ALT On the morning of Jan. 29, 2024, Dr. MacLean met Mr. Dillon at the Tim Hortons and then drove him to a location in London where Mr. Dillon had agreed to have the procedure done, the college's decision states. Dr. MacLean administered the lethal medications in a room at a holding facility in an industrial unit where cadavers are prepared for transport to funeral homes. The college faulted Dr. MacLean for crossing professional boundaries and taking an unduly casual approach with the assessment location but did not object to the venue where the death took place.

ALT Shortly after administering the anesthetic, Dr. MacLean pronounced the patient's death. He told the college that because the patient was frail and because he did not detect respirations or a heartbeat, he thought the neuromuscular-blocking medication was not necessary. After Dr. MacLean left the patient's home, the patient resumed spontaneous breathing, the decision states. Dr. MacLean then returned, administered additional medication, including the neuromuscular-blocking agent, and again pronounced the patient dead.