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ESTEVAN - Estevan's Dr. Mehdi Horri is facing 14 disciplinary charges, according to information the College of Physicians and Surgeons of Saskatchewan (CPSS) posted to its website on Jan. 20.
Allegations of unprofessional conduct involving three patients have been referred to the college's discipline committee.
"The allegations in the charge[s] have not been admitted, nor has there been a hearing before the discipline committee to determine whether the allegations in the charge will be proved," explains the college. "A physician who denies some or all of the allegations in a charge is entitled to a hearing before the discipline committee to determine if the allegations in the charge are established by the evidence at the hearing."
The CPSS has charged Horri with the following:
1) Performing a surgical procedure in regard to patient No. 1 without adequate prior investigation and/or without obtaining an opinion from a surgeon, and/or thereby did not maintain the standard of practice of the profession;
2) Performing a surgical procedure in an office setting unsuited for the procedure and/or not applying sufficient clinical knowledge or surgical skill to the performance of the procedure, and/or therefore not maintaining the standard of practice of the profession;
3) Not obtaining informed consent for the surgical procedure performed on patient No. 1 and/or therefore maintaining the standard of practice of the profession;
4) Not providing adequate postoperative instructions and timely postoperative care to patient No. 1 and/or therefore not maintaining the standard of practice of the profession;
5) Not having a chaperone present during a procedure with female patient No. 1, contrary to Horri's 2018 undertaking with the college;
6) Altering medical records related to patient No. 1 after becoming aware of a college investigation into his conduct with that patient;
7) Performing a rectal examination on Patient No. 2 that was not medically indicated;
8) Not having a chaperone present during a procedure with female patient No. 2, contrary to his 2018 undertaking with the college.
9) Altering medical records related to patient No. 2 after becoming aware of a college investigation into his conduct with that patient;
10) Inappropriately touching and/or making comments on a female patient’s genitals during an examination.
•On or about July 14, 2022, he had a patient encounter with patient No. 3, a female.
•During the course of a pap smear procedure, the CPSS says Horri pinched the patient’s labia between his fingers, moved the labia back and forth, and/or asked whether the patient had ever considered surgery to remove the excess, or words to that effect.
•The CPSS alleges the specific touching he conducted was not medically indicated and/or not consented to by the patient.
11) Altering medical records related to patient No. 3 after becoming aware of a college investigation into his conduct with that patient;
12) Harassing and/or encouraging a potential witness in a college investigation into his conduct to provide false information.
The evidence, according to the CPSS, that will be provided in support of this charge will include one or more of the following:
•On or about Dec. 24, 2022, Horri had been advised that the college was investigating his conduct and that a potential interim suspension of his ability to practise would be considered;
•In a text message conversation on or about Dec. 24, 2022, he told a potential witness to the investigation that "all they need to hear is that I see my female patients with a chaperone. That's it and that's all".
•After further conversation by text message, the potential witness asked him "so lie?" and he responded: "Yes this is not the time to think about integrity".
•On or about Dec. 27, 2022, Horri sent the potential witness information from his lawyer indicating that he may be suspended by the college, then asked the potential witness whether they "still think these people deserve honesty".;
13) Failing to maintain appropriate medical records for patients No. 1, 2 and/or 3;
14) Between 2018 and 2023 inclusive, having encounters with female patients without a chaperone present, contrary to his 2018 undertaking with the college.
Horri restarted his practice on Jan. 1, 2024, after being suspended for two months for breaching an undertaking by seeing a female patient on March 20, 2023, without a chaperone, and further breaching the undertaking by not reporting the initial breach to the CPSS. His status with the CPSS is currently listed as on the register, which means he has not been suspended.
Horri's history of unprofessional conduct dates back more than a decade with cases in Ontario and Estevan.
Bryan Salte, associate registrar for the CPSS, said if a physician is found guilty of unprofessional conduct, or admits unprofessional conduct, the penalty imposed would reflect the seriousness of the conduct.
He also pointed out Horri is practising under significant restrictions, including the requirement that there be a practice monitor in place for all interactions with female patients. The requirements include prior approval of the practice monitor by the college, which is only granted after the practice monitor meets with a college official and has signed an undertaking with the college related to her role.
Female patients are required to sign a consent before meeting with Horri. The patient record for each encounter with a female patient will include the name of the practice monitor. Horri is required to post a sign in his clinic advising patients of the chaperone requirement. Practice monitors must report regularly to the college.
He is also subject to a requirement that he not perform any invasive procedures which involve a scalpel or stitches in his office. He also cannot provide propofol to any patient.
Horri's attorney could not immediately be reached for comment.
A date for a disciplinary hearing has not been scheduled.
The full report can be viewed on the CPSS website.
The Mercury and SaskToday will have more details as they become available.
