Doctoring the Web

A plastic surgeon has positive online reviews. But not from that patient who died.

Starting around 2000, the 35-year-old Aminy had visited Rajagopal's office more than 10 times, according to the documents. Most of her procedures involved collagen and Botox injections. But on June 7, 2005, Aminy was scheduled for a surgery that would involve transferring fat from her stomach into her forehead. Apparently, after a brow lift that Rajagopal had performed, Aminy's forehead had been creasing between her eyebrows.

According to medical board documents, the first mistake Rajagopal made was to "advise the patient to eat on the morning of surgery, complicating her risks of nausea/vomiting, and respiratory arrest." This is important during a surgery where the patient is given narcotics to alleviate pain.

According to Google, Usha Rajagopal is San Francisco’s most popular plastic surgeon.
According to Google, Usha Rajagopal is San Francisco’s most popular plastic surgeon.

Numerous drugs were used in Aminy's procedure, including lidocaine. The drug is described in the medical board documents as "a known cardiotoxin." The documents also indicate that Rajagopal mixed four times too much lidocaine into a solution that was one-third of the usual volume, and she mixed that solution in a basin rather than the standard bag.

After Rajagopal injected the concentrated solution into the patient's stomach, Aminy got sick. "I feel like throwing up," she told the doctor. Rajagopal put ice packs on Aminy's face and neck as the patient dry heaved. No nurse or anesthesiologist was present, and nobody was monitoring Aminy's vital signs. "This failure prevented early detection of an adverse effect of the narcotics," the medical board documents reported.

When Aminy stopped talking and slipped into unconsciousness, Rajagopal requested a nurse. Then she told someone to call 911. When Aminy's vitals were finally recorded again, it became clear that her blood pressure had dropped and she wasn't getting enough oxygen.

When the paramedics arrived, Aminy's heart was slowing down. They used the defibrillator, but by the time she arrived at the hospital, she was comatose. The medical board documents say she sustained a severe anoxic brain injury, and would spend the rest of her life unconscious with a feeding tube.

"This was done in a doctor's office, totally unequipped to handle an emergency," Aminy's attorney, Bruce Fagel, said in a recent interview. "There was no anesthesiologist, no resuscitative equipment in her office. She [Rajagopal] had to call 911. It was a mess all the way around."

On Oct. 7, 2007, the medical board accused Rajagopal of "unprofessional conduct through gross negligence with regard to her treatment of the patient." On April 4, 2009, in the midst of Rajagopal's online marketing success, the accusation against her was resolved. Rather than take her case to a hearing, she agreed that the medical board could establish a factual basis for the charges, and gave up her right to contest them. In exchange, state regulators placed her on probation for three years.

During those years, Rajagopal is required to do 40 hours of educational programs aimed at correcting her "areas of deficient practice or knowledge." She must take other courses and training programs, and must notify every hospital, physician's group, and malpractice insurer she was involved with of the board's findings. Rajagopal is also prohibited from supervising physician assistants. If she violates her probation, the board would have cause to revoke her license. Neither Rajagopal nor her lawyer responded to numerous requests for an interview.

In addition, three civil lawsuits against Rajagopal can be found in San Francisco Superior Court records, all involving the same type of claim. Patients say they received burns during laser hair removal in Rajagopal's office. Rajagopal denied wrongdoing in each of those cases.

Sharon V. got laser hair removal from one of Rajagopal's nurses back in 2001. Her neck was badly burned; two surgeries later, she still had a scar. "It was a huge horrible drama," she says. "I've been scarred for life on my neck, right in the middle of the front."

Chikako Ito sustained severe burns on her face, according to a legal complaint from 2004. The case was settled out of court. A third woman's case against Rajagopal was dismissed in 2007.

Sharon V. says she collected a $15,000 settlement, and used the money to open an art school for the disadvantaged in Mozambique. "I figured, you know what? I have extra cash now. I should do something good for someone else."

Sharon V. found Rajagopal, she remembers, through a search on the Internet. She was shocked to learn the story of Aminy and of the rampant positive reviews. "I definitely think she needs to get her license revoked," she says.


It is not common for a patient to die as a result of plastic surgery, according to a survey of more than a million procedures conducted by the American Society of Plastic Surgeons. The 2007 study found that out of every 100,000 office-based surgeries (as opposed to surgery in the hospital), about two resulted in a death. That's .002 percent. Most of the deaths were caused by the same complication: blood clots that resulted in pulmonary embolisms.

"The study shows that plastic surgery in accredited facilities is safe and that deaths are rare," says surgeon Geoffrey Keyes, the study's coauthor.

That may be true, but the Aminy family's lawyer, Fagel, cautions patients about the other risks of undergoing surgeries in doctor's offices. For instance, there's uncertainty in how much compensation is available when something does go wrong.

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1 comments
vs0522
vs0522

I am a patient of Dr. Rajagopal's, and my review of her on ratemds was quoted above,  starting "Finally I have found a good plastic surgeon".  I have had 15 surgeries with her to fix other doctors' mistakes, and she is the best one I have been to.  She has made me hopeful that one day I will have my life back.  I was suicidal at times before I met her.   I am very sorry about what happened to her other patient, but my experience with Dr. Rajagopal has been very different.  

The other doctors I had surgery with are truly monsters, and they are all board certified.  The first one, who teaches other doctors at Stanford, operated on more than a dozen of the wrong parts of my body, including the wrong leg.  He operated on my knees for no reason and without consent, causing my kneecaps to dislocate.  My knees were perfect before.  

The second doctor did the least amount of damage, but he is the sickest because he DELIBERATELY damaged me in surgery.  He was angry because I asked him to do the procedure a little differently than he usually did, because I felt that I would get the best results.  At first he said no, so I cancelled the surgery.  He then changed his mind, but was apparently pushed out of shape that he was not the all powerful god-like doctor who made all the decisions.  So what he did was the medical equivalent of a waiter spitting in your soup- he made a large dent on my inner thigh right near my crotch.  It was essentially surgical rape, and before he did it he put me under anesthesia, even though I had only agreed to have it done while I was conscious and with only an epidural.  

The third one caused extensive disfigurement & sciatic nerve pain.  When I gave him a negative review on ratemds, he called me and threatened me with physical harm if I didn't remove it.  He then started posting that I wasn't a former patient, I was a former employee who stole drugs from him, I was a drug addict and an extortionist.  All totally made up.  He posted my full name, home address & phone number, all HIPAA violations.  He then posted fake negative reviews of my business, saying I was a con artist , a fraud, a mental patient.  He has never been a client of mine.  He then had his wife file a phony restraining order against me in Los Angeles, saying I threatened to kill her and her children.  I never even knew he had a wife & kids until I was served.  I had to fly to LA from SFO at my expense to fight this, and it was dismissed for lack of evidence, because it never happened.  This psychopath then sued ME for defamation.  I filed a counter suit, and just a few weeks ago he agreed to settle.  

There are so many sociopaths in medicine, especially plastic surgery, it is scary.  The medical board did nothing about these doctors.  I have spent the last 11 years working 7 days a week to pay for the 28 surgeries I have had.  It has cost me more than $220K, and I still need more.  To hear the details of what the first doctor did to me legally, google "Judge Leslie Nichols - Incompetent or Corrupt".

 
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