August 4, 2025 — A Clovis doctor has been placed on probation for nearly three years after the Medical Board of California found he was negligent in the care of a 74-year-old patient who died. Dr. Adam Ayham Rajoulh’s medical license was revoked, with the penalty suspended, and he is prohibited from seeing patients during the 35-month probationary period.
The medical board also cited Rajoulh for a “lack of empathy and concern for patients” in the past, pointing to an incident where he posted a video on social media suggesting he gives laxatives to “annoying” patients seeking pain medication.
Details of the Medical Board’s Findings
According to state documents, the case stems from a patient visit on January 21, 2023. The patient, a 74-year-old man, was admitted with an elevated heart rate, rectal bleeding, dizziness, and weakness.
The medical board’s report outlines the progression of the patient’s condition:
- 2:00 p.m.: The patient was admitted with a heart rate between 112 and 118 beats per minute (bpm). Rajoulh ordered tests and admitted the patient to the medical floor on intravenous fluids.
- A few hours later: The patient’s heart rate increased to 130 bpm.
- 7:00 p.m.: The patient’s chart noted bloody stool. Rajoulh ordered more tests, which came back abnormal.
- 10:00 p.m.: A new IV was given.
- Just before 11:00 p.m.: Rajoulh ordered a specific IV fluid, but within a half hour, the patient’s condition worsened significantly. His oxygen levels dropped, his heart rate jumped, and his breathing became shallow.
- Just before midnight: The patient went into cardiac arrest. He experienced three more cardiac arrests before passing away at 2:20 a.m. on January 22.
The medical board concluded that while Rajoulh did administer some IV fluids, he “failed to administer a bolus of IV fluids… at appropriate times to ensure adequate resuscitation.” The board also noted that Rajoulh failed to include crucial patient history—such as current medications or family history, in his records, which could have influenced treatment decisions.
As part of his probation, which lasts until June 22, 2028, Rajoulh is required to pay $34,000 for the cost of the investigation and enforcement. He will also be required to take courses on medical ethics and record-keeping.