By Dr. W. Gifford Jones
Monday, May 28, 2007
Several weeks ago I wrote about needless, dangerous, delays due to flaws in our health care system that resulted in surgery after an appendix had ruptured. Since then I've received numerous letters from readers reporting similar happenings. This unbelievable story is a tribute to small town doctors, the backbone of our profession, who receive so little attention. How one helped to save the life of a desperately ill patient against great odds.
Charlie Godden, a 60 year old dairy farmer from Campbellford, Ontario suffered third degree burns to one third of his body, a life-threatening condition.
His nightmare began when the 911 dispatcher could not determine the exact location of his farm. But finally the ambulance and fire department arrived at the same time. Dr Glenn Gibson, the only anesthetist at Campbellford Hospital, on call 7-24-365 administered life-saving treatment when Godden arrived at 3:15 p.m. At this point hospital staff tried desperately to find a bed for Godden in a burn unit in Ontario.
A transport helicopter landed at 3:30 p.m. in Campbellford but by 4:00 p.m. the hospital could still not find an available bed so the crew said they had to leave. Sunnybrook Hospital in Toronto had five burn units, but no staff to service them so Dr. Gibson turned to the U.S. for help.
At 4:05 p.m. a bed was found in Rochester, N.Y. But Dr. Gibson reports that at this point the pilots left anyway saying it was their turn to go off duty! (Can you imagine doctors going off duty leaving a patient fighting for his life?)
Air Ambulance agreed to find another crew. But it would not happen until after 7:00 p.m. when the shift changed. At 7:00 p.m. they called back, complaining of weather problems, and that instead a fixed wing aircraft would meet the patient in Trenton. (Gibson says it was a clear night). But the plane would not have any paramedics on board or ventilating equipment and Campbellford would have to supply them.
Dr. Gibson was the only medical person available for the transfer. He was told he would need a passport to fly to Rochester, but he didn't have one. He did possess a photo firearms permit, harder to get than a passport, and suggested he would stay on the plane when it landed in the U.S.
The plane was to land at Trenton at 9:30 p.m. so patient and doctor arrived at that time. They waited on the tarmac another hour before the plane landed and then took off for Rochester.
During all this time Dr Gibson continued to keep his patient alive by hand ventilation, a demanding physical task, as Godden could not breath on his own.
Godden's temperature by this time had dropped due to shock and the low temperature of the plane. Doctors at Strong Memorial Hospital in Rochester were amazed that Dr. Gibson had been able to keep him alive.
Unbelievably, OHIP now insisted that Godden be returned to Canada for treatment! Doctors at Strong Memorial Hospital refused to move him until his condition had stabilized. Moreover, they wanted to start skin grafts immediately as the sooner this is done the greater the chance of saving body systems from irreparable damage.
For three days a debate ensued about who would do the skin grafts. Economics eventually won. Godden was re-scheduled to fly to a burn unit at Sunnybrook Hospital by a second helicopter. It was soon found to be too large to land at Sunnybrook so another delay followed until a smaller one could be located.
Next, it was discovered that the ventilator on the third helicopter was not working. But the helicopter staff decided, since it was only a 30-minute flight, that Godden could survive the flight without one. Rochester physicians were so shocked at this decision, possibly a life or death one, that they loaned the plane a ventilator. Once again, thanks to our generous U.S. friends.
Skin grafts were finally applied in Toronto four days after the Campbellford accident, rather than the normal few hours. Charlie Godden is still in Sunnybrook Hospital, only able to communicate by blinking his eyes to a “Yes” or “No”. As for Dr Gibson, he deserves a medal.
W. Gifford-Jones M.D is the pen name of Dr. Ken Walker graduate of Harvard. Dr. Walker's website is: Docgiff.com
My book, �90 + How I Got There� can be obtained by sending $19.95 to:
Giff Holdings, 525 Balliol St, Unit # 6,Toronto, Ontario, M4S 1E1
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