Bed shortage blamed after Winnipeg patient with MS unwillingly moved to COVID ward

A Winnipeg hospitaloverwhelmed with more patients than it had capacity for sent a man who didn't have COVID-19, but lives with multiple sclerosis, intoan outbreak ward where he says he shouldn't have been.

After nearlytwo daysin an emergency departmentbed at Health Sciences Centre, waiting to be admitted, Vince Mancini pleaded with medicalstaff not to move himinto an area of the hospital where he wasmore likely to contract COVID-19.

Mancini doesn't know why his pleaswere dismissed, but he suspects thehospital had no other beds.

"Knowing that I have to go through a treatment [for MS], knowing that contracting COVID right now would be very harmful to my health, it hit me very, very hard," Mancini said, explaining his treatments would have been cancelled if he got COVID-19.

His case illustrates how Manitoba emergency departmentshave increasingly served asoverflow wards for patients waiting to be admitted to an in-patient ward.

Mancini was at Health Sciences Centre in May to regain strength in his left leg, which was sapped by hismultiple sclerosis.

Over two days, he says he heard traumatic conversationsfrom nearby patients, and so askedto be relocated from the ER.

But the 33-year-old, who works in project management for a technology company, didn't expect to be pushed into a COVID-19 outbreak ward instead.

Mancini said he'd rather stay in the emergency department bed, but that request wasdenied. He wasn't toldwhy.

"I know there was a big wait to get in from the emergency room waiting room," Mancini said.

"To move me out and put me into a bed and actually open up more space [in the ER], I think, was the main reason for this happening."

Multiple sclerosis is a potentially disabling disease. Medical experts saywhile it's not believed those with MS are generally at greater risk of severe disease if theyget COVID-19,the impact of a viral infection mightbe greater for them. As well, a recently published study says there is evidence patients receiving some therapies for MS areat an increased risk of severe COVID-19 outcomes.

Steady stream of resignations: nurse

An emergency room nurseat HSC said the hospital is routinely short ofbeds for patients seeking care and the dire staffing shortage is making things worse.

"We actually have no staff to even keep our current department open," the nurse, whomCBC has agreed not to name because she fears reprisal at her work, said in an interview last month.

On a recent weekend,a third of the ER's approximately52 beds wereoff-limitsbecause there wasn't enough staff, she said.

And then there arethe ER beds occupied by patients with nowhere else to go.

"It's frequently been 20, 30 patients waiting to get admitted upstairs," the nurse said. "If you take those beds away, you're taking beds away from critically ill Manitobans."

That creates a chain of effects. ER beds are increasingly occupied by patients waiting to be admitted elsewhere in the hospital or to another facility,rather thanpeople who need urgent treatment which, in turn, creates long delaysfor people trying to enter the emergency department.

Thenurse who spoke to CBC says inadequate staffing is to blame. That'sgetting worse asmore workers, burned out by thepandemic, quit.

She estimates at least 70 nurses have left the emergency department since January2020. New hires have made up for some of that, but don't fill the vacancies.

Moved to isolation room

Mancini says he wound upspending two days in theCOVID-19ward beside another COVID-free patient, who was also bewildered at being relocated. The two were in their own room and separated from the COVID patients by a door.

He was moved out of the COVID unit after a visit by a neurologyspecialist, who agreed that Mancini didn't belong there.

In the neurology ward, he received plasma treatments that helped him regain strength in his left leg. He was thriving in recovery, where he got the care he needed and appreciated the staff who cheered him on as he practisedwalking.

Four days after entering the ward, Mancini was dismayed when he was sent to aCOVID isolation room.

The medical staff acknowledgedthey made a mistake in admitting him to the COVID ward days earlier and were correcting their mistake by ensuring Mancini followed theproper 10-dayisolation protocol.

"I just didn't understand having the freedom, making the progress that I was making, having a great team of individuals around me and then that completely being taken away."

When the mistake was explained to him, Mancini said a doctor, apologetic for Mancini's ordeal, began to cry.

In a statement, Shared Health said patients not infectedwith COVID-19 should be kept away from COVIDunits, but"such admissionshave periodically occurred" ifneeded.

A guidance document for medical staff says they should try to avoid admitting patients into these units who have"existing chronic medical conditions" and "immune compromising conditions."

A Shared Health spokespersoncouldn't speak to specifics in Mancini's experience due to patient privacy legislation, they said.

Prior to hismultiple sclerosis earlier this year, Mancini said henever had to go to an emergency room. Before his experience in May, he spent 23 hours in a waiting room during a visit in March, he said.

Today, Mancini is working on regaining leg strength by devoting about two hours a day to exercise. He wants his recovery to keep progressing, anddoesn't want to return tothe hospital.

"It's veryscary knowing that there could be another event where I have to go back and maybe go through that exact same situation. That's what's probably the most frightening thing right now in my life."

Dr. Candace Bradshaw, president of Doctors Manitoba, said the long wait times and busy wardshave her worried about the fall and winter months, when the health-care system copes with higher occupancy levels.

Winnipeg patient with MS unwillingly moved to COVID ward due to bed shortage

2 years ago

Duration 2:16

A Winnipeg hospital overwhelmed with more patients than it had capacity for sent a man who didn't have COVID-19, but lives with multiple sclerosis, into an outbreak ward where he says he shouldn't have been.