http://www.digitaljournal.com/article/307663

Octomom fertility doctor Michael Kamrava medical license revoked

Posted Jun 6, 2011 by Kim I. Hartman
Michael Kamrava, the Beverly Hills fertility doctor who gained notoriety after impregnating Nadya Suleman with a dozen embryo's resulting in the birth of octuplets, will have his medical license revoked, announced California's Medical Board.
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The Medical Board of California said in its 91-page decision [pdf], that it was necessary to revoke Dr. Michael Kamrava's license to protect the public.
“Public protection is paramount. The board is not assured that oversight through probation is enough, and having weighed the above, has determined that revocation of respondent’s certificate is necessary to protect the public.”
The Medical Board launched an investigation into Dr. Kamrava's practice after Nadya Suleman gave birth to octuplets, born Jan. 26, 2009. "Executive Director Barbara Johnston, alleged that Beverly Hills fertility doctor violated professional guidelines and displayed gross negligence, acting "beyond the reasonable judgment of any treating physician", when caring for Suleman, who has become known as "Octomom" after giving birth to six sons and two daughters," reported Digital Journal.
"Kamrava testified at his public hearing last year that he implanted Suleman with 12 embryos, six times the norm for a woman her age, because she consented to undergoing fetal reduction if too many of the babies became viable," according to the Associated Press. Kamrava said "that months passed after the treatment, and he never heard from her, despite efforts to contact her. He says he only heard from Suleman again after the babies were born."
"To assign even a scintilla of responsibility to a patient who becomes pregnant and then elects not to follow through with a procedure that may jeopardize her (and possibly her family's) prized objective is troubling and telling," reads the Medical Board of California decision.
The state also found that Kamrava was negligent in the care of two other patients – a major factor in the decision to revoke his license."This is not a one-patient case or a two-patient case; it is a three-patient case and the established causes of discipline include repeated negligent acts," according to the board decision.
"Kamrava was found to have implanted seven embryos in a 48-year-old patient, resulting in quadruplets. One fetus died before birth. Kamrava said at his hearing that he recommended four embryos be implanted, but he implanted seven because the patient insisted," said the AP.
"In another case, Kamrava went ahead with in vitro fertilization after tests detected atypical cells, which can indicate the presence of a tumor. The patient was later diagnosed with stage-three cancer and had to have her uterus and ovaries removed before undergoing chemotherapy," reported the New York Times.
In its decision the board also outright rejected "the argument that publicity regarding Suleman's case would serve as a deterrent to Kamrava transferring excessive numbers of embryos in the future." reports the LA Times. "The board pointed out that Kamrava acknowledged being distracted by bad press after Suleman's octuplets were born. He cited that as a reason for his failure to follow up on abnormal test results for the patient whose diagnosis of ovarian cancer was delayed, according to the LA Times.
Nadya Suleman
Octo-Mom: Nadya Suleman.
Video screen grab / latimes.com
"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," read the decision.
Kamrava was ousted by the American Society for Reproductive Medicine in 2009. Kamarva admittedly treated Suleman for her infertility knowing she was unmarried, had six children, was unemployed and receiving welfare.
"Kamrava's lawyer, Henry Fenton, argued at a public hearing before the medical board last month that probation was reasonable. "Nobody died here. This is a good doctor. I argue he really learned his lesson," Fenton said, reported the LA Times.
According to the New York Times, "Medical board spokeswoman Jennifer Simoes said Kamrava could petition for the board to reconsider the revocation, but it's unlikely it would change the outcome since the board chose to make its own call on Kamrava's license rather than accepting a proposed decision."
Dr. Michael Kamrava can petition the Medical Board of California for reinstatement of his license to practice medicine three years after the revocation begins.
The revocation of Kamrava's medical license will take effect July 1, 2011.