<Barbara.Whitenect@gnb.ca>, eps <eps@edmontonpolice.ca>,
ministryofjustice@gov.ab.ca, PREMIER@gov.ns.ca, premier
<premier@gov.ab.ca>, "Paul.Lynch"<Paul.Lynch@edmontonpolice.ca>,
"philip.bryden"<philip.bryden@gov.ab.ca>, "serge.rousselle"
<serge.rousselle@gnb.ca>, "denis.landry2"<denis.landry2@gnb.ca>,
"carl.urquhart"<carl.urquhart@gnb.ca>, oldmaison@yahoo.com,
jack.keir@gnb.ca, "Kevin.Vickers"<Kevin.Vickers@gnb.ca>,
"Kevin.leahy"<Kevin.leahy@rcmp-grc.gc.ca>, "Gerald.Butts"
<Gerald.Butts@pmo-cpm.gc.ca>, "Ian.Shugart"
<Ian.Shugart@pco-bcp.gc.ca>, "hon.ralph.goodale"
<hon.ralph.goodale@canada.ca>, "Larry.Tremblay"
<Larry.Tremblay@rcmp-grc.gc.ca>, "Nathalie.Drouin"
<Nathalie.Drouin@justice.gc.ca>, mcu <mcu@justice.gc.ca>,
jan.jensen@justice.gc.ca, "kathleen.roussel"
<kathleen.roussel@ppsc-sppc.gc.ca>, Jody.Wilson-Raybould@parl.gc.ca,
themayor <themayor@calgary.ca>, brian.gallant@gnb.ca,
greg.byrne@gnb.ca, jeff.carr@gnb.ca, benoit.bourque@gnb.ca,
Dominic.Cardy@gnb.ca, Hamish.Wright@gnb.ca, blaine.higgs@gnb.ca,
roger.l.melanson@gnb.ca, hugh.flemming@gnb.ca, Bill.Morneau@canada.ca,
Ginette.PetitpasTaylor@parl.gc.ca, newsroom@globeandmail.ca,
pm@pm.gc.ca, jake.stewart@gnb.ca, bruce.northrup@gnb.ca,
David.Coon@gnb.ca, megan.mitton@gnb.ca, andre@jafaust.com,
"martin.gaudet"<martin.gaudet@fredericton.ca>,
Jacques.Poitras@cbc.ca, Connell.Smith@cbc.ca, mike.holland@gnb.ca,
kris.austin@gnb.ca, rick.desaulniers@gnb.ca, michelle.conroy@gnb.ca,
"tyler.campbell"<tyler.campbell@gnb.ca>, "nick.brown"
<nick.brown@gnb.ca>, "Tim.RICHARDSON"<Tim.RICHARDSON@gnb.ca>,
"Mike.Comeau"<Mike.Comeau@gnb.ca>, "barb.whitenect"
<barb.whitenect@gnb.ca>, "Gilles.Cote"<Gilles.Cote@gnb.ca>,
"Mark.Blakely"<Mark.Blakely@rcmp-grc.gc.ca>, "robert.gauvin"
<robert.gauvin@gnb.ca>, Nathalie Sturgeon
<sturgeon.nathalie@brunswicknews.com>, "Stephen.Horsman"
<Stephen.Horsman@gnb.ca>, "bruce.fitch"<bruce.fitch@gnb.ca>,
"Bill.Oliver"<Bill.Oliver@gnb.ca>, "Ross.Wetmore"
<Ross.Wetmore@gnb.ca>, "pablo.rodriguez"<pablo.rodriguez@parl.gc.ca>,
"Chuck.Thompson"<Chuck.Thompson@cbc.ca>, votejohnw
<votejohnw@gmail.com>, "Wayne.Long"<Wayne.Long@parl.gc.ca>,
robmoorefundy <robmoorefundy@gmail.com>, "robert.mckee"
<robert.mckee@gnb.ca>
Cc: motomaniac333 <motomaniac333@gmail.com>, RoseAnn.Smith@gnb.ca,
janet.johnston@gnb.ca


---------- Forwarded message ----------
From: "Austin, Kris (LEG)"<Kris.Austin@gnb.ca>
Date: Mon, 18 Nov 2019 17:30:32 +0000
Subject: Automatic reply: YO Kevin Arseneau before I go to the
hospital again called your cell and left a message Correct?
To: David Amos <david.raymond.amos333@gmail.com>

Thank you for your email.

Please be assured that all emails and letters are read carefully.

Should your issue be Constituency related, please contact Janet at my
constituency office at janet.johnston@gnb.ca or by calling 444-4530 or
440-9542.

Thanks again for taking the time to reach out to me with your concerns or input.

Legislative Assembly of New Brunswick Assemblée législative du Nouveau-Brunswick
Office of Kris Austin, MLA                   Bureau de Kris Austin, député
506-462-5875                                   506-462-5875



On 11/18/19, David Amos <david.raymond.amos333@gmail.com> wrote:
> ---------- Forwarded message ----------
> From: "Carr, Jeff Hon. (ELG/EGL)"<Jeff.Carr@gnb.ca>
> Date: Fri, 15 Nov 2019 20:32:30 +0000
> Subject: Automatic reply: Methinks if Higgy loses the confidence vote
> next week he and Mikey Holland will be too late to stop the Smart
> Meter nonsense and appear even remotely ethical N'esy Pas?
> To: David Amos <david.raymond.amos333@gmail.com>
>
> Thank you for your email. Your thoughts, comments and input are greatly
> valued.
>
> You can be assured that all emails and letters are carefully read,
> reviewed and taken into consideration.
>
> There may be occasions when, given the issues you have raised and the
> need to address them effectively, we will forward a copy of your
> correspondence to the appropriate government official. Accordingly, a
> response may take several business days.
>
> If your request is Constituency related, please contact Rose Ann at my
> Constituency office in Fredericton Junction at RoseAnn.Smith@gnb.ca or
> by phone at 506-368-2938.
> Thanks again for your email.
> ______­­
>
> Merci pour votre courriel. Nous vous sommes très reconnaissants de
> nous avoir fait part de vos idées, commentaires et observations.
>
> Nous tenons à vous assurer que nous lisons attentivement et prenons en
> considération tous les courriels et lettres que nous recevons.
>
> Dans certains cas, nous transmettrons votre message au ministère
> responsable afin que les questions soulevées puissent être traitées de
> la manière la plus efficace possible. En conséquence, plusieurs jours
> ouvrables pourraient s’écouler avant que nous puissions vous répondre.
>
> Si votre demande est liée à la circonscription, veuillez contacter
> Rose Ann à mon bureau de circonscription à Fredericton Junction à
> RoseAnn.Smith@gnb.ca ou par téléphone au 506-368-2938.
> Merci encore pour votre courriel.
>

---------- Forwarded message ----------
From: "Higgs, Premier Blaine (PO/CPM)"<Blaine.Higgs@gnb.ca>
Date: Fri, 21 Feb 2020 00:51:52 +0000
Subject: Automatic reply: I just caught Krissy Baby being a LIAR on
Rogers TV and they cut me off
To: David Amos <david.raymond.amos333@gmail.com>

[Le français suit.]


Dear Sir/Madam:

Thank you for taking the time to write to us. Due to the high volume
of emails that we receive daily, please note that there may be a delay
in our response.

Thank you for your understanding.

If this is a Media Request, please contact the Premier’s office at
(506) 453-2144

Thank you

------------------------------------------------------------------------------------------------------------------------------------------------------

Bonjour,


Nous vous remercions d’avoir pris le temps de nous écrire. Tenant
compte du volume élevé de courriels que nous recevons quotidiennement,
il se peut qu’il y ait un délai dans notre réponse.


Nous vous remercions de votre compréhension.

S’il s’agit d’une demande des médias, veuillez communiquer avec le
Cabinet du premier ministre au 506-453-2144.

Merci.


Office of the Premier/Cabinet du premier ministre

P.O Box/C. P. 6000 Fredericton New-Brunswick/Nouveau-Brunswick E3B 5H1 Canada

Tel./Tel. : (506) 453-2144

Email/Courriel: premier@gnb.ca/premier.ministre@gnb.ca


On 2/20/20, David Amos <david.raymond.amos333@gmail.com> wrote:
> https://www.youtube.com/watch?v=oA1KzEXJMR8
>
> Kris Austin, People's Alliance - Voice of the Province - February 20, 2020
> 19 watching now
>
> Rogers tv
> 32.1K subscribers
>
>
> David Amos​Too too Funny
> David Amos​Ask Chucky why i was barred from the leg 2 years before he was
> David Amos​Ask Austin what he thought of the email everyone including
> Chucky got on Feb 14th
> David Amos​Asdk Austin what he thinks of my lawsuit against the Crown
> David Amos​Chucky did attend one of the hearings because he and
> Vickers are mentioned in the lawsuit
> David Amos​I take false arrest very personally
>
> ---------- Forwarded message ----------
> From: David Amos <david.raymond.amos333@gmail.com>
> Date: Tue, 18 Feb 2020 15:59:18 -0400
> Subject: Fwd: YO Mr Higgs Re My right to MEDICARE and NO MORE false
> imprisonment Just as I get another bill from Vitalité I hear Horizon
> want the RCMP to arrest me AGAIN TRUE or FALSE??? (Out of Office )
> To: Rhonda.Brown@globalnews.ca, pm <pm@pm.gc.ca>, "Gerald.Butts"
> <Gerald.Butts@pmo-cpm.gc.ca>, "geoff.regan"<geoff.regan@parl.gc.ca>,
> "Katie.Telford"<Katie.Telford@pmo-cpm.gc.ca>, "Ian.Shugart"
> <Ian.Shugart@pco-bcp.gc.ca>, "ian.fahie"<ian.fahie@rcmp-grc.gc.ca>,
> "andrew.scheer"<andrew.scheer@parl.gc.ca>
> Cc: motomaniac333 <motomaniac333@gmail.com>, david.akin@globalnews.ca
>
> Need I say that I am tired of being called a perennial candidate on TV?
>
>
> http://davidraymondamos3.blogspot.com/2017/05/before-writs-were-dropped-in-bc-and-ns.html
>
>
> Monday, 22 May 2017
>
> Before writs were dropped in BC and NS The VERY UNETHICAL "Journalist"
> David Akin scores a new job as CHIEF POLITICAL CORRESPONDENT Global
> News???
> Methinks that by now mindless David Akin would have figured out that
> just like one of my favourite artists Gordy Lightfoot I am still alive
> and kicking. However if you scroll to the bottom of this blog you will
> see byway of his Tweets Davey Boy continues to ignore my emails even
> after I talk to his lawyer and send them both a Hell of an email.  Go
> figure why I am not surprised. EH Commissioner Bobby Paulson of the
> RCMP?
>
> Do tell does the CBC or the CRTC or CTV or Roger TV or even CPAC or
> anyone else recall back in 2015 when I stress tested the ethics of
> David Boy Akin and his gal pal Kady Baby O'Malley about voting etc
> during and after the election of the 42nd Parliament? I did that years
> after I talked to Akin the first in in 2004 when he worked for CTV and
> about 2 years or so after Kady had blocked me within Twitter when she
> and her snobby buddies such as Jesse Brown, Jian Ghomeshi, Greg Weston
> and Evan Solomon used to work for CBC too.
>
> https://globalnews.ca/author/rhonda-brown/
>
> Rhonda Brown
> Supervising Producer
> 902 481 4440
>
> Rhonda is a journalist with more than 24 years experience in the
> television industry.
>
> As Supervising Producer, she works with news staff in Halifax and New
> Brunswick in the gathering the day’s stories and getting them to air
> on Global News at 6 pm.
>
> Born in Newfoundland and raised in Ottawa, she’s lived in Halifax for
> more than 22 years.
>
> She’s held a variety of roles with both Global News and CBC over her
> career, with a brief foray into public relations.
>
> A perennial candidate is a political candidate who frequently runs for
> an elected office and rarely, if ever, wins. The term is the opposite
> of an incumbent politician who repeatedly defends their seats
> successfully.
>
> Perennial candidates can vary widely in nature. Some are independents
> who lack the support of the major political parties in an area or are
> members of alternative parties (such as third parties in the United
> States). Others may be mainstream candidates who can consistently win
> a party's nomination, but because their district is gerrymandered or a
> natural safe seat for another party, the candidate likewise never gets
> elected (thus these types are often paper candidates). Still others
> may typically run in primary elections for a party's nomination and
> lose repeatedly. Numerous perennial candidates, although not all, run
> with the full knowledge of their inability to win elections and
> instead use their candidacy for satire, to advance non-mainstream
> political platforms, or to take advantage of benefits afforded
> political candidates (such as campaign financing, name recognition,
> and television advertising benefits).
>
>
>
>
>
> ---------- Forwarded message ----------
> From: Rédaction <nouvelle@acadienouvelle.com>
> Date: Tue, 18 Feb 2020 09:17:12 -0800
> Subject: Re: Fwd: YO Mr Higgs Re My right to MEDICARE and NO MORE
> false imprisonment Just as I get another bill from Vitalité I hear
> Horizon want the RCMP to arrest me AGAIN TRUE or FALSE??? (Out of
> Office )
> To: david.raymond.amos333@gmail.com
>
> Nous avons reçu votre message. Au besoin, nous communiquerons avec
> vous pour plus de détails. Si vous avez des informations
> supplémentaires à fournir, s'il vous plaît, répondez à ce courriel.
> Merci de votre intérêt envers l'Acadie Nouvelle.
>
>
> --
>
> Salle des nouvelles
> Acadie Nouvelle
> [image]
>
>
> ---------- Forwarded message ----------
> From: David Amos <david.raymond.amos333@gmail.com>
> Date: Tue, 18 Feb 2020 13:17:08 -0400
> Subject: Fwd: YO Mr Higgs Re My right to MEDICARE and NO MORE false
> imprisonment Just as I get another bill from Vitalité I hear Horizon
> want the RCMP to arrest me AGAIN TRUE or FALSE??? (Out of Office )
> To: "jordan.gill"<jordan.gill@cbc.ca>, info@vitalitenb.ca,
> info@chautva.com, Annie.Levasseur@chautva.com,
> nouvelle@acadienouvelle.com, darsenault@allnovascotia.com,
> huras.adam@brunswicknews.com, bajer.erica@brunswicknews.com,
> dgnews@brunswicknews.com, restigouche@acadienouvelle.com, news
> <news@chco.tv>, nouvelles@cimt.ca, mike.cameron3@bellmedia.ca,
> "steve.murphy"<steve.murphy@ctv.ca>, callum.smith@globalnews.ca,
> megan.yamoah@globalnews.ca, silas.brown@globalnews.ca,
> travis.fortnum@globalnews.ca, cbcnb@cbc.ca, "Bill.Morneau"
> <Bill.Morneau@canada.ca>, "sylvie.gadoury"
> <sylvie.gadoury@radio-canada.ca>, Newsroom
> <Newsroom@globeandmail.com>, news <news@kingscorecord.com>,
> "bruce.northrup"<bruce.northrup@gnb.ca>
> Cc: motomaniac333 <motomaniac333@gmail.com>, "Michael.Duheme"
> <Michael.Duheme@rcmp-grc.gc.ca>, Qualite.Quality@vitalitenb.ca,
> "Serge.Cormier"<Serge.Cormier@parl.gc.ca>, "robert.gauvin"
> <robert.gauvin@gnb.ca>, media@horizonnb.ca, Kevhache@nb.sympatico.ca
>
> CHAU-TV
> 324 boulevard St-Pierre Ouest
> Caraquet, New Brunswick,
> E1W 1A3       
> Annie Levasseur
> Email : info@chautva.com
> Annie.Levasseur@chautva.com
> Phone : (506) 727-4417
>
>
> L'Acadie Nouvelle - Bureau de Caraquet       
> 476, boulevard Saint-Pierre ouest
> C.P. 5536
> Caraquet, Nouveau-Brunswick,
>  E1W 1B7
> Mathieu Roy-Comeau
> Téléphone : 506 450-6103 (bureau)
> Téléphone : 506 470-2413
> nouvelle@acadienouvelle.com,
>
> Vitalité Health Network
> 275 Main Street, Suite 600
> Bathurst NB  E2A 1A9
> Telephone: 506-544-2133
> Toll-free: 1-888-472-2220
> Fax: 506-544-2145
> info@vitalitenb.ca
>
> https://www.cbc.ca/news/canada/new-brunswick/ceo-stands-behind-er-1.5466866
>
> Vitalité CEO stands behind postponed emergency room proposals
>
>
> Proposals 'were very good, were very sound, were evidence based,' said
> Gilles Lanteigne
>
> Jordan Gill · CBC News · Posted: Feb 18, 2020 10:33 AM AT
>
> 28 Comments
>
> David Amos
> Methinks Gilles Lanteigne and I should finally have a long talk ASAP N'esy
> Pas?
>
>
> ---------- Forwarded message ----------
> From: Barbara Massey <Barbara.Massey@rcmp-grc.gc.ca>
> Date: Fri, 14 Feb 2020 19:30:16 -0500
> Subject: Re: YO Mr Higgs Re My right to MEDICARE and NO MORE false
> imprisonment Just as I get another bill from Vitalité I hear Horizon
> want the RCMP to arrest me AGAIN TRUE or FALSE??? (Out of Office )
> To: David Amos <david.raymond.amos333@gmail.com>
>
> I am out of the office until Tuesday, February 18 and have
> intermittent access to Email.  For any urgencies, please contact
> Jennifer Duggan, General Counsel, at 613 825 2981, or my admin
> assistant, Sandra Lofaro 613 843 3540..
>
> ----------------------------------------------------------------------
>
> Je suis absent du bureau jusqu'à mardi 18 février, et j'aurai un accès
> intermittent aux courriéls. Pour toute urgence,.vous pouvez
> communiquer avec Jennifer Duggan, Avocate générale, au 613 825 2981,
> ou avec mon adjointe admin. Sandra Lofaro 613 843 3540.
>
>
>>>> David Amos <david.raymond.amos333@gmail.com> 02/14/20 19:29 >>>
>
> Methinks it must be because of my recent comments in CBC about your
> nonsense about emergency Rooms etc N’esy Pas???
>
> Here is just a few that are recorded within my blog etc
>
>
> https://davidraymondamos3.blogspot.com/2020/02/deputy-premier-must-decide-whether-to.html
>
>
> Wednesday, 12 February 2020
>
> Deputy premier must decide whether to fall in line on health-care
> reforms, Higgs says
>
>
>
> https://www.cbc.ca/news/canada/new-brunswick/nb-doctor-sackville-hospital-emergency-room-closure-1.5462252
>
>
> Doctor shortage forces overnight closure at Sackville ER
>
> More er closures are possible before hours are permanently reduced on March
> 11
>
> CBC News · Posted: Feb 13, 2020 11:32 AM AT
>
>
>
> 57 Comments
> Commenting is now closed for this story.
>
>
> David Amos
> Content disabled
> Go Figure These are obviously not my Tweets but I did run against the lady
>
>
> Chisholm Pothier
> @chisholmp
> ·
> Feb 10
> The plan hasn’t even been announced yet and it’s already being
> condemned. We know one thing for sure - we cannot keep delivering
> Health the way we have. It isn’t sustainable with an aging population
> and needs have changed with demographic change anyway. #nbpoli /1
>
> Quote Tweet
> Alaina Lockhart
> @AlainaLockhart
> · Feb 9
> Premier @BlaineHiggs you can’t grow NB by reducing services in rural
> areas. NB needs strong rural comms to thrive. The @townofsussex is key
> to the region. You need to start thinking about the people impacted in
> your quest to improve the bottom line.
> https://twitter.com/nsteinbach_rc/
>
>
> David Amos
> Content disabled
> Reply to @David Amos: Chisholm Pothier no longer speaks for the
> government Correct?
>
>
>
>
>
>
>
>
>
> David Amos
> Need I say I got a few calls after supper last night and the people
> who called could tell I was pretty cranky about something? Trust that
> what I heard on CBC this morning did not help my mood any..
>
>
>
>
>
>
> David Amos
> Methinks the real problem is that Higgy and Flemming can't get enough
> bilingual folks who want to work within our Health Care System N'esy
> Pas?
>
> David Amos
> Reply to @David Amos: Methinks everybody knows since the time of
> Trudeau The Elder New Brunswick has been a great place to grow up and
> get an education but to find work most of our young ones must head
> west somewhere on the far side of Quebec. If the truth hurts so be it
> N'esy Pas?
>
>
>
>
>
>
>
> David Amos
> On CBC this morning I heard our mindless Health Minister direct folks
> to the emergency room in another province. Methinks we have not heard
> that last about that N'esy Pas??
>
>
>
>
>
>
>
> Jim Cyr
> The people of New Brunswick are some of the silliest people in the
> world. It’s been hilarious to see almost all of them completely turn
> off their brains and freak out over Higgs’ emergency rooms plan. The
> people will now vote out the PCs, of course......just as their silly
> media masters tell them to do. And so the NB medical/fiscal/poverty
> situation will just get worse and worse and worse than it already is..
> You can’t make this kind of stuff up, folks!! Amazing to see.
> Mind-numbingly predictable and monotonous. It’s like kubuki theater at
> this point.. BAD kubuki theater.....lol
>
> David Amos
> Reply to @Jim Cyr: Methinks you may be cluing in as to why I call this
> a circus If you can't find fun in the madness then you will go crazy
> like they claim I am. Yea I'm crazy alright. Some say I'm crazy like a
> fox others say I am just another narcissistic fool Hard telling not
> knowing for sure but one thing is for certain I am having fun laughing
> at all the people who laughed at me N'esy Pas?
>
> However I can be as crazy as i want to be Higgy should ask the shinks
> in the loonie bin of the DECH what they did with the wiretap tape of
> the mob that I gave them in 2008 that the RCMP refuse to investigate.
>
> Terry Tibbs
> Reply to @Jim Cyr:
> Silly? It's just plain "goofy". And once the CONServatives are gone,
> having been exchanged for the Liberals, the process will repeat
> itself, over and over.
> Not one among us able to figure out the only end result is our pocket
> remain empty.
>
>
>
>
>
>
>
>
>
> Michael Durant
> We need to begin serious talks with Doctors Without Boarders
>
> David Amos
> Reply to @Michael durant: Try again That one went over like a lead balloon
>
> Ben Haroldson
> Reply to @Michael durant: borders
>
>
>
>
>
>
>
>
> Yves Savoie
> Get your popcorn ready!!! The circus has begun....
>
> David Amos
> Reply to @Yves Savoie: Wanna trade some of your popcorn for peanuts?
>
> Methinks Trump and everybody knows I have been enjoying the circuses
> on both sides of the 49th for many years from the peanut galley.
> Trump's minions know that just before July 4th, 2002 within a
> statement of Claim against an incredible number of Yankee lawyers I
> promised that I would run in the next Election in Canada. I have
> remained true to my word and have run 7 times thus far. I joined the
> clowns in the centre ring no only to to add my two bits worth and but
> to witness the high diving acts up close and personal. Trust that
> Harper and Higgy et al know that i dearly love the splash just my kids
> and I did at Sea World a long long time ago N'esy Pas?
>
> Ben Haroldson
> Reply to @David Amos: Kudos to that, and if you were in my riding you
> would get my vote, fed or prov.
>
> Lou Bell
> Reply to @Ben Haroldson: That would give him 14 votes
>
> Lou Bell
> Reply to @David Amos: " Methinks trumps and everybody knows I have
> been enjoy.. .... ...... " !!! You really think trump knows who you
> are ?? Seriously ???????????
>
> David Amos
> Reply to @Lou Bell: Do you want his lawyers cell number?
>
> David Amos
> Reply to @Lou Bell: Better yet do you want me to give them yours so
> you can say hey to your Yankee heroes who locked me up in 2004?
>
> David Amos
> Reply to @Ben Haroldson: Thanks for the vote of confidence
>
>
>
>
>
>
>
>
>
> Ben Haroldson
> The Doctors are just helping to move things along. No sense waffling
> if things are that dire.
>
> David Amos
> Reply to @Ben Haroldson: So you say
>
>
>
>
>
>
>
> Terry Tibbs
> What do you *think*? Coincidence, or not?
>
> David Amos
> Reply to @Terry Tibbs: Methinks we all know the wicked game by now N'esy
> Pas?
>
> David Amos
> Reply to @David Amos: BTW I was born in the Sackville Hospital in 1952
> and it saved my butt 3 years later when I went into a coma for a
> month. Methinks for that reason alone I should raise hell to defend
> it. Methinks it should be rather obvious that I quite simply don't
> care what my cousin Megan Mitton and all her Green Party pals say or
> do about it N'esy Pas?
>
> Holly Mossing
> Reply to @Terry Tibbs: Not coincidence: ERs and Labour and Delivery
> units have been randomly closing for years due to staffing issues.
> That’s part of the problem, and this move will be part of the
> solution. Government being responsible by listening to the health
> authorities.
>
>
>
>
>
>
>
>
>
>
> SarahRose Werner
> How is the pool of doctors who provide nighttime ER coverage supplied?
> Are these doctors who also work day jobs? Does staffing the ER
> overnight make doctors less accessible to patients who seek service
> during the day?
>
> Elaine MacDonald
> Reply to @SarahRose Werner: Overnight Doctors come from the family
> practice doctors; so while some work the ER during the day, those who
> work nights will also work office hours during the day before their
> night shift starts. After midnight, the ER is emergencies only, so you
> will be triaged by a nurse, then depending on the triage, you may or
> may not see a doctor.
>
> This Friday, from how it seems, there will be no doctor at all; I'm
> not sure if a tirage nurse will assess people however.
>
> SarahRose Werner
> Reply to @Elaine MacDonald: Apparently not, because the ER will be
> closed entirely. Which makes sense because triage is a sorting
> procedure, not a treatment procedure. The word "triage" comes from the
> process of sorting battlefield patients into three levels: those will
> recover even without treatment, those who will even if treated and
> those for whom treatment will make a difference. If there's no one
> available to provide treatment, there's no point doing triage.
>
> SarahRose Werner
> Reply to @Elaine MacDonald: "Overnight Doctors come from the family
> practice doctors; so while some work the ER during the day, those who
> work nights will also work office hours during the day before their
> night shift starts." - I'm not surprised that doctors who've already
> worked during the day are averse to taking overnight shifts as well.
>
> Terry Tibbs
> Reply to @SarahRose Werner:
> Why would they be "adverse"? If the "stories" told to us are true,
> after supper the family practice doctor heads out to the ER for 7pm,
> taking paperwork, or reading material, to catch up on.
> Right around maybe 10, or 11pm they pull up a bed and have a snooze,
> because there "might" be only 5 patients overnight, (this is "the
> claim") maybe only one needing his/her attention, so the nurse can
> wake him/her up as required. 7am the shift ends, doctor leaves fully
> rested,12 hours pay richer.
> In some cases, if the doctor lives real close, they go home, coming in
> only if needed.
>
> Holly Mossing
> Reply to @SarahRose Werner: Yes, it does, which is part of the
> problem. These are great shifts for doctors to pick up (quiet and pay
> very well), but don’t help the health of local people overall because
> the doc may see 5 urgent patients overnight but not be able to work at
> see *25* the next day. That’s a big capacity issue.
>
> David Amos
> Reply to @Elaine MacDonald: Its a pity that nobody in Sackville would
> listen to me this week
>
> David Amos
> Reply to @David Amos: However I will disclose that the Office of the
> CEO of one of our Health Care systems called me a few days before
> Flemming's big announcement in order to reach an understanding as to
> why I am going to file a lawsuitin order to get my Medicare Card and
> other things. I have heard nothing but crickets since. Methinks they
> think I am bluffing Others know I am not N'esy Pas?
>
>
>
>
>
>
>
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>
>
> Ian Scott
> It would help if the management would outline what it takes to have an
> ER open 24/7. I do not think a lot of the public has a clue as to what
> it means to open an ER to all comers and the staff then needed to
> cover all reasonable issues. You cannot confuse the public and
> ambulances etc where to go each night if staffing gets short. It makes
> it worse. If you staff with general practice then they must have
> extended training in ER issues. Otherwise the next thing is the
> complaint that things were not done . Then comes the standard
> equipment needed for stroke trauma etc, like CT scanners etc. Even
> appendectomy becomes an issue without ultrasound or CT. Its really a
> standard of practice and it requires a service level that is very
> difficult to reach in small centers. Otherwise you just end up
> shipping people out again and delaying diagnostics and the right
> treatment, some of which are time related. Would you want surgery for
> something that is not needed? Or have blood thinners given when you
> actually have a brain bleed etc.
>
> SarahRose Werner
> Reply to @Ian Scott: One thing I've been reading in comments on
> stories on this issue is that people mention being "stabilized" in a
> smaller centre before being shipped out to a larger one. Not being a
> medical professional, I don't know what resources and skills are
> required to "stabilize" patients. Is this something that could be
> achieved in some other way, for example, by expanded and improved
> paramedic service?
>
> Ian Scott
> Reply to @SarahRose Werner: That is the care in bigger centers, well
> trained paramedics to stabilize at site and transport. Still most
> stroke issues need CT before treatment. Heart issues may be
> "stabilized" with drugs etc but transfer really is key for assessment
> . Trauma , (major) , needs a trauma center. I am not sure how many
> paramedics can intubate in the field at this point in NB but even an
> acute asthma or allergic issue might need it. Its what has been
> suggested. The numbers are small in many of these towns.Even having
> those staff may prove difficult down the road. Helicopter Air
> ambulance is another issue, complex and expensive but out there.
> Freddy is a trauma center for a certain level , but even it only has a
> snowfield for landing.
>
> SarahRose Werner
> Reply to @Ian Scott: Okay, so if someone has a heart attack, acute
> allergic attack, stroke, etc. in Sussex in the middle of the night and
> that person needs some sort of immediate treatment to tide them over
> until they get to the Saint John Regional, how is that provided? To
> me, that's the crux of the issue here. I agree that 24/7 ER service in
> all locations is not the answer. What are other possible answers?
>
> Elaine MacDonald
> Reply to @SarahRose Werner: In that situation, the patient will be
> sent on to Saint John/Moncton (not sure which hospital in regards to
> Sussex) regardless if they are stable or not.
>
> SarahRose Werner
> Reply to @Elaine MacDonald: Are there increased to the patient if
> they're sent on without stabilization? What are those? What will be
> done to ameliorate those risks?
>
> Holly Mossing
> Reply to @SarahRose Werner: There is a great study on this that showed
> that cardiac patients who were “stabilized” at a small center then
> transferred had worse outcomes and a higher death rate than patients
> who bypassed their local ER and were brought directly to where they
> could receive specialized care, for example. (
> https://www.ncbi.nlm.nih.gov/m/pubmed/28615177/ ). Advanced care
> paramedics need to be normalized in New Brunswick and supported to
> make health care as safe as possible. I’ve never voted Conservative
> but in this case Higgs’ government is doing absolutely the responsible
> thing. We need to make sure they follow through with increased daytime
> services.
>
> David Amos
> Content disabled
> Reply to @SarahRose Werner: Methinks you must have read some of my
> comments N'esy Pas?
>
> David Amos
> Reply to @SarahRose Werner: Hmmmm
>
>
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>
> Donald Smith
> There has to be a reason, or reasons why NB Cannot attract them ???????
>
> Mack Leigh
> Reply to @Donald Smith: There definitely is however no one is allowed
> to talk about the " Elephant " in the room.
>
> Ian Scott
> Reply to @Mack Leigh: Major centers are not really having that issue
> except for OR constraints for time for some specialists and no beds
> because of acute care bed blockers. Bathurst has excellent docs as
> does Edmonston and they are better at language issues than the south.
> Freddy and SJ and the Moncton centers also attract excellent staff.
> Its in between that is the issue , and medicine has changed , as have
> expectations and the standard of care. An ER is just that , all
> comers, not a clinic. One has to meet rigid standards of care. And
> those are hard to meet in 4k population or less towns and villages.
> Aging issues are one of the biggest issues and its being met poorly.
> Billing numbers are a thing of the past so not in the question. There
> could certainly be some concern I suppose of young docs worried about
> potential language issues but low.
>
> Elaine MacDonald
> Reply to @Ian Scott: What people seem to forget is that Sackville,
> while a population of 5000 including Mt. Allison students, also
> services Dorchester, Memramcook, Port Elgin, Murry Corner as well as
> we get patients from the Cape like Cocagne, Cap Pele, Shediac. We've
> had people from Moncton and surrounding area come to our hospital in
> increasing numbers over the past two years, even as far as Anagance,
> AND we get people from NS as well like River Hebert and Amherst. It
> isn't just NB, but NS we serve too.
>
> So no, we don't have a 4K or less patient possibility, we have much
> more than that.
>
> SarahRose Werner
> Reply to @Elaine MacDonald: Then maybe NS would like to contribute
> some money to pay for overnight service at the ER.
>
> Terry Tibbs
> Reply to @SarahRose Werner:
> Don't you believe for a moment they don't.
> Show an out of province medicare card at a NB hospital and the eyes
> light up like a one armed bandit hitting a jackpot.
>
> David Amos
> Reply to @Donald Smith: Everybody knows the reasons
>
> David Amos
> Reply to @Mack Leigh: I do
>
>
>
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>
>
>
>
> Brian Robertson
> This is just the logical next step in the deterioration of healthcare
> under the thumb of a government administered monopoly.
> When you have no money and no Doctors and costs are still increasing
> because all your workers are members of public service unions that can
> hold the public hostage; what else can happen?
> The viability of single payer healthcare is based on the metering of
> services in order to control costs.
> Public needs and individual abilities to pay simply do not factor into
> the equation.
>
> Terry Tibbs
> Reply to @Brian Robertson:
> Hold the phone, Just STOP, and *think* for a moment, you have been
> misdirected just like you are supposed to be.
> EVERY other province, or territory, has "evil" union belonging health
> professionals, this is not a NB only "thing".
> We are supposed to be short of 100, maybe 200, health professionals
> needed per capita (a different number pops out whenever those in
> charge are asked).
> We know the pay and benefits in NB are "short" hence the shortage of
> health professionals.
> Yet the cost of healthcare is higher (per capita) than every other
> province, or territory.
> So, either EVERYONE in NB is constantly sick, or the extra cost is
> somewhere else other than with the health professionals.
> I respectfully *think* you should be looking elsewhere.
>
> Brian Robertson
> Reply to @Terry Tibbs:
> All Provincial healthcare systems are following the same pattern
> decline; except possibly Quebec who enjoys a lucrative infusion of
> Federal transfer payments annually. New Brunswick just seems to be
> ahead of the curve in terms of declining services and wait times.
> There is more than enough blame to go around for this spiral trip
> around the drain. Yes, and that includes your healthcare
> professionals.
>
> David Amos
> Reply to @Terry Tibbs: Methinks he knows you are correct Quebec is a
> UNILINGUAL Province Hence its costs are less N'esy Pas?
>
>
>
>
>
> John Pokiok
> There you have it no Doctor wants to live in rural setting it's a hard
> core fact.
>
> Ian Scott
> Reply to @John Pokiok: Thats not really true. Being an ER doc is a
> different fish from a GP office setting. It requires an extension of
> training.If you open an ER then you have every issue from Intubation
> to trauma to poisoning, heart attack stroke, delivery etc. ER trained
> docs are a separate entity . You are asking a GP to be everything and
> have little backup and extended hours and then have a practice in the
> community. It takes a serious block of staff to do this around the
> clock. And to have surgical backups for obstetrics etc.And to then
> live in communities with 4K people is not easy.
>
> David Amos
> Reply to @John Pokiok: Many do when they retire
>
> Elaine MacDonald
> Reply to @John Pokiok: And yet we just had *2* doctors from US
> background move to Sackville to practice. It's not a matter of no
> doctors wanting to move to rural areas.
>
> David Amos
> Reply to @Elaine MacDonald: Maybe they are willing to cover the midnight
> shift
>