The Pediatric Cardiac Surgery Inquest Report



Relations between HSC and St. Boniface

Collins's timing could not have been better. He assumed the position at a time when efforts were being made to rationalize cardiac services in Winnipeg. To that point, the two major hospitals in the city, St. Boniface General Hospital (SBGH) and the Health Sciences Centre (HSC), had each been vying to be the main centre for cardiac services in the province, particularly in the field of adult cardiac surgery.

By 1981 most adult cardiac surgery was being carried out at SBGH. The small amount of pediatric cardiac surgery that was being done was performed at both SBGH and the Children's Hospital. The competition between the two hospitals had been seen for some time as unhealthy, in that it contributed to professional antagonism, to a duplication of services and costs, and confusion among members of the medical profession and the public. A number of studies and reviews had, in fact, recommended that cardiac services be centred at one or the other of the two major hospitals. While much of the discussion concerned adult cardiac services, the field of pediatric cardiac surgery called for the same considerations in Collins's eyes.

Before he actually started working in Winnipeg, Collins spoke with Dr. Morley Cohen, the director of the adult cardiac surgery unit at SBGH, and gained his support for his plan to establish a pediatric cardiac surgery unit at the Children's Hospital. After his discussions with Cohen, Collins believed that SBGH was going to be the centre for adult cardiac surgery in the province, while the HSC would be the centre for pediatric cardiac surgery.

By the time Collins started, however, the HSC had hired Dr. Jim Parrott, who became the acting head of the cardiovascular and thoracic section at the HSC and also performed adult cardiac surgery. In Collins's view this development flew in the face of what he had understood was going to occur. The hiring of Parrott continued the ongoing tension between medical staff of the two hospitals, a point that was mentioned frequently throughout the Inquest hearings.



Current Home - Table of Contents - Chapter 5 - Relations between HSC and St. Boniface
Next The Provincial Advisory Committee on Cardiac Services in Manitoba
Previous Collins's background and vision
Section 1 Chapter 1 - Introduction to the Issues
  Chapter 2 - Pediatric Cardiac Issues
  Chapter 3 - The Diagnosis of Pediatric Heart Defects and their Surgical Treatment
  Chapter 4 - The Health Sciences Centre
Section 2 Chapter 5 - Pediatric Cardiac Surgery in Winnipeg 1950-1993
  Chapter 6 - The Restart of Pediatric Cardiac Surgery in 1994
January 1, 1994 to May 17, 1994
  Chapter 7 - The Slowdown
May 17 to September 1994
  Chapter 8 - Events Leading to the Suspension of the Program
September 7, 1994 to December 23, 1994
  Chapter 9 - 1995 - The Aftermath of the Shutdown
January to March, 1995
Section 3 Chapter 10 - Findings and Recommendations
Appendix 1 - Glossary of terms used in this report
Appendix 2 - Parties to the Proceedings and counsel
Appendix 3 - List of witnesses and dates of testimony
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