The Pediatric Cardiac Surgery Inquest Report



Conclusion as to Gary's pre-operative status

The decision that Giddins made in the fall of 1993 not to operate until it could be determined whether or not Gary's VSD would close on its own was a reasonable one. Additionally, given Gary's condition at the time of his initial diagnosis, delaying surgery in order to see if his size and strength could be improved through appropriate medical attention was also a reasonable plan.

There is insufficient information on the record to determine if the medical authorities in Lynn Lake were sufficiently attentive to Gary's development. However, it does seem clear that Gary did not gain much size or strength between the time of his initial diagnosis and his next Heart Centre visit. Giddins and Odim concluded that Gary was not going to gain any more strength or size, due in part, at least, to the fact that his cardiac condition had deteriorated to the point where it was interfering with that development. That also seems to be a reasonable conclusion.

There is a difference of opinion between those who participated in Gary's treatment and those who reviewed the case for the Inquest, as to whether or not the operation should have been delayed in order to treat Gary for his lung condition. While Giddins and Odim discounted the possibility of an infection, they did not order appropriate tests to determine if one was present or not.

The possibility of an increased risk to Gary because of his respiratory problems was not discussed with his parents before the operation, although there was opportunity to do so.



Current Home - Table of Contents - Chapter 6 - Conclusion as to Gary's pre-operative status
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Previous Pre-operative condition
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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