Dialogue Volume 13 Issue 2 2017 - Page 56

discipline summaries asked him to return to the respite facility to explain his behaviour. Dr. Glumac returned and the two entered an empty bedroom together. When Patient A asked Dr. Glumac what his intentions were, he told her not to worry and that his intentions were not sexual. Dr. Glumac invited her to lay on the bed with him and asked if he could hug her. They lay on the bed together in a spooning position and he kissed her from behind. She felt his erection pressing against her. Patient A got off the bed and asked Dr. Glumac to leave the respite facility. As a result of these incidents, Patient A had planned not to return to see Dr. Glumac. But after enduring a difficult chemotherapy, she reached out for his support once again. At subsequent appoint- ments, Dr. Glumac kissed Patient A on the lips and hugged her frequently, with his hands around her waist and hips. Borrowing Money from Patient A In June 2011, Patient A and Patient B inherited $40,000. Patient A, who had very little income, was relieved and excited. She shared this news with Dr. Glumac. Two weeks later, Dr. Glumac telephoned Patients A and B to tell them he had a charitable organization but that he was short of $20,000. Dr. Glumac asked whether he could borrow $20,000 from Patients A and B. Patients A and B provided Dr. Glumac with $20,000 within a few days. Dr. Glumac then gave Patients A and B a Promissory Note acknowledg- ing receipt and promising to repay $2,500 monthly beginning in September 2011. Dr. Glumac failed to repay the funds within the first three months. He also failed to abide by the rest of the terms of the Promissory Note. After Patient B repeat- edly requested funds, Dr. Glumac gave Patient B a $2,000 cheque in November 2011. Patient A then be- gan emailing Dr. Glumac asking for their money back. Patient A indicated that they would have no choice but to commence legal action or report Dr. Glumac to the College. Patient A terminated the doctor-patient relationship on January 30, 2012. Dr. Glumac made further payments in the spring of 2012. Dr. Glumac ultimately admitted to Patient A that he had borrowed the money to support his 56 Dialogue Issue 2, 2017 real estate management and investment company, and not for charitable purposes. Dr. Glumac and his wife telephoned Patients A and B and pleaded with them not to report him to the College. Dr. Glumac attended at their home and threatened them in order to prevent them from reporting him to the College. Dr. Glumac threatened to cease providing medica- tions to Patient A. He also offered to pay Patient A and B an additional $20,000 if Patient A agreed not to report him to the College. In June 2012, Patients A and B reported Dr. Glumac to the College. In July 2012, Dr. Glumac provided Patients A and B with a certified cheque for $8,000 which finally satisfied the debt owed. Failure to Maintain the Standard of Practice of the Profession and Incompetence The College retained Dr. C to opine on the care and treatment provided by Dr. Glumac to Patient A. Dr. C concluded that Dr. Glumac failed to main- tain the standard of practice of the profession regard- ing Patient A’s pain management and her psychiatric care and treatment. (i) Pain Management Dr. C opined that Dr. Glumac did not manage Pa- tient A’s opioid therapy appropriately and displayed a lack of knowledge and skill. He escalated her dose of morphine over a short period of time and did not record whether he reviewed side effects, including the development of addiction. Evidence suggested that Patient A might have had “too much” medica- tion. Dr. Glumac never appeared to have considered other pain management strategies besides opioids. He also failed to change antidepressant medication in a timely fashion once the issue of bupropion’s effect on her breast cancer medication was noted. (ii) Psychiatry Practice Dr. C opined that at various points in her treatment, Patient A’s depression was so severe that she was at risk of suicide. There is no evidence that Dr. Glumac performed an assessment for suicide risk, even where Dr. Glumac recorded what appeared to be suicidal gestures. Dr. C also identified multiple boundary issues including: having a patient call him by his first name; visiting the patient at her home; borrow-