Monthly Archives: December 2013

The many “Love Stories” that have been altered by unsafe injection practices

December 23, 2013

Evelyn McKnight and Lauren Lollini

Evelyn & Tom McKnight are survivors of the Nebraska Outbreak

Evelyn & Tom McKnight are survivors of the Nebraska Outbreak

On behalf of my wife Evelyn and everyone who helps sustain the efforts of HONOReform, thank you very much for your support. In the letter I sent in November, I ask the wonderful people we have met and worked alongside through the years to provide a donation to HONOReform. This request is getting a good response. I thank you all.

And, naturally, I encourage everyone to please think of HONOReform here at the end of the year…and throughout 2014 and beyond. We depend on your kindness and generosity. Every donation is meaningful. You are helping us continue to help safeguard the medical injection process in the United States. If you haven’t already, will you please consider a gift to HONOReform?

In a blog post scheduled for early next year, our executive director, Steve Langan, will share some of our highlights of 2013—and some of our goals for 2014. We encourage you to join us!

In my appeal letter we mailed in November, I shared part of my story, our story—what can happen when a loved one is affected by unsafe injection practices. Even one unsafe injection can devastate a person and his or her family. Every part of the injection safety process “from manufacting through disposal” (as Evelyn says) must be done correctly.

I talk about the many “love stories” that have been altered by unsafe injection practices. I have been there. Many others have been there, too. Let’s continue to work to prevent outbreaks and infections caused by unsafe injection practices.

I would like to switch gears for a minute, and talk to you about injection safety from the point of view of health care providers. As many of you know, I have been a family physician for many years. It is not a stretch to say, at this point in my career, “I’ve seen it all.”

I call on my colleagues—not just physicians but nurses and every member of the staff in a clinic or hospital—to always provide a safe injection, each and every time. This continues to be my goal. A call to action to everyone who gives an injection…to make sure it’s being done correctly.

That said, it is now more important than ever that we communicate. There is so much technology in play in hospitals and clinics—from electronic medical records to apps of all kinds—that I think we providers sometimes forget to take some time to talk with one another.

My wish for 2014 is that we emphasize communication here in Fremont at our clinic. And that we are never shy or hesitant about addressing a situation in which any aspect of health care is questionable. As they say in the airports, If you see something, say something. This especially applies to any potential violation of the injection safety. Lives depend on it.

I extend this important call to action to my fellow providers, here in Nebraska and throughout the country.


“You need someone to advocate for you” – Ron Noecker’s story

December 16, 2013

Evelyn McKnight and Lauren Lollini

Ron Noecker is an oncology nurse, currently living in Antigua, Guatemala. Here he shares his concern for injection safety as a patient and as a nurse.

Hello, my name is Ron Noecker. I’m a radiation oncology nurse and I have a little story to tell you that made me aware of how important it is to be aware of injection safety practices. read more »

Deja Vu All Over Again by Lauren Lollini

December 9, 2013

Evelyn McKnight and Lauren Lollini


Back in the summer of 2012 news reports invaded my inbox regarding the Hepatitis C outbreak discovered in Exeter, NH. My friends and colleagues in the patient safety world were concerned. How could this happen again, they asked. I recall my own sadness at hearing the news, understanding all too well what those victims, their families and the community might be feeling. This incident was so similar to the one we experienced in 2009 in Denver, CO.

My heart broke a little more just this past week when David Kwiatkowski, the medical tech who was responsible for infecting 46 patients with Hepatitis C as he diverted syringes of fetanyl for his own use and reused those same syringes, filled with saline, on patients. The infectious disease he carried had spread to 46 innocent people. When all was said and done, it was reported that Kwiatkowski had worked in 7 different states, putting so many patients under his care at risk. One patient died and health officials have stated her death was directly related to her acquiring Hepatitis C from David Kwiatkowski.
read more »

HONOResponse: Why the North Dakota Investigation is Representative

December 2, 2013

Evelyn McKnight and Lauren Lollini

Steve Langan, director of HONOReform

Steve Langan, director of HONOReform

Here’s the situation as we know it: as many as 30 residents, all 60 years old or older, who live at ManorCare Health Services in Ward County, North Dakota, have recently been found to be infected with the same strain of hepatitis C. Its suspected that some aspect of medical care is the cause of all of the cases.

It’s sad but true. And it happens all the time. There have been over 50 confirmed outbreaks of hepatitis C in the United States over the last 12 years. There have also been thousands of patient notification letters sent, after discovery that some aspect of the medical injection process was done improperly. Many times, there is no known disease transmission, which is a great relief for patients and their loved ones. But, oftentimes, there is. read more »