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Cedars-Sinai terminates OB-GYN's hospital privileges after complaint investigation

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Cedars-Sinai terminates OB-GYN's hospital privileges after complaint investigation

Cedars-Sinai Medical Center has barred a Beverly Hills obstetrician-gynecologist from practicing at its facilities after an investigation into “concerning complaints from patients,” according to a spokesperson.

Dr. Barry Brock, a longtime physician who has advertised his low rate of cesarean section births, has had his hospital privileges terminated and the matter reported to the Medical Board of California, according to Cedars-Sinai.

“The type of behavior alleged about Dr. Brock is counter to Cedars-Sinai’s core values and the trust we strive to earn every day with our patients,” its spokesperson said.

Brock, 74, has denied any wrongdoing and said he had surrendered his privileges without any “fact finding” or “hearing on the merits” of the allegations. Cedars-Sinai did not immediately respond to those claims.

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In August, weeks after his privileges at Cedars-Sinai were suspended pending an investigation, Brock emailed current and former patients to announce he was retiring from medicine at the end of the month, saying the “uncertainty of how long this process will take” left him unable to deliver the care his patients would expect.

Neither Cedars-Sinai nor the medical board would discuss details of the allegations, saying they were confidential under the law.

Nine former patients have spoken with The Times about alleged experiences with Brock and two shared complaints they sent to Cedars-Sinai.

The written complaints and other records — including complaints to the state medical board and police reports — allege inappropriate remarks, unnecessary physical examinations, a botched medical procedure and the pressuring of a patient to undergo a vaginal birth when she sought a cesarean section.

Brock, who was in private practice and not employed by Cedars-Sinai at the time of his termination, denied any accusations of sexual misconduct and said “these few anonymous allegations” were not indicative of his skills or “my character that I have shown day-in and day-out in my practice and in the delivery room for 46 years.”

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He said Cedars-Sinai had only offered a summary of the complaints, and that it was “not a fair process” to be asked to defend himself without being able to identify the patients involved.

“Any claim that I performed a medical examination or procedure for anything but a medical purpose or conducted it in a way for my own personal gratification, to discourage C-Sections, or to sexually harass a patient is an outrageously false claim,” Brock told The Times.

In one complaint filed with the state medical board, a patient wrote: “Dr. Brock commented on the size of my breasts, proclaiming that my husband ‘must be enjoying these.’ This comment was made during an impromptu and forced breast exam.” (The Times is not naming the patient, as the case involves an accusation of sexual assault.)

Brock, responding to the allegation, told The Times that “this is not the type of comment I would ever make. I have performed clinical breast exams on thousands of women, and I am looking for medical issues.”

When the patient was admitted to Cedars-Sinai a week after her due date with low amniotic fluid, “Dr. Brock ordered the nursing staff to do everything possible to facilitate a natural delivery, which became torturous for me,” she wrote in her medical board complaint. “Mine and my husband’s requests to Cedars staff for a different OBGYN to deliver our baby fell on deaf ears.”

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The patient wrote that she was diagnosed with an infection as labor wore on, and that her fetus’ heart rate plummeted. Brock eventually performed an emergency C-section roughly 20 hours after labor began.

The baby emerged blue and unresponsive, according to hospital records The Times reviewed, and required resuscitation.

The patient wrote that Brock’s first comments to her after birth were not about her infant’s condition, but about her vagina.

“After the surgery, Dr. Brock proclaimed that I would stay ‘nice and tight down there,’ ” she wrote in her medical board complaint.

Brock said in response that without sufficient information to review the patient’s medical records, “I cannot state what occurred here. If patients request a C-Section, I do not deny one and do what is best for the patient and the baby. I have done elective C-Sections throughout my career.”

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As for the alleged comment, “I never use the words “tight” to describe the vaginal canal,” Brock said.

Another patient who complained to Cedars-Sinai also reported her allegations to the Beverly Hills Police Department. As of mid-September, Brock said he hadn’t been contacted by the department.

In a police report reviewed by The Times, the patient described going to a gynecologist in 2020 to have him “flip” a breech baby. She said the doctor performed breast and vaginal exams on her before doing an ultrasound and made comments about her body, such as remarking on her not having stretch marks, the police report said.

The woman found his remarks to be “unprofessional” and said they “caused her to feel uncomfortable,” and said she felt the breast exam was unnecessary, according to the police report. It does not name the doctor, but the woman identified him as Brock.

The episode “made her feel like she had been taken advantage of,” the police report stated.

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Guidance from the American College of Obstetricians and Gynecologists says that an ultrasound is necessary before attempting the procedure, but does not mention any other physical exams. Experts said performing a breast exam was not standard for the procedure, although a breast exam might be undertaken for other reasons, such as initiating care with a new patient.

Brock said such exams were standard for his new pregnant patients.

“Any patient who believed that they could simply show up at a new OB-GYN office and expect that physician to not perform a physical … did not understand the process of becoming a new patient,” he wrote. “If the patient had a physical issue that was missed due to me not performing a physical or breast exam, I would have been legally responsible for malpractice.”

As for his alleged comments, “I do not recall any exact instance of commenting on the lack of stretch marks in an inappropriate way,” he wrote. “However, there have been patients who did not have any stretch marks well into their pregnancy and when asked if it is possible to avoid stretch marks entirely, I have made comments such as ‘you are lucky.’ ”

A third former patient, who did not complain to Cedars-Sinai before the suspension, filed a complaint against Brock to the medical board in April and with Beverly Hills police in July. The doctor’s name was redacted from the police report copy provided to The Times; the patient confirmed it was Brock.

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During her second pregnancy in 2022, the woman said Brock made comments about her body so frequently that she requested a chaperone be present during her visits with him, according to the police report.

Following delivery of her second child, Brock spent an unusually long time suturing what he said was a small labial tear, she told police and the medical board.

The sutures remained tight and painful weeks after the birth, she wrote in the medical board complaint. When she described the problem during a follow-up appointment, the woman wrote in the medical board complaint, Brock “told me ‘if I didn’t like the way it looked [the stitching of my vagina], because I wanted to get back into porn, he could do a corrective procedure for me.’ ”

Brock denied making such remarks, saying that “I would never say or imply that a patient could get ‘back into porn.’ ” He also said he had never been informed that any patient had asked for a chaperone due to comments on their body.

In her complaint, the patient wrote that she ultimately left the practice and sought care from another doctor who told her that Brock had stitched her labia minora together, leaving only a small opening for her vagina. Two years later, activities like using the bathroom, exercising and sexual intercourse remain painful as a result of the injury, she wrote in the complaint.

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In a written response provided by his attorney, Brock said that while he could not speak definitely without being able to identify the patient and consult her record, he doubted the problems she described were caused by his suturing.

Dr. Sharon Winer, a gynecologist who has referred patients to Brock, called him “one of the best OBs that I’ve ever seen” and said that when it comes to healthcare, “you cannot take a single act or activity and take it out of medical context.”

His attorney also provided emails from former patients praising his care.

“He absolutely has a colorful personality, and can be direct to the point of possible offense … to those who don’t know or understand his sense of humor,” one wrote, but “when it comes down to his skill, his bedside manner, and his commitment to patients, he is UNMATCHED.”

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FDA sets limits for lead in many baby foods as California disclosure law takes effect

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FDA sets limits for lead in many baby foods as California disclosure law takes effect

The U.S. Food and Drug Administration this week set maximum levels for lead in baby foods such as jarred fruits and vegetables, yogurts and dry cereal, part of an effort to cut young kids’ exposure to the toxic metal that causes developmental and neurological problems.

The agency issued final guidance that it estimated could reduce lead exposure from processed baby foods by about 20% to 30%. The limits are voluntary, not mandatory, for food manufacturers, but they allow the FDA to take enforcement action if foods exceed the levels.

It’s part of the FDA’s ongoing effort to “reduce dietary exposure to contaminants, including lead, in foods to as low as possible over time, while maintaining access to nutritious foods,” the agency said in a statement.

Consumer advocates, who have long sought limits on lead in children’s foods, welcomed the guidance first proposed two years ago, but said it didn’t go far enough.

“FDA’s actions today are a step forward and will help protect children,” said Thomas Galligan, a scientist with the Center for Science in the Public Interest. “However, the agency took too long to act and ignored important public input that could have strengthened these standards.”

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The new limits on lead for children younger than 2 don’t cover grain-based snacks such as puffs and teething biscuits, which some research has shown contain higher levels of lead. And they don’t limit other metals such as cadmium that have been detected in baby foods.

The FDA’s announcement comes just one week after a new California law took effect that requires baby food makers selling products in California to provide a QR code on their packaging to take consumers to monthly test results for the presence in their product of four heavy metals: lead, mercury, arsenic and cadmium.

The change, required under a law passed by the California Legislature in 2023, will affect consumers nationwide. Because companies are unlikely to create separate packaging for the California market, QR codes are likely to appear on products sold across the country, and consumers everywhere will be able to view the heavy metal concentrations.

Although companies are required to start printing new packaging and publishing test results of products manufactured beginning in January, it may take time for the products to hit grocery shelves.

The law was inspired by a 2021 congressional investigation that found dangerously high levels of heavy metals in packaged foods marketed for babies and toddlers. Baby foods and their ingredients had up to 91 times the arsenic level, up to 177 times the lead level, up to 69 times the cadmium level, and up to five times the mercury level that the U.S. allows to be present in bottled or drinking water, the investigation found.

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There’s no safe level of lead exposure for children, according to the U.S. Centers for Disease Control and Prevention. The metal causes “well-documented health effects,” including brain and nervous system damage and slowed growth and development. However, lead occurs naturally in some foods and comes from pollutants in air, water and soil, which can make it impossible to eliminate entirely.

The FDA guidance sets a lead limit of 10 parts per billion for fruits, most vegetables, grain and meat mixtures, yogurts, custards and puddings and single-ingredient meats. It sets a limit of 20 parts per billion for single-ingredient root vegetables and for dry infant cereals. The guidance covers packaged processed foods sold in jars, pouches, tubs or boxes.

Jaclyn Bowen, executive director of the Clean Label Project, an organization that certifies baby foods as having low levels of toxic substances, said consumers can use the new FDA guidance in tandem with the new California law: The FDA, she said, has provided parents a “hard and fast number” to consider a benchmark when looking at the new monthly test results.

But Brian Ronholm, director of food policy for Consumer Reports, called the FDA limits “virtually meaningless because they’re based more on industry feasibility and not on what would best protect public health.” A product with a lead level of 10 parts per billion is “still too high for baby food. What we’ve heard from a lot of these manufacturers is they are testing well below that number.”

The new FDA guidance comes more than a year after lead-tainted pouches of apple cinnamon puree sickened more than 560 children in the U.S. between October 2023 and April 2024, according to the CDC.

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The levels of lead detected in those products were more than 2,000 times higher than the FDA’s maximum. Officials stressed that the agency doesn’t need guidance to take action on foods that violate the law.

Aleccia writes for the Associated Press. Gold reports for The Times’ early childhood education initiative, focusing on the learning and development of California children from birth to age 5. For more information about the initiative and its philanthropic funders, go to latimes.com/earlyed.

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NASA punts Mars Sample Return decision to the next administration

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NASA punts Mars Sample Return decision to the next administration

Anyone hoping for a clear path forward this year for NASA’s imperiled Mars Sample Return mission will have to wait a little longer.

The agency has settled on two potential strategies for the first effort to bring rock and soil from another planet back to Earth for study, NASA Administrator Bill Nelson said Tuesday: It can either leverage existing technology into a simpler, cheaper craft or turn to a commercial partner for a new design.

But the final decision on the mission’s structure — or whether it should proceed at all — “is going to be a function of the new administration,” Nelson said. President-elect Donald Trump will take office Jan. 20.

“I don’t think we want the only [Mars] sample return coming back on a Chinese spacecraft,” Nelson said, referencing a rival mission that Beijing has in the works. “I think that the [Trump] administration will certainly conclude that they want to proceed. So what we wanted to do was to give them the best possible options so that they can go from there.”

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The call also contained words of encouragement for NASA’s Jet Propulsion Laboratory in La Cañada Flintridge, which leads the embattled mission’s engineering efforts.

“To put it really bluntly, JPL is our Mars center in NASA science,” said Nicky Fox, associate administrator of the Science Mission Directorate. “They are the people who landed us on Mars, together with our industry partners. So they will be moving forward, regardless of which path, with a key role in the Mars Sample Return.”

In April, after an independent review found “near zero probability” of Mars Sample Return making its proposed 2028 launch date, NASA put out a request for alternative proposals to all of its centers and the private sector. JPL was forced to compete for what had been its own project.

The independent review board determined that the original design would probably cost up to $11 billion and not return samples to Earth until at least 2040.

“That was just simply unacceptable,” said Nelson, who paused the mission in late 2023 to review its chances of success.

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Ensuing cuts to the mission’s budget forced a series of layoffs at JPL, which let go of 855 employees and 100 on-site contractors in 2024.

The NASA-led option that Nelson suggested Tuesday includes several elements from the JPL proposal, according to a person who reviewed the documents. This leaner, simpler alternative will cost between $6.6 billion and $7.7 billion, and will return the samples by 2039, he said. A commercial alternative would probably cost $5.8 billion to $7.1 billion.

Nelson, a former Democratic U.S. senator from Florida, will step down as head of the space agency when Trump takes office. Trump has nominated as his successor Jared Isaacman, a tech billionaire who performed the first private space walk, who must be confirmed by the Senate.

NASA has not had any conversations with Trump’s transition team about Mars Sample Return, Nelson said. How the new administration will prioritize the project is not yet clear.

“It’s very uncertain how the new administration will go forward,” said Casey Dreier, chief of space policy for the Planetary Society, a Pasadena nonprofit that promotes space research. “Cancellation is obviously still on the table. … It’s hard to game this out.”

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Planetary scientists have identified Mars Sample Return as their field’s highest priority in the last three decadal surveys, reports that the National Academies of Sciences, Engineering, and Medicine prepare every 10 years in order to advise NASA.

Successfully completing the mission is “key for the nation’s leadership in space science,” said Bethany L. Ehlmann, a planetary scientist at Caltech in Pasadena. “I hope the incoming administrator moves forward decisively to select a plan and execute. There are extraordinary engineers at JPL and NASA industry partners eager and able to get to work to make it happen.”

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Panama Canal’s Expansion Opened Routes for Fish to Relocate

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Panama Canal’s Expansion Opened Routes for Fish to Relocate

Night fell as the two scientists got to work, unfurling long nets off the end of their boat. The jungle struck up its evening symphony: the sweet chittering of insects, the distant bellowing of monkeys, the occasional screech of a kite. Crocodiles lounged in the shallows, their eyes glinting when headlamps were shined their way.

Across the water, cargo ships made dark shapes as they slid between the seas.

The Panama Canal has for more than a century connected far-flung peoples and economies, making it an essential artery for global trade — and, in recent weeks, a target of President-elect Donald J. Trump’s expansionist designs.

But of late the canal has been linking something else, too: the immense ecosystems of the Atlantic and the Pacific.

The two oceans have been separated for some three million years, ever since the isthmus of Panama rose out of the water and split them. The canal cut a path through the continent, yet for decades only a handful of marine fish species managed to migrate through the waterway and the freshwater reservoir, Lake Gatún, that feeds its locks.

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Then, in 2016, Panama expanded the canal to allow supersize ships, and all that started to change.

In less than a decade, fish from both oceans — snooks, jacks, snappers and more — have almost entirely displaced the freshwater species that were in the canal system before, scientists with the Smithsonian Tropical Research Institute in Panama have found. Fishermen around Lake Gatún who rely on those species, chiefly peacock bass and tilapia, say their catches are growing scarce.

Researchers now worry that more fish could start making their way through from one ocean to the other. And no potential invader causes more concern than the venomous, candy-striped lionfish. They are known to inhabit Panama’s Caribbean coast, but not the eastern Pacific. If they made it there through the canal, they could ravage the defenseless local fish, just as they’ve done in the Gulf of Mexico and the Caribbean.

Already, marine species are more than occasional visitors in Lake Gatún, said Phillip Sanchez, a fisheries ecologist with the Smithsonian. They’re “becoming the dominant community,” he said. They’re “pushing everything else out.”

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