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Health committee  This will have to be entirely anecdotal. I'm not aware.... I apologize again for coming back to data, but we don't have any really solid data on the full spectrum of drug shortages. In my own practice, I work out of St. Michael's Hospital in Toronto. I've had more than a handfu

May 11th, 2020Committee meeting

Dr. Paul Dorian

Health committee  We've had some of those conversations. We work very closely with CIHI, and I just want to make sure that there's no misunderstanding. CIHI has been extremely collaborative and supportive of the kinds of efforts we make. It's limited by its budget, its bandwidth, and its ability t

May 11th, 2020Committee meeting

Dr. Paul Dorian

Health committee  Thank you very much for your kind remarks, first of all. I think we have a task to do as a community, and this includes physicians, nurses, all the health care workers and representatives of government, and that is to help patients figure out whether the symptoms they have warr

May 11th, 2020Committee meeting

Dr. Paul Dorian

Health committee  I don't think it's necessarily a fear of sharing the data because of liability, but there are certainly lots of appropriate questions about data privacy. I think individual data custodians, the individuals who hold the data, whether it's within hospitals, regions, provinces or

May 11th, 2020Committee meeting

Dr. Paul Dorian

Health committee  That's a very important question that we talk about a lot, Mr. Davies. In retrospect, I think it would have been reasonable to have less surge capacity and have continued doing some therapies, but I think I would absolutely not criticize health care planners and public agencies

May 11th, 2020Committee meeting

Dr. Paul Dorian

Health committee  Thank you very much, Mr. Van Bynen. It's a very important question. The only organization that I'm aware of in Canada that is allowed to receive data that's transported across provincial barriers is CIHI, the Canadian Institute for Health Information. Different provinces have di

May 11th, 2020Committee meeting

Dr. Paul Dorian

Health committee  Thank you for your question. I apologize, but I'm going to answer in English to be more succinct and more accurate. My deep apologies, but I do this for the sake of accuracy and brevity. Kawasaki disease is a rare disorder. It manifests in the heart as what's called coronary a

May 11th, 2020Committee meeting

Dr. Paul Dorian

Health committee  The short answer is yes. We don't have the exact numbers, but we have a number of cases. I just talked to a colleague from Sunnybrook hospital yesterday, who is in charge of data for the province of Ontario, and they've had four deaths on their waiting list in the last month, so

May 11th, 2020Committee meeting

Dr. Paul Dorian

Health committee  Those are superb questions. Absolutely, we would like to be able to help our patients understand, both in the short term and the longer term, what the consequences are to the heart of having COVID. We know that if you already have heart disease, then your chances of getting sicke

May 11th, 2020Committee meeting

Dr. Paul Dorian

Health committee  Almost all hospitals already collect the necessary data. This data is collected on site but isn't shared among hospitals, regions or provinces. The challenge is to collaborate and find a computerized way to share data between hospitals. This will require willingness, discussion

May 11th, 2020Committee meeting

Dr. Paul Dorian

Health committee  Absolutely. I could not emphasize more exactly what you've just said. Let me give you a specific example about frustration. There's been a lot of discussion, for example, on our lack of understanding whether patients.... Let's take acute heart attacks, for a moment, or cardiac

May 11th, 2020Committee meeting

Dr. Paul Dorian

Health committee  I totally agree. To give you an example of metadata, in the last two days I have received metadata—it's not privacy protected—from Alberta, British Columbia, Ontario and some from Quebec. This is from colleagues, but of course I have to be on the Internet, make phone calls and s

May 11th, 2020Committee meeting

Dr. Paul Dorian

Health committee  Thank you very much for your question. We are ready to resume all acute care immediately, just as for a heart attack that must be treated right away. It's possible to resume treatment today, if patients come in when they are in crisis. For chronic problems, for procedures such a

May 11th, 2020Committee meeting

Dr. Paul Dorian

Health committee  I fully agree with you. First, we had to reduce the total number of medical procedures we could perform. We can focus more on certain procedures, such as angioplasty for people with acute heart attacks but, in principle, we had to reduce the total number of procedures. Second,

May 11th, 2020Committee meeting

Dr. Paul Dorian

Health committee  I fully agree. What the patient is told about the appointment will vary from one hospital or group to another, and will depend on the location and the workload whether it is possible or not. That's why I wanted to emphasize that, as much as possible, hospitals and health care c

May 11th, 2020Committee meeting

Dr. Paul Dorian