Dialogue Volume 11 Issue 4 2015 | Page 59

discipline summaries (b) until Dr. Achiume has provided to the College proof of his compliance with the Specified Continuing Education and Remediation Program in medical record-keeping directed by the Inquiries, Complaints and Reports Committee in its January 13, 2010 decision. 3. Dr. Achiume pay costs to the College in the amount of $4,460, pursuant to a payment plan, which requires Dr. Achiume to pay $371.67 per month, commencing February 1, 2015, until the full amount is paid in full. At the conclusion of the hearing, Dr. Achiume waived his right to an appeal and the Committee administered the public reprimand. Key Reprimand Points • Th  e Committee emphasized that self-governance of the profession is completely dependent on a member’s respect for the process. • In the opinion of the Committee, Dr. Achiume flouted the authority of the College, over a protracted period of time, which cannot be tolerated. DR. JENNIFER MARGARET ARMSTRONG Practice Location: Nepean Area of Practice: General Practice (Environmental Medicine) Hearing Information: Agreed Statement of Facts, Admission, Joint Submission on Penalty On December 15, 2014, the Discipline Committee found that Dr. Armstrong committed an act of professional misconducts in that she failed to maintain the standard of practice of the profession with respect to one patient. Dr. Armstrong admitted to the allegation. Dr. Armstrong is a general practitioner with a special interest and additional training in environmental medicine. Patient A was 19 at the time Dr. Armstrong treated her. Patient A first attended on Dr. Armstrong in December 2010. Dr. Armstrong noted that Patient A did not have a family doctor. In addition to a recent Form 1 stay at the hospital of which Dr. Armstrong was aware, Patient A’s mother also reported Patient A’s previous suicide attempts and hospitalizations. Patient A’s mother also provided a summary of Patient A’s medical history, including a history of cognitive decline and seizures and reported that Patient A had been treated by a physician practising environmental medicine in the past and had improved considerably. Patient A attended on Dr. Armstrong on three occasions. On each occasion, in assessing Patient A, Dr. Armstrong failed to perform any mental health assessments. Dr. Armstrong recommended a regime of intravenous vitamins that were administered between December 2010 and April 2011. Dr. Armstrong also treated Patient A with minerals and amino acids and lowered Patient A’s thyroid medication in response to tests. Dr. Armstrong did not see Patient A again after April 2011. In May 2011, Dr. Armstrong subsequently learned that Patient A committed suicide. The College received a report about Patient A’s death from the Office of the Chief Coroner in September 2012, and commenced an investigation into Dr. Armstrong’s care of Patient A. Dr. Armstrong took no steps to investigate or treat Patient A’s mental health issues. The patient was not being treated for her psychiatric symptoms by another physician, according to the chart. Nor did she take any steps to assist Patient A in finding a primary care physician or other specialist. Dr. Armstrong did not refer Patient A to a psychiatrist, psychologist or other mental health professional. Patient A did not find a family physician. The independent assessor retained by the College concluded that Dr. Armstrong’s care and treatment of Patient A failed to maintain the standard of practice of the profession and opined as follows: • There were no conventional treatments offered or documented for her psychiatric symptoms. • Dr. Armstrong did not refer this patient to another physician for the psychiatric symptoms or her seizures. F [X