US Women testify of trust placed in gynecologist who prosecutors say performed unnecessary procedures

03:05  27 october  2020
03:05  27 october  2020 Source:   washingtonpost.com

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The number of unnecessary medical and surgical procedures performed annually is 7.5 million. But the reality is that unnecessary surgery, whether performed by doctors who operate out of Calling on understatement, the American College of Obstetricians and Gynecologists admits that In 1995, researchers testifying before the Department of Veterans Affairs estimated that of 250,000

The authorities have charged a Virginia obstetrician and gynecologist accused of performing unnecessary Three years later, she sought treatment from a fertility specialist who told her that both her He had also been investigated by Virginia’s board of medicine for performing unnecessary

NORFOLK, VA. —Over nearly 15 years, M.C., as she was identified in court, had annual checkups with Javaid Perwaiz, the obstetrician/gynecologist on federal trial on fraud charges. Again and again, she left with a date for surgery.

She first came under his care in 2006 when she was 42, an immigrant from South Korea with a seventh-grade education and a limited understanding of English.

The surgeries started that year and ended only in 2015. Each time, her handwritten medical chart reported that she had complained of pelvic and back pain, bad cramps, frequent and long periods, or something growing in her vagina.

The woman was asked whether she had ever suffered those symptoms. “I never said that,” she answered again and again. She was the latest of Perwaiz’s patients to share their experiences with a doctor prosecutors say performed unnecessary procedures over the course of a decade as part of a scam to fund his lavish lifestyle.

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Common procedures . Qualifications. Gynecologists are doctors who specialize in women ’s health, with a focus on the female reproductive system. Gynecologists specialize in women ’s health issues. A gynecologist treats patients with female reproductive organs, whether or not they identify as women .

17 Q Did you perform the LEEP procedure 18 on the day that she first came to see you? 6 Q After that? 7 A A year. 8 Then I moved over to rent office 9 from this place from this Dr. who intends 10 to retire. 58 23 place over the phone but I did tell her to come 24 in more sympathetic way in detail.

Perwaiz faces 61 fraud counts that cover 25 patients, most of whom he saw from 2015 to 2019. Prosecutors have not said how many others were victims. So many women came forward after his arrest in November that the FBI created a website about the case for them.

When the patient asked Perwaiz why she needed surgery, she said he replied that there was an abnormal growth in her uterus that could be cancer. “I was told this lump will keep on growing each time it was removed,” she testified. “If I do not take care of this, then it would spread very rapidly and cause cancer.”

He operated in 2006, 2007, 2010, 2012 and 2015. During the 2012 surgery, he performed a hysterectomy, removing her uterus and left ovary but leaving her right ovary intact. In 2015, according to her testimony, she voiced no complaints during her checkup, but Perwaiz told her she needed another surgery. This time, he removed her remaining ovary.

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American women who say they have faced discrimination on the job because of their gender report a broad array of personal experiences. Women are roughly four times as likely as men to say they have been treated as if they were not competent because of their gender (23% of employed women

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Each time he told her that surgery was necessary, she believed him. “He’s my doctor,” she told jurors. “I have to trust him.” M.C. was among the patients who testified that they trusted Perwaiz when he told them they needed invasive procedures over the years.

[A doctor is accused of years of unnecessary hysterectomies. The women who trusted him want answers.]

Like patients, health insurers also trusted him.

He billed them hundreds of thousands of dollars for phantom medical procedures, according to his indictment.

He billed for hysteroscopies, a procedure used to view inside a woman’s uterus during examinations, during times when either the scope was broken or he did not have the other materials in his office to perform the procedure, prosecutors allege. They contend he billed for colposopies, a procedure to view the cervix, and wrote abnormal findings on patients’ charts even though he didn’t use the solution that would allow him to see those abnormalities. And they say he billed for unnecessary hysterectomies.

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Afterward Chris said he discovered that pharmacy technicians, rather than well-trained and educated pharmacists, are compounding nearly all of the Kim Lanyon, a senior ICU nurse at Danbury Hospital in Connecticut, said all electronic records there are double-checked, and fail-safe devices are in place ."

People who didn’t trust the government were much less likely to take recommended precautions. Trust , of course, requires trustworthiness. Waning trust in the health system is partly a result of the sometimes well-founded public perception that its key players pursue profits at the expense of patients.

Prosecutors also contend that Perwaiz often induced labor for pregnant patients before they were due on Saturdays at Chesapeake Regional Medical Center, where he scheduled surgeries, so he could earn money making deliveries.

Between 2010 and 2019, Perwaiz billed insurance companies more than $2.3 million for gynecological care partially justified by diagnostic procedures he never performed, prosecutors allege in the indictment. In testimony earlier in the trial, an investigator for Anthem Blue Cross Blue Shield said that, over a decade, more than 41 percent of Perwaiz’s patients had surgical procedures compared with 7.6 percent for the other 628 obstetrician/gynecologists that billed the company.

Several malpractice suits are pending against Perwaiz, who had two offices in Chesapeake, south of Norfolk, and privileges at Bon Secours Maryview Medical Center and Chesapeake Regional Medical Center.

Perwaiz, who is jailed without bond, pleaded not guilty. He has not spoken publicly about the charges.

Defense attorneys argue that Perwaiz was a hard-working caregiver adored by the thousands of patients he tended over four decades. They say he was particularly aggressive treating the threat of cancer.

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There is no relationship where the bond of trust should be so strong, outside of matrimony. But it gets worse. The doctors who do circumcisions know that fully twenty percent of boys who undergo the procedure will be back for more surgery before age six.

The prosecutor may discontinue proceedings in the Crown Court by giving notice under section 23A of the This procedure is designed to avoid unnecessary costs and inconvenience which would be RT @CPSCareers: Thanks to the views of our legal trainees, we’ve been awarded first place in eight

The prosecution is the first long criminal trial in U.S. District Court in Norfolk since the pandemic began. Prosecutors are expected to rest their case, which is being heard by Judge Rebecca Beach Smith, soon.

Following M.C. to the witness stand on Monday was W.H.W., a 58-year-old Portsmouth woman referred to Perwaiz after an abnormal pap smear in 2017. During that visit, she confided a fear of cancer. There was a family history, including her father, she told him.

Within days, Perwaiz claimed to have done several office procedures, including a hysteroscopy and a colposcopy. Prosecutors showed her pictures of the equipment used to perform each one. “I’ve never seen anything like that,” she answered.

The doctor did perform a dilation and curettage. There was bad news. “He said he saw lots of cancer cells,” she testified. Prosecutors entered into evidence a pathology report showing that all five samples taken during the procedure indicated the opposite — they were benign.

During an April 2018 visit, her chart indicated that she complained about pelvic and back pain and said she did not want to be examined. W.H.W. denied that she refused to be examined or suffered from pelvic pain. Perwaiz ordered an ultrasound and then told her she needed a hysterectomy.

When he said he intended to do a deeper C-section cut, she nervously asked about the effect on her sex life with her husband. “He [Perwaiz] said he will like it better,” she testified.

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Perwaiz performed the surgery in July 2018. But the resulting complications, she testified, have left her incontinent. She visited a specialist hoping for a solution. “There’s nothing I can do,” the specialist told her.

He sent her back to Perwaiz.

The complications endure, including blood in her urine, she testified, sobbing softly.

Read more: Va. police can keep license plate data indefinitely, state Supreme Court rules ‘Revolutionary’ criminal sentencing change passes in Virginia Georgetown football player charged in fatal shooting did not know of robbery plans, defense attorneys say a house with trees in front of a brick building: Chesapeake, Va., offices where Javaid Perwaiz used to work, seen in December. He has been accused of performing unnecessary surgeries. © Matt McClain/The Washington Post Chesapeake, Va., offices where Javaid Perwaiz used to work, seen in December. He has been accused of performing unnecessary surgeries. a man looking at the camera: Javaid Perwaiz © Western Tidewater Regional Jail/AP Javaid Perwaiz

Doctor accused of unnecessary surgeries, altering medical records defends himself as an ‘advocate for my patients’ .
Javaid Perwaiz, who worked as an obstetrician-gynecologist, is on trial in federal court in Norfolk. Perwaiz, who is charged with dozens of counts of health fraud, told jurors in U.S. District Court that he ignored congressionally mandated regulations requiring patients to wait 30 days after signing a sterilization consent form by having them sign an undated form. Instead, he backdated the forms, sometimes performing sterilizations within days of seeing a patient.

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This is interesting!