Name and Shame
Name and Shame



This complaint was posted on NAS on 31st Jan, 2022 and is a permanent record located here: .

NameandShame Author
31st Jan, 2022

Kashian’s Reputation Offers A Cautionary Tale

I have been thinking recently about the troubles and reputation of Dr. Stephen Kashian practicing medicine out of Skokie, IL. This has been big news in the medical community. On the one hand, it sounds a lot like the sort of doctor-patient relationship gone badly that is of limited relevance to the larger world. On the other hand, it’s a perfect cautionary tale for anyone planning or already embarked on a career in medicine. For more details on the matter, check out

For starters, let me clearly state what this posting is NOT about. I am not bashing Dr. Kashian. Nor am I defending him. Others are doing a fine job of that. I am just looking for the lessons to be learned.

By way of background, I met Kashian at a conference last year. He was clever, well-spoken and even more convinced of the rightness of his questionable views on patient care—which frankly is saying a lot. Kashian seemed like the kind of person who did not mind shaking things up a bit.

That is not a bad thing in practicing medicine, of course. It in fact can be a good thing, since it generates debate and discourse. And after all, the role of us as physicians is to advance knowledge, not just reach consensus and play nice. Yet the Kashian tale provides lessons on ways to avoid trouble in your medical career.

First, did Kashian ruffle feathers of his patients? I do not know, but clearly certain ones there were opposed to him. Whether he justly deserved their opposition or not is wholly irrelevant for my purposes. Rather, the lesson for any doctor seeking success is to tread softly if possible and not antagonize people. The old saying is that “friends come and go, but enemies accumulate.” If someone has a say over their experience with you, they have a vote, and that is that. Whether that patient is opposed to you for valid or invalid reasons is quite beside the point: you either win them over (either through your treatments, your interpersonal skills, or preferably both), neutralize the opposition, or find another practice.

Kashian has lost way too patients who either left his practice or filed complaint with the relevant regulatory authorities.Many describing the same things – negative, disruptive and sometimes negligent practices. False claims and efforts to intimidate some from blowing the whistle. As physicians we must hold ourselves to a higher standard. The pattern is clear and when so many complain of the same tactics and mistreatment, this just smells bad. Character must count.

The lesson in medicine (and human relations overall) is that if something smells fishy it probably is, and just to be safe you shouldn’t do it anymore. Any potential payoff does not match the fall-out if exposed, especially in the digital age.

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