ALPENA — A former Alpena doctor has been disciplined by the Michigan Department of Licensing and Regulatory Affairs for an angry outburst that occurred before the doctor performed a surgery in 2016.

The state medical board put otolaryngologist Christopher Lombardo on probation beginning Friday and lasting up to one year, according to disciplinary records from the state Board of Medicine Disciplinary Subcommittee posted online. Lombardo is also required to complete an anger management course and pay a fine of $1,000 to the state.

The records indicate Lombardo was ultimately fired by the hospital in early 2017 after an internal investigation revealed his angry outburst, as well as his disrespect for an anesthetized patient, placed the patient at risk of a medical error.

Otolaryngologists specialize in treating conditions related to the ears, nose and throat.

The records refer to the Lombardo’s workplace as the Alpena Regional Medical Center. The name changed to MidMichigan Medical Center-Alpena in 2016. Hospital spokeswoman Millie Jezior said Lombardo “is not affiliated with MidMichigan Medical Center-Alpena.”

She refused to comment further.

Lombardo now practices at Adventist Health Clear Lake in Clear Lake, California. Messages left for Lombardo were not immediately returned.

Prior to a surgery in 2016, in the hospital’s preoperative area, Lombardo placed a dot near the patient’s surgical site instead of putting his initials there, as required by hospital policy, according to the complaint filed with the state board of medicine.

The charge nurse present for the surgery repeatedly requested he follow hospital protocol and write his initials near the surgical site. Instead of complying with hospital policy, Lombardo aggressively wrote his initials across the patient’s cheek, circled his initials, and then threw the marker across the room.

The complaint goes on to state Lombardo then became “irate, ranted about the facility’s site marking policy while screaming and swearing for approximately three minutes.

“The circulating nurse was able to completely remove the marker from (the patient’s) face before the procedure began. Approximately five minutes later, (Lombardo) returned to the operating room and the surgery proceeded without incident.”

Lombardo was disciplined by the hospital’s medical executive committee on Oct. 18, 2016, according to the state documents. His clinical privileges were suspended for 30 days beginning on Oct. 19, 2016, and he was required to complete a pre-approved corrective action plan which included a psychiatric evaluation and ongoing surveillance.

Lombardo’s clinical privileges were suspended again on Nov. 18, 2016, because he did not complete an action plan by the deadline.

On Jan. 20, 2017, he was notified his employment with the facility would be terminated at the end of 90 days, according to the records.

Christopher Lombardo license probation documents by Justin Hinkley on Scribd