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.


Rhinoplasty (Nose Surgery): Nasal Polyps

Rhinoplasty (Nose Surgery): Nasal PolypsNasal polyps can develop inside the nose in various sizes and colors. They commonly occur in pink or brownish-yellow color.

On the surface, the nasal polyp may look like a teardrop. But as it grows, it starts looking like a grape on a stem. Nasal polyps can occur in one or both nostrils at the same time, and could grow alone or in clusters.

Polyp clusters or large sized polyps can cause difficulties in breathing through the nostrils and affect the patient’s sense of smell. Polyps can also block the sinuses and cause problems such as recurrent infections.

The surgeon will determine the condition of the nasal polyps and recommend an appropriate treatment plan. Board certified plastic surgeon Dr. Gary Motykie provides rhinoplasty to patients in Beverly Hills, West Hollywood, Los Angeles, and surrounding locations.


Who could get Nasal Polyps?

Nasal polyps found nearly two to four times more commonly in men than in women. People who get nasal polyps typically develop them in their younger years or middle age.

Nasal polyps are more likely to occur in people with recurring problem of sinus infections, asthma or allergies. They are also more likely to affect children who have cystic fibrosis.



An experienced nose surgeon will be able to diagnose nasal polyps usually just by assessing the patient’s condition of the nose and asking a few questions about their symptoms. The surgeon may use a light device to view the polyps within the nose.

The following diagnostic tests may be ordered to determine the precise condition:

  • Skin prick allergy test
  • Nasal endoscopy
  • Cystic fibrosis
  • CT scan



Steroidal Nose Drops or Spray

The surgeon could prescribe steroidal nasal drops or a steroid spray to treat the nasal polyps. This treatment will help improve the swelling in the polyps. It is a common course of treatment for patients have one large polyp or a cluster of smaller polyps. Side effects of the treatment may include nosebleeds, headaches, and sore throat.

Steroid Pills

If the nasal polyps are larger or reveal severe swelling, the nose surgeon may prescribe steroid pills with or without a nasal spray. Steroids can be quite effective in the reducing the size of the polyps. However, one of the complications of steroids is weight gain. The patient may be directed to use the pills only for a limited period.

Other Drugs

In some cases, the surgeon may prescribe other medications to treat the conditions within the nostrils that may be causing an aggravation of the inflammation. For instance, antifungal drugs may be prescribed to fight fungal allergies, antihistamines to treat other allergies, and antibiotics to combat bacterial infections.



If the polyps are very large, or the patient is not responding to other treatments, the surgeon may advise a surgery to treat the nasal polyps. Polypectomy is a common treatment to remove polyps. The patient will undergo this procedure under either local or general anesthesia.

The surgery may be performed with an endoscope by placing a thin tube connected to a camera within the patient’s nose and sinuses.


Experienced cosmetic surgeon Dr. Gary Motykie receives patients from Beverly Hills, West Hollywood, Los Angeles, and nearby areas for rhinoplasty.
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Rhinoplasty (Nose Surgery): Nasal Polyps

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