Notice of Data Incident
August 1, 2023

Dear Patients:
We post this Notice pursuant to the United States Health Insurance Portability and Accountability Act (“HIPAA”) to inform you about a data incident involving an unauthorized release of patient Protected Health Information (“PHI”), as that is defined by HIPAA, at Gary Motykie, M.D., a Medical Corporation and Gary Motykie, M.D. (“Practice”), a covered entity under HIPAA.

PHI, as defined by HIPAA, is information that is “created, received, maintained, or transmitted by or on behalf of the health care component of the Covered Entity.” § 164.105 (a)(2)(i)(D). Information that is created or received by a Covered Entity and that relates to the past, present, or future physical or mental health or condition of an individual; or the past, present, or future payment for the provision of healthcare to an individual is considered PHI. PHI is required to be protected when transmitted or maintained in any form by a Covered Entity. Individual identifiers (including but not limited to name, address, telephone number, fax, email address, social security number, medical record number, etc.) maintained in a designated record set along with health information (including but not limited to x-rays, images, scans, physician notes, diagnoses, treatment, eligibility approvals, claims, remittances, etc.) are collectively considered PHI.

Event Description:
On or about June 6, 2023, an initial technical analysis of the Practice’s information technology network determined an unauthorized release of PHI occurred to an unknown third party. The initial analysis determined that the unknown third party accessed the Practice’s network. It was further determined that the unknown third party acquired some of the Practice’s patient’s unencrypted PHI and that party was not authorized to do so and did so in an unlawful manner.

The information that may have been accessed or acquired during this unauthorized access included:

  • First and last name 
  • Social Security Number (if provided)
  • Address
  • Driver’s license or identification card number
  • Financial account or payment card number, in combination with any required CVV code
  • Intake forms, which may include medical information and history
  • Images taken in connection with the services rendered at our office
  • Health insurance information (if provided)
Steps Taken to Address:
Upon discovery, the Practice took the following immediate steps to address the situation:
  • Computers and servers replaced
  • Network passwords changed
  • Endpoint detection, virus, and malware detection tools and software installed on workstations and server
  • Limitations concerning Internet access
  • Access controls put in place for users based on role and responsibility
  • Server policies in place
  • Device locking mechanisms
  • Multi factor authentication enabled
  • Network segregation efforts
  • Encryption of devices
  • Additional workforce training
Risk Assessment:

The Practice conducted a risk assessment to evaluate the potential harm to potentially impacted individuals. Based on that assessment, it is determined that there is a high risk of harm. It is essential for potentially impacted individuals to remain vigilant in monitoring their personal accounts and data and promptly report any suspicious activity to law enforcement or their financial institutions.

Assistance and Resources:
Starting on or about June 22, 2023, letters were mailed to patients providing the following resources to assist the potentially impacted individuals, offering at no cost:
  • two (2) years of no cost Triple Bureau Credit Monitoring/Triple Bureau Credit Report/Triple Bureau Credit Score/Cyber Monitoring services.
  • the services also include reviewing whether Information appears on the dark web and alert the individual if such Information is found online.
  • proactive fraud assistance to help with any questions in event a potentially impacted persons becomes a victim of fraud.

Steps to Prevent Future Incidents: We deeply regret any inconvenience or concern this Incident may cause. The Practice is taking numerous steps to help prevent similar Incidents in the future. We will continue to review and enhance our security measures, policies, and employee training.

If you failed to receive your letter in the mail, and/or if there is a concern your mailing address has changed since you were a patient at the Practice, please contact 1-800-405-6108 or call our office immediately at 310-246-2355 from 9:00 am to 5:00 pm Pacific time, Monday through Friday.

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Your Breast Implant Plastic Surgery Consultation

Your Breast Implant Plastic Surgery ConsultationInitial consultation creates a solid foundation for the success of any plastic surgery procedure such as breast implant surgery. Breast implant procedures are considered among the more customizable surgeries, which makes the role of a pre-op consultation more valuable.

The surgeon will closely involve the patient at the pre-operative stage to create a surgical plan that fits the patient’s unique aesthetic needs.

The patient will also get an opportunity to clear her concerns and doubts about breast implants, and ask pertinent questions before making a final decision. Patients in Beverly Hills, West Hollywood, Los Angeles, and other communities across the horizon have an opportunity to receive breast implant surgery from dedicated cosmetic surgeon Dr. Gary Motykie.

 

Determining Candidacy

During the pre-op consultation, the surgeon will review the past medical records as well as examine the present health condition of the patient. In a few cases, specialized mammograms may also be ordered. The patient’s skin type and amount of skin elasticity in the breast area will be assessed along with an evaluation of the overall breast anatomy.

 

Key Decisions

At the time of initial consultation, important decisions will be made with regard to the selection of the appropriate surgical technique, choice of implant type and size, placement of implants above or below the pectoral muscle, and whether the surgery may be performed independently or in conjunction with breast lift.

 

Implant Choice

The final results in breast implant surgery will be influenced by what type and size of breast implants the patient originally chose. The surgeon will help her in making this choice, and will explain the benefits and limitations of saline as well as silicone implants. Appropriate options in implant size, shape and profile will help to create a natural and proportionate figure.

 

Implant Placement

Breast implants can usually be placed either in front of the pectoral muscle and behind the breast tissue, or below the pectoral muscle. The pros and cons involved in each case will be discussed with the patient in advance so that she can make the best choice in accordance with her personal aesthetic goals and her natural breast anatomy.

 

Incision Location

The incisions in breast implant surgery may be placed along the areola border, or under the breast crease, or in the armpits. In rare cases, the incisions may be placed in the navel area. Experienced cosmetic surgeon Dr. Motykie receives patients from Beverly Hills, West Hollywood, Los Angeles, and nearby areas for breast implants and various other cosmetic and reconstructive surgeries.

 

Developing Expectations

During the initial consultation, the surgeon may present breast implant before and after images before the patient. This will help the patient to develop reasonable expectations and be clear about what the procedure can or cannot do for her. Such patients will typically feel more satisfied with the final outcome of the surgery.

 

Instructions for Preparation

At the time of initial consultation, the surgeon will provide detailed instructions on how to prepare for the breast implant procedure. The patient should be committed to following the instructions to achieve desirable outcomes from the surgery.

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Your Breast Implant Plastic Surgery Consultation

To see more services and treatments provided by Plastic Surgeon, Dr. Motykie in Beverly Hills | Los Angeles and his team please visit:

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