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
ISSUE 2 , 2018 DIALOGUE 79