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Writer's pictureRafi Setrak

Know Your Options: Getting the right care in the right place

Updated: 6 hours ago

Accessing treatment in setting other than emergency departments – when appropriate- can lessen wait times, Dr. Rafi Setrak writes.

Posted Jan 3rd, 2025


A variety of factors are causing bottlenecks at Niagara’s emergency departments. Knowing when to access other health-care options can ensure patients receive treatment quicker and help lessen the strain. Metroland file photo

I have been an ED doctor in Niagara for over 17 years — just over half of my career in medicine. In fact, there is a good chance I’ve treated you or someone you know. So, please allow me to share some inside perspectives on our challenges and how you can help us provide timely care to those who need it most.


Niagara Health’s Emergency Departments (EDs) in St. Catharines, Niagara Falls and Welland are the busiest areas of the hospital, seeing nearly 150,000 patients a year — that’s about 400 every day. Our teams work around the clock to deliver safe, quality care to anyone who needs it, no matter the severity or complexity of their condition. This commitment, however, comes under significant strain, particularly during seasonal surges of respiratory illnesses like the one we’re experiencing now.


These pressures aren’t just numbers. They represent real challenges for the dedicated doctors, nurses and staff who go above and beyond every day to provide the care our community relies on. They face long hours, complex cases, and the emotional toll of knowing patients are waiting longer than anyone would like. At the same time, we understand how frustrating long waits can be for those seeking help, and we are grateful for your patience and understanding as our teams navigate these demands.



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