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Tuesday, March 21, 2017

New Brunswick thoracic sufferers may not be universal by Nova Scotia surgeons

4:26:00 PM Posted by Her Telden No comments

Thoracic surgeons in Nova Scotia won't be accepting any affected person referrals from New Brunswick, despite feedback by Horizon Well Being Community officers and internal memos suggesting otherwise, says the division head of thoracic surgical treatment on the Queen Elizabeth II Health Center in Halifax.

Dr. Harry Henteleff says Horizon Health Network officials contacted him a few weeks ago to ask if his staff may just lend a hand, for the reason that Saint John area's only thoracic physician is on indefinite scientific go away and the Moncton region's handiest thoracic doctor may be "on leave."

"We reviewed it with our local workforce and the realization was once that without further instruments to handle the additional workload, we couldn't take them," mentioned Henteleff.

"the reason was once that our sufferers are ready approximately two to three instances the national requirements for wait instances for most cancers surgical operation, so should you added a whole bunch of additional sufferers in, then that would just make our excessive wait checklist turn into even longer."

A thoracic health practitioner in Quebec has, on the other hand, agreed to take New Brunswick referrals.

Horizon Health exec denies thoracic surgical treatment 'problem' in Saint John Horizon and Health Department have been warned approximately thoracic surgery 'challenge' FOUR years in the past

Thoracic surgeons are specialists who maintain structures of the chest, reminiscent of the esophagus, lungs, and diaphragm muscle, however no longer the guts.

They treat sicknesses starting from most cancers to gastroesophageal reflux, cast off benign tumours, perform chest reconstruction after prime traumas and handle lung transplants.

'I be apologetic about to mention that we can't take the patients.' - Dr. Henry Henteleff, QEII

Inside Horizon emails acquired by way of CBC News have described the dearth of thoracic surgical treatment protection in Saint John and Moncton areas as a "challenge."

However all through a information conference ultimate Friday, Dr. Edouard Hendriks, vice-president of clinical, instructional and analysis affairs, downplayed the seriousness of the placement, calling it "tough," however not a "concern."

Hendriks mentioned all sufferers in the area who want thoracic surgery had been successfully mentioned other surgeons and none have faced "undue delays."

"We also, of course, got in touch with our colleagues in Halifax or even in the province of Quebec to verify that if at some point … New Brunswick is not in a position to meet all the call for that we have now quickly and easily, ways to refer those patients in different places," Hendriks had said.

Looking Ahead To reaction to supply to fly to N.B.

In A Similar Fashion, an internal Horizon e mail from the executive of surgery Dr. David Tees to physicians dated March 14 states: "Please in finding enclosed a list of surgeons that may be known as upon to look a affected person in consultation."

It lists nine surgeons, including Henteleff and his three thoracic surgeon colleagues in Halifax, who in combination serve all of Nova Scotia.

Henteleff contends the e-mail is incorrect and the Halifax surgeons will not be seeing New Brunswick patients.

"i can tell you what my dialog used to be with Dr. Tees, I stated, 'I remorseful about to say that we cannot take the sufferers,'" said Henteleff.

Cancer patients in Nova Scotia are already ready an predicted eight to twelve weeks for thoracic surgery as opposed to the beneficial 4, he said.

The Halifax surgeons did offer to take turns flying to Saint John and Moncton to perform surgeries, however have not but received a reaction from Horizon, mentioned Henteleff.

The idea was once for 2 surgeons to make more than one journeys, performing as many operations as imaginable all the way through each and every talk over with, kind of 3 in 12 hours, with native physicians managing the affected person practice-ups, he stated.

Dr. Rosaire Vaillancourt, Quebec Heart and Lung Institute

Dr. Rosaire Vaillancourt, of the Quebec Middle and Lung Institute, said he has had one New Brunswick patient noted him up to now. (YouTube)

Dr. Rosaire Vaillancourt, of the Quebec Middle and Lung Institute in Montreal, mentioned he is "slightly satisfied to help" with New Brunswick's "unlucky" and strange state of affairs.

"It's real unhealthy luck that your two major thoracic surgeons in the province are unwell on the related time," mentioned Vaillancourt, who used to work in New Brunswick on the Dr. Georges-L.-Dumont College Medical Institution Centre in Moncton from 1992 until 2000, practicing cardiovascular and thoracic surgery earlier than specializing additional.

He considers it his "accountability" to help his New Brunswick colleagues and the patients, who require the "specialized care."

He Is simplest had one referral to this point, and he expects to see her "soon," he mentioned.

"I'm mainly just ready that she has her PET experiment in Saint John after which i will see the affected person."

the other 4 physicians indexed within the Horizon e mail as conceivable consults include common surgeons in Fredericton, Moncton and Edmundston, and an inner and breathing drugs specialist in Moncton, in keeping with the provincial Faculty of Physicians and Surgeons registry.

the general general practitioner in Fredericton, then again, has an asterisk beside his name in the memo, indicating "right now full and would prefer no more for now."


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