Doctor deregistered for having sex with 'nymphomaniac' patient BELLINDA KONTOMINAS April 17, 2010 WHEN a patient told Dr Naresh Parajuli that she ''might be a nymphomaniac'' he began to feel uncomfortable about his own sexual interest in her. But the married general practitioner continued to see her as a patient during May 2007, during which time they engaged in sexually suggestive conversations and she gave him her mobile phone number. During one consultation at the practice in regional NSW, the woman complained of pain caused by sexual activity, but declined to have a female chaperone present during the examination. She asked him why he had not called her yet and made a suggestive comment before they discussed her sexual preferences. He called her the following evening and the pair arranged for him to meet at her home the next night, when he arrived with a bottle of wine before they had sex. The woman continued to visit him at work where he granted her unnecessary doctor's certificates and bulk-billed her when it was not appropriate to do so. But the woman's interest seemed to cool in the last week of June when Dr Parajuli called her up to seven times hoping to arrange more sex. In early July she made an appointment to see him and arrived with a friend who said she had recorded the pair having sex and would expose him unless he paid $100,000. The friend said she had also recorded their telephone conversations. Dr Parajuli was forced to admit the relationship to the police and was deregistered this week for professional misconduct. The woman's friend was charged with demanding money by threat and after pleading guilty was sentenced to a term of imprisonment. The NSW Medical Tribunal found Dr Parajuli's abuse of power was likely to be particularly damaging to the patient, who was an illicit drug user, exhibited problematic sexual behaviour and had experienced family law issues concerning her children. ''Far from being a mitigating factor â€¦ the patient's inappropriate sexual advances to the practitioner only emphasised her vulnerability,'' it found. Dr Parajuli moved from the area and, since 2008, had joined a new practice where he disclosed his past and was being mentored by a senior doctor, the court heard. He had also consulted a psychiatrist to help him understand boundaries between doctors and patients. The tribunal accepted that Dr Parajuli was remorseful but it found he did not fully appreciate his misconduct and was therefore at some risk of a future transgression. It directed that Dr Parajuli be deregistered and ordered him to pay the costs of the Health Care Complaints Commission, which had brought the case against him.