Former Barrie surgeon agrees not to practise medicine again, anywhere

A former Barrie surgeon has given up his licence to practise medicine and has promised his regulatory body to never apply to register as a physician ever again, anywhere.

The agreement arose following a College of Physicians and Surgeons of Ontario (CPSO) disciplinary hearing last week.

“The agreement to never reapply for registration… is the maximum level of punishment available in this situation,” said CPSO communications advisor Josh McLarnon.

The college had earlier launched investigations into Dr. Emad M. Guirguis and his now-defunct Lakeview Surgery Centre on Dunlop Street following complaints.

He was found to perform cosmetic surgery that was outside his scope of practice as a physician, not having the proper training and certification.

He also engaged in unprofessional conduct through online advertising and communications with a specific patient.

In addition to the practice ban, he was ordered to pay $6,000.

“Dr. Guirguis has been brought forward to the discipline committee on a number of occasions,” McLarnon added.

An investigation was first launched in 2015 resulting in a caution three years later.

Another caution was later issued relating to his compliance of the first issue.

In one complaint, Guirguis tried to perform bariatric revision gastric band surgery, but decided not to complete the surgery because he encountered extensive scar tissue from previous surgeries. According to documents from the college’s compliance and monitoring department, he perforated the patient’s bowel during the surgery, resulting in ongoing complications.

The complainant said he did not communicate or follow up with her after the surgery or provide a refund of her fee.

“The committee… was of the view that the respondent’s pre-operative assessment was insufficient,” the decision of the inquiries, complaints and reports committee found.

In another report, an independent assessor concluded: “Dr. Guirguis did not meet the standard of practice of the profession in some of the cases reviewed; his knowledge was adequate but basic; his surgical skills were adequate for his limited scope of practice; his judgment was not always adequate, mostly because the brief documentation does not allow a full understanding of his train of thought and exposes omissions or incomplete assessments; and in the reviewed cases his clinical practice, behaviour, or conduct had the potential to expose one patient to harm.”

Other assessors, it added, found broad deficiencies in Dr. Guirguis’s practice.

In a report from Dec. 14, 2018, Guirguis was cautioned about not providing a full explanation of a procedure to a patient and ensuring the patient had full clarity about what was going to be done following a complaint to the college about the outcome of a cosmetic surgical procedure.

According to CPSO documents, Guirguis agreed he has engaged in an act or omission relevant to the practice of medicine that would reasonably be regarded by members as disgraceful, dishonourable or unprofessional.

He was ultimately found to have committed an act of professional misconduct.

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Dr. Guirguis’s certificate of registration expired Sept. 4, 2020.

In addition to the clinic, Guirguis was also once

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U.S. again tops 60K new COVID-19 cases; Surgeon General Jerome Adams rejects ‘herd immunity’

Oct. 21 (UPI) — U.S. Surgeon General Dr. Jerome Adams joined other top health experts Wednesday in opposing a dangerous “herd immunity” strategy, as the United States again added another 60,000 COVID-19 cases.

According to updated data from Johns Hopkins University, there were 60,300 new cases nationwide on Tuesday — the third time in the past week that the level has topped 60,000.

Deaths in the United States also increased on Tuesday, the data showed, to more than 900. Since the start of the pandemic, there have been 8.28 million cases and about 221,100 deaths nationwide.

Wednesday, Adams joined Dr. Antony Fauci and other top health officials in opposing a herd immunity strategy, which is purportedly being considered by the Trump administration. Adams said pursuing such a strategy, which effectively allows the coronavirus to spread unchecked, would result in an unacceptable death toll.

Adams tweeted that there’s no “example of a large-scale successful intentional infection-based herd immunity strategy” and warned that the course would “lead to many complications/deaths.”

The strategy reasons that letting the virus spread would infect large populations, who would then develop a natural immunity to COVID-19 and thereby reduce the number of people who can be infected afterward. Eventually, the theory goes, the virus would run into a dead end.

“Large numbers of people would need to be infected to achieve herd immunity without a vaccine,” Adams wrote, warning that such a path could “overwhelm” healthcare systems.

Fauci, director of the National Institute of Allergy and Infectious Diseases, rejected the idea of herd immunity last week, calling it “ridiculous” and “total nonsense.”

Most scientists say there would be no feasible way to isolate and protect vulnerable Americans who face a greater risk of death from COVID-19 in such a scenario.

Researchers at the University of Washington say a herd immunity strategy would likely lead to tens of thousands of additional deaths by the start of 2021.

Child cases have increased by almost 15% — 84,000 cases — in the first two weeks of October, according to an update from the American Academy of Pediatrics and Children’s Hospital Association.

Since the start of the crisis, about 740,000 children have tested positive in the United States — almost 11% of total cases, it said. The overall infection rate is 986 per 100,000 children.

Though severe illness and deaths still appear to be rare among children, the groups urged authorities to “provide detailed reports on COVID-19 cases, testing, hospitalizations and mortality by age and race/ethnicity so that the effects of COVID-19 on children’s health can be documented and monitored.”

The Centers for Disease Control and Prevention said Tuesday there have been about 300,000 deaths more than normal so far this year due to the pandemic.

In a typical year, the CDC said, there are about 1.9 million deaths from all causes between February and October. This year, COVID-19 has pushed that figure to near 2.2 million, an increase of 14.5%.

About 200,000 of the extra deaths may be attributed to

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