Dialogue Volume 14 Issue 2 2018 | Page 79

DISCIPLINE SUMMARIES found deceased the following morning. The cause of death was attributed to bacterial meningitis and it was noted that diabetic ketoacidosis was a significant condition contributing to his death. Dr. Yau was not on the premises during Patient B’ s post-surgery overnight stay at the clinic. He was not notified about Patient B’ s elevated glycemic results and did not see Patient B prior to his discharge. At the time of Patient B’ s discharge, the clinic’ s discharge protocol only required that a diabetic patient be advised upon discharge if he or she tested“ outside of parameters.” The expert retained by the College concluded that Dr. Yau fell below the standard of practice of the profession in his role as a medical director of the clinic in that he failed to ensure that an appropriate policy was in place at the clinic for the post-operative management and discharge of diabetic patients.
ORDER The Discipline Committee ordered: a three-month suspension of Dr. Yau’ s certificate of registration; terms, conditions and limitation on Dr. Yau’ s certificate of registration; a reprimand, payment of costs in the amount of $ 5,000 to the College. The terms, conditions and limitations on Dr. Yau’ s certificate of registration, include: not allowing Dr. Yau to perform the revision surgery referred to as‘ band over bypass’ outside of a hospital setting; requiring Dr. Yau to meet in-person with patients who reside in the GTA for a pre-surgical consultation in respect of gastric banding on a day that is prior to surgery and to document the consultation. For patients that reside outside the GTA, Dr. Yau will be required to conduct a telephone consolation on a day that is prior to surgery day and to document the consultation; and lastly, Dr. Yau will not act as a medical director of an out-of-hospital premises for a period of one year. 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. Yau waived his right to an appeal and the Committee administered the public reprimand.
DR. JAMES WEN YOUNG
PRACTICE LOCATION: Toronto AREA OF PRACTICE: Anesthesiology
HEARING INFORMATION: Plea of No Contest; Statement of Uncontested Facts; Contested Penalty
On November 29, 2016, the Discipline Committee found that Dr. Young committed an act of professional misconduct in that he failed to maintain the standard of practice of the profession. Dr. Young, an anesthesiologist practising in Toronto, received his specialist qualification in anesthesiology in 2003. Dr. Young has had privileges at the Humber River Regional Hospital since 2003 and currently practises full-time anesthesiology there. During the relevant time period, Dr. Young worked at the Ontario Endoscopy Clinic one day per month as one of a group of anesthesiologists from the hospital.
Hepatitis C Outbreak On April 28, 2014 the College received a complaint from a patient that she had contracted Hepatitis C as a result of a gastroscopy performed at the clinic. The patient had obtained this information after being advised by Toronto Public Health regarding a Hepatitis C outbreak at the Ontario Endoscopy clinic. The Toronto Public Health investigation found that five patients became infected with Hepatitis C during their procedures at the Ontario Endoscopy Clinic on March 15, 2013, a day when Dr. Young was working as one of two anesthesiologists at the clinic. Toronto Public Health concluded that the source patient, Patient A, was the fourth of 10 patients who had procedures in the same procedure room with the same endoscopist and the same anesthesiologist( Dr. Young) on that day. All, except one, of the patients who had a procedure following Patient A acquired Hepatitis C. The investigation ruled out contamination of the endoscopes as a source of the contamination since a different scope had been used on each of the five patients that contracted Hepatitis C. Toronto Public Health conducted a review of Dr. Young’ s practice, including a direct interview and observation of his practice at the Ontario Endoscopy Clinic on August 16, 2013. Toronto Public
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