An Analyris of the Gonduct of

Dr. X, M.D. (0OOOO)

And
le Gollige des m6decins du Qu6bec

Preparcd For
Dr. R6jean H5beG M.D. Miniotro de la sant6 et des serwices eociaux gouvernamcntdu Qu6bec

Octobro 16th 2O1g

Preamble

DearMinistreHdbert: It du Qu6bec. in the conductof the Colldgedesmddecins I wish to bring to your affentionirregularities professional body. It is also du Qu6becis a self-regulating is recognized that the Colldgedesmddecins statusby virtue of the citizens of Qudbechaving recognizedthat it only enjoys such self-regulating conferredthis specialstatusupon it in recognitionof the benefitsthe medicalprofessionprovidesto requiredto deliverthosebenefits. knowledge societyandthe specialized is not written in stone.[t was not handeddown the peopleandtheir m6decins This relationship between or by the Church.It is an elementin a social contractand, as is true of any such to us by Duplessis, du Qudbecprove at any time shouldthe Colldgedesmddecins socialcontract,is opento renegotiation performingin its assigned role. or incapable of adequately itself to be irresponsible, astheir Ministre de la santdet desservices It is my understanding that you servethe citizensof Qudbec you serveto represent the interests of the citizensof sociaux,and,by virtue of actingin sucha capacity, protect in to secure and their interests to act on their behalf are therefore duly empowered and Qudbec practice. of medical all mattersin the sphere to you is a simple one.But, like all things simple,it grows in complexity The matterI wish to present the more it is examined.I have thereforesubmittedthis brief as a meansto introduce you to the du is being forwardedto the Colldgedesmddecins A copy of this document multiple issues of concern. du comitd de rdvision of to the Secrdtariat Qudbecand will serveas a core elementin my submission the Colldge. I am taking stepsto ensurethis of concernto each citizenof Qu6bec, Sincethesematterraisesissues polity. As I am sureyou is madepublicly availablefor review by any memberofthe Qu6bec document toward each are aware,Qudbechasa long and proud tradition of socialsolidarity.It is this generosity while at the sametime acting of Qudbec other that hasdoneso much to forge the distinctivecharacter Anglo-Americaninfluenceprevalentin the rest to the overbearing to leavenand give humanebalance and love of And I write thesewords as a "mauditsAnglais," one with a deepappreciation of Canada. both Qudbec and Canada.

AnalysisColldge desm6decins du Qubec

F.J. Fuller

Introduction

Eachissueis dealtwith individually and a of concern. a numberof issues addresses This document overview. the pointsof concerninto a comprehensive to integrate final summaryseeks the actionsof the Colldgedesmddecins SectionI concerns is divided into threesections. The document the actionsof Dr X M.D. (00000)andthe positiontakenby the Colldge SectionII concerns du Qu6bec. from a macro the sameissues of his actions.SectionIII examines in respect du Qudbec desm6decins of in the absence of potential the impact on citizens perspective and evaluates them for their Qudbec any interventionand remedy. I apologizefor beingunableto providethis text in a Frenchversion.Due to my injury I havesignificant problems with word finding in Englishandthis problemis multiplied severalfold when it comesto ofthe 20th of October hasprovidedme with a deadline du Qudbec French.The Colldgedesmddecins evenif I devote to meetthat deadline capacityto write, I will be hardpressed and,given my reduced I am survivingon fast depletingretirement sevenday weeks and12hour daysto the task.At present and cannotafford the work of a translator. savings

du Qudbec desm6decins AnalysisColldge

II

F. J. Fuller

Section I

LI In their letterto me of 20th September 2013the Colldge desmddecins du Qu6bec states "your decision is a dfficult one,following a road accidentfor which the SAAQhas refusedto pay an indemnily. If you wish to contestthis decision you mustusethe recourse ovailable for thispurpose." 1.2 SAAQ hasyet to issuea final decisionin respect of my case. They arebeingpatientand forbearing.I was injuredon March 6th20ll and suffereda brain injury. This was not recognized by me until early in2012, andwas not diagnosed until August 2012.As evidence of an openfile with SAAQ please view Exhibit D, a letterfromAnnie Bureau of SAAQ dated Qudbec, le 3 octobre 2013. 1.3 Threemedicalprofessionals, two M.D.sanda registered clinicalpsychologist, havefoundthat I sufferfrom brain traumaconsequent upon a motor vehicleaccident. The natureof the injury itself confirmsa motor vehicleaccidentasthe cause. The injury is the resultof experiencing violent rotationaltorque,andthe acceleration and deceleration of the brain mass,forcestypically encountered only in the contextof an automotive accident. 1.4 In paragraph 5 of its lefferof 20trSeptember 2013,theColldgedesmddecins du Qudbecstates "youcannothopeto irwolvein thisprocesso specialistwho actsas o consultant at the request of your physicion." attending 1.5 This statement by the Colldge desm6decins is in directvariance du Qudbec with the facts.

1.6 SinceI live in Qudbec I haveno access to a family physician. I havebeenwait listedfor a family physicianon the Qudbec sant6 healthsite sincea datein March 2012.Lhavebeenon this wait list for over 20 months. 1.7 On March 29d" 2012I went to a walk in clinic and sawa Dr. RobertLatimer M.D.. Dr Latimer orderedblood work andthesetestresultsprovednegative(seeExhibit C, Item 4). Dr Latimer advisedI shouldundergofurthertesting.Dr Latimerprovidedme with a referralslip (seeExhibit C, Item 1l) and told me to present this to any hospitalin Gatineau. I did as directedandwent to the main receptiondesk of the H6pital de Hull. The receptionist notedthat it was in reference to an MVA and shereferredme to the CLIhI'IC REDACTED. I later (seeEndnote#1) presented the samereferralto the receptionist at the CLINIC REDACTED. Sheadvisedme of a wait time of oneyear'sduration. 1.8 I playedno part whatsoever in the selection of Dr. X. Dr Latimermadeno request of Dr. X. My only actionwas to seekfurthermedicalattentionas directedby the attending physician,Dr. Latimer. The Colldgedesmddecins du Qudbec now seeks to erecta concoction that serves to excuse the behaviourof Dr. X by blamingthe entirematteron the victim's stupidityin attempting to access health carein the provinceof Qudbec.

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04 2013from the Colldgedes 1.9 I bring the attentionof the Ministre to a letterof September to be to the accidentandthis atrophyappears mddecins I sufferedatrophysubsequent du Qudbec. progressing to include"flutters" in the areaof my left cheek,in the musclemasson my left thigh, a of constrictionin breathing.I growing weakness in my left arm and shoulder, and an intermittentsense physician Dr. Hulley has mademultiple in Qudbec, and havebeenwaiting 20 monthsfor a to the Colldge attempts to refermy caseto brain traumaclinics in Montreal.I appealed unsuccessful Doctor (see for their assistance in obtaininginformationon an appropriate desmddecins du Qudbec in ExhibitB Item 2. du Qudbec readthe response of the Colldge desmdecins Exhibit H). Please this issueto ensure that thereis no confusionon the part of le Ministre. 1.10 I wish to recapitulate me as "youcannot desmddecins du Qudbec castigates l.l I In their defense of Dr. X the Colldge process at the request of your attending who acts as a consultant hope to irwolve in this a specialist physician." medicalattentionfor an injury sufferedin an My "process" was the simpleact of seeking l.l2 in Nothing more. automotive accident Qudbec. who might treatthis du Qubec seeking a physician l.l3 WhenI write to the Colldge desmddecins injury I receivethe haughtyreply that they do not makereferrals. makenoteof the fact that in Qudbec the patient "connothope" to l.l4 May the Ministre please obtainmedicalcareas he is in dangerof beingsentto the wrong party.And when that samepatient party thenhe is informedthat this informationcannotbe seeks to obtaininformationon an appropriate provided(seeEndnote #2).T}lre Ministre may wish to explainthis strange stateof affairsto the citizens by which they areto obtainmedicalcare. of Qudbec andadvisethe citizenson the correctprocess in Dr. X, the Colldge desmddecins du Qudbec states 1.15 In rebutting my complaint against paragraph 20th 2013that: "Medico-legalmedicineis a field of its own. 5 of their letterof September mandates of this kind." (see Youmustconsulta physicionlmownfor this expertise sndwho occepts ExhibitB Item 3). mightbe.I haveneverheard of this discipline. l.l6 I do not know whatmedico-legal medicine (see no Exhibit F Item l). Wikipediacontains relevantentriesapart Googledeliversno relevantresults Doctor,if "afier eliciting history from noting (seeExhibit F Item 2) that it hasto do with the attending is essential.Or a legal and examiningthepatient, thinks that someinvestigationby lav, enforcement whenbroughtby thepolicefor examination." caserequiring medicalexpertise maintains an entryon is a branch of law.Wikipedia l.l7 Wikipediaalsostates thatMedico-legal "Medicaljurisprudence, or legal medicineas the branch of scienceand medicineiwolving the study and in thefield to legalproblemssuchas inquests and applicationof scientificand medicalknowledge paternity requirea medicalpractitioner to casesinvolvingdeath,rape, of law." and also "medicoJegol produceevidence and appeoras on expertwitness. " (seeExhibit F Item 3). I am not yet dead,haveno termsby the healthsystemin over my patemity,andhaveonly beenrapedin metaphorical concerns provide shred of evidence to support I des m6decins du to a challenge the Colldge Qubec Qudbec. physician in in by a Ontario and I I soughtmedicalaffention Qudbec as directed their contention. provided followedthe guidance to me. Analysisof CdmQ Page2of 14Pages F. J. Fuller

that providestraining identif one facility in the Provinceof Quebec I .I 8 I askthe Ministre to please therearenone. medicine. To the bestof my knowledge in medico-legal du Qubec desm6decins 2013,the Colldge 7 of their letterof 20th September I .19 In paragraph to hove seems states that Dr. X's "assessment followed the currentntles." Employmentof the word The Colldge conductstrikesme as peculiarin the extreme. as a qualificationof professional "seems" of a to imply that Dr. X doesnot fully meetthe requirements appears desm6decins du Qu6bec requirements. gives those impression of meeting physician he the in Qudbec, only that thepara-clinical examinations.. . " A close that Dr.X "prescribed 7 further states 1.20 Paragraph that the para-clinicalexaminations readingof Dr. X's clinical recordwill showthat he did not prescribe he para-clincal did examinations will show that the Further review were necessary. he himself indicated prescribe were inappropriate to the injury and areknown within the medicalcommunifyto be unableto value.This issueis the crux of my complaintagainstDr. renderdiagnosticimageryof any evidentiary The Colldgedes du Qu6bec. desm6decins by the Colldge hasnot beenaddressed X. This issue in to reinforcethe my complaint order major element of have the mddecins du Qudbec sidestepped practising health requirements of a to meetthe professional thatDr.X "seems" "appearance" II. professional. will be dealtwith morefully in Section These maffers morethan of something aredeserving | .21 I suggest to the Ministre that the citizensof Qudbec practice. guidelines I believethe of of and standards medicalcarethat "seems" to meetprofessional elsein the of healthcareequalto that availableanywhere are entitledto a standard citizensof Qudbec they du Qudbec of the Colldgedesmddecins of the regulatorypractices world. Given theseexamples receive such care. will not that du Qudbecstates the Colldgedesmddecins 1.22 In paragraph 8 of their letterof 206 Septembre, the you presented." First, Dr. X did not address X was unable"to offer an explanationforthesymptoms them as being "alleged"signsand symptoms. He simply dismissed full rangeof signsand symptoms. my complaintagainstDr X Second, In doing so he finds fault with the work of threeotherphysicians. is that he ordered testswhich areknown not to imagemy form of injury and,havingobtainednegative pronouncement of the the resultsandmakesinaccurate resultsfrom thosetests,he thenmisinterprets II will address this issuein detail. he hasobtained. Section evidence 9 in 1.23 As the final item in SectionI, I wish to draw the attentionof the Ministre to paragraph du Qudbec states:"we cannotobjectivelydiscernany ethical breach which the Colldgedesm6decins on Dr. Xs part." the practice of a physician condones desmddecins du Qudbec 1.24 By this statement the Colldge the resultsof thosetests. testsandthenmisinterprets who ordersinappropriate du to the Colldgedesm6decins of the Ministreto my originalsubmission 1.25 I drawthe attention (included violations of the Codeof Ethicsof l3 separate asExhibitA) which indicated Qu6bec c. C-26,s. 87),promulgated Code(R.S.Q., MedicalAct (R.S.Q., c. M-9, s. 3), Professional Physicians, Clause 6, Clause 5 (two instances), to wit: Clause 3, Clause du Qudbec, by the Colldge desmddecins 47. (two 42, 46, Clause 29, Clause Clause instances), Clause 25 11,Clause12,Clause18,Clause

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from the Colldge desmddecins du 1.26 I request theMinistreto reviewthe letterof 20th Septembre identiff the response thirteen violations. It andplease of the Colldge to a singleoneof these Qudbec They simply disregard the the Colldgehasfound away to maketheir problemsdisappear. "seems" in regard issue.The Ministre is believedto be a rationalman.He is invitedto draw his own conclusions du Qudbec anddetermine if this mannerof to the proprietyof the conductof Colldgedesmddecins regulationremainsappropriate to ensure the healthneedsof the populationof Qudbec are adequately protected.

Section ll

2.1 On JunelOth2013,I requested Dr. X to provideme with a full copyof my medicalfile. The documents which compose this file arecontained in ExhibitC Item I throughItem 18.This section is providedby thesedocuments. based on the evidence 2.2 On the first pageof Exhibit C Item 1, Dr X makesthe notification: "N.8. : Todayis not a (sic)." medico-legal expertise 2.3 Dr X was not askedfor his medico-legal expertise at anytime. I soughtonly medicaltreatment as advisedby Dr. Latimer.But, if it may pleasele Ministre, I know of no onewho goesto an avocatin orderto havetheir tonsilsor triglycerides checked. In the samevein I doubt any citizenof Qudbec will request a physicianto performthe work requiredto assume a hypothdque. 2.4 By virtue of the statement recorded in his clinical recordit is clearDr X is offering someform He did not provideme with any noticethat he was of conditional medicalservice to me,his patient. to offering conditionalmedicalservice.I was not given any opportunityto provideinformedconsent l1 the conditionaltreatment offeredup by Dr X. This constitutes a breechof Clause of the Colldgedes mddecins du Qudbec, Codeof Ethicsof Physicians, MedicalAct (R.S.Q., c. M-9, s. 3), Professional Code(R.S.Q., c. C-26,s. 87),(hereafter by the Colldge desmddecins du "TheCode")promulgated physician practice profession A must, his liability to wit: in the of assume full civil at all times. Qudbec patient person He may not attemptto eludeor attemptto eludeliabiliry nor request renounce that a or any recourse takenin a case negligence s. I l.] of professional on his part."[O.C. 1213-2002, 2.5 By his own hand,in his own clinicalnotes, Dr X seeks liability by excusing his actions to evade He was neveraskedto providemedicoon the basisthat he is not providingmedico-legal expertise. (I am unableto askfor medico-legal legal expertise adviceas,to this day,I haveno ideawhat it might be). 2.6 If Dr. X did not wish to involve himself in providinghealthcarethen he shouldhavemadethis plain at the outsetand I would havesoughtneeded Dr. X did not do this. It is only attentionelsewhere. now that a complaintin regardto Dr. X's conductis raisedthat he claimsthat he doesnot involve Analysisof CdmQ Page 4 of 14Pages F. J. Fuller

to provide medicine" whenhe was at no time,andin no way,requested himselfin "medico-legal is meantby this ambiguous andnoveldiscipline. whatever I thereforeassert that Dr X, by virtue of his failureto provideany opportunityfor informed 2.7 of CodeClause5 of his patientactedin contravention consent with regardto his conditionaltreatment integrity,and his professional obligationswith competence, "A physicianmustdischarge which states: loyalty." s.5.] [o.c. l2l3-2002, Dr. X stands in service, of his conditional It is asserted thatby failingto notifu his patient 2.8 for integrity in his professional conduct. breechof the requirement 2.9 I directthe attentionof the Ministre to the fact that Dr. X hasinventeda novel medical his his actions, excusing for the solepurpose of exonerating labelled discipline "medico-legal" professional incompetence, andescaping civil liability. joined in this effortby the Colldge who, by supporting du Qudbec desmddecins 2.10 Dr X hasbeen get-out-of-jail-free clause, fail to acknowledge andhonourtheir own codeof Dr X's self-issued to enforcein orderto protectthe professional codethey are charged ethics,the exactprofessional welfareof the citizensof Qudbec. and I draw the attentionof the Minster of Healthto the fact that this bogusmedicalspeciality, 2.ll du Qubecin by the Colldgedesm6decins havebeenaccepted andreferenced its vacuous character, to excuse the 20th 2013andhasbeenusedby the Colldgeas a means their letterto me of Septembre of Dr X. unprofessional behaviour 2.12 May it please the Ministerof Healthto remindhim thatwithin the legaljurisdictionof Qudbec any citizenmay be calledto testiff as a witnessin a court of law. Socialstationandprofessional to this provisionofthe law. May I funher remindthe Minster of affiliation provideno exemption in a court of law and its may be introduced as evidence Healththat any signedand dateddocument probativevalue established underexamination by the court. of the fact he 2J3 Irregardless of what notesDr. X secretlyentersin his clinical record,irregardless of medicaldiscipline,irregardless on a non-existent, andunrecognized, bases his claim for exemption it du Qu6bec, in this evasiveendeavour by the Colldgedesm6decins the fact that he is supported remainsthe fact that Dr. X may be calledto answerfor his actionsin a court of law and the Colldgedes failure to exert an may alsobe calledandheld to accountfor their compounding mddecins du Qu6bec as,by virtue of its own of their profession level of regulatorycontrol over the members appropriate itselfjointly and severallyliable hasrendered the Colldgedesmddecins du Qudbec written statements, indiscretions of Dr. X. for the professional du Qudbec may facefurther legal sanctionfor 2.14 Furtherto the above,the Colldgedesmddecins as codeof ethicspromulgated recognize,andenforce, the professional their failure to acknowledge, law by the NationalAssemblyof Qudbec. for his asan excuse of a novelmedical discipline 2.15 Throughthe introduction andcreation professional in violation of CodeClauseI I which states: "A physicianmust, in conductDr. X stands to full civil liability at all times.He may not eludeor attempt of his profession, assume the practice Analysisof CdmQ
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takenin a caseofprofessional any recourse that a patientor personrenounce eludeliability, nor request may 2 which states: "A physician Code Clause l.] of s. I and 1213-2002, on his part."[O.C. negligence 1213this Code." in contained from a duty or obligation [O.C. himself,evenindirectly, not exempt s.2.1 2002, 20th pay closeattentionto the fact that in their letterto me of September 2.16 May le Ministre please his evade to join in his attempt him du Qudbec with Dr. X andsupport 2013the Colldgedesmddecins medicaldiscipline. of a non-existent andpromotion the acceptance through professional responsibilities May the Ministreplease by all parties. thatthis issueis clearlyunderstood 2.17 I wish to ensure me for battreun chevalmort. excuse du by theColldgedesm6decins by Dr. X, andfully supported 2.18 Whatis herebeingproposed profession are medical the of members in which one system, court is someform of altemate Qudbec, professional That a legat liability. from an exemption grantedthe freedomto providethemselves would makesucha claim is both disconcerting iegulatorybody operatingin thejurisdiction of Qudbec and extremelypeculiar. you and then to to libel and slander 2.lg May it pleasele Ministre, it is my intentionin this document and le Montreal, Le Journalde materialin Le Devoir, La Presse, seekpublicationof suchdefamatory to the effectthat my writings lack Soleil.To protectmyself from legalliability, I shall entera phrase j ournalisto-legal expertise. redress, myself from any legalsanction, I shallhaveprotected 2.20 By virhre of enteringthis phrase my to le Ministre that it is not in his interests, that you may seekto impose.I suggest or remedy, be du mdecins des the Colldge that of any citizenof interests Qudbec nor in the interests, Qudbec, jurisdiction' permittedto erectits own altematelegal du of le Ministreto theJuly l5th letterfrom the Colldgedesmdecins 2.21 I now directthe attention the fall within do not compensations you financial that inform must 4 states Paragraph "we Qu6bec. to the civil courts." but belongexclusively of the Colldge competence du in the positiontakenby the Colldgedesmddecins 2.22 I notethat thereis a direct contradiction inquire please Ministre to le may 20th2013.It and September l5th letters of July their between Qudbec theirpositionon the liability of their how theycameto change du Qudbec of the Colldgedesm6decins de langue.It hasprofound underthe law. This is not a minor mistake,not a lapsus members implications. the Exhibit C Item 1 page2,Dr.X makes to othermaffers.In 2.23 Let us now turn our attention statement: "dfficult toiustifu the wholepicture by theMYA." here.On pageI of this same le Ministre to notethe sleightof handin operation 2.24 May it please Let us makethe presumption expertise. has no "medico-legal" the claim that he Dr. X enters document expertise to say is that he lacksthe type of forensicknowledgeand engineering that what Dr. X seeks On page2 of and effect in a motor vehicleaccident. cause anddetermine requiredto properly analyze the fact of his prior claim to the lack of any professional Dr. X completelyignores the samedocument opinion that the his unsupported proceeds to pronounce blithely and in thesesubjectareas expertise Analysisof CdmQ
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are notjustified by the MVA: "dfficult tojustify the wholepicture patientsconstellation of symptoms Dr. by theMVA." By this statement X actsto excludethe MVA as a sourceof the patients to makeany such his lack of competence andhe doesso preciselywhen he hasdeclared symptomology of the facts. interpretation Dr. X hasviolatedClause25 of the Colldgedes statements 2.25 In makingthesecontradictory to wit: "A physicianmustnot interferein the Codeof Ethicsof Physicians mddecins du Qudbec, to the field of health."[O.C. l2l3-2002, s.25.f unrelated personal affairsof his patientin matters Clause25.He haspronounced Dr. X hasexplicitly contravened 2.26 In makingthesetwo statements that serves has a statement entered on a matterwhich is not relevantto the practiceof medicineandhe of my injuries. of March 6th2013as a cause to excludethe motor vehicleaccident of the coreHippocraticoathwhich is a direct contravention 2.27 I notethat Dr. X's actionconstitutes of the physician doesnot haveunderstanding to do no harmtowardthe patient.In otherwords,if the on the matteruntil there courseof actionis to withhold pronouncing matterat handthen the appropriate pronouncement. Stated andresponsible availableon which to basean accurate evidence is conclusive patient. a profession no harm to to do medical paramount interest of the simply, it is the Codeof Ethicsof du Qu6bec, desmdecins 3 of the Colldge 2.28 This principleis codifiedin Clause paramount duty is to protectandpromotethe healthandwellPhysicians which states: "A physicians s.3.1 he attends to, both individuallyandcollectively." beingof the persons lO.C. 1213-2002, by any professional unsupported statement, 2.29 By virtue of his admittedlyunsubstantiated may be usedby SAAQ to me further injury in that his statement Dr. X hascaused whatsoever, expertise to me. This causes available form of benefit other provision or any rehabilitation support of evadethe work. my retum to me direct harm,prolongsthe periodof my injury, and delays with Dr. X in his clinic did not extendpast20 mins.The majority of this time 2.30 My interaction detailsof height, by Dr X in which he gathered was devotedto the conductof a physicalexamination more than 30 not in a block of time collected were weight, etc.The detailsof the March 6th accident on the limited amount based seconds or at most oneminute in duration.Dr. X madehis pronouncement that he has I providedto him duringthat brief intervaland it is on this brief interaction of evidence his comment. based Codeof Ethics du Qu6bec, desmddecins 6 of the Colldge a violationof Clause 2.31 This constitutes with scientific his professionin accordance mustpractice which states: of Physicians "A physician s. 6.f principles." l2l3-2002, [O.C. to explainhow a review of accident du Qudbec, 2.32 I defy Dr. X, or the Colldgedesmddecins of factualbasisfor the physician to provideany degree detailsof lessthan oneminutesdurationserves factorsassociated in regardto the physicsandbio-mechanical to makeany form of pronouncement of March 6th20ll. with the accident Coast with both the Canadian 2.33 I havespenta total of fourteenyearsin accidentinvestigation and a wide rangeof accidents Guardand in the EastCoastoffshoreoil industry.I haveinvestigated I of the incident. record law as the official probative in a court of value written final reportswhich hold Analysis of CdmQ PageTof 14Pages F. J. Fuller

in regardto the deathof any haveservedas a witnessto police forceswho mustgatherevidence with no of a few scantseconds causalityin the space person. I lack Dr X's ability to determine to any hardfactualdataofany kind. reference to SAAQ I haveprovidedthemwith factualdatacoveringeverythingfrom 2.34 In my submissions of friction, relativeweightsof bullet andtarget,coefftcients conditions,impactspeeds, meteorological me at the physical acting upon forces of the the anda description of stoppingdistance, calculations and tables, diagrams, 100pagesof text and supporting momentof impact.In sumtotal this exceeds it. He madeno photographs. I would gladly haveprovidedthis informationto Dr. X hadhe requested ofthe factorsofthe accidentof to a detailedaccounting ofany access In the absence suchrequest. lacksany scientificevidentialfactualbasis. March 6th 2011Dr. X's pronouncement Codeof du Qu6bec, desmdecins 5 of theColldge of le Minstreto Clause 2.35 I drawthe attention with obligations his professional mustdischarge which states: "a physician Ethicsof Physicians Dr. X has s. 5.] By his virtue of his own statement integrity,and loyalty.'[O.C. 1213-2002, competence, of a lack Dr. X now demonstrates matters. in regardto medico-legal his incompetence declared of his clinical record.In so the two elements the conflict between integrity in failing to acknowledge doing Dr. X hasprovedhimselfdisloyalto his patient.WereI to haveknown Dr. X would seekto make matterswell outside relationship, pronouncement on mattersoutsideof the normalpatient-physician graphs, andphotographs tables, thenI would havemadeall of my exhibits, of medicine, the discipline solely in the practice he was a physicianengaged availableto him. I did not takethis stepas I assumed of medicine. 25 of the Colldge conflictwith Clause a second actionon the partof Dr. X creates 2.36 This same which states: "A physicianmustnot interferein Codeof Ethicsof Physicians desm{decinsdu Qubec, s. to the field of medicine."[O.C. 1213-2002, unrelated affairsof his patientin matters the personal

25.1
of any resultsbeingobtained theseopinionsin advance 2.37 It is furthernotedthat Dr. X rendered thenhe proceeds testing.Dr. X first proclaimsthat he lacksall expertise, from any form of para-clinical he takes this action and no expertise, which he claims precisely for the area pronouncement in to make in an opinion Rendering an para-clinical testing. from any form of of obtainingevidence in advance of any factsderivedfrom testingis a furtherviolation of areaoutsideof his disciplinein advance which states: "A Codeof Ethicsof Physicians du Qudbec, desmddecins 6 of the Colldge Clause s.6.) principles." 1213-2002, with scientific in accordance his profession physician mustpractise [O.C. the followingpara-clinical to haveperformed thathe seeks 2.38 In his clinicalrecordDr X indicates The was neverperformed, tests:MRI, EEG andEMG. Ofthis suiteof teststhe electromyography was requested EEG as it a sleep deprived nor was recording, not an ictal was electroencephalography imagingis irrelevantto my by Dr Hulley (seeExhibit G, Items I and2), andthe magneticresonance by exclusion. injury exceptfor its role in diagnosis

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of will be aghast at my entry into their preserve du Qu6bec 2.39 I am surethe Colldgedesmddecins grants license which to field of study a first love remains epistemology, But my knowledge specialized pronounce matters to on of any knowledgedomain.If Dr. X haslicense examinein detail everyaspect not to extendsimilar licenseto myself.It is, after all, my I seeno reason in which he hasno expertise, of the Colldgedes body and it shouldbe clearat this point that I cannotrely on the actionsof members m6decins du Qudbec to protectit. of MRI to my in regardto the irrelevance 2.40 Shouldle Ministre wish to confirm my statement Rousseau, Marc-Etienne injury he may wish to consultwith any of the following: ClaudeLepage, with the MontrealNeurologicalInstitute LindsayB. Lewis, andAlan C. Evans.All areassociated of a recentpaperpublishedin Science All are co-authors (MNI), McGill University,Montreal,Canada. to will be ableto attest 21, June2013,Vol. 340 no. 6139pp 1472-l475.Anyoneof theseindividuals of less of resolvingany neurologicstructure the fact that the form of MRI utilized by Dr. X is incapable that I mm in dimensionandthat a:ronalinjury is well belowthis I mm thresholdandtypically requires imageryorderedby Dr X is ten ordersof resolutionin the 20 to 30 micron range.The diagnostic magnitude belowthe requiredresolutionthreshold. of the Colldgedes clearto the members this so that it may be madeabundantly 2.41 To phrase medical the MRI ordered science, knowledge of contemporary who appear to lack m6decins du Qudbec of resolvingaxonalinjury of the type likely sufferedby me on March 6th 2011. by Dr. X is incapable arejointly in breech du Qu6bec By failing to understand this fact Dr. X, andthe Colldgedesmddecins which states: "A Codeof Ethicsof Physicians du Qudbec, desm6decins of Clause15of the Colldge by sharinghis of the profession physicianmust,as far ashe is able,contributeto the development and by his andmedicalstudents, with residents notablywith his colleagues, knowledgeand experience, trainingandevaluation." of continuing participation in activities, courses, andperiods [O.C. l2l32002, s. l5.l 44 of of Clause du Qudbec, arealsojointly in breech desmddecins 2.42 Both Dr. X, andthe Colldge which states: "A physicianmust Codeof Ethicsof Physicians du Qu6bec, the Colldgedesmddecins to this end,he currentmedicalstandards; practisehis profession in accordance with the highestpossible l2l3-2002, s. up to date." particular, perfect his knowledge and skills and keep must,in develop, [O.C. 44.1 2.8 of 2.1 throughto paragraph in paragraphs 2.43 The etiologyofmy injury is succinctlydescribed Note # 3). End mddecins du to the Colldge des initial submission ExhibitA, the Qu6bec(see imageryuntil I was informedof this fact 2.45 I was unaware of this limitation on MRI diagnostic I did by Dr. T. TaylorBA(Kin), MSc, M.D., CCFP. 2013assessment conducted duringanApril 1Oth machine, big that the big me as I was certain Taylor to want what Dr. communicated not to believe diagnosis. testingordered by Dr. X would identifr my injuriesand permit accurate money,big science that Dr. Taylor'sunwelcome anddiscovered an Internetsearch homeI commenced WhenI returned who practicein this field. well known to all persons medicalscience newsis accepted of Clause47 that he is in contravention 2.46 That this knowledgeis not known by Dr. X is evidence must which states: Codeof Ethicsof Physicians du Qu6bec, "A physician of the Colldge desm6decins procedures or contraryto the currentinformationin or actswhich areunsuitable avoid omissions, s. 47.] medical science." [O.C.l213-2002, Analysisof CdmQ Page9 of 14Pages F. J. Fuller

to ensure that he remainscurrent of the mddecin 2.47 I noteto le ministrethat it is the responsibility eitherthe m6decin, of the patientto be forcedto educate It is not the responsibility in medicalscience. issues. these du Qudbec, on or the Colldgedesmddecins it is likely that he is familiarwith the principleof 2.48 As le ministrehasbeentrainedasa physician areperformed. This is the way mostdiagnostics "Diagnosisby Exclusion"Qterexclusionem). constellations of for my "alleged" explanation 2.49 In the opinionof Dr X thereis no neurological syndrome, Schwannoma, In rendering this opinionDr X hasruled out Heerfordt's symptoms. Systemiclupuserythematosus, Ldfgren slmdrome, Neurosarcoidosis, Bell's palsy,Diabeticneuropathy, hemorrhagic stroke.The only ischemic and fatigue, brain tumour, ALS, Neurological Sarcoidosis, neurologicconditionthat Dr X is unableto rule out is the onethat is not opento detectionby the paranamelyDAI. clinicaltesting thathe employed in ExhibitE he will find no "alleged" the images le ministre to examine 2.50 If it may please to completely a setof threesignsthat Dr X haschosen Le ministrewill instead encounter symptoms. of my injury. ignorein his trivialization anddismissal afterthe accident. and lesionsthat commenced 2.51 The top of the framecontainsimagesof pustules pan. Dr Hulley has I at first believedtheseto be bumsresultingfrom contactwith a castiron fry to be correct.When I identifiedtheseasbeingdueto a salicytesensitivityand I believeher diagnosis go into remission. Re-introduce from my diet the lesionsandpustules removesalicyticelements challenge). immediatelyretum (provocative andthe lesionsandpustules salicylates, eveninadvertently, he will be ableto confirmthat in my 12 year hasaccess to my healthrecords 2.52 Sincele minstre to March 06th any medicalservices until subsequent in Qudbec I havenot soughtor obtained residency to be a burdenon the system. 20ll at which time I commenced salicylatesensitivityat any time prior to March 6th 20ll I would have 2.53 If I had experienced soughtmedicalattentionfor this condition.I did not seekany suchmedicalattention.Salicylate with brain trauma(I noteaswellthat I exhibitedsignsof to be associated sensitivityis understood I signsarenow in remission. followingMarch6th 201l. These in themonthsimmediately acidosis cause of my is the resultof hydrogenion perfusionandthat the suspect further notethat acidosis to the more is DAI. DAI is a form of chemicaltrauma[asopposed constellation of signsand symptoms of and decelerations with violent rotationalaccelerations trauma]and is associated commonmechanical it is in and body chemistry manifests due to changes brain As salicylatesensitivity the brain mass. in brain andbody reasonable to associate its onsetwith DAI which actsto introducechanges of "no by Dr X in his diagnosis disregarded The pustules andlesions area signcompletely chemistry). neurologicalexplonationforthe extentof the allegedsymptoms." by Dr X. On the left of the frame anothersign disregarded 2.54 The lower half of the framepresents by an HP Canada security you will observe cardcreated a portion of a photographic securityaccess to our team'srelocation in late October2010preparatory cardwas created officer.This securityaccess to a new HP facility in Kanataon, or around,the first of November2010.

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of by an agentof the gouvernment an imagecreated 2.55 On the right of the frameyou will observe more days 30 or Sincemy driver'slicenceis valid from June26 2012,and sincean estimated Qudbec. processing, licensecardcreationand lamination,and mailing to my arerequiredfor document residence, I estimate that this imagewas takenon a dateprior to May 26 2012,i.e. within two months doesnot demonstrate evidence I suggest to le ministrethat this photographic of the dateof the accident. " "alleged a sign, that sign being evidence of symptoms. Rather,it is a conclusive one of Dr X's The fact of this secondsign remains to the accident. subsequent significantatrophyof facial features diagnosis. andunaddressed by Dr X's dismissive unexplained le minsitrehasoverlookedit completely beforeyou but I suspect 2.56 The third sign is immediately you haveunderreview beforeyou. so let me makeit obvious.The third sign is the document When I worked for 2.57 I haveneverwritten a document of this type or quality beforethe accident. many analytic production. in industry I wrote Beforethat, the oil in document Lavalin I engaged They were functional papers. But thesewere dull andploddingefforts,blasdandneutralin the extreme. and human environmental, bureaucratic arguments devotedprimarily to marinesafety,engineering, are27 yearsin my past.In the IT industryno onewrites memos factorsissues. Both theseoccupations which spancountries Instead we haveon-line conferences or reports;writing is slow andexpensive. Prior to the accident I haveneverwritten anythingof this nature,or calibre.I haveno and continents. manifestsubsequent to the accident. means to accountfor this new ability which only became I am makingmanifestand 2.58 [n this document I am makingconfidentlegalandmedicalargument. I havenot dealtwith sinceuniversity. logic,elements of symbolic andBoolean utilizingvariousaspects of my prior studiesin a way that is highly uncommonfor I now havea peculiarfacility with all aspects me and likely extremelyunusualfor a citizen61 yearsof age. is evidence of savantsyndrome. 2.59 I assert that this increased ability to write complexdocuments you may find is associated with brain injury.(Onmy blog www.facticity.ca Onsetof this syndrome At no otherexamples includingwriting that includeswhat I find to be extremelycreativeflourishes. past writing.) I in this form of creative time in the have beenengaged by any itemsof evidence, andthe attached 2.60 It is my belief that a review of this document, and questioning of Dr X's individual,with any degree of medicaltraining,will resultin the challenge is in violation of perfunctoryanddismissive that Dr X opinion. It is therefore asserted diagnostic which states: Codeof Ethicsof Physicians "A 4 of the Colldge desmddecins du Qudbec, Clause physicianmustpracticehis profession in a mannerwhich respects the life, dignity and liberty of the a furtherviolationof individual."[O.C. 1213-2002, s.4.] This failureon the partof Dr X represents which states: Ethics of Physicians "A mddecins du Code of Clause 3 of the Colldge des Qu6bec, persons he physician's paramount duty is to protectandpromotethe healthandwell-beingof the attends to, both individually and collectively." 2.61 All of thesematters that I haveplacedbeforele ministretodayhavealsobeencavalierly du Qudbec. dismissed by the Colldge desmddecins if this perfunctorydismissalby a body 2.62 It is left to thejudgementof le ministreto determine jurisdiction of Qubecserves practice in to respect medicine the with the regulation of the of charged of the citizensof Qubec. and protectthe healthinterests Analysisof CdmQ PageI 1 of 14Pages F.J. Fuller

Section lll
aredetailedon http:/ifacticity.calstopthis document at this time. The reasons I am unableto complete making-sense/ of the analysis. Oncemy situationimprovesI will forward SectionIII andthe balance END NOTES End Note 1 paragraph 1.7 Dr Latimer first sawme on March 29th2012.I sawhim againon April I | 2012when he providedme the CLIIIIC REDACTED until Junel3th 2012. with a referral.I did not attend ofthe fact that I was sufferingfrom any form of brain At the time I sawDr. Latimer I was unaware for employment will who hashadto search in a search for work. As anyone injury I was alsoengaged An ongoing rejection. by constant and key challenges is not becoming dismayed affestone of the maintaina positiveoutlookon life at all timesregardless employment search mandates thejob seeker the natureand I believedthis playeda significantrole in my failing to recognize of circumstance. extentof my injury. to this datethere Subsequent Prior to April 1lth 2012therehadbeena dearthofjob advertisements. to the fact that recruiterI am sensitive flood of demand. As I haveworkedas a corporate was a sudden in any hiring decision.Prior to my age,and concerns over my stateof health,would be key attributes After seeingDr Latimer I seeingDr. Latimer I could honestlystatethat I hadno known healthissues. could statethat I hadrecentlyhad a check-upandblood work doneandtheseshowedI was in excellent health. with multipleemployers to Junel3th I appliedfor positions Duringthe periodfrom April 1lth through job (I canprovide 10 applications both in my currentfield andoutsideof it for a total of approximately to my The detailson the othersareon an upstairscomputerconnected full detailsfor half of these. printer.This computer was forgottenand left in a poweredon for two monthsduring a summerheat wave and is no longerfunctional). and services firm. This Towardthe end of May I obtainedan interviewwith a safetyequipment and offshoresafetyand in marinesearch and rescue was a perfectfit with my background employment to andtraining.I felt sureI had an excellentchance my experience in humanresource development the position. secure very afterthe failed interviewforcedthe recognitionthat therewas something A postmortem conducted of socialengagement and that all wrong with my ability to carry out normaltasksandordinaryaspects my attempts at "positivethinking" and diligent exertionwere provingto be of little effect.It was this discovery realizationthat droveme to CLINIC REDACTED on June13thand it was the subsequent I was extremelyfortunate me greatdistress. that it would takeover ayearto seea physicianthat caused Dr. DeannaDrahovzal. She with an excellentclinical psychologist to havehad a prior association great debt. responded to my cry for help and I owe her a F.J. Fuller

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End Note 2 paragraph 1.14 recognizedthat I was differentfrom my prior self. Her WhenI sawDr Drahovzalsheimmediately This social for me to seea socialworker at CLSC St Redeumpteur. concernwas suchthat shearranged initial contact she I reach her a month after our no assistance. When tried to worker was of benefit.or medical adviceon how to access WhenI left a voicemail requesting failedto replyto multipleemails. carein Qubec sheleft me voice mail with a numberto contact.WhenI calledthis numberI found I who informedme that the only party that was speaking with a stafferin a CLSC in Sherbrooke Qudbec to a physicianwas my local CLSC. WhenI informedthe stafferthat it could provideme with access that eachCLSC only handlesissues was my local CLSC that had referredme to her sheexplained records dates,andtelephone within their own areaandthat shecould do nothingfor me. I havenames, CLSC. for eachof thesecontacts with mv CLSC. andwith the Sherbrooke to a physicianI receivedan email from Alain When I first wrote to le ministr" ..g*aing gainingaccess Agencede la sant6et desservices sociauxde I'Outaouais. r6gionaldesurgences, Carle,Coordonnateur me by phoneasI have to contact In an emaildated Augustl5th 2013he informsme he is unable providedmy homephonenumberbut the numberI havegiven is incorrect. with indicatingthat I wishedto conferwith Dr. Hulley beforespeaking I left Mr Carlea voice message to request. him so that I might ensure that I knew exactlythe form of medicalservices Mr Carleemailed me backas follows: you can haveafamily doctor Thewaiting time before Family also affectsthe Outaouais. theshortageof doctorsraging ocrossQuebec, Unfortunotely, physicians in the region are trying to meetthe growing demand,but struggle to meetall the needsof to afamily doctor thepopulation.It is possibleto wait severalmonthsbeforetheyhaveoccess santd wait list for over 20 months.This is for access I notethat as of this dateI havebeenon a Qudbec not for access to any form of specialist. to a family physician, Dr Taylor hasrecommended that I seea physiatriston an urgentbasis. in Gatineau who might provide a When I last sawDr. X he advisedme that thereweretwo physicians were availableto me. second opinionbut that neitherof thesetwo specialists To all practicaleffect,thereis no medicalcarein Gatineau, Qu6bec.

End note 3 paragraph2.43 Paragraph 2.9 of Exhibit A contains the following statement: of the mlury.A description Dr X madeno attemptto elicit any detailsin regardto the circumstonce to SAAQin January2013. similar to theprecedingwascontainedin awritten appealsubmitted F. J. Fuller

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to Dr. X askingfor a copyof my file (seeExhibit C Item 13). On Junel0 2013,I senta writtenrequest package by me in August2013(the delaywas dueto my error in was received This document the When I opened my time. I forgotto forwardthe requiredpaymentin a timely manner). managing that the document package andreadthe first pageof Dr. X's clinical recordI realized document particularsin regardto the accident(black ice on the roadway)that could only havebeen contained obtained from me. (ExhibitA) I du Qu6bec desmddecins to the Colldge the June10thsubmission WhenI prepared that it was both completeandentirelyfactual.I had no interestin just exertedparticularcareto ensure slinging lots of mud againsta wall in the hopethat someof it might stick. I was thereforeextremely my and I discussed and incomplete takenabackthat my memoryof a recenteventwas so inaccurate with both Dr. DrahovzalandDr. Hulley. clinical meetings shockover this discoveryin subsequent them in clinical key discussion topicsso that I may introduce In orderto ensure that I remember are drawn These issues and obstacles issues obstacles. of topical and I draft an "Inventory" sessions, I maintain.The daily in an "AccidentLog" that Dr. Hulley suggested from experience andrecorded asan aidememoirefor meetingsin late titled "InventoryAugust20 2013"was prepared document to the lack of contains two references asExhibit J. This document August 2013 anda copy is submitted meeting with Dr. X: memoryof my line 6 entry: The page2 2013-08-13 6) Dismayedon review of myfile from Dr X. Therewas more to our interview than I can remember. Cannotbelievethat my memoryof eventis sopoor. entry: And thepage3 2013-08-16 of current health dynamic. WhenI seethat I hove eted in regard - hqvegreot trouble with acceptance dismayed as this goesagainstmy thenI am completely to Dr X, or sentout wrong tel numbers, ond showsit to befalse hope narrative of improvement 2.9 of that the incorrectentry at paragraph to establish This notehasbeenaddedby way of explanation was not motivatedby malicious du Qudbec to the Colldgedesmddecins the Junel0th submission intenton my part. Revision Histora personal informationfor Dr. X and his multiple spellingelrors,redacted October212013 - corrected associated clinic.

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