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Medical Board Accusation Leads to Surrender of Fresno Physician's Medical License.


Business Editors/Health/Medical Writers

SACRAMENTO, Calif.--(BUSINESS WIRE)--March 10, 2003

Facing a formal accusation of wrongdoing wrong·do·er  
n.
One who does wrong, especially morally or ethically.



wrongdo
 by the Medical Board of California, Fresno physician Richard H. Thorp, M.D. has surrendered his license to practice medicine. The stipulated surrender of his medical license was effective on March 5, 2003.

The Medical Board accused Thorp of unprofessional conduct for violating Business and Professions Code sections 2234(b) and (c) in that he committed acts constituting gross negligence An indifference to, and a blatant violation of, a legal duty with respect to the rights of others.

Gross negligence is a conscious and voluntary disregard of the need to use reasonable care, which is likely to cause foreseeable grave injury or harm to persons, property, or
 and repeated negligent acts. The Board alleged that he performed cervical spine cervical spine Clinical anatomy The region of the vertebral column encompassing C1 through C7  surgery on a patient at the wrong level.

An MRI 1. (application) MRI - Magnetic Resonance Imaging.
2. MRI - Measurement Requirements and Interface.
 showed that the patient had a disk bulge at C6-C7 and the patient signed Thorp's Informed Consent form which described the surgery as an "Anterior Disc Excision/Corpectomy with Interbody Fusion C6-7 and Antologous Bone Graft bone graft Orthopedic surgery Sterilized bony tissue, often of cadaveric origin, used to fill and/or 'sculpt' bone defects Indications Spinal fusion, revision of failed articular prostheses, filling traumatic or malignant bone defects, or periodontal defects.  From Hip." However, according to according to
prep.
1. As stated or indicated by; on the authority of: according to historians.

2. In keeping with: according to instructions.

3.
 the Operative Report operative report A document produced by a surgeon or other physician(s) who have participated in a surgical intervention, which contains a detailed account of the findings, the procedure used, the specimens removed, the preoperative and postoperative diagnoses, and , the fusion was done at C5-C6. When Thorp obtained an intraoperative x-ray to check the placement of the needle, the x-ray showed that the needle had been inserted at the C6-7 level. Apparently confused, he repositioned the needle to the C5-C6 level. Additionally, in the Patient Summary Sheet dated the same day as the surgery, and signed by Thorp, he listed the admitting diagnosis as "Cervical Disc C5-6" and the procedure as "Cx laminotomy, foraminotomy."

During the post operative evaluation, the patient explained he was there to see him about the procedure done at C6-C7, and Thorp replied, "No, C5-C6." The patient replied, "C6-C7." Thorp checked the patient's records and stated he was right but never admitted to the patient that he had incorrectly performed the fusion at the wrong level.

Further, Thorp met with the patient three times postsurgically and despite knowing his egregious error, he failed to inform the patient. These actions constitute repeated negligent acts. Thorp agreed that improper documentation led to the repeated negligent acts, but denied the allegations of gross negligence.

The mission of the Medical Board of California is to protect healthcare consumers through the proper licensing and regulation of physicians and surgeons Physicians and surgeons are medical practitioners who treat illness and injury by prescribing medication, performing diagnostic tests and evaluations, performing surgery, and providing other medical services and advice.  and certain allied healthcare professions and through the vigorous, objective enforcement of the Medical Practice Act.

If you have a question or a complaint about the healthcare you are receiving, the Board encourages you to visit its Web site at www@medbd.ca.gov or with questions call the Consumer Information Line at (916) 263-2382, or with complaints, call (800) 633-2322.
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Publication:Business Wire
Date:Mar 10, 2003
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