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Quadriplegic Quebec man chooses assisted dying after 4-day ER stay leaves horrific bedsore – CBC.ca

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On a Thursday in January, Normand Meunier arrived at the hospital in Saint-Jérôme, Que., with a respiratory virus. Weeks later, he would emerge with a severe bedsore that would eventually lead him to seek medical assistance in dying (MAID).

Meunier, 66, had been a truck driver before a spinal cord injury in 2022 left his arms and legs paralyzed.

Before being admitted to an intensive care bed for his third respiratory virus in three months this winter, Meunier was stuck on a stretcher in the emergency room for four days.

His partner, Sylvie Brosseau, says without having access to a special mattress, Meunier developed a major pressure sore on his buttocks that eventually worsened to the point where bone and muscle were exposed and visible — making his recovery and prognosis bleak.

“Ninety-five hours on a stretcher, unacceptable,” Brosseau told Radio-Canada in an interview.

“Every time we go to the hospital, it’s my duty to tell them that Normand is quadriplegic and needs an alternating pressure mattress … I don’t understand how this can happen, because a mattress is the most basic thing.”

Brosseau says although she advocated for her partner, she was told the special bed had to be ordered.

Normand Meunier spoke with Radio-Canada the day before his death. He said he preferred putting an end to his physical and psychological suffering by opting for medical assistance in dying. (Ivanoh Demers/CBC)

‘I don’t want to be a burden’: Meunier

Without access to a mattress that shifts pressure points to prevent the formation of bedsores, a patient’s position must be changed frequently, says Jean-Pierre Beauchemin, a retired geriatrician and professor at Université Laval’s faculty of medicine.

“When you’re lying down, always in the same position, there’s hyper-pressure between the bone and the skin,” said Beauchemin.

“A pressure sore can open in less than 24 hours, and then take a very long time to close.”

The buttocks, heels, elbows and knees are particularly vulnerable.

A rotation schedule every two hours is generally necessary for a person confined to bed, according to a Quebec Health Ministry reference sheet.

Meunier had previously suffered other bedsores, notably on his heel, but nothing as disabling as the pressure sore he developed after his hospitalisation in Saint-Jérôme.

Speaking with Radio-Canada the day before his death, Meunier said he preferred putting an end to his physical and psychological suffering by opting for a medically assisted death.

He was told the sore — a gaping hole a few centimetres in diameter — would, at best, take several months to heal, according to the experts they consulted.

According to his partner, he underwent two debridements in one month — a treatment in which dead or infected tissue is scraped from wounds to help them get better.

“I don’t want to be a burden. At any rate, the medical opinions say I won’t be a burden for long; as the old folks say, it’s better to kick the can,” said Meunier.

He died at home on March 29.

Normand Meunier had been paralyzed in his arms and legs since 2022. (Ivanoh Demers/CBC)

‘A case of disbelief,’ says advocate

“That whole story is a crying shame,” said Steven Laperrière, the director general of the Regroupement des activistes pour l’inclusion au Québec (RAPLIQ), which supports people with disabilities.

“It’s really a case of disbelief … What are we doing in order to help disabled persons or sick people to live in dignity prior to dying in dignity?”

He says the health-care institution was “negligent to say the least” and that getting a proper mattress is not like “trying to get a space shuttle into orbit.”

“It’s pretty basic … Nobody will convince me that within a few hours the proper mattress could not have been found,” said Laperrière.

“To me, that’s totally a lack of professionalism,” said Laperrière, who says Meunier “would probably still be alive today” if staff had “been really professional about it.”

Sylvie Brosseau, who had been caring for Meunier for the past two years, says her partner’s experience in the hospital was unacceptable. (Ivanoh Demers/CBC)

145 alternating pressure mattresses available, says health authority

In an email to CBC, management at the local health authority, CISSS des Laurentides, said it is taking Meunier’s case “very seriously.”

“An internal investigation is underway to shed light on the events,” read the statement.

The health authority confirmed it has 450 therapeutic mattresses, including 145 with alternating pressure, in its facilities (including hospitals and long-term care facilities) and that equipment is available if staff request it, according to Radio-Canada.

But adapted mattresses and beds are not found in ERs, says Steve Desjardins, director of nursing at the CISSS des Laurentides.

“An emergency room is not an appropriate place for this type of mattress, because beds aren’t used in an emergency room, they’re stretchers [and] there isn’t really a mattress adapted [to be put on] a stretcher,” said Desjardins.

“An emergency room is a riskier place for a fragile person. That’s why, if necessary, we’re going to work actively to give them access to a bed in an inpatient unit.”

‘Deeply troubling,’ says professor in health law

Trudo Lemmens says this case is “an illustration of problems in our health-care system.”

The Scholl Chair in Health Law and Policy at the University of Toronto says people who are already vulnerable are left feeling like more of a burden in the system.

“Then the system responds by saying: ‘well, you have access to medical assistance and dying,'” said Lemmens.

“Medical assistance in dying is more easily available and on a more regular basis than some of the most basic care.”

He says he is increasingly hearing stories of people who are struggling in the system and turn to MAID.

“It’s deeply troubling,” he says.

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Democrats devastated by Vice-President Kamala Harris’ defeat |

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Supporters of Vice-President Kamala Harris say they are devastated the Democratic party leader lost the United States presidential election. Harris was set to address Democrats at her alma mater Howard University in Washington, D.C. after conceding the race in a phone call with Donald Trump. (Nov. 6, 2024)



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Democrat Elissa Slotkin wins Michigan’s open Senate seat, defeating the GOP’s Mike Rogers

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DETROIT (AP) — Democratic U.S. Rep. Elissa Slotkin has won Michigan’s open U.S. Senate seat, giving Democrats a bittersweet victory in a swing state that also backed Republican President-elect Donald Trump in his successful bid to return to the White House.

Slotkin, a third-term representative, defeated former Republican congressman Mike Rogers. Democrats have held both Senate seats in Michigan for decades, but this year were left without retiring incumbent Sen. Debbie Stabenow.

Michigan’s was among a handful of Senate races Democrats struggled to defend. They lost their U.S. Senate majority despite Slotkin’s narrow win.

The race was incredibly close. Just minutes before it was called for Slotkin, she addressed supporters in Detroit, acknowledging that many voters may have cast their ballots for her while also supporting Trump, who won the state’s electoral votes over Democrat Kamala Harris.

“It’s my responsibility to get things done for Michiganders. No matter who’s in office, just as I did in President Trump’s first term,” said Slotkin. “I’m a problem solver and I will work with anyone who is actually here to work.”

Slotkin’s win provides some solace for Democrats in the state, many of whom entered Election Day with high confidence following sweeping victories in the 2022 midterms. Democrat Gov. Gretchen Whitmer still controls the executive branch and Democrats held onto the Senate, but their state House majority was in peril.

And Republicans also captured a mid-Michigan seat vacated by Slotkin, considered one of the most competitive races in the country.

Slotkin, a former CIA analyst and third-term representative, launched her Senate campaign shortly after Democratic Sen. Debbie Stabenow announced her retirement in early 2023. With a largely uncontested primary, Slotkin built a significant fundraising advantage and poured it into advertising. Her high-profile supporters included former President Barack Obama and Stabenow, who helped her on the campaign trail.

On the Republican side, Rogers faced multiple challengers for the party’s nomination, including former Reps. Justin Amash and Peter Meijer, the latter of whom withdrew before the Aug. 6 primary. Rogers served in the U.S. House from 2001 to 2015 and chaired the House Intelligence Committee.

Trump won Michigan in 2016 by just over 10,000 votes, marking the first time a Republican presidential candidate had secured the state in nearly three decades. This time, he expanded that margin to about 80,000 votes.

Slotkin and other Michigan Democrats focused much of their campaigns on reproductive rights, arguing that Republican opponents would back a national abortion ban, although Rogers said he wouldn’t. How effectively the issue motivated voting in a state where reproductive rights were enshrined in the constitution by Michigan voters in 2022 remained to be seen on Election Day.

About 4 in 10 Michigan voters said the economy and jobs is the top issue facing the country, according to AP VoteCast, a sweeping survey of more than 110,000 voters nationally, including about 3,700 voters in Michigan. About 2 in 10 Michigan voters said immigration is the most pressing issue, and roughly 1 in 10 named abortion.

Slotkin used her funding advantage to establish her narrative early, aiming to connect both with her base and disillusioned Republicans.

“For the Republicans who feel like their party has left them over the last few years, you will always have an open door in my office,” Slotkin said during their only debate.

The Canadian Press. All rights reserved.



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Dodgers star Fernando Valenzuela remembered for having ‘the heart of a lion’ at his funeral

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LOS ANGELES (AP) — Fernando Valenzuela was remembered for “having the heart of a lion” throughout his stellar pitching career with the Los Angeles Dodgers during a funeral highlighting his Catholic faith on Wednesday.

Archbishop José Gomez sprinkled holy water on Valenzuela’s casket and later waved incense over it. Nearby a portrait of a smiling Valenzuela rested against the altar.

“His death came too soon,” the Rev. James Anguiano said in his sermon.

The public Mass at the Cathedral of Our Lady of the Angels in downtown Los Angeles included fans wearing Dodgers gear, some in Valenzuela’s No. 34 jersey. Many held up cell phones to record moments.

Valenzuela died on Oct. 22 at age 63, three days before the Dodgers began their eventual run to the franchise’s eighth World Series championship, beating the New York Yankees in five games last week. No cause of death was given.

“I really think Fernando hoped to witness the Dodgers win the World Series this year but you know he did witness the Dodgers as champions,” Anguiano said. “Fernando had a front-row seat, perfect from heaven.”

“I know like I’m standing here that Fernando is up there, he’s letting us know he’s doing well and he’s celebrating along with the Dodgers in their World Series championship,” said Mike Scioscia, who caught Valenzuela in many of his starts in 1981, including a five-hit shutout on Opening Day.

The Dodgers went on to win the World Series that year, in six games against the Yankees. The Mexican-born Valenzuela is the only player to earn the NL Cy Young Award and Rookie of the Year honors in the same season.

Scioscia, at times speaking in Spanish, eulogized Valenzuela for having “the heart of a lion.”

“He was 20-years-old in 1981 when he was going through Fernandomania and he just kept perspective the whole way,” Scioscia said. “Fernando never got too big for his britches. He was always well-grounded, he knew that he had a talent and he wanted to go out there and do it every time. He always felt he was the best in the world but he never told anybody about it.”

Fernando Valenzuela Jr. gave a tearful eulogy of his papá in Spanish, pausing to wipe his face with a white cloth. Valenzuela’s wife, Linda, and other children Ricardo, Linda and Maria sat in the front row, along with his grandchildren.

“Fernando no longer has to look up nor does he have to look down,” Anguiano said, referring to Valenzuela’s skyward glance during his unusual delivery. “Fernando is alive and present in our hearts and in our lives.”

The nine-member Mariachi Sol de Mexico played and sang throughout the service. It concluded with eight pallbearers ushering his casket covered in white roses to a waiting hearse.

Former Dodgers Orel Hershiser, Ron Cey, Reggie Smith, Jerry Reuss, Manny Mota, Justin Turner, Rick Sutcliffe, Nomar Garciaparra and Jesse Orosco were among the mourners. They were joined by former Dodgers owner Peter O’Malley, current president and CEO Stan Kasten, team COO Bob Wolfe, team general counsel Sam Fernandez and actor Edward James Olmos.

Valenzuela’s colleagues on the team’s Spanish-language broadcasts, Jaime Jarrín who retired in 2022 and, José Mota, were there.

___

AP MLB:

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