The Pediatric Cardiac Surgery Inquest Report



The September 28 meeting of the Wiseman Committee

The Wiseman Committee met on September 28. Much of the meeting was spent discussing post-operative care. Preliminary acceptance was given to what was referred to as the 'One Team - One Location Model.' Under this model, post-operative care would be provided in a single setting by a team that allowed the neonatal intensive care unit staff to participate. Further meetings with the heads of the PICU and the NICU, along with the respective nursing officials, were recommended.

According to the minutes as well, a number of cases were discussed, including one death (the Tena Capili case) and the ML case, in which the child was taken to the ICU in critical condition and had made a slow recovery. There was also discussion about the cancellation of a case, accompanied by a disagreement between those who thought that the program should take on all cases and those who wished to take a more conservative approach. The other issue of longstanding dispute discussed at this meeting was the treatment of post-operative bleeding. As in the past, committee members did not resolve their disagreement; nor did they agree on a particular plan of action on the matter, other than to treat all cases post-operatively in one ICU setting.

Youngson had prepared some notes on the Tena Capili case and had provided them to Wiseman before the meeting. At the end of the meeting, Wiseman pushed Youngson's notes forward on the table, to let her know that she should speak then if she wished to address the case. Youngson testified:

I just shook my head.

Because by that point in time, there was just no way I was going to say anything any more. I had seen what happens, I had seen some kind of unpleasant things at that meeting, or heard of unpleasant things happening at that meeting, and there was no way at that point in time that I was going to speak out any more. (Evidence, page 8,554)

The fact that Youngson did not speak out at this meeting about the Tena Capili case is an indication of the degree to which the nurses had been silenced by the review process.



Current Home - Table of Contents - Chapter 8 - The September 28 meeting of the Wiseman Committee
Next September 30-the meeting of department heads
Previous September 27-the case of JB
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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