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          WORLD> Photo
          Medical society looking into octuplets' conception
          (Agencies)
          Updated: 2009-02-11 09:14


          One of the octuplets born in Los Angeles on January 26 is pictured in this handout photo released by NBC News in Los Angeles February 10, 2009. Nadya Suleman, the California mother of the newborn octuplets said on Monday she was counting on God to help provide for her family but acknowledged that she already was "struggling" financially to raise her first six children.[Agencies]

          Kamrava's clinic is a member of the Society for Assisted Reproductive Technology, a sister organization of the American Society for Reproductive Medicine.

          Clinics that clearly violate guidelines can be kicked out of SART. Neither group is a regulatory agency so a removed doctor could still practice medicine.

          The state medical board cannot close the clinic if it is found at fault, but it can censure the doctor, putting the violation on his record.

          Kamrava's clinic performed 52 in-vitro procedures in 2006, according to the most recent national report compiled by the Centers for Disease Control and Prevention. Of those, five resulted in pregnancies and two in births. One of the births were Suleman's twins.

          Kamrava's pregnancy rate that year was among the lowest in the country. Experts say many factors affect a clinic's success rate, including a patient's health and types of procedures done.

          Several lawsuits have been filed against Kamrava over the past two decades, including one in which a former employee accused him and his wife of hiding income to avoid taxes and defrauding insurance companies.

          Former office administrator Shirin Afshar sued Kamrava in 1998, claiming discrimination, harassment, wrongful termination and infliction of emotional distress.

          Over a seven-year period, Afshar said, Kamrava and his wife didn't report about $400,000 in income to the state and the Internal Revenue Service. Afshar claims Kamrava made patients who had no insurance pay in cash and that money was turned over to Kamrava's wife. The transactions were neither entered into an office computer nor deposited in a bank, the lawsuit said.

          She said she was fired when she complained to Kamrava about what was going on.

          Afshar also claimed she had an abortion in 1992 because she feared she would lose her job. When she told Kamrava she was pregnant, she claims her boss chastised her.

          "How can you take care of this baby with no job, no family and no money?" Afshar claimed Kamrava said.

          The lawsuit was settled in 1999 for an undisclosed amount.

          The IRS did not immediately have any information about Afshar's tax claims.

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