Science
Dozens of patients file suit against former OB-GYN and Cedars-Sinai, alleging misconduct
Thirty-five women are suing a Beverly Hills obstetrician-gynecologist, Cedars-Sinai Medical Center and other medical practices where the doctor worked, alleging decades of sexual and medical misconduct that the health facilities enabled and concealed.
The lawsuit, filed late Monday in Los Angeles County Superior Court, alleges that Dr. Barry Brock had, for years, made lewd and unsettling comments to patients; groped their breasts and genitals during medically unnecessary exams, sometimes without gloves; and engaged in “female genital mutilation” by giving women unneeded sutures, among other reported misconduct.
The suit also alleges the longtime physician denied caesarean sections to patients who needed them.
Brock has repeatedly denied any wrongdoing or sexual misconduct, saying he had never touched a patient inappropriately or made sexually suggestive or harassing remarks.
The longtime OB-GYN said in a statement Tuesday that the allegations in the lawsuit were false and outrageous, calling them “flat-out lies, made up events that never happened, exaggerated and fabricated statements, and worse.”
Attorneys “have made it seem as if I was grooming patients even by just speaking to them, insanely claiming that suturing a patient after childbirth is genital mutilation, and saying that my standard vaginal exams and pap smears were ‘sadistic,’” Brock said.
He said that patient records and witnesses “will help me prove the truth of what happened here.”
Cedars-Sinai said in a statement Tuesday that the kind of behavior alleged about Brock, who is no longer practicing medicine at its facilities, is “counter to Cedars-Sinai’s core values and the trust we strive to earn every day with our patients.”
“We recognize the legal process must now take its course, and we remain committed to Cedars-Sinai’s sacred healing mission and serving our community.”
The doctor is also facing an accusation before the Medical Board of California, where he is accused of committing “repeated negligent acts.” According to the official complaint, Brock failed to give a patient enough pain medication while treating her for a miscarriage, and failed to properly clear material from her uterus, among other accusations.
In a statement, Brock said the events outlined in the accusation were not an accurate description of his treatment of the patient and that some allegations were “completely inconsistent with my practices.”
For instance, Brock said he could not imagine refusing to address severe pain suffered by a patient. “Based on what I know of my care and treatment of this patient,” he said, “I will successfully defend my treatment as being within the standard of care.”
Brock, 74, said he had been an attending physician at Cedars-Sinai since the early 1980s, and had never before faced an accusation from the medical board.
He left its physician network in 2018 but retained hospital privileges at Cedars-Sinai while working in private practice at Rodeo Drive Women’s Health Center and Beverly Hills OB/GYN, which were also named as defendants in the lawsuit. Both organizations had yet to respond to requests for comment Tuesday.
In July, Cedars-Sinai said it had suspended Brock’s hospital privileges after receiving “concerning complaints” from his former patients. A few months later, his hospital privileges were terminated.
At that time, a spokesperson for Cedars-Sinai said that privacy laws prohibited the medical center from confirming the existence of any patient complaints or disciplinary action taken against Brock before this year.
The lawsuit alleges that both patients and medical staff reported concerns about Brock to Cedars-Sinai long before the complaints that led to the termination of his hospital privileges.
Cedars-Sinai administrators received “ample and repeated warnings” about his misconduct and abuse of patients through past lawsuits, as well as complaints to the state medical board and to the health system itself, the lawsuit alleged. Yet the medical center and other defendants continued to “expose more unsuspecting female patients to a known serial sexual predator,” the suit alleged.
Plaintiffs are represented by a legal team that includes Anthony T. DiPietro, an attorney who has also represented patients of convicted sex offender Robert Hadden, formerly a gynecologist at Columbia University, and Mike Arias, who like DiPietro has represented patients of former USC gynecologist George Tyndall.
The complaint details allegations from 35 former patients ranging in age from their 20s to their 60s. Some saw Brock only once and refused to see him again, while others were treated by him repeatedly over a period of years. The timing of their care ranges from the mid-1980s to this year, according to the complaint.
Nearly a dozen patients alleged unnecessary suturing or crude comments about it: Brock told several plaintiffs he inserted an “extra stitch” in their perineal areas to make them “tighter” after childbirth, the lawsuit said.
In one instance, according to the lawsuit, Brock said, “I’m going to sew her up virgin-tight” in front of a woman’s husband and parents after childbirth. In another, Brock told a woman that she had not suffered any tearing, but told her husband, “Don’t worry, dad, I’ll throw a stitch in there for you,” and proceeded to suture her without her consent, the lawsuit alleged.
Some suffered ongoing pain or urinary complications after “this barbaric and entirely unnecessary form of female genital mutilation,” the lawsuit said. Doctors for one patient described the stitching as “the equivalent of a female circumcision,” the lawsuit said.
Brock told The Times that he performed perineal suturing only if there was a laceration, and that if he did so, “there was always consent.”
The lawsuit also included allegations of violent and threatening behavior. One former patient alleged that Brock “violently thrust” a speculum into her vagina, opened it and “proceeded to pump the instrument in and out of her, simulating intercourse.”
The woman said she reported the experience and other concerning encounters with Brock to an executive at Rodeo Drive Women’s Health Center, where Brock worked at the time. No action was taken against him, according to the lawsuit.
Brock told The Times that he had never forced in a speculum and called the claim about simulating intercourse “complete nonsense” that “appears to be a tricky lawyer way to make an appropriate medical exam seem like an assault.”
In the lawsuit, two women alleged that he forced them to feel his erection. One said he had “proceeded to rub his erect penis against her hand” while she was alone with him in an exam room, the lawsuit said.
Another alleged that while she was in labor, Brock walked in and put her foot on his erection, then grabbed her foot again when she tried to move it away.
Brock, in his statement, said he had “NEVER NEVER told any patient to touch me in any way,” nor touched patients inappropriately, and had never had an erection during an exam.
The lawsuit also alleged that Brock forced patients to undergo sensitive physical exams even after they refused. A decision to do a pelvic or breast exam should be a shared one between a physician and a patient, the lawsuit said, and “such invasive procedures should never be performed without the patient’s knowledge, understanding, and consent.”
In one case, the lawsuit said, Brock pulled down the pants of a woman who refused a vaginal examination in front of her daughter and “was so aggressive that [the woman] immediately ran out of the room in tears.”
Brock, in his statement, denied ever pulling down the pants of a patient and said that if a woman wanted to refuse a Pap smear or pelvic examination, that would be her right. He also said he always wore gloves to protect himself and patients during pelvic exams.
Another patient alleged that Brock ignored her when she said a breast exam was unnecessary. Instead, the complaint alleges, he unhooked her bra, squeezed her breasts and told her, “You have perfect breasts. Does your husband tell you that?” She was one of five women who said he removed their bras without consent before touching their breasts, according to the complaint.
Other patients alleged that Brock refused to leave the room as they undressed or denied their request for a hospital gown, requiring them to go through examinations naked.
Brock told The Times that he either leaves the room when a patient undresses or, if a patient in a hurry requests it, turns while they change behind a curtain, and “there never would be a case where a gown was not provided upon request.” He said if a patient turned down a breast exam, he would not perform one.
The doctor added that on a few occasions when a patient had not removed their bra before putting on a gown, he had assisted a patient in unclasping it for a breast exam. “This was not done for any improper purpose and was done that way so the patient did not need to take off the gown,” Brock said.
In the lawsuit, many patients described sexual remarks: One said Brock told her that her vagina looked “ripe” and peppered her with invasive questions, such as asking whether her partner would ejaculate on her body during sex, according to the lawsuit. Several patients noted that while examining the women’s genitals or breasts, Brock commented on how “lucky” or “happy” their partners must be, the suit said.
Brock denied making such remarks. “I have never spoken those words,” he said.
The lawsuit alleges that Cedars-Sinai was repeatedly informed about concerns with Brock. One patient who saw him between 2011 and 2013 reported his behavior to office staff and asked to switch to a different doctor, according to the lawsuit. Another who saw him in 2018 and 2019 informed her regular physician, who was also affiliated with Cedars-Sinai, about his actions, the suit said.
Another former patient, herself an employee of Cedars-Sinai at the time, filed a formal complaint with the medical center after a 2017 prenatal appointment in which Brock allegedly groped her breasts “under the guise of medical care” and made inappropriate comments to her and her husband, according to the suit.
Though she was told there would be consequences for Brock — who was in Cedars-Sinai’s physician network at the time — she heard nothing more from the medical center, the complaint states.
The lawsuit said another patient who tried to report misconduct to Cedars-Sinai earlier this year was initially told that the medical center wouldn’t take action because the doctor was in private practice.
She then contacted Beverly Hills OB-GYN, which had referred her to Brock after her usual physician was unavailable. When she received no response after sharing her experience, the woman lodged a formal, written complaint with Cedars-Sinai by email, according to the suit. It was only then, the lawsuit said, that her complaint was taken seriously and Brock had his hospital privileges suspended.
A Cedars-Sinai spokesperson told The Times in September that the hospital system had terminated clinical privileges for Brock after an investigation and reported the matter to the state medical board.
Brock, however, said he had surrendered his privileges without any “fact finding” or “hearing on the merits” of the allegations under investigation. In August, he had informed patients he would retire at the end of the month due to the “uncertainty of how long this process will take.”
Science
Cluster of farmworkers diagnosed with rare animal-borne disease in Ventura County
A cluster of workers at Ventura County berry farms have been diagnosed with a rare disease often transmitted through sick animals’ urine, according to a public health advisory distributed to local doctors by county health officials Tuesday.
The bacterial infection, leptospirosis, has resulted in severe symptoms for some workers, including meningitis, an inflammation of the brain lining and spinal cord. Symptoms for mild cases included headaches and fevers.
The disease, which can be fatal, rarely spreads from human to human, according to the U.S. Centers for Disease Control and Prevention.
Ventura County Public Health has not given an official case count but said it had not identified any cases outside of the agriculture sector. The county’s agriculture commissioner was aware of 18 cases, the Ventura County Star reported.
The health department said it was first contacted by a local physician in October, who reported an unusual trend in symptoms among hospital patients.
After launching an investigation, the department identified leptospirosis as a probable cause of the illness and found most patients worked on caneberry farms that utilize hoop houses — greenhouse structures to shelter the crops.
As the investigation to identify any additional cases and the exact sources of exposure continues, Ventura County Public Health has asked healthcare providers to consider a leptospirosis diagnosis for sick agricultural workers, particularly berry harvesters.
Rodents are a common source and transmitter of disease, though other mammals — including livestock, cats and dogs — can transmit it as well.
The disease is spread through bodily fluids, such as urine, and is often contracted through cuts and abrasions that contact contaminated water and soil, where the bacteria can survive for months.
Humans can also contract the illness through contaminated food; however, the county health agency has found no known health risks to the general public, including through the contact or consumption of caneberries such as raspberries and blackberries.
Symptom onset typically occurs between two and 30 days after exposure, and symptoms can last for months if untreated, according to the CDC.
The illness often begins with mild symptoms, with fevers, chills, vomiting and headaches. Some cases can then enter a second, more severe phase that can result in kidney or liver failure.
Ventura County Public Health recommends agriculture and berry harvesters regularly rinse any cuts with soap and water and cover them with bandages. They also recommend wearing waterproof clothing and protection while working outdoors, including gloves and long-sleeve shirts and pants.
While there is no evidence of spread to the larger community, according to the department, residents should wash hands frequently and work to control rodents around their property if possible.
Pet owners can consult a veterinarian about leptospirosis vaccinations and should keep pets away from ponds, lakes and other natural bodies of water.
Science
Political stress: Can you stay engaged without sacrificing your mental health?
It’s been two weeks since Donald Trump won the presidential election, but Stacey Lamirand’s brain hasn’t stopped churning.
“I still think about the election all the time,” said the 60-year-old Bay Area resident, who wanted a Kamala Harris victory so badly that she flew to Pennsylvania and knocked on voters’ doors in the final days of the campaign. “I honestly don’t know what to do about that.”
Neither do the psychologists and political scientists who have been tracking the country’s slide toward toxic levels of partisanship.
Fully 69% of U.S. adults found the presidential election a significant source of stress in their lives, the American Psychological Assn. said in its latest Stress in America report.
The distress was present across the political spectrum, with 80% of Republicans, 79% of Democrats and 73% of independents surveyed saying they were stressed about the country’s future.
That’s unhealthy for the body politic — and for voters themselves. Stress can cause muscle tension, headaches, sleep problems and loss of appetite. Chronic stress can inflict more serious damage to the immune system and make people more vulnerable to heart attacks, strokes, diabetes, infertility, clinical anxiety, depression and other ailments.
In most circumstances, the sound medical advice is to disengage from the source of stress, therapists said. But when stress is coming from politics, that prescription pits the health of the individual against the health of the nation.
“I’m worried about people totally withdrawing from politics because it’s unpleasant,” said Aaron Weinschenk, a political scientist at the University of Wisconsin–Green Bay who studies political behavior and elections. “We don’t want them to do that. But we also don’t want them to feel sick.”
Modern life is full of stressors of all kinds: paying bills, pleasing difficult bosses, getting along with frenemies, caring for children or aging parents (or both).
The stress that stems from politics isn’t fundamentally different from other kinds of stress. What’s unique about it is the way it encompasses and enhances other sources of stress, said Brett Ford, a social psychologist at the University of Toronto who studies the link between emotions and political engagement.
For instance, she said, elections have the potential to make everyday stressors like money and health concerns more difficult to manage as candidates debate policies that could raise the price of gas or cut off access to certain kinds of medical care.
Layered on top of that is the fact that political disagreements have morphed into moral conflicts that are perceived as pitting good against evil.
“When someone comes into power who is not on the same page as you morally, that can hit very deeply,” Ford said.
Partisanship and polarization have raised the stakes as well. Voters who feel a strong connection to a political party become more invested in its success. That can make a loss at the ballot box feel like a personal defeat, she said.
There’s also the fact that we have limited control over the outcome of an election. A patient with heart disease can improve their prognosis by taking medicine, changing their diet, getting more exercise or quitting smoking. But a person with political stress is largely at the mercy of others.
“Politics is many forms of stress all rolled into one,” Ford said.
Weinschenk observed this firsthand the day after the election.
“I could feel it when I went into my classroom,” said the professor, whose research has found that people with political anxiety aren’t necessarily anxious in general. “I have a student who’s transgender and a couple of students who are gay. Their emotional state was so closed down.”
That’s almost to be expected in a place like Wisconsin, whose swing-state status caused residents to be bombarded with political messages. The more campaign ads a person is exposed to, the greater the risk of being diagnosed with anxiety, depression or another psychological ailment, according to a 2022 study in the journal PLOS One.
Political messages seem designed to keep voters “emotionally on edge,” said Vaile Wright, a licensed psychologist in Villa Park, Ill., and a member of the APA’s Stress in America team.
“It encourages emotion to drive our decision-making behavior, as opposed to logic,” Wright said. “When we’re really emotionally stimulated, it makes it so much more challenging to have civil conversation. For politicians, I think that’s powerful, because emotions can be very easily manipulated.”
Making voters feel anxious is a tried-and-true way to grab their attention, said Christopher Ojeda, a political scientist at UC Merced who studies mental health and politics.
“Feelings of anxiety can be mobilizing, definitely,” he said. “That’s why politicians make fear appeals — they want people to get engaged.”
On the other hand, “feelings of depression are demobilizing and take you out of the political system,” said Ojeda, author of “The Sad Citizen: How Politics is Depressing and Why it Matters.”
“What [these feelings] can tell you is, ‘Things aren’t going the way I want them to. Maybe I need to step back,’” he said.
Genessa Krasnow has been seeing a lot of that since the election.
The Seattle entrepreneur, who also campaigned for Harris, said it grates on her to see people laughing in restaurants “as if nothing had happened.” At a recent book club meeting, her fellow group members were willing to let her vent about politics for five minutes, but they weren’t interested in discussing ways they could counteract the incoming president.
“They’re in a state of disengagement,” said Krasnow, who is 56. She, meanwhile, is looking for new ways to reach young voters.
“I am exhausted. I am so sad,” she said. “But I don’t believe that disengaging is the answer.”
That’s the fundamental trade-off, Ojeda said, and there’s no one-size-fits-all solution.
“Everyone has to make a decision about how much engagement they can tolerate without undermining their psychological well-being,” he said.
Lamirand took steps to protect her mental health by cutting social media ties with people whose values aren’t aligned with hers. But she will remain politically active and expects to volunteer for phone-banking duty soon.
“Doing something is the only thing that allows me to feel better,” Lamirand said. “It allows me to feel some level of control.”
Ideally, Ford said, people would not have to choose between being politically active and preserving their mental health. She is investigating ways to help people feel hopeful, inspired and compassionate about political challenges, since these emotions can motivate action without triggering stress and anxiety.
“We want to counteract this pattern where the more involved you are, the worse you are,” Ford said.
The benefits would be felt across the political spectrum. In the APA survey, similar shares of Democrats, Republicans and independents agreed with statements like, “It causes me stress that politicians aren’t talking about the things that are most important to me,” and, “The political climate has caused strain between my family members and me.”
“Both sides are very invested in this country, and that is a good thing,” Wright said. “Antipathy and hopelessness really doesn’t serve us in the long run.”
Science
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