Showing posts with label Bail. Show all posts
Showing posts with label Bail. Show all posts

Wednesday, December 7, 2016

Redondo Beach Neurologist Pleads to Overprescribing Painkillers in Los Angeles County Case


On December 1, 2016, a Redondo Beach neurologist Gerard Goryl plead guilty to selling narcotics to undercover police officers two years ago. Dr. Goryl pleaded no contest to 38 counts, including illegally prescribing a controlled substance and possession for sale of a controlled substance in Los Angeles County Case No. BA425289

The sentence is an example of the new felony sentencing after realignment.  Dr. Goryl is expected to receive four years in local custody (which means that he will avoid state prison and serve the time in county jail with usually 2 years in and 2 years out and get credit for half time) and three years in a lockdown mental health facility when he is sentenced on Jan. 4.

The sentence to lockdown mental health facility shows that there were other factors in this case affecting the neurologist and that he needs treatment. The case was prosecuted by the Los Angeles County District Attorney's Office, Major Narcotics Division. The case was investigated by the Redondo Beach Police Department in conjunction with the Drug Enforcement Administration. Undercover agents were key to the case.

Dr. Goryl's medical clinic in Redondo Beach was run with with his assistant Wilfred Arvizo Jr. who was charged as a co-defendant. This was an undercover operation where evidence was gathered as officers posed as patients. Over a two-month period in 2014, both men allegedly sold or prescribed hydrocodone and Xanax to undercover officers. The government alleged that the drugs were sold without any type of physical examination or medical need. Mr. Arvizo faces six similar counts and is scheduled to return to court on Jan. 19, 2017.  

Attorney Commentary on Bail Pending Trial for Physicians: One of the difficult issues in these type of cases is that as a condition of bail, the Medical Board requested that Dr. Goryl cease practicing medicine while the case was pending. Initially the judge only limited Dr. Goryl from prescribing controlled substances and surrendering DEA certificate. Some additional facts must have occurred since two months later the judge amended the order and prohibited the doctor from practicing at all while the case was pending trial. This essentially shuts down the doctor's practice for two years. 

Posted by Tracy Green, Esq.
Green and Associates, Attorneys at Law
Email: tgreen@greenassoc.com
Phone: 213-233-2260




Friday, August 22, 2014

Investigations Continue Post-Arrest As Shown By Physician Arrested For Second Time While Charges Pending. Lesson: What Not To Do While On Bail

One of the terms and conditions of bail is "to obey all laws." Committing an offense while on bail is a separate offense and can result in loss of bail. We have had cases where a client committed a new offense while out on bail and it can complicate greatly the defense of a case.

Last week, Yahya Hedvat, a Los Angeles doctor awaiting trial for allegedly prescribing and selling narcotics without a legitimate reason, was arrested for selling hydrocodone to undercover agents. He was arraigned in Los Angeles County Superior Court and pleaded not guilty on August 19, 2014 to the charge in the second case of sale of a controlled substance. His bail was set at $1 million bail. It is also likely that a motion was filed to revoke or increase bail in his first case.

According to City News, Dr. Hedvat was scheduled to go on trial this month on a 10-count indictment accusing him of unlawfully prescribing the drugs hydrocodone, clonazepam and suboxone. Dr. Hedvat was free on his own recognizance while awaiting trial and had surrendered his federal license to prescribe controlled substances, according to the District Attorney's Office. 

On August 8, an undercover investigator with the California Medical Board went to Dr. Hedvat's clinic and allegedly negotiated the purchase of narcotics, including Norco and Ativan. Undercover agents allegedly bought the drugs in the clinic's parking lot from Dr. Hedvat's office assistant, Nikravan Hormuz, 70, who was also charged.

Mr. Hormuz pleaded not guilty to the sale of a controlled substance count and posted bail early Saturday. Dr. 
Hedvat's bail was more complicated and he was not able to post bail at the first appearance.  

Attorney Commentary: It is quite likely that the investigation was continued in order to obtain more evidence on the first case or to create another case -- which is what has occurred here.  Without a DEA registration, the charge is more serious and enhances the punishment that the doctor faces in his case.

Penal Code Section 23 Order Pending Criminal Case
The new case greatly impacted the criminal case in another way in that it prompted the Medical Board to seek an interim suspension order against him under the authority of Penal Code Section 23.  On August 22, 2014, the Judge in issued a PC23 Order that restricted Dr. Hedvat from practicing pending the criminal case.  Under the Order, as a condition of bail or own recognizance (O.R.) release during the pendency of this criminal action until its final conclusion and sentence, Dr. Hedvat shall:
1.    Forthwith cease and desist from practicing as a physician and surgeon;
2.    Be restricted from prescribing, ordering, administering, furnishing, or dispensing any drugs;
3.    Surrender to the clerk of the Court, any prescription forms in his possession;
4.    Be prohibited from obtaining, ordering, or using any additional prescription forms; and inform his patients that he is not currently permitted to prescribe any drugs due to a pending matter. 

The Penal Code Section 23 orders can range from restrictions on practicing to outright prohibition on practicing while the criminal case is pending. This was a complete prohibition and will cause the physician additional economic and professional consequences while the criminal cases are resolved.  

When we have a client charged, it is critical to ensure that they (and their office staff) are not engaged in any acts that could be used to revoke bail or create new charges. While it may be difficult for clients to accept the fact that they will need to give up certain activities that may be legal (prescribing any controlled substances for example where there is a valid DEA registration), even that may be preferable to having to defend one's clinical judgment.  In this case, it was allegedly more serious without the DEA registration and with an office person who was allegedly engaged in activities that could never be legal.  

The lesson: if you are under investigation or charged, be paranoid.  Be careful. Do not assume that an investigation is "over" and that law enforcement or the Medical Board does not continue to send in invetigators.

We have seen cases where the Medical Board has sent undercover investigators to a clinic on the date the physician or other medical staff are scheduled to be in court to see what happens at the clinic without the physician.  In other words: take these investigations seriously.  

Moreover, you can use the time to create good facts and that your office has been cleaned up, is compliant with all laws and regulations. This can help in the defense of the case as well as in any further administrative proceedings. 

Posted by Tracy Green, Esq.
Phone: 213-233-2260
Email: tgreen@greenassoc.com


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