The Hamilton Spectator

Please, keep those medical testing appointmen­ts

Not showing up or cancelling on short notice have a negative impact on the whole system

- DR. KAREN FINLAY AND DR. COLM E. BOYLAN Dr. Karen Finlay is chief of diagnostic imaging at Hamilton Health Sciences and Dr. Colm E. Boylan is chief of diagnostic imaging for St. Joseph’s Healthcare Hamilton.

As hospitals continue to move ahead with services that were delayed because of the pandemic, the number of individual­s missing their medical appointmen­ts has become a growing cause for concern.

At Hamilton Health Sciences (HHS), between April 1 and Aug. 30, 2020, there were approximat­ely 5,000 missed scheduled diagnostic and imaging appointmen­ts in diagnostic imaging (DI), nuclear medicine (NM) and medical diagnostic units (MDU), an increase of two per cent as compared to the same time last year.

At St. Joseph’s Healthcare Hamilton, there were approximat­ely 1,700 missed diagnostic and imaging appointmen­ts during the same time, about a one per cent increase compared to last year.

This is a worrisome trend given that early diagnosis is essential to ensuring appropriat­e and timely treatment to minimize and even prevent more significan­t illness and disease.

Showing up is a pivotal moment in your care journey. This visit could make it possible to identify the early stages of illness, such as cancer, or detect another health issue that can be managed with therapy instead of progressin­g to the need for a surgical interventi­on. Timely diagnosis can provide important informatio­n for you and your doctor about what is going on and what needs to be done. Knowledge can also assist in reducing your anxiety about the unknown. Imaging is also key to tracking progress or improvemen­t related to your current plan of care, in order to guide further decision-making and “next steps.”

We perform over 730,000 diagnostic studies at HHS and 267,000 at SJHH each year. Our imaging resources and procedures are tightly booked for every available opportunit­y. By not showing up for a scheduled appointmen­t or providing sufficient prior notice of cancellati­on, there is a ripple effect on wait times and on other patients. If you decide not to attend an appointmen­t, please let us know as soon as possible. We will try to give another patient the opportunit­y to take this spot. This will help us reduce wait times, improve care and use our precious health care resources wisely.

Our goal is to maximize the use of this equipment and available appointmen­t times so that everyone waiting for a CT scan, MRI, ultrasound, biopsy or other procedure is seen as soon as possible. More importantl­y, your illness or injury may get worse if we miss this assessment opportunit­y.

For those that may be fearful of going to the hospital during the pandemic, our hospitals are safe places to visit for investigat­ions and procedures. There are extensive safety precaution­s in place including screening, enhanced cleaning, masking requiremen­ts and physical distancing measures. If you are feeling uncertain, your care provider would be happy to explain what will happen when you need to go to the hospital.

Please remember that timely assessment and follow up are a crucial and necessary step to assist you and your doctor with diagnosis, treatment and a management plan.

Your health is important. It is important to you, it is important to your family, it is important to us and we want to be a partner in your care.

Timely diagnosis can provide important informatio­n for you and your doctor about what is going on and what needs to be done

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