California’s medical board has rejected a judge’s recommendation that the Beverly Hills fertility doctor who a*sisted Nadya Suleman in conceiving octuplets be allowed to keep his medical license.
Last month, Administrative Law Judge Daniel Juarez recommended that the board place Dr. Michael Kamrava on five years’ probation rather than revoke his license.
On Wednesday, the Medical Board of California rejected Juarez’s recommendation, according to an order signed by board member Shelton Duruisseau.
A panel of board members now plans to consider Kamrava’s case before deciding whether to revoke his license, according to the order. The panel will reconsider evidence, transcripts and written arguments. Both sides have 20 days to request oral arguments before the panel.
The panel could consider the case as soon as the medical board’s next scheduled meeting May 5 in Los Angeles, according to board spokeswoman Jennifer Simoes.
Kamrava has been accused of gross negligence and incompetence in his treatment of Suleman, 35, of La Habra, and two other female patients: a 48-year-old who suffered complications after she became pregnant with quadruplets and a 42-year-old diagnosed with advanced ovarian cancer after receiving fertility treatments.
Suleman was 21 when she first sought Kamrava’s care. He continued to treat her for more than a decade, helping her conceive all 14 of her children through in vitro fertilization.
During administrative hearings last year, testimony about the octuplets’ conception established that Kamrava used 16 of Suleman’s eggs to create 14 embryos, then implanted a dozen on July 19, 2008.
The babies were born nine weeks premature and remain the world’s longest-living group of octuplets.
Judge Juarez found that Kamrava committed gross and repeated negligence by implanting Suleman with an excessive number of embryos in January and July 2008. The January implantation did not result in a pregnancy.
The judge also found that Kamrava was negligent in his care of the two other patients and that in the case of the woman with ovarian cancer he failed to keep adequate records.
However, Juarez was not convinced that Kamrava was negligent in his treatment of Suleman from 2002 to 2007, or incompetent in his treatment of all three patients, arguments made by Deputy Atty. Gen. Judith Alvarado at the administrative hearings.
Juarez wrote that he was not persuaded that Kamrava was “a maverick or deviant physician, oblivious to standards of care in IVF” and that the doctor “succeeded in presenting a defense to the majority of the allegations” against him.
Instead of revoking his license, the judge recommended that Kamrava complete an ethics course and continue to practice under the supervision of another doctor or a physician’s training course.
The judge said he found it unlikely that Kamrava would continue to implant excessive embryos, given the publicity surrounding Suleman’s case.