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these patients on his “own rounds”. Even so he required that should one of these patients require
assistance when he was unavailable the staff should seek the guidance from the nephrologist who
was on-call (see: fn. 40 herein). In order to proceed in this way Dr. Albert Kadri required a schedule
of the treatments to be received by the patients he considered to be his own, separate from the
others who were dealt with pursuant to the new Model of Care (see: fn. 41 herein). On March 6,
2017, the day the new Model of Care was implemented Dr. Albert Kadri “unilaterally changed the
supervision of dialysis treatment for his outpatient population”. As he indicated he would, Dr.
Albert Kadri, on rounds, saw those he considered “his” patients” and contrary to the Model of Care
made orders in respect of their care despite not being the nephrologist on-call (see: fn. 46 herein).
Some of these contradicted the orders made by the doctor who was on-call. Some were presented,
as the hospital saw it, “in various ways” and in “an inconsistent manner”137. The Health Professions
Appeal and Review Board found that Dr. Albert Kadri provided orders in an inconsistent manner
and that these orders were disruptive to the safe operation of the Multidisciplinary Chronic Kidney
Disease clinic and caused confusion, stress and distraction for the Renal Program.138 Nonetheless,
Dr. Albert Kadri expected the staff to respond to those orders. Dr Albert Kadri used intimidation
and threats to bully other physicians, Renal Team members and the administration of the Windsor
Regional Hospital.139 Dr. Albert Kadri systematically sabotaged efforts to collaborate and follow
the guidelines of the Renal Program.140 Dr. Albert Kadri recruited two new nephrologists without
any authority to do so and encouraged one of them, Dr. Syed Obaid Amin, to apply for privileges
at the Windsor Regional Hospital when he knew or ought to have known that the available
positions had been filled. Dr. Albert Kadri, understanding that the approach to billing had changed,
but rather than accept and act pursuant to the new system, declared the acceptance of the new
approach by the Ministry of Health and Long Term Care as “incorrect” (see: fn. 123, fourth bullet,
herein), and, then, billed in a fashion that denied payment as prescribed by the new Model of Care
to those who had done the work and billed for it under the new system.
[109] On this foundation it is difficult to see how these efforts would not be detrimental to the
implementation of the new Model of Care and to the patients they served. The letter written by
counsel for the Windsor Regional Hospital to counsel, then, acting for Dr. Albert Kadri dated
March 10, 2017 pointed out:
137 This description of the Orders appears in the letter written by counsel for the Windsor Regional Hospital on
March 10, 2017 to counsel then acting for Dr. Albert Kadri as demonstrated by:
Inputting orders directly into the electronic chart while rounding;
Providing verbal orders to Nursing Staff while rounding;
Documenting progress notes on his private office letterhead and having these printout at the Renal Unit
printer without notice (some of these progress notes have ordered embedded within them) and;
Inputting orders remotely into the patient’s electronic medical record (Dr. Kadri has had some of these
orders print out at the Renal Unit printer without notice) (Caselines A560)
138 Dr. Albert Kadri v. Windsor Regional Hospital, supra (fn. 1) at para. 68
139 This point was made by the panel of the Board of Directors at para. 114 of its Decision and Reason for Decision
(Caselines A191) relying “on the evidence” including Dr. Albert Kadri’s March 9, email to Dr. Bagga, with a copy
having been sent to Dr. Callaghan.
140In making this point the Board of Directors at para. 424 (Caselines A268) of its Decision and Reasons for
Decision refers Dr. Albert Kadri having publically accused the Administration and staff of the Windsor Regional
Hospital of putting patients “in harm’s way” because of the model of care in circumstances where there was no
evidence to support these claims.