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This article appeared in the London Free Press today:	

Brain operation axed with LHSC out of cash
Thu, February 19, 2009 	Email

Allan Hood had hoped brain surgery this week would cut his drug needs 
in half and reduce the number of days Parkinson's disease leaves him 
frozen, unable to move.

But last Friday, the London man got the call that the surgery was 
cancelled indefinitely because the London Health Sciences Centre 
(LHSC) didn't have the money in its budget for the intricate procedure.

It was the second time in two months Hood's operation, a procedure 
known as deep brain stimulation, was called off because the hospital 
had run out of cash for it.

"This whole situation is deplorable at best.

"It is a waiting game and I am watching myself get progressively 
worse" said Hood, who was diagnosed with Parkinson's eight years ago.




London Health Sciences Centre confirmed yesterday it doesn't have 
money left in this year's budget for the procedure.

Hood has an aggressive form of Parkinson's, a neurodegenerative 
disease that causes tremors, stiffness, impaired balance and muscle rigidity.

To control the symptoms, he takes 29 pills a day, drugs that cost 
$10,000 a year.

Two years ago he was referred for deep brain stimulation, in which a 
pacemaker-like device is implanted to provide electrical stimulation, 
reducing or eliminating tremors.

"It isn't a decision arrived at lightly," said Hood, adding he knows 
the surgery has risks.

"I didn't get up one morning and say I am going to have deep brain 
stimulation next week. This is something I have been thinking about, 
contemplating," he said.

Beyond personal disappointment his surgery was cancelled, Hood said 
he's concerned London could lose the specialists that pioneered the procedure.

The surgeons and neurologists shouldn't have to go, cap in hand, 
looking for money so they can practise, he said.

"And we wonder why doctors leave for other jurisdictions," said Hood.

He questioned why the province has poured money into five surgery 
areas -- cataract, hips, knees, cancer and cardiac -- and left the 
brain stimulation program without enough funding.

LHSC designates a specific amount of money in its operating budget 
for such neurological procedures, said Kirsten Krull-Naraj, the 
hospital's surgery services vice president.

"Unfortunately, we are at a point in the year where that money has 
been exhausted," she said. "While we were hoping we might see some 
additional revenues coming from the (Health) Ministry, there still 
has not been a commitment."

The hospital's fiscal year runs from April 1 to March 31.

Going ahead with such procedures, which can cost $20,000 to $25,000 
just for the supplies, isn't an option when the budget has been used 
up, Krull-Naraj said.

"That adds up very quickly. That is the dilemma with some of these 
high-tech interventions," she said.

"We have had to delay these cases until we are on solid ground again 
with finances to keep this work going."

Krull-Naraj said the hospital is looking to see if it would be 
possible to redirect money to the area from other parts of the budget.

John Miner is a Free Press health reporter

JOHN.MINER@SUNMEDIA


By JOHN MINER



Allan Hood had hoped brain surgery this week would cut his drug needs 
in half and reduce the number of days Parkinson's disease leaves him 
frozen, unable to move.

But last Friday, the London man got the call that the surgery was 
cancelled indefinitely because the London Health Sciences Centre 
(LHSC) didn't have the money in its budget for the intricate procedure.

It was the second time in two months Hood's operation, a procedure 
known as deep brain stimulation, was called off because the hospital 
had run out of cash for it.

"This whole situation is deplorable at best.

"It is a waiting game and I am watching myself get progressively 
worse" said Hood, who was diagnosed with Parkinson's eight years ago.

London Health Sciences Centre confirmed yesterday it doesn't have 
money left in this year's budget for the procedure.

Hood has an aggressive form of Parkinson's, a neurodegenerative 
disease that causes tremors, stiffness, impaired balance and muscle rigidity.

To control the symptoms, he takes 29 pills a day, drugs that cost 
$10,000 a year.

Two years ago he was referred for deep brain stimulation, in which a 
pacemaker-like device is implanted to provide electrical stimulation, 
reducing or eliminating tremors.

"It isn't a decision arrived at lightly," said Hood, adding he knows 
the surgery has risks.

"I didn't get up one morning and say I am going to have deep brain 
stimulation next week. This is something I have been thinking about, 
contemplating," he said.

Beyond personal disappointment his surgery was cancelled, Hood said 
he's concerned London could lose the specialists that pioneered the procedure.

The surgeons and neurologists shouldn't have to go, cap in hand, 
looking for money so they can practise, he said.

"And we wonder why doctors leave for other jurisdictions," said Hood.

He questioned why the province has poured money into five surgery 
areas -- cataract, hips, knees, cancer and cardiac -- and left the 
brain stimulation program without enough funding.

LHSC designates a specific amount of money in its operating budget 
for such neurological procedures, said Kirsten Krull-Naraj, the 
hospital's surgery services vice president.

"Unfortunately, we are at a point in the year where that money has 
been exhausted," she said. "While we were hoping we might see some 
additional revenues coming from the (Health) Ministry, there still 
has not been a commitment."

The hospital's fiscal year runs from April 1 to March 31.

Going ahead with such procedures, which can cost $20,000 to $25,000 
just for the supplies, isn't an option when the budget has been used 
up, Krull-Naraj said.

"That adds up very quickly. That is the dilemma with some of these 
high-tech interventions," she said.

"We have had to delay these cases until we are on solid ground again 
with finances to keep this work going."

Krull-Naraj said the hospital is looking to see if it would be 
possible to redirect money to the area from other parts of the budget.

John Miner is a Free Press health reporter

JOHN.MINER@SUNMEDIA

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