Wednesday, June 8, 2011

Octomom's Doctor is Placed on Probation

Remember the media blitz over Nadya Suleman, the Southern California mother who underwent IVF and gave birth to eight babies?   The unemployed, single mother of 6 was only the second ever to give birth to a full set of octuplets.   Now, two years after the sensational births, the California State Medical Board has revoked the license of Beverly Hills fertility doctor, Michael Kamrava.  However the board then stayed the revocation and placed him on probation for 5 years in California.   The Board's report stated he committed gross negligence by making "an excessive number of embryo transfers" into Nadya Suleman.

Along with Suleman, Dr. Kamrava was charged with gross negligence in the treatment of two other female patients; a 48-year-old who suffered complications after she became pregnant with quadruplets and a 42 year old with advanced ovarian cancer after receiving fertility treatments.

In his defense, Dr. Kamrava's attorney said that Suleman failed to follow through in terminating an excessive number of fetuses.  This argument was soundly rejected by the board.  The board also rejected the argument that publicity surrounding Suleman's case would serve as a deterrent to Dr. Kamrava in the future.  "The board is not persuaded that relying on the public or the media to fulfill or supplement the board's public protection role is sound policy." 

The Medical Board document is quite amazing.  Nadya Suleman underwent a total of 14 stimulation cycles that resulted in 4 single births, one set of twins and finally Octuplets when Dr. Kamrava implanted 12 embryos, utilizing a direct mechanical insertion procedure that he developed.  He did not consider referring her to a mental health professional, despite her odd pregnancy-seeking behavior that included a desire for 10 children, her request for twins, her stockpiling of 29 frozen embryos  and a request to use a surrogate.

So what does it mean to have the license revocation stayed and to be placed on probation?  First he has to enroll in an ethics course within one year.  He needs to have a licensed physician "practice monitor" who is not in a business relationship with him.  This monitor has access to all of his records and needs to submit a quarterly report to the Board indicating if Kamrava's practices are within the standards of safe medicine.  If the monitor resigns, a new replacement monitor must be found.

In lieu of a monitor, Dr. Kamrava may participate in a professional enhancement program that includes quarterly chart review, semi-annual practice assessment and semi-annual review of professional growth and education.  He cannot supervise physician assistants during the probation.  He can't practice medicine in his home (? does anyone do that anymore?).   If he stops practice, he needs to notify the Board within 30 days and if he practices in another state he needs to notify also.

Dr. Kamrava holds medical licenses in Ohio, California and Massachusetts.

In the meantime, Nadya Suleman soldiers on as a single mom with 14 kids.  I think the Board should have demanded babysitting time from Dr. Kamrava.

6 comments:

Pissed Off Patient said...

This is good news!

Also, I second the babysitting requirement.

Those poor kids.

M

salvinder said...

So what does it mean....Sasha Grey

Spencer said...

awesome!

Raymond Bouchayer said...

He should contribute financially for the raising of these kids

puertas metalicas said...

I completely agree with the post.

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Of course, the writer is completely fair.