Interior Health's plans to close lab in Trail, B.C. leaves mayor and residents blindsided
The move, announced in a press release on June 13, would mean people in need of lab services such as blood tests and electrocardiograms (ECGs) will have to go to LifeLabs in Waneta Plaza, about 6 kilometres east of the Interior Health lab, which is downtown in the Trail Health Centre.
Interior Health said the lab is being closed to make the best use of staffing resources and to improve testing for patients at Trail's Kootenay Boundary Regional Hospital, which serves a large area including communities from Grand Forks to Nelson.
Since the announcement, CBC News has heard from the mayor and a handful of Trail residents who say they were shocked by the decision and that there was little consultation on the matter. The mayor is hoping that Interior Health will reconsider, or at least meet with the community to hear their concerns.
"There was no consultation, we had no idea it was happening," Mayor Colleen Jones told CBC News, adding that staff also had little notice.
Joanne Isbur, Interior Health's program director for pathology and lab medicine services, said staff will shift to the hospital to improve acute care and emergency department response. She said there are "staffing deficits" across the region, and the extra staff at the hospital will also improve services for urgent and critical patients, like cancer care and those with pre-surgical requirements.
"Interior Health recognizes that this is a significant change for patients and care providers, and employees. We've provided some time for patients to transition over to the LifeLabs location," Isbur said.
She pointed out that LifeLabs is working in partnership with the Provincial Health Services Authority and the Ministry of Health, so services offered through LifeLabs will still be covered under the Medical Services Plan.
Resident Helen Bobbitt has antiphospholipid antibody syndrome, an autoimmune condition which can cause blood clots. She relies on the clinic for regular testing and said the move is a mistake.
"I have a blood clot disorder, and if it weren't for the staff in the location of this lab, where I have to sometimes go and get last-minute lab work and have been doing so for the last 22 years, I wouldn't be able to stay on top of things," Bobbitt said.
"If they (Interior Health) can do this, with no – zero – consultation, what else can they do?"
She also voiced frustration about no longer having a lab located downtown, adding that the lab has been a staple in the community for more than 20 years.
Mayor Jones said the infrequent bus service to the Waneta Plaza will make the location more difficult for seniors and people with mobility issues to access.
On Thursday, Jones said she hopes Interior Health will reconsider the closure. She has requested a meeting with the health authority. CBC News reached out to Interior Health for comment and they said they are working on a response.
Bobbit said she's also concerned about the influx of patients at LifeLabs creating long wait-times and reducing their staffing resources. She said people from several other outlying communities, like Fruitvale, about 16 kilometres east of Trail, rely on the Interior Health lab.
"You're giving no choice but to drive everybody to one location that's only open from 7 a.m. to 3 p.m., with no transportation to rely on to get there safely," Bobbit said.
Capacity not an issue, says Interior Health
The Trail Health Centre lab saw approximately 80 to 85 patients per day over the past six months, Interior Health said, adding LifeLabs has the ability to take on these new patients.
"LifeLabs developed that location to accommodate the Trail community population. They do have the capacity to meet patient volumes," Isbur said.
In an emailed statement to CBC News, LifeLabs confirmed it is prepared to take on the large number of new patients, adding that the location in Trail has been open since 2023.
"We will be working closely with Interior Health to ensure a smooth transition for patients and health-care providers. We look forward to continuing to provide reliable, efficient, and trustworthy services for the community of Trail," the lab said in the statement.
It added that all patients who visit LifeLabs will have access to a portal that can be used to manage appointments and view results through MyCareCompass. This is separate from the MyHealthPortal with Interior Health.
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"An adequate patient record is essential to proper patient care," the college's decision said. "Where a record is inadequate, it puts into doubt appropriate care was provided or that risks were adequately discussed with a patient." According to the decision, the doctor also failed to document information in the records of three other patients he treated. One of them underwent surgery in July 2020 for a high-grade squamous intraepithelial lesion, an abnormal growth of cells that can progress to cancer. During the procedure, the doctor's scalpel cut through the cervix, the decision said. The patient told the college she was not informed about the complication, and the college's decision said the doctor relied on clinical observation to determine if there was a bowel injury — but that relies on the patient being aware of the concern and the symptoms that could arise. 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