HAHAHAHAHAHAHAHAHAHA

I was just chatting with my mom on the phone and she was telling me what brand of bras she buys- I googled the bra style and this picture came up. This is NOT THE STYLE SHE WEARS, by the way. I have no idea why this was even returned in the results.

This is better than hilarious. Who would wear this?!?!?!?!?!?!?!

It's reminiscent of guys in the 80's wearing the half-football shirts. The bottom picture is the best.

Man, that will keep me giggling for hours.

GOOD NEWS

LAURELLE IS HOME!!!!!!!!!!!!!!!!!!!!!!!!!

After 23 days in the hospital, she is home. Home care comes once a day to drain all bags of guck (again, proper medical terminology) and she finally has a nice, comfortable bed to sleep in.

Apparently her daughter, Avery, won't leave her side. She sat beside her all day and then followed her upstairs when Laurelle went for a nap and wouldn't go back downstairs. She stayed beside her in bed. Kids are so cute.

Joanie is going there to stay this Sunday so Greg can go back to work. It's been a long haul, but she has already done the hardest part.

Now we just need to fatten her up.

Green Grass and Cicadas

I am totally and completely.... sick-and-tired of winter.

Who's with me?

Tuesdeeeeeee

I haven't blogged about Ral for a whole 4-5 days, so here goes:

I visited her all weekend and yesterday. She is I.V free! Two collection bags are left and that's it. One bag to drain bile and the other bag to drain the blood and guts from her wound (yes, that is the medical terminology). She was given her first real meal yesterday (not the liquid kind) which consisted of a turkey sandwich. She could barely eat half of it. Some of her stomach was removed and the other parts aren't used to doing anything so it's almost like having gastric bypass. She can only eats bits and pieces of things because she gets full so quickly. The good news is that she is keeping things down and it's moving through her because she had a bowel movement! (she is soo going to kill me when she catches up on my blog). It's okay Laurelle, we all poo. No need to be ashamed.....

We are still waiting for the pathology from the surgery. It's only been what? 10 days? Why expect them to do something quickly for once? She does little walks down the hall, and they usually exhaust her. It will be a while before she regains the energy that she once had.

The nurses and her doctor have been amazing. I recommend that hospital completely. Wonderful, wonderful people.

Hopefully she will be released this week. Once she is, Joanie (mom) will be taking care of her. She has now been in the hospital for 22 days.

My friend Andrea hasn't asked for her car back, so for that, I am thankful. She is an amazing friend. Otherwise I don't know how I would have survived. It has been so convenient.

I hope you are all well.

Star Wars According to a 3 Year Old

This is very cute. It was weird to watch though because she looks just like my sister looked at that age.

Calls and Emails

Thanks to all of you who have emailed or called me. I have barely been home lately and have been working my arse off at work, so it's likely that I haven't responded.

Sorry about that - I do read the emails and appreciate the nice words.

Blogging is so great though. I can work out some stress by watching the words develop on the screen, and give info to friends without having to repeat myself 8 thousand times. Sometimes technology is great eh?

Turds Day

You know, every once in a while I think it would be nice to have a guy around. But I think my reasoning behind this is a tad messed up. Most women like a man to be around to be a companion, a father, someone that listens and dotes on them.....

It's at this time each year that my back gets dry and itchy. It would just be nice to be able to put cream on my back. I'm a simple girl. To walk over to him and say "can you lather me with lotion?"

And the problem would be solved.

TGTBT

I saw Ral yesterday and she seemed much better other than being exhausted after little trips to the bathroom, etc. Thankfully, the catheter was removed. Most tubes were out as well - just the saline and antibiotics remained. Oh and the epidural of course. They told her that if all goes well, she may be home by Sunday. I was shocked and upset by this as I didn't think she was ready for home. They had her on a liquid diet and there were no problems with that other than having some gas pain.

Today I called her and she sounded odd. When I asked what was up, she said that as soon as the epidural came out, she thought she was going to DIE. She said no other pain compared to what she felt. She was sweating like a pig and couldn't breathe. They tried a few pain medications and nothing worked, so they called the doctor and got an emergency prescription for morphine. As well, there was a complication with one of the tubes. Apparently her biliary ducts are backing up so a stent and bag were added for the bile to drain out. At least that's what I think she meant, as again, she was on morphine so she may have been a little fuzzy.

Anyhow, I'm sure things could be worse but this little setback discourages me a bit. I'm still hoping for the best.

Effen-Eh

WTF is with the QEW? Man, that highway SUCKSSSSSSSSSSSSSS. I don't know how people do that commute everyday. I'd rather tweeze my nose hairs one by one than sit in that traffic to and from work.

Now, let's talk about Laurelle.

SHE IS AWESOME. The doctor figured out that the temperature was likely due to having the central line in too long, so he removed it. Temperature disappeared. Blood counts are rising slowly but surely. The biopsies haven't come back yet; likely Friday.

She had many visitors today - Joanie (mom), our Aunt Pam, her best friend Sandra and her husband Adrian, and Greg (Laurelle's husband). Then me. She was tired of entertaining when I got there so she rested and I read. I learned that I am a bit of a nerd. I tried reading Cosmo and had to put it down since it was so disgustingly simple and trashy. Instead I found a copy of Popular Science and was enamored by that magazine. Maybe I am a 14 yr old boy underneath, who knows. It's very cool, you should try reading it.

As I was visiting, they packed up her stuff and moved her to a normal room. This is a shame because the trach-dude was gone today and the room was finally sooooo quiet. He was transferred to Princess Margaret so that confirmed my suspicions as to why he was there in the first place. I feel better with her being taken care of in the close-observation room, however, her own room is a good sign. She seemed like herself today. The last few days have illustrated small glimpses into her old self, but today she was about 80% there.

They have removed her liquid food too (which was in her central line), which is a concern to me. When she eats ice-chips it gives her instant nausea, so I don't know how they are going to reintroduce food so soon. She hasn't really eaten in over 2 months. It's kinda like how on Survivor [I only watched one season] they starve them, and then they win some incentive game and gorge on food and get physically ill. You have to train your body to eat again. She kept asking me to give her the kidney-shaped-puke-cup, and each time I would hand it to her and leave the room. God, I am a suck. I could never have kids.

Her new roommate is a crazy lady, but the nurses keep her in the hall at all times. She's about 80 and tries to get out of bed and her chair and usually ends up on the floor. She keeps asking people to call her a taxi. It's a shame. When I left today, there she was, in the hall on her chair, peeing on the floor. Makes you really appreciate what you have. Seriously.

I am such a happy camper today. Laurelle is getting better and things are looking up. I'm hoping for positive biopsy results. I foresee her being in there for another week..and hopefully she regains her strength to start walking soon.

She reallllly wants to wash her hair, shave her legs and have a shower. At one point she said that she smells like a bum, but I didn't hear what she said and repeated: "you smell like your bum?" She started to laugh and held her stomach and said "how would I know what my bum smells like?" And I said..."we ALL know what our bum smells like."

And on that note, good night. It was a fantastic day.

The Tube Is Out

So the tube came out today, but they are still trying to figure out why her hemo levels keep falling, and why she keeps running a fever. Laurelle walked to and from the stretcher for a CT Scan and that just about depleted her daily energy. She had another unit of blood to raise the levels. Laurelle has always had blood issues. She is anemic and had to have a few blood transfusions when she gave birth both times. This part doesn't worry me, but the temperature thing does.

Once these things get sorted out she will feel better. Just having that tube out of her nose was a treat. Today was a bad day for me - kept getting dizzy and feeling like I was going to faint. I'm going to bed early to sleep it off. The dude with the trach-sounds wasn't helping. My stomach is so weak as it is. Big baby, I know.

I would like to know who is reading this blog - please leave a comment so that I know who is perusing it. It doesn't matter if I know you or not; I'm merely curious. If you wish to leave some well-wishes for Laurelle too, I will print them out and read them off to her when I see her tomorrow.

Night.

Sunday at Joseph Brant...

Laurelle looked better today, but more towards the end of the day. They tried to get her up to walk to the end of the bed and she almost fainted. They realized that her hemoglobin was low, so she was given a unit of blood to hopefully make up for the loss during her surgery. Her temperature was a little high too, but nothing drastic.

She is getting insanely irritated with the nasogastric tube [up her nose and into her stomach]. She was trying to cough up phlegm all day but the tube was in the way and had irritated her throat. She said it felt like she had strep. Her face would crumple up every time she swallowed or tried to cough up crap. The good news is that she is able to eat ice chips today. Baby steps. The surgeon visited her while I was in her cubicle and he said that she is doing well and that he may be able to remove the tube from her nose tomorrow. I think she will be a different person once that is gone.

As the day wore on, the colour returned to her face, which was a huge relief for me. Her cheeks looked rosy again instead of the pallor that she showed since the surgery.

Greg (husband) and Sandra (best friend) also visited briefly.

I don't know how she can manage to get any rest in that unit. She is in the close observation area which has 4 beds in one room and 2 nurses monitoring them at all times. One man had a kidney removed and is on morphine so he moans and groans and complains that people are hurting him (hallucinations, probably). The other lady had a bowel obstruction and was okay, but the dude beside Laurelle had a tracheotomy and it was constantly sucking crap out of his windpipe. I can't even describe the sound that it was making. Disgusting. Think the dentist, but multiplied by...oh I don't know....67668 thousand. I don't exactly know what is caught in his trachea but it was horrible to listen to. Poor Laurelle.

Anyhow, back tomorrow. After all, it's Family Day :)

Not Done Yet....

I found this online and it made me feel better that Laurelle is hitting all of the correct benchmarks. Although she didn't have pancreatic cancer, this operation did the trick. So, ignore all of the references to diabetes.

An excerpt:

Immediately after your operation

If you have had very major surgery to try to cure your cancer, you will probably wake up in intensive care or a high dependency recovery unit. This is nothing to worry about. These are places where you can have one to one nursing care. And your surgeon and anaesthetist can keep a close eye on your progress. As soon as your doctors are sure you are recovering well, you will move back to the ward.

When you wake up, you will have several different tubes in place. This can be a bit frightening. But it helps to know what they are all for. You will have

• Drips (intravenous infusions) to give you blood transfusions, and fluids until you are eating and drinking again
• Tubes into your neck and arms to measure your blood pressure
• One or more tubes coming out of your abdomen near your wound. These wound drains stop blood, bile and tissue fluid collecting around the operation site.
• A tube down your nose into your stomach (nasogastric tube) to drain it and stop you feeling sick
• A tube into your bladder (catheter) so that your urine output can be measured
• A fine tube into your back that goes into your spinal fluid (epidural) to help relieve pain

You may also have a blood pressure cuff on your arm and a little clip on your finger to measure your pulse. Keeping your blood pressure stable is very important after surgery to the pancreas. So, your nurses will measure your blood pressure very often for the first week or so. At first, they can monitor it through the tubes that go into your neck and arms. These go directly into your main blood vessels and give a more accurate measurement than a blood pressure cuff on your arm would. Your nurses will also check your urine output because it can help to show whether you have too much fluid or are becoming dehydrated.

You may have a couple of electronic pumps attached to your drips. One of these might have painkillers in it. You may have a hand control with a button to press to give yourself extra painkillers, as you need them.

If you have had major surgery to your pancreas, you may have another pump containing insulin. It is important that your insulin levels are kept within the normal range. Your nurse will test your blood insulin every hour or two at first. The pump will be set to give you just the amount of insulin you need.

Painkillers

You will almost certainly have pain for the first week or so. But there are many different pain-killing drugs you can have. There are also different ways of having painkillers. You can have them by mouth or by injection. Doctors can also give anaesthetic dugs into your spinal cord - this is called an epidural.

It is important to tell your doctor or nurse as soon as you feel any pain. They need your help to find the right type and dose of painkiller for you. Painkillers work best when you take them regularly so don't suffer in silence. If you have a button you can press to give yourself extra painkillers, do you use it whenever you need to. You can't overdose – the machine is set to prevent that. Do tell your nurse if you need to press the button very often. You may need a higher dose in the pump.

Eating and drinking

After surgery to any part of the digestive system, the bowel often stops working for a while. Until it starts up again, you will not be able to eat or drink.

If you have been ill for some time before your surgery, you may be very run down and malnourished. This is because the pancreas produces enzymes that help us digest our food. You may need extra help with nutrition to start with and may be given a white liquid called TPN through your drip. This stands for 'total parenteral nutrition'. It contains proteins, fats and carbohydrates that can be easily absorbed by the body.

Once your bowel starts working again, you will be able to try sips of fluids. Gradually the amount you are allowed to drink will increase. And soon you will be able to try other fluids as well as water. Once you are able to drink without being sick, your drip and nasogastric tube can come out.

Your wound

The wound from the operation will be covered up when you come round. It will be left covered for a couple of days. Then the dressings will be changed and the wound cleaned. The wound drains will be left in until they stop draining fluid. The bottles attached to them will be changed every day. Wound drains can usually be taken out about a week after your operation. This may be longer if there is any fluid leakage in the operation area. Your stitches will be left in for about 2 weeks.

Some surgeons leave a small tube (stent) inside you to help drain fluid from the pancreas after your surgery. This is usually removed about 3 weeks after the operation, so you have to come back to hospital to have it taken out in out patients.

Getting up

This may seem impossible at first. Moving about helps you to get better, but you will need to start very gradually. Your physiotherapist will visit you every day after your operation to help you with your breathing and leg exercises.

Your nurses will encourage you to get out of bed and sit in a chair one or two days after your surgery. They will help you with all the drips and drains. Over the next couple of days, the tubes, bottles and bags will start to be taken out. Then, it will be much easier to get around and you will really feel that you are beginning to make progress.

Making progress

After a few days you will be able to be up and about more. Gradually you will start to feel better. You will be able to eat more, but will have to stick to the diet that your dietitian has planned for you. Your diet will be low in fat and quite bland. Frequent small meals are easier to manage than 3 large meals a day. There is more about diet after pancreatic surgery in the, Living With Pancreatic Cancer section of CancerHelp UK.

Your blood sugar will continue to be monitored until it is stable. Unless you have had a total pancreatectomy, you shouldn't need to be on insulin for long. If your blood sugar is not stable by the time you go home, you and your family will be taught how to keep an eye on it.

One More Thing....

Yesterday, while we were in the surgical waiting room, there were various other families in there throughout the day. At one point, this lady came in and reported to the volunteer coordinator as to who she was waiting for.

"Carlos Jesus."

Then what does she do?

She says...

"It's spelled J-E-S-U-S."

I looked over at Greg (brother-in-law) and the two of us had to muffle our laughs.

OF EVERY SINGLE NAME IN THE WORLD, I'd have to say that it is the MOST KNOWN. We would already know how to spell it...considering...oh I don't know.....

It's Jesus?

LOL

Cringeworthy Movie Titles?

Okay, so what is the point of misspelling movie titles?

I mean, how hard is it to add one simple letter to the title of the movie to spell it correctly?

I realize I am a self-professed grammar cop, but come on. Please.

How stupid are these titles?

I Am Legend
Hav Plenty
Boyz In The Hood
Mo Money
I'm Gonna Git You Sucka

And most recently....

How She Move

Even if these movies looked promising, I would refuse to see them. But that's just me. You need to spell properly to come across as anywhere near respectable in my eyes.

Okay, my rant is over. I know you missed them. Admit it.

Saturday...

I was at the hospital today, after spending the night in "The Hammer" at my friend Shirley's house. Shirley is a friend that I reconnected with through Facebook. We went to school together from grade 6 through grade 13. Then we lost contact.

Now we are back, and it feels as though no time has passed. That's how you can tell you have a good friend. She has a gorgeous house and a gorgeous family.

Thanks, Shirl.

When I got to the hospital at 2:25 (visiting hours start at 2:30...the time the chinese man goes to the dentist [tooth hurty]..okay it was my dad's joke), she was sitting in her chair. She did not look well. She was grabbing the arms of the chair, as though she was trying her hardest not to be sick...her colour was awful too. The nurses assured me that she was doing well, considering the trauma that she was recovering from. The nurses start to move the patient around almost immediately after surgery to speed up the recovery. She lasted about 20 minutes sitting up and then they put her back in her bed. She has a drainage tube in her stomach, a catheter for the usual(s), a drainage tube in her nose, oxygen, and her central line. About 6 bags of fluid are being administered to her for various reasons. She is not in any pain, but looks like she is totally and completely worn out. I said hello, and then a few hours later she asked me how our mom was, and that was it. I sat with her for a few more hours until her husband could get there.

I understand why she doesn't look good. My brain accepts that. However, I would give anything for it to be me in that bed instead of her. She has 2 beautiful kids, and a wonderful husband. She shouldn't be the sick one. Her kids are confused and obviously don't understand why she is sick. How do you answer a question that can't be answered?

I'm back in Burlington tomorrow, but I had to come home tonight since I haven't done laundry in ages. I haven't spent a night here in about 10 days. I'm thinking that it would be more advantageous to just give all of my stuff away and live out of a bag, while sponging off my friends and family for places to crash. No? You may not like me walking around naked, so ixnay that idea.

I think I will actually post something in my typical cynical/sarcastic manner. I can't have you forget that side of me. Get ready.........the subject will be...ebonics.

Relief.....

So Laurelle had her surgery today - she was scheduled for 8 a.m and wasn't done until 3:45 p.m.

She was a trooper. She was nervous for a few days prior to the surgery because she wasn't a fan of having an epidural, a line through her wrist or tube through her nose....

I waited for her to be transferred to the post-op room, and she was talking, etc. She was totally with it, but sore and exhausted. She mentioned that she didn't like the tube in her nose, but since she can't vomit on her own, they have to make sure that the bile is being sucked out of her stomach until her digestive system kicks in again. The tumor was further down than they anticipated, but they managed to get it all. They stated that there were no other cancerous tissues/organs that were visible to the naked eye. Of course, they have to wait for the results to come back from the biopsy again to confirm this.

I am very happy and very relieved. She's doing well so far. I will be going back to visit tomorrow.

Thanks for all the well wishes, and for all of the prayers that you have said in her name.

I'll update again soon....until then, some sleep.

Weekend In Burlington

So I went to see Laurelle on Friday, and she looked MUCH better than she did last Sunday. She had her colour back and her face was looking healthier.

They have put a central line in her chest. What is this, you ask? I had to ask my friend Andrea what it was - here is the explanation:

A central line is a long, hollow tube made from silicone rubber. They are also called skin-tunneled central venous catheters. The central line is inserted (tunneled) under the skin of your chest into a vein. The tip of the tube sits in a large vein just above your heart.

A central line can be used to give you treatments such as chemotherapy, antibiotics and intravenous fluids. It can also be used to take samples of your blood for testing. Central lines can also be used to give liquid food into the vein if your digestive system is not able to cope with food for any reason.

Laurelle didn't like this procedure - she said it was quite painful, although all of the literature says she shouldn't have felt anything. She never complains about pain either, so it was a little bothersome to hear.

She is getting bags of fluid/food to keep her hydrated and fed. She has put on 2 lbs since she was admitted which is good news. She can't shower, so I helped her wash her hair in the shower room. He hair is falling out like crazy due to her not getting any nutrition for a few months. She vomits a few times a day, and I wasn't crazy about overhearing that either, because I never realized how much she was vomiting over the last few months. The tumor is just below the entrance from the bile duct to the duodenum, so it backs up into her stomach - it has nowhere else to go. After it backs up for a few hours, she has to throw up. You know when you throw up bile and it's maybe a few teaspoons? That is gross enough, right? Laurelle throws up about 3 LITRES of bile per day. I honestly can't even imagine.

Her spirits are still good; my mom says she takes after my dad. He never complained. A chip off the old block. She just can't wait for this to be over because all she wants in life is to eat a Big Mac.

The surgery that will be done is called the Whipple Procedure. They will remove the whole duodenum, part of her pancreas, and part of her stomach. They will reattach the small intestine to the stomach. It will take a while for her to recover (7-10 days in the hospital, assuming there are no complications) and about 4-6 weeks at home. My mom will be staying with her at home while she recovers. Once the surgeons get in there and see what exactly is happening, they will be able to prescribe future treatment. Chemo, radiation, etc.

Anyhow, that is the update. I saw her again today and she looks better. She wishes she could have a shower, but you can't get the central line wet because there is a high chance of infection.

Surgery is either Wed or Friday. I can't wait for them to do this. Hurry up already, EFF.

I asked if she misses taking care of the kids and she said no. She said that she enjoys knowing that her husband is dealing with what she deals with all day. See what I mean.....? Feisty.

Weekend Update

Sorry for the abrupt post yesterday - I was given the news 3 minutes before I left one job for the other. I had to update something fast so that people reading this blog would know one way or the other.

So yes, the news is shitty, but I have full faith that Laurelle will pull through.

Here is what I know so far:

• Surgery to take place sometime in the next week.
• They will remove the tumor and a bit of her liver and stomach (to make sure they have isolated the cancer)
• Recovery for this surgery will be at least 3-4 weeks in the hospital and 4-6 weeks at home
• 1 in 3 people will have complications following the surgery
• Not sure what will come after that - radiation or chemotherapy - she'll have to cross that bridge when she comes to it.
• She is in good spirits and wants me to bring her a hair band, some mousse and a Marie Claire magazine. She thinks her hair looks like a "fro". This is a good sign of her attitude.

Thanks for the emails and phone calls. This truly is a crappy thing, but people beat cancer all the time.

She will too.

Off to see her tonight and tomorrow........

UPDATE

Biopsy results are in.

It's cancer.

Details to follow.

ADDING FUEL TO THE FIRE

Patients dying in 'hall of shame': EMS

Paramedics allege 3 died while waiting for bed this week at Etobicoke General

(Sun Media photo)

Hospital backlogs that leave patients in waiting rooms or on stretchers in a so-called "hall of shame" are to blame for three people dying within 24 hours at Etobicoke General Hospital, a city paramedic union leader alleges.

Glenn Fontaine, unit ambulance chairman for Toronto Paramedic Local 416, claims three people died between Monday and Tuesday at the hospital, with one of them going into cardiac arrest after sitting in the waiting room with chest pains for three hours and another patient dying after waiting with paramedics on an "offload delay" before getting a bed.

Offload delays refer to paramedics at the hospital with a patient waiting for a bed.

Paramedics call the hospital's back hallway where they routinely wait with patients for an emergency room bed the "hall of shame," Fontaine said.

Dr. Naveed Mohammad, the hospital's corporate chief of emergency services, flatly denied that patients died in a waiting room or on a stretcher and said emergency room deaths are not uncommon.

"We did experience an unusually high number of admitted patients in the Etobicoke General Hospital's emergency department ... on Monday and Tuesday of this week," the hospital said in a statement.

Mohammad confirmed there was at least one death in the emergency department.

"I can't disclose any sort of information about any specific patient," he said.

"We did have an extraordinarily busy day," he said, adding there were no patient complaints that day.

The hospital's statement said no patients "lost vital signs" while in a waiting room or on an ambulance stretcher.

The hospital, part of the William Osler Health Centre that includes Brampton Civic Hospital, said if their clinical care team has any concerns about patient treatment, a review would be conducted.

But paramedics say not enough is being done to address backlogs and the issue of offload delays is at all hospitals and far too many patients are waiting far too long.

Too many hospitals have "halls of shame," Fontaine said.

Although they only bring in 15% of emergency department patients, Toronto EMS offload delays are a sign of the backlog in city hospitals.

Those delays are the largest contributor to the $6.7-million overtime for city paramedics last year -- $3.6 million over budget.

Offloads are at their worst in the city's northwest section, said Mark Ferguson, vice-president of the Toronto Civic Employees Union Local 416.

"You saw this coming when they started to close hospitals," he said, noting the northwest area lost three hospitals.

"Because there's no beds for these patients, they need to go somewhere and it's a backlog situation," Ferguson said. "No one wants to take the bull by the horns and solve this issue."

Norm Lambert, EMS deputy chief, said the service has seen the worst offload delays ever this week.

Despite attention drawn to the issue, the delays haven't improved in the last few years, he said.

35 MINUTES IDEAL

Ideally, paramedics should be back on the road 35 minutes after arriving at hospital, Lambert said.

The average offload delay across the city is 65 minutes, but paramedics can wait up to 10 hours for the hospital to take a patient.

Yesterday, offloads were at their worst at 6:30 a.m., with 19 delays of the 45 ambulances on the road.

Since November, the service has had 120 to 160 offload delays three hours or longer each week, Toronto EMS spokesman Lyla Miller said.

According to city budget briefing notes, offload delays also hamper EMS response time.

Paramedics respond to a call in under nine minutes only 69.1% of the time -- down from 84% in 1996.

"The good news is that action is being taken now," Lambert said, adding the province, paramedics and hospitals are working together to address the issue.

"I think we are seeing some action at the expert panel level ... very soon some resolve could be coming out of this."

Health ministry spokesman Laurel Ostfield said reducing emergency wait times is a top priority for the provincial government.

Two days after Premier Dalton McGuinty's re-election, he named Dr. Alan Hudson to expand the government's strategy to reduce emergency department wait times.

"People will start seeing the tracking of (emergency) wait times," Ostfield said. "If you can't track it, you can't lower it."