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Wisconsin Ob/Gyn Surrenders Medical License After Patient's Death

— Victoria Mondloch, MD, was previously disciplined for providing substandard medical care

MedpageToday
A photo of an ultrasound machine in the examination room of an obstetrician.

A Wisconsin-based ob/gyn permanently surrendered her license last month after the death of a patient from late-stage endometrial cancer, according to .

On May 17, the Wisconsin State Medical Examining Board unanimously the medical license of Victoria Mondloch, MD, of Waukesha, Wisconsin, for providing substandard medical care and engaging in unprofessional conduct related to a patient with endometrial cancer.

Mondloch denied that she failed to provide minimally competent medical care, but she still agreed to abide by the board's decision and voluntarily surrendered her medical license on June 21.

According to the board documents, Mondloch started treating the patient in July 2021 for endometrial cancer. Mondloch allegedly told the patient that "endometrial ablation is a sufficient treatment alternative in most patients" and recommended that she return for "a total body thermogram, a CT scan of her abdomen/pelvis to determine if it was superficial in the endometrial lining only, and bloodwork to check her hormone levels."

Mondloch reportedly did not refer the patient to "a gynecological oncologist, nor did she consult with a gynecological oncologist at any time" while treating or diagnosing the patient, according to the documents.

In October 2021, the patient again spoke with Mondloch regarding lab results and bleeding. Mondloch, who had previously recommended 6 months of high-dose progesterone treatment, told the patient to take "a temporary break in progesterone to 'trigger a bleed,'" the documents stated. She also recommended another endometrial biopsy, more lab work, and continued use of vitamins and exercise.

Through several more interactions between October 2021 and March 2022, Mondloch reportedly continued to treat the patient, who continued bleeding, with progesterone and vitamin supplements and continued to recommend CT scans and ultrasounds of the patient's abdomen and pelvis.

Then, on March 30, 2022, Mondloch told the patient about "non-confirmed and experimental reports about the use of kinase proteins and regenerative medicine to treat cancer, including exosome treatment." Mondloch then allegedly administered exosome intravenous treatment to the patient. On April 1, Mondloch reportedly recommended the patient contact a cancer treatment center after noting that a recent endometrial biopsy showed high-grade serous carcinoma.

In May 2022, the patient underwent a total hysterectomy, bilateral salpingo-oophorectomy, and omentectomy at Froedtert Clinical Cancer Center in Milwaukee, the documents noted. The pathology results confirmed that the patient had stage IVB high-grade serous endometrial carcinoma, "with extensive involvement of the entire thickness of the myometrium, cervix and upper vagina, lymphovascular space, bilateral ovaries, and fallopian tubes."

Chemotherapy was recommended to the patient at that time. On June 2, Mondloch reportedly discussed using "healing bed technology" with the patient.

On Aug. 27, 2022, the patient died from stage IVB endometrial cancer.

The decision to suspend Mondloch's license marked the fourth time the state medical board had reprimanded her since 2004, according to the documents.

In 2004, Mondloch was ordered to complete a re-education program due to a history of allegedly providing substandard care to several obstetrics patients. Her license was reinstated in April 2005.

In 2013, Mondloch was barred from practicing obstetrics by the state medical board following several alleged failures to provide minimally competent care to her patients. One example listed in the documents noted that she misdiagnosed a patient with polycystic ovary syndrome (PCOS) and hormone imbalance and recommended "ovarian drilling" when it was not indicated.

Mondloch also reportedly performed a laparoscopic-assisted vaginal hysterectomy with bilateral salpingo-oophorectomy to treat a patient's menometrorrhagia and menstrual migraines without "attempting more conservative medical management of the patient's symptoms." She was also accused of "failing to address the patient's intraoperative bleeding during the laparoscopic portion of the procedure," according to the board documents.

Mondloch also had her license suspended in 2021 for allegedly failing to complete CME credit requirements from 2016-2017, the documents noted.

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    Michael DePeau-Wilson is a reporter on 51˶’s enterprise & investigative team. He covers psychiatry, long covid, and infectious diseases, among other relevant U.S. clinical news.