Dialogue Volume 14 Issue 1 2018 - Page 48

DISCIPLINE SUMMARIES DR. WAGDY ABDALLA BOTROS PRACTICE LOCATION: Kitchener AREA OF PRACTICE: Psychiatry (Sleep Medicine) HEARING INFORMATION: Allegations Denied; Contested Five-Day Hearing On March 7, 2016, the Discipline Committee found that Dr. Botros committed acts of professional mis- conduct, in that he failed to maintain the standard of practice of the profession, and he has engaged in conduct or an act or omission relevant to the practice of medicine that, having regard to all the circum- stances, would reasonably be regarded by members as disgraceful, dishonourable or unprofessional. The Committee found that Dr. Botros failed to maintain the standard of the profession with respect to sleep medicine in his care of two patients. The Committee also found that Dr. Botros engaged in disgraceful, dishonourable, or unprofessional con- duct in relation to his delay in providing records to and in his manner of communication with a personal injury law firm’s request for information. Patient A The Committee found that Dr. Botros failed to prop- erly treat Patient A’s condition of obstructive sleep apnea in 1998. The Committee accepted Dr. Z’s expert evidence that Dr. Botros did not meet the expected standard of care because Dr. Botros failed to explore alterna- tives to Patient A’s obstructive sleep apnea treatment after the initial CPAP trial was unsuccessful due to a poorly-fitting mask. Dr. Z’s evidence, that this prob- lem was easily correctable, was demonstrated by Pa- tient A’s subsequent successful use of a CPAP device with a custom fitting mask under Dr. V’s direction. Untreated obstructive sleep apnea exposes the patient to the risk of harm. Patient C The Committee found that Dr. Botros failed to respond adequately to a developing emergency when Patient C’s CPAP machine broke in August 2013, thus leaving h ȁ͕ٕɔՍѥٔͱո()%1=U%MMUİ)ɕѕͥȁѼɥͬɴ)AѥЁ Ё͕ݥѠՍѥٔ)ͱ̸MՉ͕Օѱ٥ͥѕ)ͱ́مɥ́=хɥѥ́ɔ٥)ѼɕѡݕЁѡݡɔȸ ɽ́)́ͱݥȁٔAѥЁ ݅)չѼххЁݥѠȁɕ٥́ͱ)иMѥՕѼ͔ȁ A@٥)́ɕ٥ͱɕ͍ɥ)AѥЁ ݅́ɕɕѼȸ ɽϊdͱ)ɑȁѼٔȁ A@ɕѵЁɕ͕͕M)݅́Ё͕Ёѡ5́ݡ͡) A@ѥɅѥՑ)AѥЁé5́ A@ѥɅѥՑ䁍)ɵѡЁ́͡Սѥٔͱ)ѕѡЁѡѥɕɔȁȁ A@)ݽձٔЁѼԁ ȁ