By Liz Kowalczyk, Globe Staff
The state yesterday suspended the medical license of a plastic surgeon who allegedly performed two operations at Beth Israel Deaconess Medical Center while impaired and apparently fell asleep on his feet as he did a patient's liposuction.
The hospital had fired Dr. Loren Borud on July 18, three weeks after the June 27 incident. Borud, 44, has been in treatment for alcohol or drug abuse since at least 2002, and last month was the second time he was known to have behaved strangely at work, according to a statement of allegations by the Board of Registration in Medicine, which licenses physicians.
On June 27, staff assigned to work in the operating room with Borud noticed that he looked tired and that his eyes were bloodshot, according to the medical board's allegations. During his first surgery, a tummy tuck, Borud accidentally cut a stitch while closing the patient's incision but made no attempt to correct the mistake. A resident eventually repaired the stitch.
During the second surgery, repair of a chest scar and liposuction, staff noticed that Borud had his eyes closed during the liposuction, the board alleged; he closed them again after a resident roused him.
After Borud left the OR, the hospital's associate chief of surgery told Borud to take a drug test.
Later that day, Borud saw the resident who had assisted him in the surgeries and told him about his conversation with the chief. Borud told the resident that he would fail the drug test because he had "consumed several alcoholic beverages on Tuesday," and asked if the resident would provide him with urine to use for the drug test, according to the board. The resident refused.
The next day, Borud told the associate chief that he had not taken the drug test because the facility was closed for the weekend. The hospital immediately suspended his operating privileges.
On July 1, Borud, who is also a Harvard surgery instructor, entered an inpatient rehabilitation program. The hospital fired him last week.
Borud had previously reported to the board that he sought treatment for alcohol and drug abuse in April 2002. He also entered a monitoring agreement with Physician Health Services, a rehabilitation program run by the Massachusetts Medical Society, the state's largest physicians organization.
He eventually relapsed, and in Sept. or Oct. 2006, he "exhibited behavior" at work that caused hospital administrators to cancel his surgeries for the day and refer him again to PHS.
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