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Circulate of most cancers sufferers to Bellingham clinics has not eased backlog at dwelling, critics say


Well being Minister Adrian Dix has been pressured to defend a flagging most cancers system in mild of two most cancers sufferers who sought remedy within the U.S. to keep away from months lengthy delays in B.C.

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A median of 12 most cancers sufferers per week have travelled to Bellingham in Washington State for radiation remedy, far wanting the 50 sufferers per week the well being ministry deliberate for to cut back the backlog within the B.C. system, authorities figures present.

Two of the most cancers sufferers who sought remedy on their very own within the U.S. to keep away from months-long delays in B.C. say that is proof that sending sufferers to Bellingham has not diminished the watch for most cancers care promised by provincial Well being Minister Adrian Dix.

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Paperwork obtained via freedom of knowledge by the B.C. Opposition reveal that out of the 1,310 sufferers referred for radiation remedy within the U.S. between Could 29 and Nov. 10., simply 310 have began remedy.

Dix introduced in Could that eligible breast and prostate most cancers sufferers could be despatched to one among two clinics in Bellingham to alleviate the pressures on B.C.’s most cancers system, which has one of many longest waits for radiation remedy in Canada. He estimated on the time 4,800 sufferers may very well be handled within the U.S. over the following two years.

B.C. United chief Kevin Falcon slammed the federal government on Tuesday for failing to totally make the most of the Bellingham program, at the same time as most cancers sufferers proceed to face insufferable wait instances.

“Six months into the NDP’s outsourcing of B.C. most cancers sufferers to the U.S., we’re now seeing it’s a obvious failure, leading to lower than 1 / 4 of people who it was supposed to assist really get into remedy,” Falcon mentioned throughout query interval within the legislature.

Of these referred to the U.S., 413 sufferers opted to stay in Canada for his or her radiation remedy, whereas 53 folks didn’t have satisfactory journey paperwork to go to the U.S.

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The figures additionally present regional disparities, with 213 sufferers in Fraser Well being despatched to Bellingham for remedy, in comparison with no sufferers from Inside Well being.

Dix mentioned that removed from being a scandal, it was a very good factor that individuals have opted for remedy in Bellingham, which provides different British Columbians faster entry to native remedy.

In the end, the ultimate alternative is as much as the sufferers, and a few opted to remain in B.C., he mentioned.

Dix mentioned it is sensible that the majority of the most cancers sufferers handled in Bellingham are from Fraser Well being or Island Well being due to the proximity to the U.S. border.

Dix was on the defensive Tuesday in mild of two circumstances of B.C. most cancers sufferers who sought remedy on their very own within the U.S. after going through insufficient care in B.C.

Falcon and B.C. United well being critic Shirley Bond referred to the circumstances of Kristen Logan and Allison Ducluzeau — each first reported by World Information B.C. — as examples of the place the B.C. most cancers system had failed sufferers.

Logan, a 43-year-old Campbell River girl identified with Stage-4 ovarian most cancers, ended up receiving chemotherapy in Washington State after she was advised to count on a three- to four-month watch for remedy in B.C.

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Affected by respiratory difficulties, excessive bloating and fixed ache in her facet, Logan was identified on Sept. 18 and her physician put in a referral for chemotherapy.

Greater than per week after the analysis, Logan had not heard something about an preliminary session with an oncologist. Logan, an avid runner, knew she was deteriorating rapidly as a result of by the tip of September, she might solely take a number of child steps at a time.

Logan recalled a dialog through which a Campbell River emergency room physician advised her, “Hey, this seems to be like most cancers. If you happen to guys can go away the nation to get remedy, do it.”

She selected Sept. 26 to move to Washington State, the place her dad and mom stay, and pursue remedy there. Logan has medical protection as a result of she is a twin citizen and U.S. army veteran.

She had her first chemotherapy remedy on Oct. 20 and her surgical procedure is scheduled for Dec. 18 on the Fred Hutchinson Most cancers Middle in Seattle. Logan is staying together with her dad and mom in Olympia whereas she receives remedy, which implies she has been separated from her husband and 18-year-old daughter. She was additionally the principle breadwinner for her household, which is why Logan is looking for monetary assist via a GoFundMe web page.

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Regardless of already beginning her chemo within the U.S., Logan referred to as B.C. Most cancers to search out out if she might proceed her chemo nearer to her dwelling in Campbell River. She was advised B.C. Most cancers didn’t have a document of her referral.

Logan was furious.

“I might completely like to get remedy at dwelling, however I’ve no extra belief within the system in any respect,” she advised Postmedia. “No person desires to need to take care of most cancers, however definitely no person desires to need to take care of having to flee the nation to get remedy both.”

Logan penned a scathing open letter to Dix which mentioned, partly: “Our healthcare system isn’t tripping over minor hurdles. It’s plummeting off a cliff. We’re not coping with ‘occasional misses’, we’re grappling with a chronically diseased system the place inefficiency and neglect have grow to be the norm.”

“I raised the alarm as a result of I do know that I’m not the one one whose life has been endangered by systemic issues.”

Ducluzeau, a Victoria mom of two, ended up paying $200,000 out of pocket for surgical procedure within the U.S. after a B.C. Most cancers oncologist advised her she was not a candidate for the process that saved her life.

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The 57-year-old realtor was identified final December with Stage-4 peritoneal carcinomatosis, a type of belly most cancers. Her household physician advised her that sort of most cancers is usually handled with hyperthermic intraperitoneal chemotherapy (HIPEC) surgical procedure, a two-step process that features surgical procedure adopted by focused chemotherapy.

The following month, she was advised by the consulting B.C. Most cancers surgeon that her most cancers was inoperable, and since she had a life expectancy of between two months and two years, she ought to speak to her household about her finish of life plan.

“The primary surgeon advised me, simply mainly go dwelling and put together to die,” she advised Postmedia. “Telling my children was the worst day of my life.”

Via her personal analysis, Ducluzeau discovered medical clinics within the U.S. and Taiwan keen to take her on as a affected person. She ended up paying privately for the HIPEC surgical procedure on the Mercy Medical Middle in Baltimore, Maryland, in February, two months after her analysis.

The expertise has left her “deeply, deeply disillusioned” with B.C.’s most cancers care system.

“It makes me sick to consider it,” she mentioned. She hopes sharing her story will push the federal government to enhance wait instances and encourage most cancers sufferers to get a second opinion on their remedy choices.

Dix mentioned the province is doing every thing it may to shore up the most cancers system, hiring 61 oncologists and 29 radiation specialists since April.

The federal government is conscious that the variety of folks identified every year with most cancers is predicted to soar from 30,000 to 45,000, Dix mentioned, which is why it applied a 10-year, $440-million most cancers plan that features funding to broaden most cancers care centres in Nanaimo, Surrey, Burnaby and Kamloops.

kderosa@postmedia.com

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