Orthopaedic Surgeons Say Surgical Wait List Remains Too Long at PGRH
By 250 News
Tuesday, July 07, 2009 04:00 AM
Prince George, B.C.- It has been three months since orthopaedic surgeons in Prince George announced they would no longer take new patient referrals, at the time they said their surgical waiting lists were too long.
Northern Health responded saying changes were in the wings, changes that would ease the pressure.
Orthopaedic surgeon, Dr. Mike Moran says since then, things have gotten worse, not better “Last week, I operated on a patient who has been waiting three years for their surgery” says Dr. Moran. He says his operating room time over the past three years has averaged five and a half hours a week.
Dr. Moran is asking why other facilities in the province have been able to clear their orthopaedic surgical back log, but PGRH has not?
The most recent information on the Province’s surgical wait list indicates that when it comes to hip replacement, Prince George has the lowest case completion to waiting list percentages in the Province.
(Hospital Location)
|
Patients Waiting
|
Cases Completed for the 3 Months ending Apr 30/09
|
% Completion to Wait cases
|
Province of BC
|
1489
|
1104
|
74%
|
|
|
|
|
Abbotsford (ARH)* |
22
|
29
|
131%
|
Burnaby
|
37
|
36
|
97%
|
Campbell River & District
|
53
|
25
|
47%
|
Chilliwack
|
30
|
27
|
90%
|
Comox (St. Joseph's)
|
8
|
22
|
275%
|
Cranbrook
|
17
|
16
|
94%
|
Dawson Creek
|
21
|
7
|
33%
|
Duncan
|
40
|
28
|
70%
|
Greater Victoria
|
61
|
96
|
157%
|
Kamloops
|
85
|
40
|
47%
|
Kelowna
|
122
|
90
|
73%
|
Kitimat
|
2
|
6
|
300%
|
Langley
|
40
|
29
|
72%
|
Maple Ridge
|
14
|
14
|
100%
|
Nanaimo
|
66
|
60
|
91%
|
New Westminster
|
8
|
9
|
112%
|
North Vancouver
|
66
|
61
|
92%
|
Penticton
|
32
|
21
|
65%
|
Port Moody
|
19
|
10
|
52%
|
Prince George
|
125
|
27
|
21%
|
Prince Rupert
|
3
|
2
|
66%
|
Richmond
|
49
|
48
|
98%
|
Surrey
|
36
|
24
|
66%
|
Trail
|
24
|
24
|
100%
|
Vancouver (St. Paul's)
|
18
|
23
|
127%
|
Vancouver (U.B.C.)
|
212
|
189
|
89%
|
Vancouver General
|
185
|
94
|
51%
|
Vernon
|
69
|
30
|
43%
|
White Rock
|
25
|
17
|
68%
|
Dr. Moran was hailed as a hero nine years ago when thousands packed the CN Centre to call for improvements to the delivery of health services in the north. He had made a commitment to stay in Prince George at a time when other specialists were leaving town to find greener pastures elsewhere., He says the surgical wait lists tell only part of the story, “There are hundreds more who are waiting just to see an orthopaedic surgeon in Prince George.” He says he and his colleagues stopped taking new referrals because those patients would be waiting too long to see a surgeon here and longer still to have their surgery.
“In the lower mainland, the surgical waitlists have been virtually eliminated in many hospitals” says Dr. Moran, who points to Richmond, which he says opened multiple operating rooms to make a significant dent in their wait list.
Dr. Moran says while it is typical for Prince George Regional Hospital to keep only 4 operating rooms going during the summer months as staff take holidays, the current situation is far worse, with PGRH down to 2.5 operating rooms right now “We have lost OR (operating room) nurses, lost two anaesthetists and only found one replacement.” While aware Northern Health is facing some budgetary challenges, he is concerned the patients will be the ones to pay “The easiest way to save dollars is to keep the OR closed” says Dr. Moran. If the OR is closed, there is reduced need for services throughout the hospital from nursing staff to the laundry department.
Northern Health Communications Manager Steve Raper disagrees. He says the Hospital is running 4 OR's (as was promised) for the summer, and that the situation should improve this fall "We have recruited two new anaesthetists, one will start in August the other in September and there is a potential for a third". Raper says the nursing staffing situation is "stable" but there may be some shortages because of illness or retirements. As for the budget challenges, "We are still in the proces of budget planning but we are going to keep it (cost savings) away from the patient front." Raper says they hope to find savings through administrative areas.
“There was a promise of changes three months ago that would make things better” says Dr. Moran who has been waiting to hear from Northern Health just what changes would be made to improve the OR situation, “Since then the silence has been deafening.”
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Are we committing our dollars in a different area?
If all hospitals are funded equally, then where are the dollars being spent?
Next question is why the difference in data. Are there 4 OR's operating full time or not? Considering Dr. Moran's history in this city, I tend to believe him.