Noar, Dr. Mark

"I would like to first express my thanks for your kind comments. I cannot provide any details of your care as it would be violation of privacy rules in what may be a public forum. Please forgive the lateness, but I was forced to arrive late due to an unexpected emergency at the local hospital that required my immediate attention. You were in fact the first patient scheduled, and I have reviewed the nursing records of the day and you were in fact the first person treated that morning. While I certainly was understanding of your breastfeeding situation, it was my obligation to present the facts to you frankly, as you indicated that I did. As we discussed and as I documented in your discharge note, you had a serious medical condition that required immediate treatment. Our discussion was left with you to consider when you would be willing to initiate therapy given your desire to continue breastfeeding for 12 months. This is a decision that was left up to you, as it should have been. I would have been remiss if I had not emphasized the seriousness of your condition which is borne out not only by the findings during your endoscopy at that time, but also confirmed during a procedure performed by your previous gastroenterologist 2 years prior. I apologize if this was taken as anything other than concern for your health and continued wellbeing. Finally, your diagnosis was confirmed by the pathologist's reading of your biopsies, so there is no doubt as to the accuracy of the diagnosis presented to you or to the appropriateness of the recommended treatment. I would be very happy to discuss this with your further at your convenience."

"Most patients never awaken during the procedure. When this rarely occurs additional medication is ALWAYS given. I am truly sorry for any discomfort my patients feel, and we always strive for complete satisfaction. Our patient satisfaction ratings are consistently 99.9% "exceptional". We will review this issue as an organization and continue to strive for perfection."