WARNING: NEW POLICY AT KMH IS NOT TO ALLOW A PATIENT ESCORT IN THE EXAMINATION ROOM.
KMH (1988) is owned by Mr VIJAY & Mrs NEENA KANWAR
12 May 2013
Whitby Paediatrician DOCKRILL MD(Nova Scotia 1984) FRCP(C) pleaded Guilty to having a compulsory Office charge.
COULD NOT AFFORD APPEAL ($100,000+/-): CMPA insurance does not cover appeals.
Committee: Discipline
Appeal Status: No Appeal Appeal Decision Date:
Hearing Date: 18 Jun 2012 Decision Date: 18 Jun 2012
Committee: Discipline
Appeal Status: No Appeal Appeal Decision Date:
Hearing Date: 18 Jun 2012 Decision Date: 18 Jun 2012
On June 18, 2012, the Discipline Committee found that Dr. Karen Gaye Dockrill
committed an act of professional misconduct, in that she charged a fee for an
undertaking to be available to provide services to patients, in that she
contravened a regulation made under the Medicine Act, and in that she has
engaged in conduct or an act or omission relevant to the practice of medicine
that, having regard to all the circumstances, would reasonably be regarded by
members as disgraceful, dishonourable or unprofessional. Dr. Dockrill admitted
the allegations.
Dr. Dockrill is a paediatrician who currently practises in Whitby, Ontario. In
2006, Dr. Dockrill established a business under the name "Mom and Baby Depot
Ltd." ("MBD"). From 2007 through 2010, Dr. Dockrill carried out a paediatric
practice through MBD that included both the provision of primary care to
children as well as paediatric consults on referral from a family physician.
Patients were accepted into Dr. Dockrill's primary care practice at a family's
request only when parents purchased and maintained a membership in MBD, for
which they were charged a fee. For a single child, this fee ranged between $500
and $2,200 per year. This fee failed to comply with the College's policy with
regard to Block Fees and Uninsured Services.
Ms X's newborn son was referred to Dr. Dockrill for primary care in June 2007
after he underwent surgery at a hospital for a serious condition. When
attempting to arrange her son's first appointment, Ms X was told that she would
have to pay $1,500 per year for a MBD membership as a condition of receiving
primary care from Dr. Dockrill. Ms X indicated she was not interested in paying
for the additional programs and services at MBD and only wanted basic insured
medical care. As a result, Ms X's son was not permitted to see Dr. Dockrill for
primary paediatric care.
Between 2008 and 2010, the MBD website advertised the benefits of membership in
MBD and Dr. Dockrill's professional services. In addition, between 2008 and
2010, the advertising on the MBD website included testimonials.
The Discipline Committee ordered and directed that:
1. the Registrar suspend Dr. Dockrill's certificate of registration for a
period of one (1) month, to commence within thirty (30) days of the date
of this Order;
2. the Registrar impose the following terms, conditions and limitations on
Dr. Dockrill's certificate of registration for an indefinite period of
time:
a. Dr. Dockrill shall at her own expense, successfully complete
College-facilitated instruction in Ethics no later than one (1)
year from the date of the Committee's Order;
b. Dr. Dockrill shall administer block fees for uninsured services in
a manner that is consistent with the College's policy on block fees
and uninsured services and, without in any way limiting the
generality of that requirement,
i. shall not discontinue seeing a patient or refuse to see a new
patient because that person chooses not to pay a block fee;
and
ii. shall not provide, or offer to provide, preferential services
to patients who agree to pay a block fee.
c. Dr. Dockrill shall cooperate with inspections of her practice by
representatives of the College for a period of nine (9) months
after the completion of the suspension, solely for the purpose of
ensuring compliance with this order. Such inspections shall be
conducted with at least 24 hours notice being given to Dr. Dockrill
before each visit. If any problems with Dr. Dockrill's block fee
practices are discovered within the 9-month time period, the
College is entitled to extend the monitoring inspections for a
further six (6) months.
3. Dr. Dockrill attend before the panel to be reprimanded;
4. Dr. Dockrill shall pay the College its costs of this proceeding in the
amount of $3,650.00 payable by no later than September 1, 2012.
11 May 2013
PRIVATE WELLNESS CLINICS & STATE-PAID OHIP.
The Canadian Health Act does not allow charging above the Provincial Health Insurance plans.
Quebec ,after a 2005 Supreme Court challenge by Montreal GP J.CHAOULLI MD(Paris) MSc(Laval), has permitted Private medicine and Private Hospitals.
Ontario looks the other way at Private WELLNESS CLINICS which charge about $3,500 a year.
The visit is NOT charged to OHIP; but investigations CAN be charged to OHIP.
Most Ontario WELLNESS CLINICS are located in the TORONTO downtown business area.
CLEVELAND CLINIC Canada 30,000 sq.ft in BROOKFIELD PLACE 9Yonge/Front)
MEDCAN CLINIC 150 York st ( same building as Swiss Consul General)
MEDISYS HEALTH GROUP (inc Quebec City, Montreal, Ottawa, Calgary,Vancouver)
95 St.Clair Av. West
150 King St. West
VIRTUAL WELLNESS CLINIC 123 Edwards St.
The Ontario College of Physicians & Surgeons has not attacked the well-funded WELLNESS CLINICS.
300 Loblaw executives attend the Cleveland Clinic Canada.
Quebec ,after a 2005 Supreme Court challenge by Montreal GP J.CHAOULLI MD(Paris) MSc(Laval), has permitted Private medicine and Private Hospitals.
Ontario looks the other way at Private WELLNESS CLINICS which charge about $3,500 a year.
The visit is NOT charged to OHIP; but investigations CAN be charged to OHIP.
Most Ontario WELLNESS CLINICS are located in the TORONTO downtown business area.
CLEVELAND CLINIC Canada 30,000 sq.ft in BROOKFIELD PLACE 9Yonge/Front)
MEDCAN CLINIC 150 York st ( same building as Swiss Consul General)
MEDISYS HEALTH GROUP (inc Quebec City, Montreal, Ottawa, Calgary,Vancouver)
95 St.Clair Av. West
150 King St. West
VIRTUAL WELLNESS CLINIC 123 Edwards St.
The Ontario College of Physicians & Surgeons has not attacked the well-funded WELLNESS CLINICS.
300 Loblaw executives attend the Cleveland Clinic Canada.
24 Apr 2013
N100 3M masks
Travelling on the Tube 'could be bad for your health because the air is rich in toxic dust'
- Previous studies have shown that dust-rich air of welding plants and steel mills pose health risks
- But new research has shown that underground stations could pose risk too
- Dust can penetrate lungs and migrate to the liver, kidneys and even the brain to cause damage
|
Travelling on the Tube could be bad for your health, a researcher has claimed.
Experts found that small dust particles in the air found in an underground railway station were quite different to the dust breathed in most other surroundings.
They also discovered that this may have health implications because they could penetrate the lungs and body easily including the liver, brain and kidneys.
22 Apr 2013
CMA PRES.ANNA REID @ ECONOMIC CLUB (Toronto)
ECONOMIC CLUB presents:
Anna Reid, MD, CCFP-EM
President
Canadian Medical Association
President
Canadian Medical Association
What Makes Us Sick?
Friday, April 26th, 2013
11:45am - 1:30pm
One King West Hotel
1 King Street West, Toronto
11:45am - 1:30pm
One King West Hotel
1 King Street West, Toronto
$79 Individual with tables of 10 available
Lunch will be served
Advance registration is required
– numbers are limited
For tickets call (416) 306-0899,
visit www.economicclub.ca
or fax the attached registration form
to (416) 306-0898
Lunch will be served
Advance registration is required
– numbers are limited
For tickets call (416) 306-0899,
visit www.economicclub.ca
or fax the attached registration form
to (416) 306-0898
15 Apr 2013
PSYCHIATRIST Dr. Hung-Tat LO in case of Refugee Vietnamese Paranoid Schizophrenic Mr.CHAU who killed common-law wife and two children (3y & 5 months )with a kitchen cleaver
Dr. Hung-Tat Lo, MD(Univ.Hong Kong 1971) FRCPC (1977) on Staff Mt.Sinai University Hosp.A founder of the HONG FOOK MENTAL HEALTH ASSOCIATION that provides Group Housing for Asian Psychiatric patients.
On January 13, 2012, the Discipline Committee found that Dr. Lo committed an act of professional misconduct, in that he failed to maintain the standard of practice of the profession.
Record-keeping
Dr. Lo failed to maintain the standard of practice in record-keeping with respect to Patient A. The patient's record was largely illegible and most entries contained scant information. Changes to medications were made at the last three appointments without documented communication with Patient A's family doctor, who was managing the patient's medications on a more consistent basis. Risk assessments and their conclusions were not documented.
Dr. Lo also failed to maintain the standard of practice in record-keeping with respect to 14 of 15 patients. Patient records were largely illegible and transcriptions were required for review. The patient encounter entries were generally scant. Most charts did not have the initial history, diagnosis and treatment plan charted in any detail. There was a general lack of pertinent negative findings, and mental status exams and risk assessments were not documented.
Care and Treatment
Dr. Lo failed to maintain the standard of practice in his care and treatment of Patient A with respect to his collateral fact gathering and follow-up. Dr. Lo also failed to maintain the standard of practice in his care and treatment of two patients, in that he: 1) failed to adequately monitor the Lithium level of one patient and failed to make the necessary inquires that would have led to the disclosure of the patient's thyroid carcinoma; and 2) managed an alcoholic patient with out-dated treatment and inappropriate use of antabuse.(ERROR BY CPSO: "antabuse": should read DISULFIRAM (Antabuse is a brand name).
Comment: What had diagnosis of Thyroid cancer to do with Psychiatric care?
Comment: Why is use of DISULFIRAM "out-dated"?
On February 7, 2013, the Committee ordered a public reprimand, and directed that the following terms, conditions and limitations be imposed on Dr. Lo’s certificate of registration:
CMPA & OMA DO NOT FUND APPEALS.WHICH CAN EASILY COST $100,000.
ONTARIO GOVERNMENT CLOSED (IN TORONTO) TWO LARGE MENTAL HOSPITALS.plus THE WELLESLEY TEACHING HOSP.(with psychiatric floor) and TWO COMMUNITY HOSPITALS: DOCTORS' & CENTRAL. Resulting in severe shortage of Psychiatric beds.
IMMIGRATION PSYCHIATRIC RESTRICTIONS DO NOT APPLY TO CONVENTION REFUGEES.
This case shows high risk to Toronto Psychiatrists as a result of Federal Immigration Laws and Provincial
Hospital closures.
On January 13, 2012, the Discipline Committee found that Dr. Lo committed an act of professional misconduct, in that he failed to maintain the standard of practice of the profession.
Record-keeping
Dr. Lo failed to maintain the standard of practice in record-keeping with respect to Patient A. The patient's record was largely illegible and most entries contained scant information. Changes to medications were made at the last three appointments without documented communication with Patient A's family doctor, who was managing the patient's medications on a more consistent basis. Risk assessments and their conclusions were not documented.
Dr. Lo also failed to maintain the standard of practice in record-keeping with respect to 14 of 15 patients. Patient records were largely illegible and transcriptions were required for review. The patient encounter entries were generally scant. Most charts did not have the initial history, diagnosis and treatment plan charted in any detail. There was a general lack of pertinent negative findings, and mental status exams and risk assessments were not documented.
Care and Treatment
Dr. Lo failed to maintain the standard of practice in his care and treatment of Patient A with respect to his collateral fact gathering and follow-up. Dr. Lo also failed to maintain the standard of practice in his care and treatment of two patients, in that he: 1) failed to adequately monitor the Lithium level of one patient and failed to make the necessary inquires that would have led to the disclosure of the patient's thyroid carcinoma; and 2) managed an alcoholic patient with out-dated treatment and inappropriate use of antabuse.(ERROR BY CPSO: "antabuse": should read DISULFIRAM (Antabuse is a brand name).
Comment: What had diagnosis of Thyroid cancer to do with Psychiatric care?
Comment: Why is use of DISULFIRAM "out-dated"?
On February 7, 2013, the Committee ordered a public reprimand, and directed that the following terms, conditions and limitations be imposed on Dr. Lo’s certificate of registration:
- Dr. Lo shall undergo, at his own expense, a re-assessment of his practice within 12 months by an assessor acceptable to the College. The re-assessment shall include a review of Dr. Lo’s documentation and record-keeping, his appropriate prescription and monitoring of Lithium in clinical practice, his communications with family members and family physicians, and his identification and referral to specialists of patients in his care with comorbid alcoholism; and
- Dr. Lo shall abide by all recommendations provided by the assessor.
CMPA & OMA DO NOT FUND APPEALS.WHICH CAN EASILY COST $100,000.
ONTARIO GOVERNMENT CLOSED (IN TORONTO) TWO LARGE MENTAL HOSPITALS.plus THE WELLESLEY TEACHING HOSP.(with psychiatric floor) and TWO COMMUNITY HOSPITALS: DOCTORS' & CENTRAL. Resulting in severe shortage of Psychiatric beds.
IMMIGRATION PSYCHIATRIC RESTRICTIONS DO NOT APPLY TO CONVENTION REFUGEES.
This case shows high risk to Toronto Psychiatrists as a result of Federal Immigration Laws and Provincial
Hospital closures.
UK: Danger of bogus diagnoses e.g "IBS"
From UK DAILY MAIL
Doctors said my daughter had IBS - in fact, it was bowel cancer': Heartbroken mother on losing her 28-year-old to the disease that's killing more young people than ever
- Holly Slater, then 26, developed stomach cramps and constipation in 2011
- Less than two years later she died from aggressive bowel cancer
- Cases of the disease in young people have risen by 120% in ten years
- Holly's mother says outdated views to the disease cost her daughter's life
- She is urging people young and old not to ignore persistent IBS symptoms
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A seemingly fit and healthy 28-year-old died from bowel cancer after doctors repeatedly told her she was suffering from a harmless digestive complaint.
Nursery worker Holly Slater visited her doctor several times over an 18 month period, yet doctors did did not recognise her symptoms - which included bloating and abdominal cramps - and mistook the beginnings of bowel cancer for irritable bowel syndrome (IBS).
The cancer eventually spread to her lungs, bones and liver and she died in February this year.
To this day, there is no clear reason why she succumbed to the disease - Holly was fit and healthy and there was no family history of the disease.
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