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.

Otoplasty

Ear Surgery | Otoplasty Beverly Hills | Los Angeles

OtoplastyEars come in an infinite variety of shapes and sizes and the human ear has achieved approximately 85% of its projected growth by 3-5 years of age. When the ears become to large or project too far out away from the side of the head, ear surgery known as an otoplasty can be performed in order to improve the shape, position or proportion of the ear.

An otoplasty can be performed in both children and adults and it is most commonly used to set prominent ears back closer to the head and reduce the size of large ears.  An otoplasty can also be used to improve the shape, position or proportion of the ears while bringing balance and natural proportion to the ears and face. Correction of even minor deformities can have profound effects on one’s appearance and self-esteem particularly in women who are unwilling to wear their hair up due to the embarrassment and fear of possibly exposing their large “elf-like” ears.

Correction  of protruding ears uses surgical techniques to create or improve the fold just inside the rim of the ear and to reduce an enlarged base of the ear. Incisions for an otoplasty are generally made in the crease behind the ear making the surgery undetectable to the casual observer.  Internal, non-dissolvable sutures are used to create and secure the newly shaped ears in place after surgery. Techniques are individualized and care is always taken to avoid an unnatural overly “pinned back” appearance.

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CONSULTATION

Understanding the normal anatomic and aesthetic relationships of the external ear is central to planning an Otoplasty procedure. There are many standardized measurements and angles for the “ideal” ear but in reality the true judge of a beautiful ear is in the artistic eye of the beholder since ever ear is different including any two on the same head.  One typical common thread of the true prominent ear is the absence of or a poorly defined antihelix (inner fold of the ear). In addition the base of the ear (the conchal bowl) is often too prominent. Lastly, there are a host of secondary anomalies that can cause a prominence of the whole ear or a part of the ear and every pair of ears are typically asymmetric in regards to position, size and degree of protrusion form the side of the head.

During your consultation, Dr Motykie will address your desires from otoplasty surgery and he will give you a clearer understanding of how the surgery may best be able to meet your own needs and expectations.  Dr Motykie will also give you an opportunity to ask him any question you may have about otoplasty surgery as well as its possible benefits in your particular case. When going into your consultation, it is wise to come with questions written down and have a general understanding of the overall procedure so you can be prepared to learn as much as possible during your visit with Dr Motykie. Sometime during your consultation Dr Motykie may have you look through a book” that contains numerous photographs of different results from surgery in order to help you determine what type of appearance you personally find attractive as well as which technique may best help you to achieve your desired outcome from surgery. You are also encouraged to bring in photographs you may have obtained on your own from magazines or various internet websites which show the desired “look” you would like to achieve from surgery. Dr Motykie has found that looking through these types of photographs as well as reviewing his personal surgery portfolio.

Gallery Its Your Right to Feel Beautiful

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You should leave your consultation with a preliminary game plan for your surgery.  Cost is always a consideration in elective surgery. At the conclusion of your consultation you will have the opportunity to meet with Dr Motykie’s surgical consultant who will be able to explain to you the possible cost and timing of your breast lift procedure. Cost may include surgeon’s fee, surgical facility costs, anesthesia fees, prescription medications, post-surgery garments, and medical screening tests. Dr Motykie’s consultant will also be able to explain to you all of your possible financing options. Remember, a surgeon’s price for surgery will vary based on their experience, the type of procedure being performed as well as the geographic location of their office. Please do not bargain shop for your plastic surgery but also make sure that you are not overpaying for your procedure by doing your homework, online research and obtaining several opinions from different board certified plastic surgeons before making your final decision about having your own otoplasty procedure.

For your own personal and confidential consultation, contact Dr. Motykie’s office today. Dr Motykie will answer all of your questions and together you can determine which procedure best fits your desires and needs. Remember, it is impossible for a surgeon to tell you the best approach for you without first listening to your desires and concerns and then performing a physical examination of your breasts and surrounding tissue. Out of town patients may send photographs in order to have a online consultation performed by Dr Motykie.

To find out more about ear surgery please contact us at 310-246-2355