First of all, I think it's fair to say that there was no formal channel of communication in place when all of this began. I first learned that there was an issue on November 30, which was a Friday, sitting in my office, when my charge technologist came in and said, “We're not going to have any isotope to do the lymphocentigraphy on Monday.” Now we fixed that problem with a phone call, but we had not been told what the problem was. We had simply been told, from our supplier--because we deal directly with a radiopharmacy--that they had not received their generators from Bristol-Myers Squibb and that it had something to do, and this was the information I got, with earthquakes in the Ottawa Valley, and I just sort of took that in passing.
It was only later in the subsequent week, probably Wednesday, that I realized there was actually a more serious shortage. Again, that information came from our radiopharmacy, which was operated by Bristol-Myers Squibb. So there really was no formal channel of communication.
Because we were looking for an alternative to the bone scan agent in Ontario and because my facility actually had the capacity to produce an alternative, I called Health Canada and asked if we could look at using this alternative, because in order to use it, there needed to be a formal protocol put into place. That was when my communications with Health Canada began.
We have identified, as part of the ad hoc working group, that this communication issue does need to be worked on. It's my understanding that there is a protocol in place now, which I believe Mr. McGee has referred to. The advisory panel is currently working on a report that we will be presenting to the Minister of Health, stressing the need for good communication when these issues occur.