Private MRI clinic told B.C. man he was fine before his serious stroke
Case raises serious questions about delays, conflicts and mistakes in public-private health care
Stroke victim Peter Peczek believes mistakes and delays in the "failing" health-care system wrecked his life.
"I felt I was just pushed over. Next — your 15 minutes is up," said Peczek. "I just needed somebody to take me seriously."
The B.C. man said he couldn't get in to see a neurologist or get an MRI at a hospital. Then, a private MRI clinic failed to detect his life-threatening condition.
Soon afterward, he had a serious stroke that put him in the intensive care unit.
"They basically gave me three days to live. I wasn't breathing on my own," said Peczek, who can no longer drive or support his family since getting out of hospital last year.
"I cannot walk … my balance is very poor … I am alive by the grace of God."
Doctors familiar with his case told Go Public that if his MRI had been read accurately, or if he'd been assessed by a neurologist, his stroke might have been averted with medication.
"An opportunity for stroke prevention was missed, and a stroke that might have been prevented turned out to be quite bad," said Ontario neurologist Bryan Young, who reviewed the case.
"I feel very badly about what happened to him," said Pezcek's family doctor Roger Crittenden.
"The lesson to be learned is to look at the facts around a case, look at the history and examine all the pieces of the puzzle."
Peczek's suffering has also raised broader concerns over mixing public and private-for-pay health care — including possible conflicts of interest and errors by physicians who spread themselves too thin.
"If they work for both systems, then they are simply overworked and overwhelmed maybe," said Peczek, 50.
The radiologist who read Peczek's MRI for the private clinic also works in a public hospital.
"Moonlighting can be dangerous, especially with something as detail oriented as reviewing scans," said Dr. Ryan Meili, a general practitioner and public health-care advocate.
Numerous 'frustrating' doctor visits
Before his stroke, Peczek suffered escalating dizzy spells. He said some were so severe he vomited.
He went to his doctor and the emergency room at Kelowna General numerous times. He said he was told he might just have migraines or an inner ear problem.
"Everybody was just shrugging their shoulders … it was very frustrating," said Peczek.
He was on a wait list to see a neurologist when he went to the ER one last time. He said the attending doctor told him he couldn't refer him for an MRI in the hospital, as only the neurologist could do that.
He referred Peczek for a scan at the private local MRI clinic instead.
"Which I find quite comical," said Peczek. "Canada — and the free health-care system — and the doctor that is providing that free health care tells me to go to the private MRI."
Peczek paid $1,300 at Image One in Kelowna. Radiologist Casey McMillan interpreted the scan on behalf of the clinic and concluded there were "no significant findings."
Peczek's stroke the following month was caused by a dissection in a neck artery, which doctors later said was evident in the earlier MRI.
Mistake 'clearly made'
"A mistake was clearly made … I definitely don't want that to happen to somebody else," said Peczek.
The owner of Image One MRI sent a statement saying the clinic is accredited and "strives to achieve the highest level of professional excellence."
"It would not be appropriate for Image One MRI to comment on any matters involving identifiable individuals who may have received services," said owner Mike Large.
The radiologist involved didn't reply to numerous messages asking for comment.
To add insult to injury, Peczek said, after his stroke the neurologist's office called to say he finally had an appointment.
"I said, 'You're a little bit too late … I had my stroke already.'"
Dr. Young said a specialist should have been brought in much earlier. "Ordering the scan by itself, without neurological input, is not good enough," he said.
National figures show patients wait as long as 80 days for MRIs in the public system.
However, in this case, B.C.'s health minister suggests — contrary to what happened — that the ER physician could have sent Peczek for an MRI in the hospital immediately.
Public MRI available: minister
"If someone needs an emergency MRI and the ER physician feels that is necessary, there are no waits," said Terry Lake. "It is not the case that a neurologist has to refer to an MRI."
Go Public discovered that several doctors who work in or manage public hospital systems also own or work for private MRI clinics in B.C.
"You add an element of conflict of interest," said Meili. "You can wait … or go around the corner, pay me a bit of money straight up and we'll see you right away."
He worries patients like Peczek are sent for private testing as a quick fix, when they really need more attentive care.
"We over-order a lot of tests and we do that out of medical, legal reflex. Sometimes because we are too busy."
Peczek consulted a lawyer about suing. He was told it would be too difficult to prove with certainty his stroke wouldn't have happened regardless.
"People like me and my family, we have to suffer — nobody cares," he said.
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