Missing Records

Court of Queen's Bench heard Monday that almost all records of a visit by 18 month old Ezekiel Stephan to the Chinook Regional Hospital were missing.   On March 14th, 2012, 18 month old Ezekiel Stephan entered the Chinook Regional Hospital with a medical team from Cardston Alberta.  What was supposed to be a routine stop over on their way to Alberta Children's Hospital quickly became every parents nightmare.

On Monday June 18, 2019 in the Court of Queen's bench Dr. Shauna Burkholder directed the Court to evidence of a Severe Cardiac Event in the Lethbridge Hospital that took place during the period where records are missing.  ​She pointed out it was the result of a mistake by Dr. Alexander Cunningham where he has began to ween 18 month old Ezekiel Stephan off a medication he was relying on to live.

Dr. Sandy Cunningham

Doctor's notes showing that there was an attempt to wean 18 month old Ezekiel off Epinephrine while he was critically ill and during transport from the Cardston Hospital to the Calgary Children's Hospital.

Dr. Shauna Burkholder

Ok, so this is a tough post.  It was tough to watch and its going to be even harder to express what I saw as I sat in the court room.  Eye opening for sure.  At times I have thought there is no humanity! But then I see the absolutely heart wrenching efforts of a father standing at the front of a room against all odds, doing everything he can to shelter and protect his wife and other 4 children.  And I melt.   The finger pointing has started.  There is a lot of it.  It seems that every medical professional involved remembers things about what the others have done wrong but when a question comes up about their conduct they either can't remember or are suddenly unqualified to speak to the event.   I'm going to break it down for you:

Source: Lethbridge Herald. David Stephan interviewed outside the Court House in Lethbridge Alberta

Day one
No Symptoms; more questions than answers.

Day one of the trial was not a surprise.  Registered Nurse and friend of Ezekiel's mother, Terrie Shaw testified that she visited and checked Ezekiel's vitals.  Collet Stephan had complained that he was more tired than usual and appeared to be achy with muscle stiffness. Terrie testified that there was nothing she could see of concern and that if Collet wanted to know more then to take Ezekiel into a doctor.   They looked up viral meningitis as a possible reason for the muscle stiffness but Ezekiel did not have the symptoms to match that either.

Answers and clues: Quite literally, nothing lined up

Ken Cherinowski, paramedic testified: the EMS had not secured the endotracheal (breathing)  tube.  That they were driving while holding it by hand.  That a mass of air had entered Ezekiel's stomach as a result of too much pressure on the bag valve mask or possibly and endotracheal tube being placed in the esophagus rather than the trachea.   The bag valve mask and laryngeal mask would not seal or get "Chest rise" because they had been destocked and they did not have pediatric airway supplies. The PCRs were left "open" for days after the incident and not finalized.  This was for "accuracy" so they could add stuff later.

X-Ray showing a mass of air in Ezekiel's stomach that was forcing his left lung, heart and trachea to the right.

Dr Lloyd Clark testified: ​That his medical report was wrong. That Dr. Cunningham's medical report was wrong. That his recorded conversations were wrong. That the Cardiopulmonary Report was wrong. That his testimony from the last trial was wrong. That his memory was not accurate and the medical records were important. That all the documents showing he was involved in an intubation in the back of the ambulance were incorrect and that the intubation did not happen. That the Ambulance achieved an airway before arrival, this in spite of a recorded conversation being played that had him discussing the ambulance issue as 12 minutes of travel without getting air into 18 month old Ezekiel Stephan.

A concern was raised over Dr. Clarkes previous notoriety which he earned in 2018 when he made some hard remarks to a group of homeless Natives in the small Southern Town of Cardston Alberta.  News of his actions made national headlines.    ​Dr. Lloyd Clark testified that it was because of the Stephan's case that he had misbehaved during this time. He then accused a member of the Stephan Family of calling him a murderer and perjurer on social media.   He then testified that after hearing that the case was going back to court that he felt the need to seek legal representation.  (His Bennet Jones Lawyer accompanied him to court where he indicated that he would likely be representing Dr. Clarke in the civil litigation to follow the trial)

Facebook post referred to by Dr. Lloyd Taylor Clarke.

Dr. Clark then continued on with his testimony.  When asked to identify an X-ray he had ordered and interpreted he testified: he was unqualified to give testimony on the film.   The justice promptly straightened him out.  The Xray seen to the right shows a zoom in on the trachea.  You can see on the film that the trachea, lungs and heart are all offset to the childs right side.   This could create catastrophic "intubation difficulties". You can aslo see a dark spot in his trachea about the same size as the intubation tube.  In the autopsy photos a deep gouge was found directly below this spot.   The medical Examiner would later testify that Ezekiel did not have an infection in his lung.  It formed only on the outside of the lung.  It is believed that the intubation tube placed in the back of the ambulance in the ambulance bay punctured Ezekiels Plural Cavity and created the infection.

X-Ray taken of Ezekiel Stephan shortly after arrival to the Cardston Hospital.

Dr. Clarke was asked if he knew anything about a tracheal tear.  He responded that it was the first time he had heard of it.   He was then shown the contents of the social media post he had complained about.  The contents were exclusively limited to discussion surrounding a tracheal puncture.   At this point he claimed he was not qualified to speak to the difference between a tracheal tear and a tracheal puncture.

text from the trial transcript where Dr. Lloyd Clarke testified on his first day that he was involved in the intubation in the back of the ambulance. He later recantted the testimony saying that he had forgotten what happened that day and now had a better memmory of it.

Thank you ! Thank you to the individuals who have provided information thus far. Many people from AHS have come forward and have either provided information or told us to stop digging.  Either way its been telling and has assisted us in determining who and what we need to focus on in the coming weeks of trial.    There is a current claim that Medical staff were too busy to document during this time. ​Medical expert Shawna Burkholder testified of a severe cardiac issue while Ezekiel was in the Lethbridge Regional Hospital.  She indicated this was a result of a Doctor from Cardston reducing Ezekiel's medication.   The records surrounding this time are undiscoverable!  We need your help!

Paternal Grand Father of Ezekiel Stephan is offering a $20,000 Reward to the people who provide new information about what happened to Ezekiel Stephan at the Lethbridge Hospital. $20,000.00 Reward Missing medical records have left large gaps in Ezekiel Stephan's care.  Missing blood culture reports, un-finalized PCRs, missing charts and logs are all issues currently being dealt with during the Stephan trial.  Most concerning are is the fact that there is a large gap in records while a severe cardiac arrest was taking place, and evidence of a lethal overdose has been found. You or someone you know knows something about this case. Please contact us gordonrockinvestigations@protonmail.com ​  ​This Family needs your help.

Missing Medical Records from the Chinook Regional Hospital

Transfer records show that Ezekiel Arrived at the Lethbridge Hospital at 00:25 on the 14th of March 1012

​Court heard this week that Logs, charts and recorded phone calls from the Cardston Alberta Hospital all showed promise of a full or near full recovery for Ezekiel Stephan.  Ezekiel Stephan was transferred from the Cardston Alberta Hospital to the Lethbridge Alberta hospital.  During transport, records show that he improved continually.

Here is where it gets sketchy.  Medical logs, charts and records are almost entirely missing from 00:25 to 01:40. During this time notes from other doctors at the Alberta Children's Hospital record numerous procedures and a now uncharted Cardiac Arrest.   No charts, logs or records have ever been provided for over 55 minutes of this time frame.  We do not know the identities of who witnessed the events at the Lethbridge Hospital and Alberta Health Services is claiming they have turned over all of the files that are now in their possession.

Transfer records show that Ezekiel left the Lethbridge Alberta Hospital at 01:40 on the 14th of March 2012

Cardiac Arrest Took Place In Hospital  : no charts, logs or records available

Alberta Children's Hospital PICU record showing that medical staff were aware of a Cardiac Arrest that took place during the time that missing records would have charted.

ED chart showing that Ezekiel was admitted to the Lethbridge Hospital at 00:29 on March 14 2012.

Records provided from this time frame have the attending physician stating "I was not involved..." Leaving the Stephan family wondering what he wasn't involved with.  The ER Doctor who lives next to Ezekiel's grandfather now claims to have no memory of the events that took place that night. No one has been willing to talk and the Medical Doctors who were involved have all now lawyered up with the legal firm Bennett- Jones.   ​

Ezekiel Stephan did not have Meningitis. Newly acquired medical records show that Ezekiel did not have Meningitis.  This new information paints a grim picture of events that took place in the Lethbridge Regional Hospital. Dr. Shauna Burkholder's notes showing that after rewarming Ezekiel he began to breath on his own. Then an uncharted dose of Rocuronium was given before he entered a severe cardiac arrest that was uncharted.

Dr. Aoife O'Carroll was noted in a conversation indicating 0 objective evidence of an infection and that the CT scan ruled out meningitis.

What you need to know

Friday May 31, 2019 saw three hearings in the Lethbridge Court of Queen's Bench involving the parents of Ezekiel Stephan. My head is still reeling from what I witnessed.  I can only describe it as confusion, misrepresentations, strategic maneuvering and a complete lack of professionalism on all accounts.   Here's the breakdown of what took place:

If all else fails, employ "Judicial Misconduct"

"Rooked" with no hope of success

The Stay Application

The stay application was interesting.  It started with David Stephan presenting a note from the Office of the Medical Examiner as an exhibit.  In this note the writer noted that Valerie Wallace from the Crown's office called to ask if the Medical Examiner was aware of some evidence being sought by the Defence counsel.  She then proceeded to tell the writer that she did not want the evidence sent to her or for the ME's office to acquire it.  She just wanted to know where to find it.

The Office of the Chief Medical Examiner in Calgary Alberta Canada

No records kept or logged during a severe cardiac arrest?: Application for stay

Logs on arrival to CRH

Logs showing arrival to the Lethbridge Regional Hospital. Ezekiel had improved throughout transport.

Gap in records

Logs showing transport from Lethbridge Regional Hospital to Alberta Children's Hospital.

Cardiac Arrest During Gap in Records

Notes of a Cardiac Arrest during Ezekiel Stephan's stay at the Lethbridge Regional Hospital. Medical charts and other records surrounding this time have not been turned over to the Stephans after 6 years of asking.

"... you can’t sue a judge because they’re immune from suit for things that they do in the course of their duties."         ~Associate Chief Justice J.D. Rooke Jan 18th 2019 ​Calgary Court Center May 28th 2019 Justice J.D. Rooke refused to allow a recusal application against himself to even be filed in the Alberta Court of Queen's Bench.  This, just one week before the beginning of the Stephan trial, where he will remain as the CMJ and be able to continue to suppress evidence of state wrongdoing.

Judge J.D Rooke of the Court of Queen's Bench

Source Vocabulary.com

Rejected Court Documents show clear examples of Breach of Trust where ACJ Rooke was abusive, ruled in opposition to Supreme Court Case law and is clearly identified to have bias against human rights activists who have been flagged by the government.

Rooke's crusade against self litigants spills into the Stephan trial.

With less than 1 week until the Stephan trial. New information is being released by family members of the Stephans.  ACJ J.D. Rooke is shown in communications to have denied Subpoenas for ten key material witnesses.  Justice Rooke ruled on the 25th of February to dismiss all of the Stephans existing subpoenas.  In a landmark ruling he determined that because the Stephans are self-represented, they are required to file an affidavit with the Court to provide justification / evidence to why every witness should be allowed.

Associate Chief Justice for the Province of Alberta John Rooke speaking at law day in Edmonton

Dr. Jamie Blackwood of the Alberta Children's Hospital

Organ Donation Approved for Ezekiel Stephan

Septic infection be Damned!  Lets approve organ donation and put these infected organs into other kids!  Most of us probably cringed when we read the line above.  Let's think it through.  Could you trust a hospital that would so recklessly put your child's life at risk by sewing into them an organ that was infected with meningitis causing bacteria?  Would Doctors be foolish enough to transplant an organ into another child if there was even a chance of the organ passing along an infection of this severity? ​Doctors approved the donation of Ezekiel Stephan's organs on March 16, 2012 @ 11:00 AM

Dr. Jon Gamble's Death Summary for Ezekiel Stephan which contains a number of glaring false claims including misquoting the results of lab tests performed after Ezekiel had died at the hands of Alberta Children's Hospital staff.

March 16, 2012 HOPE doctor Jones authorized tissue and organ donation of Ezekiel Stephan.

The David & Collet Stephan family.

For 6 long years the Stephans have fought for an accurate copy of their son's medical records.   For six long years they have been almost entirely disappointed.  To date there has been a wrongful conviction, an appeal and a Supreme Court reversal of the conviction, costing the Stephans over $1,000,000.00, the tax payers even more.  They have had their names destroyed by the main stream media and are now homeless with their 4 children and have spent the last year moving from one place to another.  They have been made to rely on the kindness of other Canadians who are willing to take them in. ​ April of 2019 was a land mark hearing that showed that at least 176 medical records had either been removed from the Alberta Netcare system along with two recorded RAAPID calls from an Ontario Server set and virtually all charts from their sons stay at the Chinook Regional Hospital in Lethbridge Alberta.  All of the now undiscoverable records dealt with procedures and their residual effects from a 36 hour period of in hospital care.

Doctors knew Ezekiel did not have Meningitis and they had successfully treated him for potassium toxicity.

Doctor Sandy Cunningham from the Cardston Alberta Hospital successfully treated Ezekiel for the high potassium found in the lab results.  Ezekiel's blood pressure quickly normalized and he began to breath on his own within 30 minutes of being treated with Calcium Chloride.   It was after after Ezekiel began breathing on his own that things took a turn for the worse.  Doctors testified that there was worry over Ezekiel possibly pulling out his breathing and NG tubes.  A drug called Roccuronium Bromide was administered and he fell into a deep and prolonged Cardiac Arrest that would result in severe brain damage and ultimately brain death. (Roccuronium is known to cause cardiac arrhythmias and if contraindicated for patients with electrolyte imbalances)

During transport to the Lethbridge Regional Hospital doctors received a report that Ezekiel had a potassium level of 6.4.  This number is concerning because medical staff had already watered down his blood supply with over 500 Ml of Saline before blood was drawn for the test.  a level of 4 is normal, 6.4 is alarming. The estimated level of 10 on arrival, if not treated would have been fatal.  It would have stopped his Heart, lungs and caused paralysis. Dr. Sandy Cunningham

Notes taken by Dr. Naminder Sandhu. This is a section of the STARS transport log when the blame for the second cardiac arrest was placed on the reduction of Epinephrine ordered by Doctor Sandy Cunningham.

Crown Prosecutors knew about the cause of Ezekiel's  Cardiac Arrest

Crown Prosecutor Clayton Giles questioning Dr. Sandy Cunningham and directing him to steer clear of the topic of potassium.

My fellow Canadians, we need your assistance.  The Stephan's have four children who they love and who love them.  After 6 years of dealing with Alberta's broken Judicial system they are in no way naive enough to believe that the Alberta Courts will allow a fair trial or even one that will allow the truth to make it on the record.