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Working together to build a Healthy Community

Ón - Tillsonburg District Memorial Hospital

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CT scanner provides better view<br />

CT scanners are not a onesize-fits-all<br />

panacea. But in<br />

selected situations they provide<br />

an invaluable three-D look<br />

in<strong>to</strong> virtually any ana<strong>to</strong>mical<br />

area of the human body. “It’s<br />

a great <strong>to</strong>ol,” said Dr. Walter<br />

Romano. “Not for everything –<br />

but certainly in selected cases<br />

it is ‘the’ <strong>to</strong>ol. “And now that<br />

Tillsonburg has it, in those<br />

cases, it’s a huge win for us <strong>to</strong><br />

assist in the diagnosis and then<br />

course of treatment for our<br />

patients here at TDMH.”<br />

The analogy Romano likes<br />

<strong>to</strong> use is that of a loaf of bread.<br />

X-ray technology provides a<br />

‘two-D’ look at the entire loaf. A<br />

CT scanner on the other hand,<br />

allows medical staff <strong>to</strong> extract<br />

any one of multiple ‘slices’ and<br />

view it in exquisite 3-D detail<br />

from all 360 degrees.<br />

In most cases, says Romano,<br />

this capability provides<br />

a quicker, more accurate<br />

diagnosis and as a result, access <strong>to</strong><br />

directed and expedited treatment. “It’s<br />

made care, particularly in our emergency<br />

department, much more streamlined,”<br />

said Romano.<br />

Tillsonburg’s CT scanner did not come<br />

with additional operational funding and<br />

as a result, its usage is essentially for<br />

urgent (for example, stroke confirmation<br />

or surgical use) and emergent (accident<br />

Tanya Byers, Medical Radiation Technologist<br />

prepares patient for a CT scan.<br />

trauma) applications. “It has changed<br />

the way we deliver care in certain areas<br />

of the hospital,” said Romano of what<br />

he describes as ‘another important <strong>to</strong>ol’<br />

for surgeons, interns and emergency<br />

doc<strong>to</strong>rs.<br />

The CT scanner’s presence also<br />

provides additional benefits. In the<br />

first place, real-time connectivity exists<br />

with all eleven medical facilities in the<br />

Thames Valley region through<br />

Picture Archiving Communication<br />

technology. Basically speaking, all<br />

data collected by one CT scanner<br />

is available throughout the region<br />

guided by confidential and privacy<br />

regulations for fulltime reading<br />

and interpretation. This feature<br />

provides an opportunity for<br />

instantaneous access <strong>to</strong> experts<br />

in other hospitals for feedback,<br />

direction or preparation in the<br />

case of a patient transfer, once<br />

again, upgrading the timeliness<br />

and level of care. Secondly,<br />

CT scanners have become a<br />

standard of care, and the fact<br />

Tillsonburg has one is viewed as<br />

an asset for both staff recruitment<br />

and retention.<br />

“We are able <strong>to</strong> help the<br />

patients that need urgent and<br />

emergent care and we are<br />

hopeful, if we can secure more<br />

funding, we will be able <strong>to</strong> offer<br />

routine CTs that are necessary for<br />

all our patients <strong>to</strong> access close<br />

<strong>to</strong> home, that currently do not meet the<br />

criteria of urgent or emergent scans,”<br />

explained Lorelei Thompson, Service<br />

Coordina<strong>to</strong>r, Diagnostic Imaging.<br />

In the meantime this CT technology<br />

helps us offer the required CT’s for the<br />

patients most at need here at TDMH<br />

in a timely manner, and the results<br />

directly enhance the circle of care for<br />

our patients.<br />

Life can change in a moment<br />

Tom Hanson’s life changed in one cataclysmic fraction of a<br />

second. His recovery has been long and is ongoing. But the<br />

CT scanner at TDMH provided a crucial first step.<br />

“That’s exactly right,” said his wife Ann, noting that the CT<br />

scan precisely identified critical trauma whose nature may<br />

have resulted in delayed diagnosis. “And I may have died,”<br />

said Tom.<br />

Tom remembers little of being struck while standing on the<br />

sidewalk in Otterville last May in a chain-reaction vehicular<br />

collision. Banged, bruised and scraped but without broken<br />

bones, Hanson was rushed <strong>to</strong> TDMH’s Emergency Department<br />

where a timely CT scan revealed a bleed on the brain, by far<br />

the most serious and pressing issue.<br />

Dr. Howie Lamb informed Ann of the diagnosis and Tom’s<br />

impending transfer <strong>to</strong> London’s trauma unit. “And the<br />

ambulance was there immediately,” she recalled.<br />

The Hansons’ experience illustrates a CT scanner’s ability <strong>to</strong><br />

provide Page 4 - TDMH a rapid three-D look in<strong>to</strong> virtually any ana<strong>to</strong>mical area<br />

of the human body.<br />

Ann and Tom Hanson are thankful <strong>to</strong> Dr. Lamb and<br />

the nursing staff for the wonderful care.<br />

And while Tom can’t say enough about the quality and level<br />

of human care he has received throughout, the couple is also<br />

aware of the role that the state-of-the-art CT Scanner played,<br />

and what its lack might have meant. “It could have been<br />

disastrous,” said Ann. “It really could have.”<br />

TDMH ~ Page 3

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