Twana Sparks, MD, the ENT surgeon who for years allegedly performed genital exams on male patients while they were under anesthesia, without their consent, is back performing surgery at Gila Regional Medical Center in Silver City, N.M. Under the terms of a deal with the state medical board that lets her retain her medical license and continue to practice, Dr. Sparks can't see patients without a chaperone, either in her office or in the OR, and she can't perform any genital, rectal or breast exams for any reason. But after a 2-month leave of absence, she's back at the hospital.