space once MELS 4 is completed. The company employs 450 people in Quebec and offers a range of services including studio and equipment rentals, image and sound postproduction, visual effects and a virtual production platform.

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