An Edmonton fertility physician who labored out of the Regional Fertility and Girls’s Endocrinology Clinic on the Royal Alexandra Hospital has written a letter to his sufferers advising them of actions that “contravened (his) skilled obligations.”
In an April 2021 letter, Dr. Tarek Motan mentioned he made a take care of pharmaceutical corporations to get rebates on sure fertility medicine.
“Between August 2015 and November 2017, whereas I used to be working on the fertility clinic, I had entered right into a monetary rebate association with three pharmaceutical corporations,” Motan’s letter reads.
“I paid for fertility medicine similar to Gonal-f, Puregon and Menopur, from these pharmaceutical corporations with out acquiring correct authorization and approval from AHS or my regulatory faculty.
“In return, I obtained financial rebate from these corporations that I positioned into an account which I administered for schooling. The medicine have been shipped to, disbursed and bought to sufferers that attended the Glengarry Pharmacy.”
The identical letter was despatched to International Information by a number of Alberta sufferers.
International Information has reached out to Motan for additional remark. This text can be up to date if he responds.
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“Sufferers that attended on the RAH fertility clinic have been suggested to bought their medicine at Glengarry Pharmacy,” the letter continues. “You will have been a type of sufferers. As a part of the association, a portion of the rebate monies was paid to Glengarry Pharmacy.
“This all occurred with out me looking for or acquiring approval from the Faculty of Physicians and Surgeons of Alberta. As nicely, I didn’t inform AHS, my sufferers or clinic workers on the fertility clinic concerning the rebates I obtained or the preparations I entered into with Glengarry Pharmacy.
“My actions contravened my skilled obligations.”
A supervisor of Glengarry Pharmacy instructed International Information on Monday it has “no remark” on the letter.
Lauren, 33, from Edmonton, was a affected person of Motan’s on the RAH fertility clinic from 2015 to 2017. She did 4 intrauterine inseminations (IUI), one egg retrieval and one switch. International Information has agreed to solely use a pseudonym to guard the privateness of her well being info.
She obtained the letter from AHS and Motan on Friday.
“(There’s) loads of anger and frustration. Some individuals have been fortunate sufficient to have their fertility remedies work however loads of us weren’t.
“You form of marvel: I used to be fully overstimulated. Personally, I used to be placed on the utmost quantity of medication, so that you form of marvel — by way of that point of getting a bodily and emotionally exhausting time since you’re on a excessive degree of hormones — if that affected your outcomes,” she mentioned.
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“In case you are already (hormonally) imbalanced and you then’re placed on the utmost quantity of hormones, it undoubtedly impacts you when it comes to melancholy and anxiousness. A number of girls get ovarian hyper-stimulation syndrome. You’re pumped with all these medicine and your ovaries are so full it’s doable they will twist and contort and rupture.
“Some girls nonetheless have hormonal adjustments from that.”
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Lauren says she feels taken benefit of by each the physician and the pharmacy.
“It’s undoubtedly troublesome since you’re already in a determined and susceptible scenario… You place your belief in individuals who you suppose have your greatest curiosity at coronary heart.
“It’s actually unlucky.”
Lauren mentioned she and her husband have been fortunate to have some medical protection. Nonetheless, after maxing out each their coverages, they nonetheless paid about $5,000 out of pocket for the remedies.
“Fertility medicine are extraordinarily costly and loads of them aren’t coated. For IUI, it’s not as costly, however for one spherical of IVF you would be paying $8,000 to $10,000 in fertility treatment.
“While you’re on the upper does it’s much more costly and also you’re going by way of the treatment sooner,” she added. “I used to be additionally stimulated for the utmost quantity of days.”
After three completely different clinics and 6 years, Lauren is now pregnant.
“I’m wondering if it may have occurred lots sooner,” she mentioned. “It’s good to form of deliver some gentle to this.
“I hope one thing will get achieved and there are some repercussions as a result of loads of girls have been affected. It’s too dangerous.”
An AHS spokesperson confused “motion has been and continues to be taken” on the incident.
Kerry Williamson mentioned: “affected person care and security is our precedence at Alberta Well being Providers.
“AHS agreed to facilitate the mail out of the letter to sufferers, on behalf of the doctor, to make sure all sufferers that will have been affected, are notified. Sufferers and others that need to make a criticism a couple of doctor can try this by way of the Faculty of Physicians and Surgeons of Alberta.
“We will provide no additional remark or specifics about this matter,” Williamson mentioned.
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Motan’s letter defined that he additionally would overprescribed sure medicine “now and again.”
“In my apply on the fertility clinic, since 2014 I, now and again, prescribed excessive doses of fertility drugs to sufferers which, in my judgment, improved the possibility of a profitable final result. This may increasingly have put some sufferers at elevated danger of experiencing adversarial results together with ovarian hyperstimulation syndrome.
“I acknowledge that I suggested a few of my sufferers that it was helpful to start out at excessive doses of some fertility treatment primarily based on my skilled judgment as a result of I had extra successes with this system lowering the variety of IVF cycles wanted.
“That method was opposite to the treatment product literature that advisable that doses be individualized for every affected person and that sufferers be began on decrease doses,” the letter mentioned.
“As well as, the upper doses meant that sufferers additionally skilled greater price and prescribing the upper doses of among the medicine resulted in greater rebate accounts.”
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The regulatory physique, the Faculty of Physicians and Surgeons of Alberta, despatched International Information an announcement.
“Overprescribing treatment and making the most of these prescriptions contravenes CPSA’s Requirements of Follow and the CMA Code of Ethics and Professionalism. Though we can’t converse to specifics of this case resulting from Well being Professions Act laws, CPSA is answerable for processing complaints utilizing the choices obtainable below the laws.”
Within the letter, Motan apologizes to sufferers for his “lack of transparency.”
“To assist reply any questions you will have upon receiving this letter, a name line is offered by way of Well being Hyperlink. To achieve this name line in Canada and within the US, please dial 1-877-266-8893. Calls can be answered by an info specialist who can assist you together with your questions or considerations,” Motan writes.
— With recordsdata from Su-Ling Goh, International Information
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