Dialogue Volume 14 Issue 1 2018 - Page 56

DISCIPLINE SUMMARIES the sexual relationship ended until the spring of 2014. ORDER The Discipline Committee ordered: the revocation of Dr. Horri's certificate of registration; a reprimand; payment to the College of costs in the amount of $10,000. For complete details of the Order, please see the full decision at www.cpso.on.ca. Select Find a Doctor and enter the doctor’s name. On April 6, 2017, Dr. Horri appealed the decision of the Discipline Committee to the Superior Court of Justice (Divisional Court). Pursuant to s. 25(1) of the Statutory Powers Procedure Act, the appeal operates to stay the decision of the Discipline Committee pending the outcome of the appeal. DR. SOMCHAI JIARAVUTHISAN PRACTICE LOCATION: Oshawa AREA OF PRACTICE: Neurology HEARING INFORMATION: Admission; Agreed Statement of Facts; Joint Submission on Penalty On November 7, 2016, the Discipline Committee found that Dr. Jiaravuthisan has committed acts of professional misconduct, in that he has engaged in an act or omission relevant to the practice of medicine that, having regard to all the circumstanc- es, would reasonably be regarded by members as disgraceful, dishonourable, or unprofessional; and he has failed to maintain the standard of practice of the profession. Dr. Jiaravuthisan, a neurologist practising in Ontario since 1982, worked at the Glazier Medical Centre in Oshawa. PATIENT A Patient A had a single office appointment with Dr. Jiaravuthisan in May 2009. She was referred to Dr. Jiaravuthisan for pain in her hand, hyperemia in both hands, and positive Tinel’s sign. When Dr. Jiaravuthisan took a history from Patient 56 DIALOGUE ISSUE 1, 2018 A, she experienced his questions as abrupt and his manner as directive. Dr. Jiaravuthisan commenced and documented an examination of Patient A. He examined her gait, took her vital signs, and examined her cardiovascular and respiratory systems. Although Dr. Jiaravuthisan’s examination of Patient A was medically indicated, he failed to explain the steps of his examination or to seek Patient A’s informed consent to the examination which he was conducting. As part of his physical examination, Dr. Jiara- vuthisan began to palpate Patient A’s abdomen while she lay on an examination table. As he did so, he moved his hands below the waist band of her trousers to the suprapubic area below her navel, again without explanation or seeking informed consent. In doing so, Dr. Jiaravuthisan failed to show sensitivity and respect for Patient A’s comfort, which was unprofessional. Patient A was confused and upset by Dr. Jiara- vuthisan’s actions and did not know why he had moved his hands below the waist band of her trou- sers. She sat up and demanded to know what he was doing, then left the examination room and com- plained to his office staff about his behaviour. PATIENT B Patient B attended the single office appointment she had with Dr. Jiaravuthisan in October 2013 with a friend, who was also present in the examination room. Patient B’s family physician referred her to see Dr. Jiara- vuthisan because of leg pain, weakness, and tingling. Dr. Jiaravuthisan took a history from Patient B. Dr. Jiaravuthisan also conducted and documented an examination of Patient B, including a neurological examination, motor system examination, and physi- cal examination. Although Dr. Jiaravuthisan’s examination of Patient B was medically indicated, he failed to explain the steps of his examination or to seek Patient B’s informed consent to the examination which he was conducting. Dr. Jiaravuthisan failed to offer Patient B appropri- ate draping or a gown, or to wear a glove or gloves while examining her. He also displaced her clothing himself by putting his hand under her pants, by roll- ing up one of her pant legs himself, and by pulling her shirt. Dr. Jiaravuthisan did not take sufficient care to maintain spatial boundaries with Patient B while