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Despite their controversial acquittals, the college still hoped to pursue disciplinary charges against the pair. But after the gruelling trial, the complainant refused to testify against them again.

The two had slipped through their disciplinary grasp: the CPSO lost its fight to stop Chauhan from continuing his training as a plastic surgeon. Kayilasanathan continued to work as a family doctor.

But they still had one more shot. A doctor had notified the college, as required, that a patient had told her she was worried she’d contracted a venereal disease from another physician at the walk-in clinic.

That doctor was Kayilasanathan.

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With sex between physician and patient strictly forbidden, the medical regulator now could bring Kayilasanathan back before a disciplinary panel on the new allegations. Yet once again, it appeared they would get no further. Patient A, her name covered by a publication ban, wanted nothing to do with the hearing and refused to testify as well.

The CPSO took the rare step of actually threatening to seek a bench warrant and get the police involved if she didn’t come to testify. The reluctant witness decided to show up after all — but insisted Kayilasanathan was never really her doctor but just a friend she’d used to get her phoney medical notes to excuse her from exams.

Her story, though, was all the college needed to finally nail him.

Almost exactly eight years ago to the day, after a weekend of partying together, she came to his Scarborough walk-in clinic to get the medical note he’d offered to provide. Kayilasanathan billed OHIP for an examination and plan.