In the province of Quebec, basically, in the first wave, the capacity for heart surgery went down to almost 20%. You are right—100% of our patients do have a stay in the ICU. For most of them, it is a short stay. I'd say that for around 60% or two-thirds it is only 24 hours, but they do need it acutely.
Initially, because of preventative measures to try to make room, a lot of the system was shut down too cautiously. Obviously, the strategy to decide where the patients should be going should be looked at, in the sense that maybe COVID patients should not be all across different hospitals but should be concentrated. There should be COVID-free hospitals with COVID-free cardiovascular centres so that there could be operations that keep going on.
It was definitely too precocious and too extensive a shutdown during the first wave and the second wave.