A doctor who made a public call for the resignation of a top medical official on Vancouver Island has been suspended, but not, that official says, for his public statements.
Island Health has suspended Port Hardy㽶Ƶֱs Dr. Alex Nataros from practicing in emergency departments in the Island Health region.
In a statement received by Black Press Media on Thursday, Feb. 9, Island Health㽶Ƶֱs Chief Medical Officer, Dr. Ben Williams, stated the suspension was due to 㽶Ƶֱa very serious patient complaint that gave rise to concerns about Dr. Nataros㽶Ƶֱ ability to safely practice in the emergency department.㽶Ƶֱ
Nataros had previously told media the suspension was likely due to issues with his therapy dog Pearl being in the workplace, but Williams denied that was the case.
㽶ƵֱI am aware that earlier [Wednesday, Feb. 8] Dr. Nataros told media outlets his emergency department privileges are restricted, and he alleged this is due to his comments in the media about me and/or in relation to his dog being in the workplace,㽶Ƶֱ Williams said. 㽶Ƶֱ(It is) unfortunate he is characterizing the situation in this manner. More importantly, his comments are categorically untrue.㽶Ƶֱ
Williams said Island Health would not normally comment on personnel matters, but was adamant he was speaking out due to Nataros being the one who made his restriction of privileges public.
㽶ƵֱI have a responsibility to clarify the situation to ensure the public, and importantly the patients who access care in our emergency departments, have confidence in the services they receive,㽶Ƶֱ he said.
㽶ƵֱI acknowledge I am making these comments reluctantly as personnel matters should be dealt with through the well-established channels available to those involved.㽶Ƶֱ
Williams said an Island Health senior medical leader was alerted on Monday, Jan. 30, to a serious patient complaint regarding care delivered by Nataros in the Port Hardy emergency department. A preliminary investigation was launched within hours of being notified, including obtaining expertise from physicians in relevant specialties and a review of the medical record.
On Jan. 31, Island Health received correspondence from other members of the care team that raised concerns regarding patient safety and Nataros. On Wednesday, Feb. 1, at Williams㽶Ƶֱ direction, Island Health medical leaders met with Nataros to provide him the opportunity to share his perspective.
Williams said he carefully considered the above, along with Island Health㽶Ƶֱs ability to provide patient care, a functioning care team; and, 㽶Ƶֱfirst and foremost, patient safety㽶Ƶֱ in consultation with senior medical leaders with a variety of clinical backgrounds.
Williams said he was finalizing a letter to Nataros restricting his privileges on the afternoon of Feb. 2, when he became aware of Nataros㽶Ƶֱ accusation of harassment on social media coupled with his call for Williams㽶Ƶֱ resignation.
㽶ƵֱThis did not affect my decision-making,㽶Ƶֱ Williams said. 㽶ƵֱMy decision had already been made, and I was working on communicating it to Dr. Nataros.
Nataros is now restricted from working in Island Health emergency departments while 㽶Ƶֱa fulsome investigation takes place into all of the concerns raised,㽶Ƶֱ reads the statement. 㽶ƵֱIn alignment with the bylaws, Dr. Nataros will have the full opportunity to respond to the concerns.㽶Ƶֱ
㽶Ƶֱ(He) has been made aware of next steps and has legal counsel to support him through this process,㽶Ƶֱ Williams stated. 㽶ƵֱWe have also informed Dr. Nataros of other supports that are available to him.㽶Ƶֱ
Nataros reiterates he believes his suspension is simply due to him speaking out about the North Island health-care crisis, publicly calling for the resignation of Williams, and his therapy dog Pearl being used during work hours.
Nataros said he only became aware of the medical complaint in question when Dr. Louis (Dieter) de Bruin, executive medical director for Comox Valley, Campbell River and the North Island, urgently emailed him on Jan. 31. He said the accusations it contained were coerced and falsely directed towards him.
Nataros said he㽶Ƶֱs not able to comment any further due to internal processes, patient privacy and a current process involving the Canadian Malpractive Protective Assocation, but he said he㽶Ƶֱs confident in his ability to 㽶Ƶֱdeliver high level evidence-based patient care.㽶Ƶֱ
㽶ƵֱI understand this is an extremely difficult time for our patients in the North Island who hear of disruptions in care and are concerned about the loss of their doctor,㽶Ƶֱ he added.
㽶ƵֱI am firmly committed to the North Island, I have poured concrete in the past week at my new home, I have many great friends and supports, I am a new member of the Rotary Club of Port Hardy, I am deeply committed to the region, and I am clear that these baseless accusations from Ben Williams will be disproven and ultimately he will be asked to resign by his superiors.㽶Ƶֱ
Prean Armogam, a longtime doctor in the neighbouring community of Port McNeill issued a statement defending Nataros, saying he believes that Island Health㽶Ƶֱs actions are in retaliation for speaking out.
㽶ƵֱThey are attempting to muzzle him and influence public opinion,㽶Ƶֱ said Armogam. 㽶ƵֱBen Williams cites 㽶Ƶֱpatient safety㽶Ƶֱ issues as a deflection of his and the overall organizational senior leadership dereliction of their respective duties. Doctors have professional accountability processes to abide by and get to answer to that. What accountability processes do [administrators] like Ben Williams, Kathy MacNeil and the [Island Health] board have?㽶Ƶֱ
The B.C. Green Party will be hosting a health care press conference in Victoria at 10:30 a.m. on Friday, Feb. 10, with further information coming from various health-care workers who will be attending.
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