Medical malpractice is super serious. But say a patient was harmed but only in a way that is important to the patient, like the boob job was lopsided, or the treatment made the patient fat, or the scar was unexpectedly disfiguring. But none of these are enough to keep the patient from working and earning a living, they just cause extreme mental anguish to the patient. So the patient files a complaint with the department of health and in the complaint expresses some of the indignation. Say it gets investigated and the doctor retorts by pointing out some of the patient's criticism in the complaint is "defamatory" even though it's not public like online reviews known only to the paitent, the doctor, and the state consumer health team. Will or can the doctor sue, do you have any examples?