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Page SECTION A THE HERALD Wednesday December 1M7 Doctors procedures questioned in appeal hearing Continued Iron page A I to give the patient an opportunity for vaginal birth first About per cent of hla deliveries involve forceps and about half that are mid- forceps deliveries said Dr Ford Asked by his lawyer If he would change his practice Involving forceps deliveries now Dr Ford aid In view of thje criticism hat has been levelled I would certainly lake a very long hard look I would probably be more liberal with 1 would probably use the routo more liberally Dr Ford also said he prefers local anesthetics instead of the common procedures of pudendal block or an epidural block to freeze the lower body because the local anesthetic achieves the desired effect Ford also commonly used to anaesthetize patients because that way mothers can control how much need Mr Ltstwood then began cross- examining the evidence of Ronald Benzie the professor of obstetrics and University of Ottawa and Fords expert witness at the October portion of the hearings Mr questioned Ford on several cases involving mid forceps deliveries In a mid forceps delivery the surgeon assists the mother by using forceps clamped to the baby head and pulling A midforceps delivery means the baby Is not far down the delivery canal The decision on whether or not to use forceps depends on the progress of the delivery in active labor said Dr Ford An initial pull on the babys head indicates whether or not it wilt be a difficult delivery Ford How is your evidence consistent with Benzie when he says there la no place In modern obstetrics for a trial forceps pull Mr asked There is no in consistency Ford replied Asked how he determines where he put the forceps Ford said there are suture lines on the babys head which Indicate where to apply them He said the forceps should be placed to the back sides of the head It can sometimes be difficult to find the suture lines because the position of the head makes It and the patient sometimes develops swelling around the fetal head if she Is In labor for a long tlmeDr Ford said Occassional you arc not able to be per cent sure that he suture lines that you are feeling ire the ones that you relied upon said Ford If you are unsure that the suture lines are not the proper ones then you would not apply the forceps said Ford Dr Ford said any second stage delivery which goes longer go minutes often requires forceps to en the delivery Bui Dr List wood questioned Ford on cases where he applied forceps before he hour was up In one Oct 1966 case the babys spinal column snapped and the baby died as a result of lis injuries said Mr Dr Ford said he used the forceps on he baby because the babys heart rale had dropped from heats per minute to 124 bead In Just over an hour He in id the baby heartbeat should have remained constant so there was an indication the baby was Ford lawyer slams board for tactics The Georgetown hospitals lawyer may be able to use 19 new charts to aid in gynecologist Jock Ford After a lengthy procedural battle Ontario Hospital Appeals Board Chairman Thomas Wood said hospital lawyer Joshua may be able to use Incidents listed in the IB new charts during cross- examination of Ford ana be able to call evidence of criticism of Dr Fords answers He will not however be able to submit he charts to the Board as evidence The IS new charts were sent to Gavin Fords lawyer Dec with the intent of in troducing them as evidence along with the charts already Introduc ed In first round of hearings Oct and Mr lashed out at the hospitals tactics of introducing the new charts saying this is one ele ment In a pattern of unfairness on the part of the hospital for the pur pose of gaining a tactical ad vantage If the new charts are allowed the hearing will be delayed and a delay works In favor of the hospital said Mr MacKenzle Delivery of these charts violates the boards guidelines as well as fundamental principles Mr MacKenzle said It folr for the hospital to come and say we now have 19 charts in addition to the ones we gave you previously Mr Mackenzie quoted a section from the Statutory Powers Pro cedure Act which states when a doc tors competence is at issue all the evidence must be furnished prior to the hearing I find It absolutely inconceivable that the material wasnt Introduced prior to the hearing said Mr Wood Presumably the hospital picked the strongest case and produced Mr Wood said The new charts are an attempt to rebut Mr Mackenzies arguments that the hospital is being selective in pulling only a few charts out of Fords nine years of practice at Georgetown We have none back and pulled charts that show crushed skulls and further broken necks Mr Llstwood said All the new cases charts were brought to Dr Fords attention at sometime Over 120 different charts were reviewed over the years said Mr What the charts introduced In the October hearings show is a pat tern of conduct that goes right back to 1979 when Ford first started at the hospital said Mr Llstwood Some of the cases were brought to Dr Fords attention as early as 1979 and I960 he added Mr MacKenzle said there were other Incidents of unfair procedure by the hospital In the bearings He sent a letter to Mr on Aug Ford to be investigated on misconduct allegations The College of Physicians and The letter states that the Surgeons of Ontario is going to in disciplinary committee has been vesUgate allegations of directed to hear allegations of misconduct by gynecologist misconduct said Dr Jack Ford Fords lawyerGavin MacKenzle Ford was served with a letter the lunch break of the Dec The Dec letter says no formal hearing of the Ontario Hospital Ap- complaints have been received by peals Board in Toronto the college said Mr MacKenzle requesting copies of four charts but Mr MacKenzle said he didnt gel copies or the charts until well after the first iwodavs of he hearings The lawyer also said the hospital didnt make the crucial delivery room records available to him Mr said he was told Mr Lhlwood was unable to give the delivery room records but he could have a statistical analysis of them I all dont have the delivery room record or the statistical analysis based on It said Mr Mackenzie Mr List wood said the delivery room record contains names of of people not relevant to the case It would have been a serious breach of confidentiality he said the Mr said he indicated that was unsatisfactory and was led to believe the delivery room records were forthcoming Mr said he would be helpless to challenge any statistical evidence based on the records now Mr Wood ordered Mr to turn over ihe delivery room records and delete tic mimes of patients who arc not relevant to Ihe hearings Tour of lights annual spectacle for seniors Seniors will bo picked up at ten dif ferent locations throughout Georgetown between 7 and IS p Dec 16 Everyone will meet at the Georgetown where they will board several buses the One and a half to twohour lour After the bus tour is over the seniors will be dropped off at St An drews Church on Mountain view Road where they will be treated to coffee tea and goodies said Mr Over loo senior citizens in Georgetown will be able to gaze at Georgetowns display of Christmas lights this year thanks to the efforts of Ihe local Kinsmen Cmb The annual Tour of Lights on Dec IS will take Georgetowns seniors through a maze of colors as the buses crawl up and down the streets of in search of animated elide displays The Tour of the Lighls averages between 120 and seniors a year said Kinsmen Past President Bruce After a refreshment period MacLean Hit by vandals at Belfountain The weekend of Oct 31 Nov 1 vandals entered the Credit Valley Conservation Authoritys Belfoun tain Conservation Area and remov ed the lb steel gale from the entrance of the cave and tossed It into the Credit River The estimated cost of this damage is 200 Obviously the vandalism on Halloween night wasnt enough The vandals returned the following weekend and used bolt cutters to remove the closed for the season sign and padlock from the main gate and drove what appeared be a truck into the area and onto the grass to tear it apart Winter shutters were also removed from Conservation Area contact the Credit Valley Conservation Authority at 418 or the OPP immediate- GEORGETOWN SPA FITNESS CENTRE everyone will join in to sing Christmas carols The Georgetown Choral Society Is expected lo provide some entertainment for the evening said Mr MacLean All the seniors from Georgetown and the surrounding area are to come out for the free Tour the Lights said Mr Before Ihe buses leave from Georgetown Plain a Kinsmen member will travel through the streets of town picking out best displays and mapping routes with the most lights no one will be disappointed The Tour of the Lights is always a successful event said Mr The turnout says il all Local business supply door prizes and coffee and goodies for the night he said The Kinsmen are encouraging everyone to their Christmas tights up by Dec so Ihcy can be In eluded In Tour of the Pick up points at at Kin Court Sargent Cent en nidi liuildlng Bennett Health Care Centre Creek and the Armstrong Pick up points at p m are at the Legion Hall Moore Park Smoke Shop and Prestons si ore LEARN TO DRIVE THIS WINTER SPECIAL CHRISTMAS PROGRAM 4 Consecutive Days ICIaSHxmi 21 22 23 24 900 to 330 ROAD TEST PRIVATE 8770751 16 Mountainview Rd S Georgetown FOR BRAMPTON OR BRAMALEA CALL OVER 300000 GRADUATES RECOMMEND Now Available HAVE A Downtown Join Santa FOR A Holiday Breakfast SATURDAY DEC 900 S McGibbon Banquet Room S20D Per Person WIN DOWNTOWN DOLLARS Each week tuning December 1 at we will bo giving away Downtown Dollars All you have to do la till out a ballot and drop f I of at any participating store No purchase necessary Ballots available at all participating Downtown Merchants THIS WEEKS WINNERS OF MOO DOWNTOWN DOLLARS Young Drivers of Canada In danger Benzie said the fetal heart rate was fine Are you disagreeing with Benzie Mr Llstwood ask ed If it the heart rate differs from the prior pattern then there is cause for concern Ford replied He also said the mothers blood pressure had increased to 120 or 130 over over Is pretty normal Not in my books its not said Ford The woman had only been In the second stage of labor for minutes and there was no indication that woman a life was in danger Ford admitted In light of what Dr Benzie told us with the fetus which he said was in no danger and a patient not ex hibiting life threatening signs and a second stage of labor of only minutes why did you use asked Mr Llstwood Dr Ford said he had used forceps on delivery of her first baby in 1062 and the second stage of labor had gone on for more than an hour then She required forceps then and I had difficulty applying forceps he said first baby had no physical problems said Ford Asked why Ford hadnt stop ped pulling on forceps In the woman second delivery which took ten minutes Dr Ford replied that the baby was making progress How would you know that the progress t being made at the ex pense of the babys spinal column Mr asked Ford replied baby was coming out in a transverse position said Dr Ford He said he rotated the baby Into an OP occipital posterior position before delivery Thai position is not as favorable for birth an occipital anterior position but it was l he easier way to rotate the baby In this case Ford After furliier crossexamination the hearing adjourned until early yesterday Tuesday COURTMATES Traffic Ticket Specialist Low Cost Representation Free Consultation Worried about Not coal Insurance and loss of dement points A former police officer with years of traffic experience con help 8771556 Toll Good driver Good deal instate in good hands Injurinc Co Cant On AH sills In Company Street 8731643 j J Joyce Rayner I would like to announce to all my clients and friends that is now open for business Im looking forward to serving you now and in the new year V 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