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Informing Clinic Patients Was Left To Ottawa Public Health

October 18, 2011 by staff 

Informing Clinic Patients Was Left To Ottawa Public HealthInforming Clinic Patients Was Left To Ottawa Public Health, Until recently, private clinics, endoscopy, as run by gastroenterologist Dr. Christiane Farazli Ottawa, were not subject to provincial regulations that forced doctors to follow proper infection-control practices.

That changed in 2010 when, after years of lobbying by endoscopists themselves, review of provincial legislation finally shown the safety standards. It also allowed the agency that regulates the medical profession to inspect 270 private clinics for surgery in Ontario, which performs procedures ranging from liposuction and endoscopy to plastic surgery.

In May, west of Ottawa clinical Farazli not an inspection by the College of Physicians and Surgeons of Ontario. The inspection team found the clinic, which is used to perform gastroscopy and colonoscopy, “is not always properly cleaned between tests,” the university said in a statement Monday.

According to Dr. Rocco Gerace, secretary of the university, the clinic was closed “within days” of the inspection no. And because the lapses in infection control poses a potential danger to public health, the university notified the Ontario Medical health, launching a five-month investigation that culminated in the clinic on Monday Farazli being named infection in a high-profile shock.

Ottawa Public Health has sent about 7,000 registered letters to former patients of the clinic informing you that there is a small possibility that may have been infected with hepatitis or HIV. Lapses in infection control is believed to have occurred between April 2002 and June 2011.

“I remain committed to the safety and welfare of my patients and I am cooperating fully with the VPO in providing patients with this notification,” Farazli said in a statement. “I sincerely regret that the problems identified in my installations occurred and apologize for any inconvenience or anxiety that patients may experience when you receive this notification.”

Farazli is currently under investigation by the university. In case of negligent or unfit to practice, there may be restrictions on your license, or lost altogether.

Farazli has been a gastroenterologist since 1976. He graduated from the University of Montreal in 1973 and specializes in internal medicine since 1978. The university indicates that it has never been disciplined Farazli professional.

The case is likely to shake public confidence in private clinics for surgery and ask questions about infection control in clinical Farazli lapses could have lasted so long without being detected.

Experts blame a lack of oversight that goes back to the 1990s, when budget cuts led provincial hospitals to outsource an increasing number of endoscopic procedures. Despite repeated pressure from industry groups such as the Ontario Association of Clinical endoscopists, there are no provincial regulations governing infection control in private clinics to endoscopy.

“I myself have been saying for years that the rules needed,” said Dr. Fred Bray, a gastroenterologist at Ottawa and a member of the board of the association. “You need a watchdog, which keeps people honest.”

Although Bray said that “most of these clinics very high quality work,” he acknowledged that until the legislation was amended in 2010, the infection control was largely at the discretion of individual physicians.

“He’s a doctor so he has experience in science, but may or may not know how to sterilize equipment,” said Bray. “Most of the doctors of conscience or to learn about themselves, or talk to people they know.”

Few details have emerged about exactly how the control measures of infection in the clinic broke Farazli, but Bray said that generally, the process of disinfecting endoscopic material is relatively simple. He compared the process of sterilization of 45 minutes, which involves several chemical disinfectants, “a fancy dishwasher.”

“It’s not complicated. There is no guesswork to it. I teach my staff and they understand very quickly,” said Bray.

McKarney Shannon is one of the former patients Farazli that he was “disturbed” to see the facilities not regulated provincial when he had a colonoscopy there in 2007. McKarney said he later tested negative for HIV and hepatitis, “so I know I am perfectly well.”

Gerace said the revelation about the clinic Farazli shows not only the job inspection process, but also sends a message to other doctors who run private clinics throughout the province. “Everybody has to meet a certain level, and doctors know it.”

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