Patients in Ontario wait for postponed surgeries

The waiting has become excruciating for Shelley Brownlee and her partner, Jonathan Clow.

Brownlee, who’s been diagnosed with a form of cancer in her abdomen, has been waiting months to undergo surgery at a hospital in Toronto. Her doctor said he had hoped to proceed with it next month but the Ontario government’s pause on all non-urgent surgeries and procedures amid soaring COVID-19 cases means she’ll likely have to hang on a bit longer.

“This is excruciating waiting, not having an end point so we know for sure she’ll be able to get the surgery, and knowing that, as time goes by, the options available to the surgeon when he’s doing the surgery become less,” said Clow, who detailed Brownlee’s situation as she wasn’t up for an interview.

“She’s only 40 years old and she has kids and it’s excruciating.”

Compounding the couple’s frustration is the fact the province is allowing businesses shuttered earlier this month to reopen with capacity limits Monday while maintaining the pause on non-urgent surgeries.

“It’s infuriating, because the implication to me is that business and the economy is more important than people’s lives,” Clow said.

Brownlee started experiencing abdominal pain last January and decided to get checked out. After several tests, a doctor told her she didn’t have cancer but needed to have an ovarian cyst removed, Clow said. When she went in for that procedure last June, Clow said the medical team realized “there was indeed cancer and it had spread throughout her abdomen.”

That cancer can’t be treated by chemotherapy and requires surgery to “remove everything in her abdomen that she doesn’t need,” Clow said. “It’ll probably involve a full hysterectomy, could involve parts of her large bowel. And, unfortunately, if it’s growing on her small bowel, there’s only so much that they can remove. The longer we wait, the more opportunity there is for this ... to seed in the small bowel, which would worsen her prognosis.”

The president of the Ontario Medical Association said the pandemic has created a backlog of nearly 20 million health-care services, based on provincial data from March 2020 to September 2021.

Dr. Adam Kassam said those services could include hip or knee replacements, cataract surgeries, colonoscopies, mammograms that screen for certain types of cancers, as well as primary, tertiary and mental-health services.

“It runs the gamut across our health system and unfortunately has been exacerbated as a result of the most recent wave of Omicron and the Directive 2 that the healthcare system is currently under,” Kassam said.

Toronto resident Akbar Jassani injured his knee in September playing soccer — a sport he said provided a form of stress relief during the pandemic — tearing his anterior cruciate ligament and meniscus.

Jassani was scheduled to have knee surgery Jan. 17, but it’s been postponed indefinitely. Now, with no surgery date in sight, he said mental fatigue has taken over.

“What’s frustrating is that (there are) days where I can’t walk because there’s so much pain,” he said.

Jassani acknowledged small businesses are suffering, but questioned the reasoning behind reopening businesses while COVID-19 hospitalizations and ICU counts remain high.

Last week, Health Minister Christine Elliott said the government made a “difficult decision” earlier this month to pause non-urgent surgeries in order to preserve critical care and human resource capacity at hospitals.

“If people do have a life-threatening condition, of course they will still receive the care that they need, but we know that many people are upset and frustrated at having their surgeries pushed off yet again,” said Elliott.

“We don’t expect the peak of the admissions to ICU to happen until about mid-february ... so, as soon as we can see that the numbers are going down both in terms of admissions to hospital and in terms of intensive care admissions, then we’ll be able to get back on track with those surgeries and procedures.”

It’s infuriating, because the implication to me is that business and the economy is more important than people’s lives. JONATHAN CLOW PARTNER OF WOMAN WAITING FOR SURGERY