Dialogue Volume 14 Issue 1 2018 - Page 57

DISCIPLINE SUMMARIES examining her. While he was palpating Patient B’s abdomen with one hand, without warning, Dr. Jiara- vuthisan placed his other hand below her underpants on her mons pubis for approximately 30 seconds. Dr. Jiaravuthisan advises that any such contact would have been inadvertent, as he intended only to palpate Patient B’s suprapubic area. Dr. Jiaravuthisan then directed Patient B to roll over to examine her tailbone area where she said that she had been experiencing pain. Dr. Jiaravuthisan palpated Patient B’s tailbone area underneath her clothing. In the course of doing so, he touched Pa- tient B’s buttocks in what felt to her like a squeezing motion. In examining Patient B’s face, Dr. Jiara- vuthisan also touched her face in a manner that felt to her like grabbing. Dr. Jiaravuthisan did not show sensitivity and re- spect for Patient B’s comfort by maintaining spatial boundaries, communicating appropriately regarding the examination, and offering draping. Because of this, the appointment was very distressing to Patient B. Dr. Jiara- vuthisan’s conduct in this regard was unprofessional. Afterwards, Patient B told office staff, in tears, that she did not like how Dr. Jiaravuthisan had touched her and did not want to return. She also expressed her concerns to her family physician. On October 19, 2016, Dr. Jiaravuthisan entered into an undertaking with the College agreeing to re- sign his certificate of registration effective November 7, 2016, and not to reapply for a certificate in future. ORDER In light of Dr. Jiaravuthisan’s undertaking to resign his certifica te of registration and not to reapply, the Discipline Committee ordered: a reprimand, and payment to the College costs of this proceeding in the amount of $5,000. 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. At the conclusion of the hearing, Dr. Jiaravuthisan waived his right to an appeal and the Committee ad- ministered the public reprimand. DR. RAVI KAKAR PRACTICE LOCATION: Markham AREA OF PRACTICE: Psychiatry HEARING INFORMATION: Admission; Agreed Statement of Facts; Joint Submission on Penalty On December 12, 2016, the Discipline Committee found that Dr. Kakar has committed acts of profes- sional misconduct, in that he has failed to maintain the standard of practice of the profession; and he has engaged in 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 Discipline Committee also found that Dr. Kakar is incompetent. Patient A In October 2012, Patient A complained that Dr. Ka- kar diagnosed her with gout arthritis and prescribed a medication, Allopurinol, to which she had a severe allergic reaction resulting in serious side effects. Patient A had started seeing Dr. Kakar for psy- chiatric care in August 2010. Dr. Kakar diagnosed Patient A’s mental health issues and chronic pain, and prescribed psychiatric medications. Dr. Kakar also requisitioned blood work. In September 2010, Patient A attended for a follow-up appointment to discuss her psychiatric conditions. At this visit, Dr. Kakar observed that the blood work results showed elevated uric acid levels, diagnosed gout arthritis and prescribed Allopurinol. There was no emergency or urgency requiring that Dr. Kakar treat Patient A at that time. Patient A filled the prescription for Alluporinol on a date in early October 2010 and developed side ef- fects including a fever and cough, a generalized rash, and swelling of the mouth, lips and tongue. Her side effects worsened into severe pain, swelling of the feet, Full decisions are available online at www.cpso.on.ca. Select Find a Doctor and enter the doctor’s name. ISSUE 1, 2018 DIALOGUE 57