Dialogue Volume 14 Issue 1 2018 - Page 55

DISCIPLINE SUMMARIES DR. MEHDI HORRI PRACTICE LOCATION: Pembroke AREA OF PRACTICE: Family Medicine HEARING INFORMATION: Admission; Agreed Statement of Facts; Contested Penalty Submission On September 26, 2016, the Discipline Committee found that Dr. Horri committed an act of profession- al misconduct, in that he engaged in conduct or an act or omission relevant to the practice of medicine that, having regard to all the circumstances, would reasonably be regarded by members as disgraceful, dishonourable or unprofessional by having engaged in a sexual relationship with a patient too soon after the termination of the doctor-patient relationship. Dr. Horri, a 51-year-old family physician, now practises family medicine in Saskatchewan. He graduated in 1998 from the University of Tehran in Iran. He obtained a certificate of registration autho- rizing independent practice in 2015. Patient A was in her early twenties when she became a patient of a family doctor, Dr. X, who practised at the Pembroke Regional Hospital. Dr. X diagnosed Patient A with depression with suicidal ideation. Dr. X prescribed antidepressants to Patient A. During her third and final visit, Dr. X diagnosed Patient A with insomnia second to depression and found that Patient A did not presently have suicidal or homicidal thought process, prescribing her a dif- ferent anti-depressant and sleep medicine. Following this appointment, Dr. X began a maternity leave. Patient A agreed to continue to attend for appoint- ments with Dr. Horri, who was acting as a substitute during Dr. X’s leave. DOCTOR-PATIENT RELATIONSHIP Dr. Horri saw Patient A between January and June 2010, continuing the care plan commenced by Dr. X and providing Patient A with ongoing support and medication management. Patient A describes that, because Dr. Horri was a medical professional whom she would not have to see again, she disclosed personal information to Dr. Horri that she had not previously disclosed to any- one. Dr. Horri provided Patient A with support for ongoing personal challenges, depression, anxiety, and sleep difficulties. Dr. Horri renewed prescriptions to Patient A for anti-depressants and sleep medicine. During their appointments, Patient A recollects that when she would share with Dr. Horri details of her familial challenges, Dr. Horri would tell her that he could relate to what she was experiencing given his own experiences with his family of origin. POST-TERMINATION SEXUAL RELATIONSHIP Patient A’s final appointment with Dr. Horri in June 2010 was the termination of their doctor-patient relationship. Following that appointment, Patient A dropped off a thank you note for Dr. Horri at his office. Dr. Horri looked up Patient A’s phone number in her medical file. He called her to thank her for the card, to offer his ongoing friendship, and to suggest that Patient A call him if she needed a friend. Patient A describes that, at this point in her life, she was fairly isolated from her support network. Dr. Horri and Patient A developed a friendship over the subsequent weeks. They met on a few occa- sions for coffee or walks together. Approximately two weeks after Patient A’s last ap- pointment with Dr. Horri, Dr. Horri visited Patient A’s apartment. After watching a movie together, they had sexual intercourse. Patient A describes that she was scared and upset because they did not use a condom and she was wor- ried about pregnancy. Dr. Horri left $200 on Patient A’s nightstand, which Patient A found highly insult- ing. Dr. Horri intended this as a supportive gesture. Dr. Horri left shortly thereafter for Thunder Bay where he entered the Family Practice anesthesia pro- gram at the Northern Ontario Medical School. After his departure, Dr. Horr