Monday 4 April 2016

Pierre Dupont, banned for life from dentistry in Quebec, now a foot doc in Ontario

CBC/Radio Canada investigation shows Ontario chiropodist organization may have broken own rules

GO PUBLIC

Pierre Dupont, banned for life from dentistry in Quebec, now a foot doc in Ontario

CBC/Radio Canada investigation shows Ontario chiropodist organization may have broken own rules

By Rosa Marchitelli, CBC News Posted: Apr 04, 2016 5:00 AM ET Last Updated: Apr 04, 2016 5:00 AM ET
Former Quebec dentist Pierre Dupont was suspended for life after several serious errors. He has since re-invented himself as a podiatrist.
Former Quebec dentist Pierre Dupont was suspended for life after several serious errors. He has since re-invented himself as a podiatrist. (Ottawa Foot Practice 

A former dentist whose licence was revoked after a patient stopped breathing in the dental chair and later died is working again in the health-care field despite attempts to block him from practising.
A Go Public/Radio-Canada investigation found Pierre Dupont went from disgraced dentist to working foot doctor when he moved from Quebec to Ontario. 
That's despite attempts by a major Quebec university and the organization that oversees podiatrists in Quebec to block him from practising.

Erika Brathwaite
Erika Brathwaite went to see Dupont for orthotics and ended up getting a titanium stent inserted in her left foot that caused her a lot of pain and wouldn't heal. (CBC/Paul Skene)
Erika Brathwaite didn't know Dupont's past when she went to see him last August for a problem with flat feet. She contacted Go Public after developing problems following a foot procedure done by Dupont.
"It was pure shock and then I was really angry that somebody with a history like that is allowed to be licensed to do medical procedures here in Ontario," she said.
Erika Brathwaite
Brathwaite says it was only when her internet language settings were on French that she discovered Dupont's past. (CBC/Paul Skene)
Brathwaite had researched Dupont before the procedure and found nothing alarming online. But when she started having trouble healing, she looked again.
"Just by accident, my Google settings were in French results only. I typed in the name of Pierre Dupont again and it was crazy. Google unleashed the entire story," she said.

Dupont's troubling history

  • 1992 — A complaint is filed against Dupont on behalf of five dental patients. (Another 10 patients filed a complaint in 2001). The accusations include excessive use of sedatives and anesthetic substances and flawed diagnoses.
  • December 1998 — Murielle Godbout, 52, goes to Dupont's for dental implants. Despite disclosing a history of heart problems, Dupont injects her with a dangerous dose of adrenaline. The woman spends the next 17 days in intensive care. 
  • January 2000 — Réjane Davidson, 71, undergoes the same procedure. She stops breathing in Dupont's dental chair and can't be revived. 
  • March 2005 — The organization that oversees dentists in Quebec suspends Dupont for life.
  • 2006 — Dupont begins training as a podiatrist in Quebec.
Murielle Godbout
Dupont injected Murielle Godbout with a dangerous dose of adrenaline despite her disclosure of a heart problem. After 17 days in intensive care because her heart stopped, she spent the rest of her life in poor health. (CBC/La facture)

Controversial procedure

Before she knew of his history, Brathwaite went to Dupont at hisOttawa clinic looking for orthotics.
"When we had the consultation with him he said the orthotics wouldn't be effective and the only way to get rid of my problem was to have this surgery … so I signed up for the surgery," she said.
She paid Dupont $3,750 and in October he inserted an implant into her foot, a procedure called HyProCure. Brathwaite said her pain didn't go away, and actually increased. She also said the recovery took months instead of days.
Erika Brathwaite's feet
Brathwaite's foot after the stent was put in. She was supposed to heal in weeks and though it has been months, she still has pain she never had before the procedure. (Erika Brathwaite)
"I'd get really intense sharp pain in my foot, like a stabbing pain. I wasn't able to bear weight on it, never mind walk," she said.
It's unclear if Dupont is authorized to do this kind of procedure. Our investigation found it's not part of the program at University of Quebec at Trois-Rivieres where Dupont studied podiatry.
"In our program, the student will be exposed to the procedure how it's done theoretically, but not in practise… After he graduated from here, he is not supposed to do it because he hasn't practised it," said Sébastien Hains, director of the podiatry program.
Sebastien Hains
Sebastien Hains, director of the podiatry program at University of Quebec at Trois-Rivieres, points to the small gap between bones where a titanium stent is inserted in HyProCure treatment. (CBC/Andre Perron )
He said one to four years of postgraduate training and a hospital residency is required for podiatrists to do that kind of procedure in Quebec.
It's also unclear what training is required in Ontario, but Dr. Steve Papp, president of the Ontario Orthopedic Association, told CBC News the province's top foot surgeons won't do the procedure.
"They don't feel there is enough literature to support using it yet, so in the province of Ontario, as far as I know, no orthopedic surgeon has used HyProCure," Papp said.
Dr. Steve Papp
Dr. Steve Papp, president of the Ontario Orthopedic Association, says the province's top foot surgeons don't do HyProCure because they don't think there has been enough research into its efficacy. (CBC/Andre Perron)
On his website, Dupont says in 2012, "through ongoing professional development and training" he was awarded the Master HyProCure Surgeon designation by the Graham International Implant Institute — the company that owns the patent for the procedure. We asked the company to clarify what training is required to earn that designation, but it didn't respond.

'I don't answer questions,' Dupont says

Go Public and Radio-Canada repeatedly tried calling Dupont to ask him about his history, Brathwaite's allegations and the concerns around HyProCure and his training. 
"I don't answer questions," he said before hanging up.
After the surgery, Brathwaite says she consulted an orthopedic surgeon who told her he takes implants like hers out regularly because of pain. Dupont took the implant out in November, but Brathwaite said she still has pain in her foot that she didn't have before the procedure. 

Attempts to block Dupont failed 

After Dupont enrolled at the University of Quebec at Trois-Rivieres in 2006 to study podiatry, the school tried to kick him out of the program after finding out about his problems as a dentist.  
Dupont took the university to court and won, arguing he had disclosed information about his past to the head of program. 
After graduation, Quebec's College of Podiatrists also tried to block Dupont by refusing to issue him a permit needed to practise. Dupont appealed the decision. A tribunal eventually ordered the college to issue the permit ruling there were not enough grounds to bar him. 
But rather than face another battle with the college for working before the permit issue was resolved, Dupont agreed not to practise podiatry in Quebec.
That's when he moved to Ontario where the College of Chiropodists did accept him. He set up shop in Ottawa as a chiropodist, a limited form of podiatry.

Ontario College may have broken own rules

Go Public asked the College of Chiropodists of Ontario what it knew about Dupont when it made the decision to allow him to practise in that province. It declined to answer, saying it can't comment while it's investigating the complaint filed by Brathwaite.
Under its own rules, it appears it shouldn't have. According to the organization's requirements for registration as a chiropodist: "The applicant must not have been found guilty of professional misconduct, incompetence or incapacity, in Ontario in relation to another health profession, or outside Ontario in relation to chiropody or another health profession."
The Quebec college says its Ontario counterpart never asked about Dupont's standing and the first they heard he was practising again was when Go Public contacted them. 

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