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  • The Health Plan of Nevada Gambled With The Lives of Nevada Families.
  • The Health Plan of Nevada dropped Dr. Desai because of complaints about the quality of care and hired him back years later because he gave an extraordinarily low bid.
  • "We will prove that the Health Plan of Nevada knew what was going on at the clinics, they knew about the practices of the doctors and did nothing," Robert Eglet, attorney for the plaintiffs.
  • "The Health Plan of Nevada took billions in insurance premiums from Nevada families. The HMO is responsible for the doctors they require patients to use," said Robert Eglet
  • $15 billion in premiums were paid to the Health Plan of Nevada by Nevada families from 1997- 2007. The Health Plan of Nevada collected $1.8 billion from Clark County families in 2012.

Fayad #1 Trial Facts:  Actual Testimony from the HMO Trial Las Vegas :
Below are some of the highlights from the actual HMO trial questions / answers by the attorneys and witness.  You will be able to review the exact courtroom questions and answers.  Only facts presented at this web site, enjoy.

Q. Now focusing on the period before the year 2000 Ė
A. Yes.
Q. Ė what was generally known in the medical community about the time that Dr. Desai spent doing a colonoscopy?
A. I usually donít comment on colleagues, but he has bragged and over the newspaper recently, in 2006 I was surprised about that, that they do their colonoscopy in five minutes.
Q. But prior to 2000 Ė first of all, letís with you. Did you know from comments made in the medical community that Dr. Desai was doing fast colonoscopies?
A. Yes. He was actually bragging about it.
Q. By fast, are we talking under five minutes?
A. Yes.
Q. And did other people in the medical community know this?
A. Everybody knew that.
Q. Generally known in the medical community?
A. Yes.
Q. Generally know that he was doing five-minute colonoscopies or less?
A. That was the impression that he was giving everybody, that itís painless, fast, which is almost like a McDonaldís type of fast.

Q. And he was claiming to be the fastest in the United States; right?
A. Thatís the impression that he gave everybody, yes.
Q. And he told everyone that in the 1990's?
A. Yes. It wasnít a secret, let me put it this way.
Q. It wasnít a secret?
A. No.
Q. Now, is there something thatís referred to as scheduling, when you schedule patients for operations?
A. Yes .
Q. And if you schedule just one patient a day as opposed to 100 patients a day, do Ė is there a phrase or a term thatís used for that?
A. 100 a day is overcrowding if Ė if there is not physicians doing the procedure, obviously. There is also a limit on your physical capacity to be able to concentrate during all this time to do colonoscopies. Now, somebody might be a superman and might do it, and thatís up to the jury to decide if somebody can be that superman. But in general, there are some rules and some mediums and some good Ė the good colonoscopist is get to where you want to get, and then inspect back. So that takes a lot of effort physically, as well also psychologically, also concentration wise. After a certain time, your concentration will go down to the point where you are not as efficient as before.
Q. Would scheduling 20 colonoscopies in three hours, would that be considered high volume?
A. Thatís a superman type of procedures.
Q. Leaving Dr. Desai out of it, have you ever heard of any doctor anywhere in the world trying to do 20 colonoscopies in three hours?
A. Not to my knowledge, but I donít know everything.
Q Was it generally known in the medical community that Dr. Desai was scheduling a high volume, a lot of colonoscopies in a limited amount of time?
A. Correct. I heard that he used to sometimes schedule with two physicians around a hundred a day.
Q. And thatís not just high volume, thatís extraordinarily high volume; correct?
A. To give you a comparison, UCLA does 64 procedures every week.
Q. Every week?
A. Yes.
Q. In one room, two rooms?
A. They have the whole UCLA facility for that. I know itís not fair to compare. They might not have the same volume. But in general, it is very difficult to do with two rooms a hundred procedures Ė
Q. Okay Ė
A. Ė unless you have got the doctors in a row and everyone is waiting for the other one and going afterwards and you have the crew also to change. You know, strategically and planning wise, itís a huge effort to plan on having that kind of a volume, and you really have to be super hero in order to do those things that fast.
Q. And no doctor is a superman; correct, Doctor?
A. I donít know.
MR. ROBERTS: Objection, Your Honor.
THE COURT: I will overrule. Heís answered the question.
Q. Doctor, I think what you just said is the entire UCLA Medical Center does 60 or 64 in an entire week; correct?
A. Yes.
Q. It was generally know that Dr. Desai was doing more than 60 a day?
A. Per office.
Q; Each one of his various offices was doing over 70 a day?
A. Thatís the rumor there was in our community at the time. I cannot prove that.
Q. That is prior to 2000?
A. Yes.




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