MD rapped after death, error

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This article was published 28/11/2014 (3963 days ago), so information in it may no longer be current.

BRANDON — A longtime Brandon pediatrician has been censured following the death of one infant and an unnecessary liver transplant in another.

Dr. Emmett Elves failed to “recognize his limitations” in treating the two, says the College of Physicians and Surgeons of Manitoba.

According to the college’s official censure — which amounts to a public warning — Elves incorrectly diagnosed a newborn’s digestive problem in February and didn’t consult with a neonatologist who might have been able to correctly diagnose the issue.

Another doctor who took over care of the infant called for a neonatalogist’s help a half-hour after seeing the baby for the first time, and had it transferred to a Winnipeg hospital; however, the child died at the age of four days. “Timely diagnosis… may have resulted in a greater chance” of saving the child, the report says.

The censure also cites a 2011 case, in which Elves was caring for a three-month-old baby who had jaundice.

After six months of care, with the child’s condition worsening, Elves attempted to phone pediatric gastroenterology, but wasn’t able to reach them. Another doctor who saw the child a week later immediately referred the girl to Winnipeg, where she was provisionally diagnosed with a problem that would have been best corrected at two to three months of age.

However, she was so sick by then she had to be sent to a Toronto hospital for a liver transplant. The censure report says “timely diagnosis” may have avoided the need for the transplant.

In order for the censure to become official, college registrar Dr. Bill Pope said. Elves had to accept the findings of the report.

No other disciplinary action is available after both sides agree to the censure.

Elves was also required to pay the costs of the investigation, an amount just under $2,500.

“It’s very significant for a physician because the publication of it, as you can imagine, doctors feel very embarrassed by all of this and it is very public,” Pope said.

In 10 years the censure can be expunged from Elves’ profile, but it stays on his record forever, Pope said.

Any time there is a direct request from a patient or if Elves asks for certification of professional conduct to work in another jurisdiction, the censure will be available.

Elves, who works at the Brandon Clinic, is one of only two pediatricians in the Prairie Mountain Health region, PMH spokesman Blain Kraushaar said.

The other is in Dauphin, while some services are provided on an itinerant basis by physicians from Winnipeg.

Darcy Bell, controller at the Brandon Clinic, said the censure doesn’t change the relationship the clinic has with Elves.

“We are completely supportive of him and grateful to have him as a member of our clinic,” Bell said. “We’re extremely thankful for the service he provides to this region.”

A call to Elves’ office Thursday was answered by his secretary, who said he wouldn’t be commenting on the censure.

 

— Brandon Sun