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Dr. Butt listens when I point out vital life saving missinformation.
Butt, Peter <peter.butt@usask.ca>
Sept 9, 2016 5:00 PM
Good points.
Dr. P.R.Butt, MD, CCFP,FCFP
Assoc.Prof.,Departmentof FamilyMedicine,
Universityof Saskatchewan,
Saskatoon,SK.
c/o Mental Health& Addictions,
314 DuchessSt.,
Saskatoon,SK. S7K 0R1
Phone:306-655-0452
Fax:306-655-0457
Email:peter.butt@usask.ca
From: James Thompson [mailto:jgary.thompson@mail.utoronto.ca]
Sent: September-09-16 2:27 PM
To: Butt, Peter
Subject: Re: Naloxone training Ontario
Thanks for the info, have seen this before. A little add on from different districts attached. I
thinks it's Denmark starts teaching first aid in grade two and the teaching continues through
high school.
Dr. Gabor Mate started an overdose training in Vancouver early 2000's of which I was part of.
The RCMP tried to stop the program, Dr. Mate taught the RCMP some wisdom "Not only will
these people save OD's but anyone else that suffers any respiratory emergency" program was
allowed to continue.
Final attachment got this email this morning OPA 10:20 am inquiring if I received my certificate
of completion OPA's Take Home Naloxone. Replied Yes I did and voiced my concerns. Looks
like my response may have reached everyone. Too much fun "suffering fools gladly" Have
talked with Tim Nickelbaugh and Johar of ext. 2212 many times over the last few months.
Have a greatweekend
@GaryCPR
OntarioPharmacistAssociationemailsSept.9,2016 What?
From: Butt, Peter<peter.butt@usask.ca>
Sent: September9,2016 1:57 PM
To: JamesThompson
Subject:RE: Naloxone trainingOntario
Here’sthe approachSaskatchewanadoptedfromBCand Alberta. The Save Me posterisalsoa decal
attachedto the inside of the naloxone kit:youcansee itinthe picture inthe Kitposter.
Dr. P.R.Butt, MD, CCFP,FCFP
Assoc.Prof.,Departmentof FamilyMedicine,
Universityof Saskatchewan,
Saskatoon,SK.
c/o Mental Health& Addictions,
314 DuchessSt.,
Saskatoon,SK. S7K 0R1
Phone:306-655-0452
Fax:306-655-0457
Email:peter.butt@usask.ca
ONTARIOTHROWS THESE BARRIER MASKSIN THE GARBAGE
Dr. Butt listenswhenI point out some vital missinginfo from Saskatchewan See above CPA info
From: James Thompson [mailto:jgary.thompson@mail.utoronto.ca]
Sent: September-09-16 11:48 AM
To: Butt, Peter
Subject: Re: Naloxone training Ontario
Thanks for the interesting conversation running into a lot of closed mouthed people in Ontario.
This is the original Ontario Pharmacist Training video Part 3 https://youtu.be/VIOL17ZaOxY
Listen my comments
I put in a complaint College Physicians Surgeons Ontario Aug 11.
OPA's revision Aug 23 https://youtu.be/2BgF2IVu5Lo
CPSO wrote a letter Aug. 31 "After review we have no control over a Doctors Power Point"
Attached photo Dr. Klaiman's office 69 Queen St East Aug 24 She is an opioid replacement
therapy specialist. Note as in original protocol, chest compression's only. Talked with her staff
they know that the protocol is wrong, killing any breathing emergency patient, but say nothing.
Best Wishes
Gary Thompson
“You would think it brutal to withhold from the less capable [ANYONE] the air they need. The
moment you begin discriminating against the less capable, you establish conditions that breed
dissatisfaction and resentment: you invite envy, discord and strife.” Alexander Berkman “Life
of an Anarchist” p.282
From: Butt, Peter<peter.butt@usask.ca>
Sent: September9,2016 12:19 PM
To: JamesThompson
Subject:RE: Naloxone trainingOntario
Thanksfor youremail andcall. I wasn’taware of thiscontroversy. People withawitnessedopioid
overdose descendintorespiratoryfailureandthenprogress,if itisnotreversedorissustained,into
cardiac arrest. CPRwithcompressionsisrecommendedforthe cardiacarrest butif theyare in
respiratoryfailure,evenwithaweakpulse,one shouldoxygenate andreverse the ODwithnaloxone.
That is the standardof care inmostjurisdictions. PerhapswhattheymissedinOntarioisthatmostof
these OD’sare witnessed,orfoundsoonafter,andare not yetcardiac arrests.
You are rightinidentifyingthe wrongresponseto mostpeople inanopioidODstate,andthe harms
causedby unnecessaryCPR. Naloxone isthe evidencebasedintervention. Anyunnecessarydelaytoits
administrationworsensthe prognosis.
Hopefullythe message will getthrough. Someonehasbeenill-advised.
PRB
Dr. P.R.Butt, MD, CCFP,FCFP
Assoc.Prof.,Departmentof FamilyMedicine,
Universityof Saskatchewan,
Saskatoon,SK.
c/o Mental Health& Addictions,
314 DuchessSt.,
Saskatoon,SK. S7K 0R1
Phone:306-655-0452
Fax:306-655-0457
Email:peter.butt@usask.ca
Dr. Butt:
I got your email from this power point 'Opioid Agonist Therapy Conference' As you know
Naloxone is being rescheduled. Ontario College of Pharmacist and Ontario Pharmacist
Association has sent out training literature. Unfortunately they stress chest compression's
only and are very misleading about the need for respiratory assist.
Naloxone program in Ontario started Aug 31, 2011. Ten's of thousands of lay responders have
been taught all the signs of acute respiratory failure. Then trained to give chest compression's
only, majority of harm is happening to non overdoses.
http://journal.cpha.ca/index.php/cjph/article/view/3788
This programs teaching increases drug use and abuse, loss of trust in the medical profession,
addictions counsellors and front line harm reduction workers. Clinicians are making themselves
sick as our hospitals are dealing with an increase of morbidity and mortality to many respiratory
emergency patients and say nothing.
234 Doctors, other health care professionals and myself signed a letter to Ontario's Premier
Wynne and Minister of Health Dr. Eric Hoskins about this life threatening intervention. I was
published in the 2015 AHA & ILCOR guidelines about this practice, found this link.
https://www.linkedin.com/pulse/letter-kathleen-wynne-dr-eric-hoskins-gary-thompson
Please share this info widely, stop needless suffering. Save your own lives.
Best Wishes
Gary Thompson
718-77 Finch Ave East
Toronto ON
M2N 6H8
647-864-6609
Attached OPA's power point 'Take home Naloxone' June and August 2016
https://aliascpr.wordpress.com/2016/09/04/dr-klaiman-take-home-naloxone/

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Dr Butt emails

  • 1. Dr. Butt listens when I point out vital life saving missinformation. Butt, Peter <peter.butt@usask.ca> Sept 9, 2016 5:00 PM Good points. Dr. P.R.Butt, MD, CCFP,FCFP Assoc.Prof.,Departmentof FamilyMedicine, Universityof Saskatchewan, Saskatoon,SK. c/o Mental Health& Addictions, 314 DuchessSt., Saskatoon,SK. S7K 0R1 Phone:306-655-0452 Fax:306-655-0457 Email:peter.butt@usask.ca From: James Thompson [mailto:jgary.thompson@mail.utoronto.ca] Sent: September-09-16 2:27 PM To: Butt, Peter Subject: Re: Naloxone training Ontario Thanks for the info, have seen this before. A little add on from different districts attached. I thinks it's Denmark starts teaching first aid in grade two and the teaching continues through high school. Dr. Gabor Mate started an overdose training in Vancouver early 2000's of which I was part of. The RCMP tried to stop the program, Dr. Mate taught the RCMP some wisdom "Not only will these people save OD's but anyone else that suffers any respiratory emergency" program was allowed to continue. Final attachment got this email this morning OPA 10:20 am inquiring if I received my certificate of completion OPA's Take Home Naloxone. Replied Yes I did and voiced my concerns. Looks like my response may have reached everyone. Too much fun "suffering fools gladly" Have talked with Tim Nickelbaugh and Johar of ext. 2212 many times over the last few months. Have a greatweekend @GaryCPR
  • 3. From: Butt, Peter<peter.butt@usask.ca> Sent: September9,2016 1:57 PM To: JamesThompson Subject:RE: Naloxone trainingOntario
  • 4. Here’sthe approachSaskatchewanadoptedfromBCand Alberta. The Save Me posterisalsoa decal attachedto the inside of the naloxone kit:youcansee itinthe picture inthe Kitposter. Dr. P.R.Butt, MD, CCFP,FCFP Assoc.Prof.,Departmentof FamilyMedicine, Universityof Saskatchewan, Saskatoon,SK. c/o Mental Health& Addictions, 314 DuchessSt., Saskatoon,SK. S7K 0R1 Phone:306-655-0452 Fax:306-655-0457 Email:peter.butt@usask.ca ONTARIOTHROWS THESE BARRIER MASKSIN THE GARBAGE
  • 5. Dr. Butt listenswhenI point out some vital missinginfo from Saskatchewan See above CPA info From: James Thompson [mailto:jgary.thompson@mail.utoronto.ca] Sent: September-09-16 11:48 AM To: Butt, Peter Subject: Re: Naloxone training Ontario Thanks for the interesting conversation running into a lot of closed mouthed people in Ontario. This is the original Ontario Pharmacist Training video Part 3 https://youtu.be/VIOL17ZaOxY Listen my comments I put in a complaint College Physicians Surgeons Ontario Aug 11. OPA's revision Aug 23 https://youtu.be/2BgF2IVu5Lo CPSO wrote a letter Aug. 31 "After review we have no control over a Doctors Power Point"
  • 6. Attached photo Dr. Klaiman's office 69 Queen St East Aug 24 She is an opioid replacement therapy specialist. Note as in original protocol, chest compression's only. Talked with her staff they know that the protocol is wrong, killing any breathing emergency patient, but say nothing. Best Wishes Gary Thompson “You would think it brutal to withhold from the less capable [ANYONE] the air they need. The moment you begin discriminating against the less capable, you establish conditions that breed dissatisfaction and resentment: you invite envy, discord and strife.” Alexander Berkman “Life of an Anarchist” p.282 From: Butt, Peter<peter.butt@usask.ca> Sent: September9,2016 12:19 PM
  • 7. To: JamesThompson Subject:RE: Naloxone trainingOntario Thanksfor youremail andcall. I wasn’taware of thiscontroversy. People withawitnessedopioid overdose descendintorespiratoryfailureandthenprogress,if itisnotreversedorissustained,into cardiac arrest. CPRwithcompressionsisrecommendedforthe cardiacarrest butif theyare in respiratoryfailure,evenwithaweakpulse,one shouldoxygenate andreverse the ODwithnaloxone. That is the standardof care inmostjurisdictions. PerhapswhattheymissedinOntarioisthatmostof these OD’sare witnessed,orfoundsoonafter,andare not yetcardiac arrests. You are rightinidentifyingthe wrongresponseto mostpeople inanopioidODstate,andthe harms causedby unnecessaryCPR. Naloxone isthe evidencebasedintervention. Anyunnecessarydelaytoits administrationworsensthe prognosis. Hopefullythe message will getthrough. Someonehasbeenill-advised. PRB Dr. P.R.Butt, MD, CCFP,FCFP Assoc.Prof.,Departmentof FamilyMedicine, Universityof Saskatchewan, Saskatoon,SK. c/o Mental Health& Addictions, 314 DuchessSt., Saskatoon,SK. S7K 0R1 Phone:306-655-0452 Fax:306-655-0457 Email:peter.butt@usask.ca Dr. Butt: I got your email from this power point 'Opioid Agonist Therapy Conference' As you know Naloxone is being rescheduled. Ontario College of Pharmacist and Ontario Pharmacist Association has sent out training literature. Unfortunately they stress chest compression's only and are very misleading about the need for respiratory assist. Naloxone program in Ontario started Aug 31, 2011. Ten's of thousands of lay responders have been taught all the signs of acute respiratory failure. Then trained to give chest compression's only, majority of harm is happening to non overdoses. http://journal.cpha.ca/index.php/cjph/article/view/3788
  • 8. This programs teaching increases drug use and abuse, loss of trust in the medical profession, addictions counsellors and front line harm reduction workers. Clinicians are making themselves sick as our hospitals are dealing with an increase of morbidity and mortality to many respiratory emergency patients and say nothing. 234 Doctors, other health care professionals and myself signed a letter to Ontario's Premier Wynne and Minister of Health Dr. Eric Hoskins about this life threatening intervention. I was published in the 2015 AHA & ILCOR guidelines about this practice, found this link. https://www.linkedin.com/pulse/letter-kathleen-wynne-dr-eric-hoskins-gary-thompson Please share this info widely, stop needless suffering. Save your own lives. Best Wishes Gary Thompson 718-77 Finch Ave East Toronto ON M2N 6H8 647-864-6609 Attached OPA's power point 'Take home Naloxone' June and August 2016 https://aliascpr.wordpress.com/2016/09/04/dr-klaiman-take-home-naloxone/