Dr. Sahar Safavi

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White Coat of KU Health System 

Dr. Sahar Safavi was Nicole’s primary care physician at KU Health System in the critical months following her initial collapse. She walked directly into a case overflowing with red flags: unrelenting bile vomiting, liver enzyme abnormalities, daily neurological symptoms, and a positive autoimmune marker (ASMA 1:160). And yet, instead of acting decisively, Safavi took the coward’s road: the performance of investigation, without the burden of truth.

She ordered the right test — an ASMA — but buried its significance when it came back positive. She claimed the negative ANA nullified it (it doesn’t). She ran viral hepatitis and alpha-1 antitrypsin panels not to rule in autoimmune hepatitis, but to provide cover for not diagnosing it. And when the moment came to decide between confronting a medical crisis or disowning it, she wrote a referral to rheumatology for “fibromyalgia” and prescribed valproic acid — one of the most hepatotoxic drugs on the market.

Nicole fell into a hepatic coma within two weeks.

This wasn’t ignorance. It was a strategic deflection, cloaked in busywork and referrals, with Safavi playing the role of gatekeeper to the gaslighting.

• November 12, 2019: Orders ASMA test. Returns at 1:160 — strongly positive. Tells Nicole it's likely not an issue due to negative ANA. No referral to hepatology.
   
• November 25, 2019: Orders viral hepatitis and alpha-1 antitrypsin — tests often used to cover tracks, not clarify AIH. Simultaneously refers Nicole to rheumatology for fibromyalgia.
   
• Same day: Prescribes valproic acid — a black box hepatotoxin — despite known liver injury and ongoing bile vomiting.
   
• December 5–8, 2019: Nicole falls into a hepatic encephalopathic coma. It goes undocumented.
   
• December 9 onward: Never questions the valproic acid choice. Never readdresses the ASMA. Abandons autoimmune workup entirely. Nicole is shuffled into psychiatry.

• 🗓️ January 15, 2020
  After Nicole’s coma, neurological collapse, and visible disability, Dr. Sahar Safavi signed a Missouri handicap placard application.

                   She didn’t document the hepatic encephalopathy.
                  She didn’t explain the neurological decline.
                  She didn’t address the positive ASMA.

                   But she signed the form.

                   “You’re not sick enough to be believed.
                  But here’s your disabled parking.”
 

                   🪪 A parking pass in place of care.
                  🖊️ A signature instead of truth.
                  🏥 That’s what passed for medicine at KU.

 Safavi’s actions demonstrate a chilling form of malpractice — plausible deniability weaponized as medical policy. She left the truth just barely visible, then turned her back on it. And when Nicole collapsed, she watched the institutions close ranks, and said nothing. 

This wasn’t diagnostic uncertainty.
It was deliberate paralysis.

Dr. Safavi’s actions reveal a chilling form of malpractice —
plausible deniability, weaponized as protocol.

She ran the labs, ignored the results, dodged the diagnosis, and watched as Nicole spiraled into collapse.

And when it was all over?

She didn’t raise alarms.
She raised her pen.
She signed a parking placard.

That was Dr. Safavi’s version of “care.”