Premier calls 2019 deaths of at least 12 patients waiting for heart surgery 'unacceptable'

Premier Franois Legaultsays Quebecdoes not intend to send patients to Ontario or the U.S. for heart surgery. That's despite the fact a recent survey by theQuebec's association of cardiac surgeons found 12 patients died between January and April while waiting for an operation.

The association's president, Dr. Louis Perrault, said the number of deaths of people waiting for heart surgery may have grown since then.

"I think it's possible to fix these problems in Quebec," Legault said Wednesday. He said it's unacceptable that hospitals are failing to respect the maximum wait times for surgery.

Perrault said surgery isn't being performed in a timely manner most oftenbecause of a shortage ofoperating room nurses and perfusionists the technicians who operate the heart-lung machine during the surgery.

He said in some cases, a lack of beds also contributesto the delays.

Perrault said there have been issues across the province, including at Montreal's four main teaching hospitals, the McGill University Health Centre (MUHC), the Jewish General Hospital, the Centre hospitalier de l'Universit de Montral (CHUM) and Sacr-Coeur.

"It's all a chain. If we have one professional that's not there, we can't operate. We can't treat the patient," he said.

More nurses hired

Perraultsaid he would like to see the Quebec Health Ministryprovide more incentives for operating-room and intensive-care nurses and for perfusionists. He would also like to see more nurses trained to assist insurgeries.

Patients' rights advocate Paul Brunetblames thenursing shortageon the health reforms undertaken by ex-Liberal health minister Gatan Barrette.

"The then-minister of health has neglectedto take note that there was almost 1,000nurses that were on unemployment in Quebec" while the Liberals were in power, Brunet said."He was talking about a shortage which was totally false."

Brunet believes that current Health and Social Services Minister DanielleMcCann has done a better job, by hiring more nurses, but it will take months for enough of them to be trained to work in operating rooms.

McCann says she is looking into the details of the 12 deathsand would like to see changes in the way hospitals are organizing their waiting lists.

"We're asking these establishments, with their medical staffs, to manage in a rigorous way their waiting lists in cardiac surgery," McCann said. "The waiting list should be centralized."

Waiting is riskier than surgery itself

In the meantime, Perrault is cautioning patients on cardiac waiting lists to head to the emergency room if they start to feel severe chest pains or shortness of breath. If they have other health concerns while they're waiting for surgery, he says to call the pre-admission lines of their hospital.

"The patients have to know that there is a risk for them being on that list," he said."Actually,the risk is greater than having the actual operation which does not make sense."

Perrault saidsurgeries are often being cancelled to avoid paying staff overtime.

He said that's a practice that has to end.