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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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Video: NASA Astronauts Speak to Media on Extended Stay in Orbit

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Video: NASA Astronauts Speak to Media on Extended Stay in Orbit

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NASA Astronauts Speak to Media on Extended Stay in Orbit

The astronauts Suni Williams and Butch Wilmore expressed support for NASA and Boeing, following the decision for them to remain in orbit, while the troubled spacecraft they rode to the International Space Station returned to Earth uncrewed.

“Recognizing that you’re both team players and veteran NASA astronauts, do you feel let down by Boeing and Starliner and the fact that this is clearly not something you plan for your life?” “Let down? Absolutely not. Not — never entered my mind. I don’t think Suni’s either until you mentioned it.” “Earlier, you talked about watching Starliner go home. I’m just curious if you can go more into the emotions you are feeling when it ultimately returns safely. Was there any disappointment that you weren’t on it?” “To be honest with you, I was so happy it got home with no problems. I was — we saw it fly away and then we all got up. The whole crew got up at whatever, 3 in the morning. And we had it up on our iPads watching it land.” “It’s a very risky business, and things do not always turn out the way you want. Before we launched, we said we’re going to find things. That is the nature of test. Every single test flight, especially a first flight of a spacecraft or an aircraft that has ever occurred, has found issues that things that you just cannot think about — 90 percent of our training is preparing for the unexpected.”

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A huge deposit of marine fossils found under San Pedro High School

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A huge deposit of marine fossils found under San Pedro High School

Hidden beneath concrete at San Pedro High School, construction workers found a buried secret — thousands of marine fossils echoing Palos Verdes Peninsula’s ancient geological past.

Researchers uncovered two distinct sites on campus where new buildings were under construction: a bone bed dating back 8.7 million years in the Miocene era and a shell bed about 120,000 years old from the Pleistocene era.

With construction of the buildings now completed, scientists are focusing on learning what they can from the fossils that date back several million years.

“There’s never been this type of density of fossils ever found at a site like this before in California,” said Wayne Bischoff, the director of cultural resources at Envicom Corp., who managed the collection of the fossils that were excavated. “It’s the largest marine bone bed found in Los Angeles and Orange counties.”

The campus of San Pedro High School, the site of the fossil discovery.

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(Austin Hendy / Natural History Museum of Los Angeles County )

Bischoff said the marine fossils align with what researchers already knew: that for most of Los Angeles’s geological history, the land has been underwater.

“We’re kind of like detectives,” said Richard Behl, a geologist at Long Beach State.

Behl is testing the chemical and mineral composition of the fossil blocks, hoping scientists can learn more about these prehistoric environments including the atmosphere and the conditions that enabled animal remains to fossilize. “We got to find clues and piece those clues together.”

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The fossils dating to the Miocene were encased in a type of fossilized algae called diatomite. Behl said the diatomite tells him that the area was nutrient rich with algae that supported a complex ecosystem including dolphins, fish and whales that crowded the area for food. Alongside the marine animals, Bischoff said he was excited to find an entire shore ecology that included skulls of sandpipers and pieces of driftwood in the bone bed.

“Once we started realizing that we had a mix of shore material … I started thinking that there may have been an extinct island off the coast,” Bischoff said.

The fossilized mandible of a sabretooth salmon is among the items found under the school.

The fossilized mandible of a sabretooth salmon is among the items found under the school.

(Wayne Bischoff / Envicom Corp.)

Bischoff hypothesized that during the Miocene era, a heavy storm washed plant and animal debris down from a prehistoric island into a submarine canyon before mud sealed the organic materials into a layer of sediment. Tectonic activity and receding ocean waters revealed those fossils after millions of years.

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“After their experience on this site, [scientists] have started looking for other extinct islands,” Bischoff said. “It looks like there was a lot of islands that would form and then dissipate in the Channel Island zone.”

On campus, the construction of new buildings has beencompleted and 80% of the fossil blocks found in 2022 have been passed on to research and educational institutions, Bischoff said. Those fossils are now split among the Los Angeles Unified School District, the Cabrillo Marine Aquarium, Cal State Channel Islands and the Natural History Museum of Los Angeles County.

This summer, Austin Hendy, an assistant curator at the Natural History Museum who specializes in invertebrate paleontology, spent hours sifting and sorting through thousands of fossilized shells found in the shell bed.

Students tour the L.A. Underwater section at the Natural History Museum of Los Angeles County.

Students from Betty Placensia Elementary School in Los Angeles tour the L.A. Underwater section at the Natural History Museum of Los Angeles County.

(Michelle Jimenez)

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The discovery has inspired at least one high school student to study the past as a way to understand the present.

“It was sort of like gold panning,” said Milad Esfahani, a San Pedro High student, who helped Hendy sort the fossils by size. “I would be tasked with looking for tiny, microscopic fossils like an 8th to 16th of an inch in size.”

It was the first time that Milad, a 17 year-old senior, had held a 125,000-year-old fossil and now he hopes to study marine paleontology at a university as he applies to colleges this fall.

The Natural History Museum hasn’t announced plans to display the fossils found under the school but already has a marine paleontology section on display called L.A. Underwater.

Hendy hopes that next summer he can work with another student to develop a display at San Pedro High School as part of the efforts to educate and engage the public on L.A.’s prehistoric past.

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“Discovery can continue to happen — these blocks, they erode very slowly,” Hendy said of the fossil blocks extracted from the school. “We hope that the students and the public will be able to sort of clamber over these rocks in the years to come and be inspired by what they find.”

Although the work can be laborious and may seem pedantic to others, scientists such as Behl are drawn to this work because it reveals how our present is still being shaped by the Earth’s 4.54-billion-year history.

The discovery includes the fossils of hundreds of small fish vertebrae.

The discovery includes the fossils of hundreds of small fish vertebrae.

(Austin Hendy / Natural History Museum of Los Angeles County )

“It’s a real window into what the geography of the oceans and land were at the time when this occurred,” Behl said. “Even though that seems a long time ago, that has real impact upon everything we got today.”

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In fact, many Angelenos rely on fossils to run everyday errands — they fuel our gas tanks.

“Those diatoms in that diatomite is what gives rise to the oil in Los Angeles” and the automobile and aeronautical industries, Hendy said. “The city owes its history to geology.”

Summer campers learn to sort fossils from San Pedro.

Summer campers learn to sort fossils from San Pedro.

(Austin Hendy / Natural History Museum of Los Angeles County)

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Aging, overworked and underfunded: NASA faces a dire future, according to experts

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Aging, overworked and underfunded: NASA faces a dire future, according to experts

Aging infrastructure, short-term thinking, and ambitions that far outstrip its funding are just a few of the problems threatening the future of America’s vaunted civil space agency, according to the National Academies of Sciences, Engineering, and Medicine.

In a report commissioned by Congress and released this week, experts said that a number of the agency’s technological resources are suffering, including the Deep Space Network — an international collection of giant radio antennas that is overseen by NASA’s Jet Propulsion Laboratory in La Cañada Flintridge.

Report authors warned that NASA has, for too long, prioritized near-term missions at the cost of long-term investments in its infrastructure, workforce and technology.

“The inevitable consequence of such a strategy is to erode those essential capabilities that led to the organization’s greatness in the first place and that underpin its future potential,” the report said.

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The choice facing the agency is stark, lead author Norman Augustine said Tuesday: Either the U.S. must increase funding for NASA, or the agency must cut some missions.

“For NASA, this is not a time for business as usual,” said Augustine, a former executive at Lockheed Martin. “The concerns it faces are ones that have built up over decades.”

Even as society at large has become exponentially more reliant on technology in the 60 years since NASA’s founding, federal investment in research and development has declined significantly over the decades, the study said.

This has been felt acutely at NASA, whose funding from Congress, adjusted for inflation, has plummeted from its Apollo-era high and remained essentially flat for decades.

NASA’s budget for years has hovered around 0.1% of total U.S. gross domestic product — less than one-eighth of its allowance during the mid-1960s.

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Within the space agency, the report noted, science and technology funding has remained at a constant percentage within the budget even as missions have become far more costly and complicated.

As a result, NASA centers have only “low- to moderate-level efforts” underway to study emerging technologies that in a previous era might have been pioneered at the agency.

“NASA is a strong organization today, but it has underfunded the future NASA,” Augustine said.

The centers include JPL, where the report committee interviewed staffers at all levels of the organization.

JPL referred requests for comment to NASA.

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“This report aligns with our current efforts to ensure we have the infrastructure, workforce, and technology that NASA needs for the decades ahead,” NASA Administrator Bill Nelson said in a statement provided by the agency. “We will continue to work diligently to address the committee’s recommendations — and drive our cutting-edge work on Earth, in the skies, and in the stars.”

Another key problem the report identified is neglect of NASA’s facilities, 83% of which have exceeded their designed life span. Attempts to repair and improve the agency’s infrastructure are stifled by a rule requiring a lengthy and labor-intensive review process for all requests over $1 million, a figure that has not changed since the rule’s inception despite a 30% increase in costs from inflation.

Employees at JPL in particular voiced concerns about this restriction, the report noted.

As a key example of a facility whose funding has failed to keep up with its increasing demands, the report highlighted the Deep Space Network, which makes up the world’s largest scientific telecommunications system.

JPL manages the network’s three terrestrial sites in Goldstone, Calif.; Canberra, Australia; and Madrid. The network’s budget has declined from $250 million in 2010 to roughly $200 million today, even as demands on it have increased.

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As a result, the overburdened network has been forced to make costly compromises. During the Artemis I mission in late 2022, the lunar mission elbowed out all other scientific uses of the network, costing more than $21 million in data transmission from the James Webb Space Telescope alone.

The situation on the ground is not much better, the report noted. Basic infrastructure such as roads and pipes are failing at the sites, and their workforce is spread dangerously thin. Necessary maintenance and hiring would cost an estimated $45 million per year for the next 10 years, the authors wrote.

“This report is a wake-up call for NASA and political leaders,” said Casey Dreier, chief of space policy for the Planetary Society. “It identifies critical systemic issues that are already threatening NASA’s ability to pursue its ambitious program in exploration and science, issues that have been felt but not quantified until now. We have a 20th century infrastructure for a 21st century space program.”

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