Whitehorse Daily Star

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Dave Pruden and Kirsten Macdonald

Man lacked wheelchair-accessible taxi to go home

A quadriplegic man died from a urinary tract infection last December after he was unable to find a wheelchair-accessible taxi to take him home to Copper Ridge Place.

By Rhiannon Russell on June 12, 2015

A quadriplegic man died from a urinary tract infection last December after he was unable to find a wheelchair-accessible taxi to take him home to Copper Ridge Place.

The Yukon’s chief coroner released her report into the death of 44-year-old Ronald Itsi this week.

An autopsy found that the infection, caused by his catheter, led to his death.

Alcohol and anti-depressants were contributing factors.

Itsi injured his spinal cord in a fall in 2011.

As a result of the catheter he had to use, he had frequent urinary tract infections.

At about 6 p.m. on Dec. 7, 2014, Itsi signed out from Copper Ridge Place, and a friend picked him up.

Itsi’s intention was to return home that night, coroner Kirsten Macdonald writes in her report.

Later in the evening, friends made several phone calls to Whitehorse-area taxi companies to find a wheelchair-accessible one that could take Itsi home.

None were available.

Having a friend drive him home wasn’t an option, Macdonald said.

So Itsi spent the night at his friend’s house on Wann Road in Porter Creek.

At about 9:30 the next morning, he was found cold and unresponsive in his wheelchair.

It’s unknown whether Itsi would have survived the infection if he’d been able to return home, Macdonald writes.

She notes the residence’s nursing staff are “highly qualified” and have experience dealing with UTIs.

Had the nurses recognized the symptoms, they would have contacted the physician, who likely would have taken a urine sample and ordered an antibiotic, Macdonald writes.

“Urinary tract infections are usually treated with antibiotics as prescribed by a physician,” she states.

Although Itsi had planned on returning home that night, there were no plans made in advance by Itsi or Copper Ridge staff to ensure he had a ride home.

“In order to request a wheelchair accessible taxi on Dec. 7, 2014, a person would have had to make the arrangements in advance and pay a premium for the service,” the report states.

“This service is offered by a contractor through a local taxi company and the hours of availability are inconsistent and somewhat unreliable.”

The Handy Bus, a service for people who are unable to use regular transit, doesn’t operate on Sundays. Dec. 7, 2014, was a Sunday.

Besides these two options, there are currently no wheelchair-accessible taxis in the city.

“This is exactly why we have it in the (draft) bylaw,” bylaw manager Dave Pruden told the Star this morning.

Earlier this year, Whitehorse city staff put forward the document, proposing that taxi companies be required to have at least one wheelchair-accessible vehicle.

Pruden said this was a response to input from the public and the Persons with Disabilities Advisory Committee.

Drivers have complained about what this might cost, arguing it was impractical and unnecessary for each company to have one when demand is low.

But Pruden said estimates from Vancouver show a conversion kit costs about $11,000, lower than the $20,000-plus taxi drivers cited.

These would fit into van cabs and still allow the vehicle to be used to transport people who aren’t in wheelchairs, Pruden said.

“It’s fully functional; you just lose the back seat, which is where the person would ride if they were in a wheelchair,” he said.

“It’s still a normal taxi taking normal fares.”

The draft bylaw will come before council again on June 22.

According to the U.S. organization Sepsis Alliance, UTIs are a common infection treated easily and quickly with antibiotics. But when untreated, they can spread to the kidney and lead to sepsis, or blood poisoning.

UTI symptoms include pain while urinating, lower abdominal pain and a fever.

The Department of Health and Social Services, which runs Copper Ridge Place, did not respond to questions before press time this afternoon.

Comments (8)

Up 21 Down 5

Pjt1959 on Jun 16, 2015 at 7:40 am

Blaming taxi companies is wrong. Alcohol and anti-depressants do not go together. COW maybe should run the handy bus 7 days a week if they are that concerned. Conversions are expensive and they have to be sent to a shop outside that does it. Ice and snow can also play havoc on them with freezing up. Yes I would like to see a handicap taxi but the bottom line is the company has to make money with it. So maybe all governments can give financial support to the conversion. Death is always hard but politics should not play with it to get what they want. That is my rant.

Up 25 Down 4

Writing fiction on Jun 16, 2015 at 6:06 am

"Had the nurses recognized the symptoms, they would have contacted the physician, who likely would have taken a urine sample and ordered an antibiotic," says the coroner. That's a lot of shouldas and couldas. I'm no coroner but it seems to me that the cause of death was an infection, alcohol, prescription drug abuse and a complete lack of awareness that his body was running a fever and in need of medical care. Not the fault of the taxi company nor his friends nor any social system. Cause of death: self-destruction. We have to stop trying to change society every time there is a death. It's nobody's fault!

Up 27 Down 4

Ryan Renolds on Jun 15, 2015 at 11:03 pm

You'd think Dave Pruden was paying the newspapers to print this stuff so he can get his taxi bylaw approved. What a joke! "This is exactly why we have it in the (draft) bylaw" states Dave Pruden.

Here are the other facts in the article:
An autopsy found that the infection, caused by his catheter, led to his death.
Alcohol and anti-depressants were contributing factors.
It's unknown whether Itsi would have survived the infection if he'd be able to return home.
If you have an emergency, you take the ambulance, not the taxi. The man did not die because he could not find a wheelchair accessible taxi. It's tragic nonetheless, but he died from infection. To put the blame squarely on taxi's is a very mindless stupid thing to do.

Up 31 Down 1

Really? on Jun 15, 2015 at 10:12 am

@ Hoby Irwin -- Clearly he had issues that were medical related and to me, that seems like a legit reason to use an ambulance....to the hospital! Wasn't suggesting that he use it like a taxi service to go back to Copper Ridge Place.

@ Moe -- I agree that this shouldn't put the cab companies at fault.

@ Max Mack -- Couldn't agree more. It's an agenda.

Up 49 Down 6

moe on Jun 13, 2015 at 11:11 pm

Rest in peace, Ronald Itsi. Maybe four years in a wheel chair as a quadrapalegic was all your body could take. I hope you went comfortably and peacefully after a good night with your friends.

I don't think it's right to be making this as the fault of the cab companies. Have some class.

Up 9 Down 23

Hoby Irwin on Jun 13, 2015 at 10:02 pm

Really guys
@Really? It's against regulations to use ambulances for transportation in case they are needed to transport like hurt people. Same reason dead people at an accident aren't transported by ambulance. Just in case they're needed to do their primary job!
Max Mack? What did you say? Politicians, everyone uses dead people to justify what they want. Just look at the shameful way accident victims are used to justify 4 lane highways and higher speed limits. How dead heroes are used to justify spending tons of money on useless security measures.
What Pruden was pointing out is that there should be alternatives but in the interest of profit these are not offered in Whitehorse. If the government implements the service the private taxis scream bloody murder about interference in private enterprise. But private enterprise won't do it because it's too expensive.
Mr Itsi died because of a perfect storm. The City and government are dammed if they do and dammed if they don't.
And Max Mack, the City did listen to the taxi companies and didn't do anything. What should the City have done?

Hoby Irwin

Up 40 Down 10

Max Mack on Jun 12, 2015 at 7:41 pm

I find Pruden's attempt to use this man's death to justify his proposed bylaw despicable.

Rather than dismissing cabbies' concerns about installation costs (installed cost is a lot higher than the purchase cost of a conversion kit; very sneaky of Pruden to divert attention to the purchase cost), cost to maintain a wheel-chair equipped vehicle 27/7, loss of revenue due to conversion, etc., perhaps Pruden and CoW could actually listen for a change.

Up 42 Down 9

Really? on Jun 12, 2015 at 5:18 pm

And why couldn't an ambulance be called? Shouldn't he have gone to the hospital and not Copper Ridge Place?

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