CONSENT AGREEMENT BETWEEN - State Medical Board of Ohio ...

Matter of Kyle Elliott Hoogendoorn, D.P.M. Page 29
along the muscle or muscle belly or the insertion; how to prep the patients;
gauge of syringe and needle to use. We’d go over it from top to bottom.
(Tr. at 2512)
65. Dr. Hoogendoorn testified that he had injected only soft tissue during his fellowship.
Dr. Hoogendoorn further testified that he never performed spinal injections beyond the
muscles that surround the spinal column. (Tr. at 2516-2517)
Dr. Hoogendoorn also testified that he never performed epidurals or placed spinal
stimulators, although he had assisted in such procedures. When asked why he had been
taught to perform some interventional pain management procedures but not others,
Dr. Hoogendoorn replied:
Trigger point and chemoneurolytic injections are easily transferred from the
back into the foot and ankle area in the soft tissues. The same principles
apply. * * *
It was never intended that for any reason I was going to be doing epidurals,
sympathetic blocks; implant stimulators * * *. * * * It was more for me to
learn technique, instrumentation, to develop that and bring it down to the foot
and ankle where appropriate.
(Tr. at 2518-2519)
Level of Supervision of Dr. Hoogendoorn during Procedures
Testimony of Dr. Leak
66. Dr. Leak testified that it is possible that Dr. Hoogendoorn had been allowed to perform
chemoneurolytic injections using Sarapin as the chemoneurolytic agent without an
attending present in the same room. Dr. Leak further testified that Sarapin “is a slow,
slow-moving agent that goes with local anesthetic. And it’s just like—it’s literally an
intramuscular injection that will hopefully neutralize the nerve fibers that penetrate the
muscle.” (Tr. at 446-448)
Later in the hearing, Dr. Leak testified that he had been present with Dr. Hoogendoorn
whenever Dr. Hoogendoorn was performing trigger point or chemoneurolytic injections.
Dr. Leak further testified that Dr. Griffin had spent more time with Dr. Hoogendoorn, and
that Dr. Leak had left to Dr. Griffin’s judgment how Dr. Griffin “would staff”
Dr. Hoogendoorn. (Tr. at 2768)
Testimony of Dr. Griffin
67. Dr. Griffin testified that, when he had supervised Dr. Hoogendoorn during a procedure, he
had been “at [Dr. Hoogendoorn’s] elbow.” Dr. Griffin further testified that he doubts that