Neurosurgeon Christopher Duntsch in surgical scrubs. (Credit: Wendy Young)

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Neurosurgeon Duntsch Found Guilty, Faces Life in Prison

Christopher Duntsch’s case is perhaps unique to the justice system—it’s incredibly rare for a surgeon to be indicted, much less convicted, for the care he or she provided.

It took a jury just four hours to convict Christopher Duntsch of a first degree felony for harming an elderly woman in his operating room. He stared forward, seemingly in a daze, after the verdict was read, just as he had for the two weeks of testimony. Duntsch’s case is perhaps unique to the justice system—it’s incredibly rare for a surgeon to be indicted, much less convicted, for the care he or she provided. But Duntsch was uniquely egregious.

He was indicted on five counts of aggravated assault with a deadly weapon and a single count of harming an elderly person. The prosecution chose to try the latter charge and built a macabre road map of patients that ended with the elderly victim, Mary Efurd, on the surgical table at Dallas Medical Center in 2012. She was 74 at the time of her surgery, what should’ve been a simple fusion of two vertebrae. Yet she woke up with severe pain from the fusion hardware being misplaced in her soft muscle. She had severed nerve roots and misplaced screw holes on the opposite side of her spine.

Seated in a wheelchair in a turquoise jumpsuit, she spoke to reporters with tears in her eyes moments after the verdict.

“I think it’s going to be like a floodgate that’s going to really open, crying. I’ll do some crying. And I’ll reflect back on how difficult those first months were afterwards. I had so much anger, because my life changed so much. I was very independent and I had to become dependent on others for transportation, for my meals, for a lot of things,” she said. “I think all of us will be thinking about things like this, and hopefully there will be some tighter controls, more accountability in a lot of areas so something like this won’t happen again. It shouldn’t happen again.”

Throughout the testimony, prosecutors narrated what Assistant District Attorney Stephanie Martin called the “path of pain” that led Duntsch to Efurd. That narrative was likely key to achieving the guilty verdict—the prosecution needed to prove that Duntsch’s care was beyond the generally accepted standard as judged by an ordinary person. They had to prove that he knew what he was doing, or that he was aware that he was likely to cause harm and proceeded anyway. Hours of testimony amounted to spinal anatomy, explaining how these procedures—such as the fusion of two vertebrae and the removal and replacement of degenerative discs—should’ve looked.

The state argued that Duntsch, who earned an MD and a PhD at the University of Tennessee Health Science Center in Memphis, knew that his outcomes were so poor that Efurd was likely to wind up injured under his knife. To illustrate, they explored the cases of Jerry Summers (left a quadriplegic), Floella Brown (suffered a massive stroke after significant blood loss), Kellie Martin (bled to death after having her vertebral artery sliced), Barry Morguloff (bone fragments lodged in his spinal canal caused massive pain and the inability for him to raise his foot), and Lee Passmore (nerve damage and a misplaced spinal cage). Our November cover story also explored these cases.

In all, prosecutors identified more than 30 patients who suffered harm at the hands of Duntsch. Many of them will testify during the sentencing phase, which begins on Wednesday. Duntsch faces life in prison. Philip Mayfield sat outside the courtroom after the verdict, clutching a cane. He says he can’t feel the right side of his body, that Duntsch cut through a critical spinal nerve while trying to treat a herniated disc. 

“There was no mercy that he showed, no compassion that he showed towards any of the patients,” Mayfield said. “Physically, I’m nowhere near what I intended on being. I’m a lot worse. It was supposed to be a minor procedure to relieve some pain in my arms … and he ended up cutting into my spinal cord.”

Jennifer Rich sat across from him, sitting next to Jimmy Simmons, who helps take care of her as well as Rich’s 6- and 8-year-old children. She, too, clutched a cane and fought back tears as she discussed hearing that he was guilty. In her minimally invasive fusion, she’d lost half her blood volume. Duntsch reportedly told her family the surgery went fine, just as he did with Efurd.

“He cut through my artery and I lost a lot of my blood and I didn’t find out about it until three months later,” she said. “Physically, I can’t do the things with my children that I want to. …it’s hard when someone tells you that you can’t pick up your two-and-a-half year old. They had to learn to crawl in my lap.”

The defense called just one expert witness. On Monday, Dr. Carlos Bagley, the director of the Neurological Surgery Spine program at UT Southwestern, took the stand and joined the choir of surgeons who have called Duntsch’s surgical techniques poor and the outcomes “sub-optimal.” But he argued that the blame extended beyond Duntsch. It was the failure of the system as a whole—Baylor Regional Medical Center at Plano did not refer Duntsch to the National Practitioners Databank after Kellie Martin bled to death and he gave up his privileges. The renowned Memphis neurosurgeon Dr. Kevin Foley allowed him to leave a yearlong minimally invasive spine fellowship and did not mention hearing of adverse outcomes when hospitals in Dallas contacted him for a reference. The University of Tennessee Health Science Center allowed him to practice after residency and medical school, despite his skills being questionable. The Texas Medical Board allowed him to keep his license for more than a year after first being notified. Dallas Medical Center CEO Raji Kumar did not inform the hospital’s chief medical officer that Duntsch had self-reported a bad outcome and resigned from Baylor Plano. (Dallas Medical Center is where Efurd and Brown were operated on.)

“For the number of catastrophic injuries that occurred over a short period of time, it would be hard-pressed for those deficiencies to not show during training,” Bagley said. “This was a complete and utter failure of the entire system of checks and balances for patient safety.”

The defense, usually through attorney Robbie McClung, objected each time prosecutors discussed a case that wasn’t Efurd’s. They maintained what happened to the other patients weren’t pertinent, that the state should stick to discussing the charge they’re trying. The judge always overruled; as prosecutors argued, the jury would need to interpret the repetition of the outcomes to determine intent. That the system failed did not free Duntsch from culpability, argued lead prosecutor Michelle Shughart: “He’s the one who put those knives in those patients’ backs,” she said. “He was slivering between those hospitals with the help of a lawyer.” She summoned excerpts from an email Duntsch sent to his surgical assistant girlfriend, in which he called himself a “motherfucker stone cold killer” as evidence that he was cognizant of the impact of his behavior. Martin locked eyes with Duntsch during her time in front of the jury, saying, “Hey man, you made your best friend a quadriplegic. Do you really need that in writing?”

The courtroom was standing room only for the closing arguments on Tuesday, even attracting new District Attorney Faith Johnson. After the verdict, Johnson strolled out of the back of the courtroom into the hall smiling broadly. To begin the defense’s closing argument, McClung forcefully stood up and marched behind the lawyers’ bench toward the jury, gesturing to the packed room. Inside included victims and family members, including Don Martin, the husband of Kellie Martin; Mayfield; Efurd; Kenneth Fennell (Duntsch’s first victim) and his wife Glenda. McClung told the jury they don’t owe anyone in the room a thing; not closure, not a reaction to public opinion, not a verdict to please the cameras. She urged them to focus on Efurd’s case and argued that Duntsch was just a bad surgeon. She called up testimony from corrective surgeon Dr. Robert Henderson, who was so aghast at Efurd’s outcome that he contacted the medical school to see if he was an imposter.

She maintained that Duntsch in Efurd’s operating room was distracted, just like the many drivers who checked their phones as they drove in to work in the rain this morning. Did that rise to criminality? Did that indicate that Duntsch knowingly caused harm in Efurd? She said it didn’t. But Shughart got the final word, reminding the jury that Brown lay dying while Duntsch performed the elective procedure that harmed Efurd. Brown had lost an inordinate amount of blood during surgery and later had a stroke; it took seven hours for her to be transferred to UT Southwestern, where she died.

“He is the only one who had all of the information,” she said. “He chose to hide it, he chose not to get help and continued maiming and killing patients.”

Comments

  • Texas Neuro

    Many thanks for your dedication to this case.

  • Caitlin Martin

    Matt, I cannot thank you and D Magazine enough for writing on this case. Your words help the victims and their families feel they have a voice. Thank you from the bottom of my heart. -Caitlin, Kellie Martin’s daughter

  • Collin Clay

    It is horrifying that the medical systems in place took so long to recognize a straight up serial killer doctor. Clearly, there is a gross lack of oversight and review regarding procedures particularly which go wrong – and too much power in the hands of the physicians to sweep them aside. Allowing positions of power like that attracts freaks like this to the job. The lives of those lost and damaged are absolutely tragic and they should be recognized as heroes for contributing to the exposure of a criminally corrupt system which, if continued in this manner, could breed innumerable examples of doctors like this. Particularly when compounded with the obfuscation built into the legal system which ultimately comes down to dollars – which is yet another aspect that plays into a doctor’s favor.

    • Brenda Owens

      True. It is equally true that a broader system failed. OR nurses, scrub techs, Recovery nurses, anesthetist. They all knew about it, they had to. They, too, should have reported.

      • Betty Kimble-Banks

        Nurses and techs are routinely ignored when reporting what they consider as inadequate or wrongful care.

      • Debbie Vining Ritter

        Brenda, while I agree with you – as a nurse I can tell you that the system would have protected him at the cost of those nurses’ and techs’ reputations. I have seen nurses written up for reporting physicians for their actions. It would have taken his peers (other physicians) to truly make a difference. And his peers should all live with the guilt of allowing him to harm others!

        • Jennifer Oconnor

          Nurses written up for reporting a legitimate concern regarding patient care?? I would have taken this issue, had it been me, to the hospital CEO,HR and anyone else I needed to because that’s wrong! Doing the ethical thing should be our priority and made in good faith carry ZERO consequences. Shame on that hospital!

          • ..

            Your career would have been shot right out of the water.

      • Mary Eileen Gardner

        The other staff in the OR would have been afraid to come forward for fear of losing their jobs or having a Law Suit brought against them by the Surgeon. I have seen things and was involved in a case once but the hospital was proactive and interviewed all of the staff in the OR during the case. The surgeon was forced to resign his staff position but went to another State to practice. I don’t know if he had any similar incidents in the other state.

      • Jennifer Oconnor

        But honestly, that’s not enough. People working under him and along side him and what we report only goes so far sadly. Sometimes those of us that work with these surgeons don’t see or hear about these outcomes, they get swept under the rug! We only are there for the operation, when truly the complications usually are after they leave the O. R. Because trust me, if there is ever questionable situations in the O. R. we are the first line of defense but the medical board needs evidence to do the right thing.

    • JJHLH

      Dr. Duntsch’s peer physicians recognized that he was a danger to his patients and took action to stop it from occurring again. Those physicians are the ones who reported Dr. Duntsch to the Texas Board of Medical Examiners and testified against him at trial leading to his conviction. They certainly didn’t “sweep it aside” as you suggest. That part of the system seemed to work.

      There was, however, an unforgivable breakdown in the system at multiple points. First, how could Duntsch be allowed to graduate from a residency program in neurosurgery and become Board certified without possessing even minimum basic technical skills and knowledge? Second, why did it take so long for the Texas Board to intervene against him after he was brought to their attention? And finally and most importantly, how could the hospital administrators let this guy go from one location to another without warning the next hospital of his horrible outcomes? In my opinion these administrators are criminally negligent for allowing Duntsch to continue harming patients, and they should be punished for their actions.

  • ThatSound

    Thomas Price has every intention of preventing doctors like this from being held accountable as Secretary of HHS.

    • Ucantmakethisup

      Stupid political comment. HHS has nothing to do with this, but this case wouldn’t apply to tort reform anyway (if you understood it… you would know).

      The deep pockets will be the hospitals who allowed someone like this to continue to operate.
      Of course even with a great med-mal policy there are limits they will go after the hospitals. Physicians are required to write up bad cases and submit them for 7-10 years. They have to do that for the bogus ones that get thrown out as well.
      If it was filed it has to be written up regardless of merit. <<<— That is part of the reform that needs addressing. People are seriously clueless.

      • ThatSound

        Well, you just exposed yourself as clueless. The only cases that are required to be reported to the Ntaiomal Practitioner Data Bank are claims that are closed with payment. Moreover, no case that es opened and closed without payment has to be “reported” to an insurance carrier (since they already know about it). An open/paid claim would have be reported to a hospital when applying for staff privileges. And you’re a complete idiot when you say this has nothing to do with Price/HHS: he going to be intimately involved – apparently you didn’t watch his hearings – in the repeal and replacement of ACA. That is most certainly going to include extreme limitations on medical claims, something Price was apoplectic it about ACA not containing when it was passed. You’re more arrogant than intelligent. Bad combination.

      • (((PrincessDemandyPants)))

        CMS (Centers for Medicare & Medicaid Services) is within the Department of Health and Human Services. Currently, CMS publicly reports 30-day mortality outcomes for the following: Acute Myocardial Infarction, Heart Failure, Pneumonia (mortality) and Acute Myocardial Infarction, Heart Failure, Pneumonia, Hip/Knee (readmission).

        Notice: there is no reporting of spine procedures at this time.

        Transparency would allow patients (or “consumers” in today’s rhetoric) to access outcomes. Had this information been public and easily accessible, how many patients would opt to seek care from a surgeon with as many bad outcomes as he has?

        Given that Price is the newly appointed head of HHS, the OP is justified in his/her concerns about future plans for CMS. Price has already been highly criticized for his purchase of Zimmer Biomet (huge player in the spine implant market, btw) stock before the introduction of the HIP Act. It is only natural to express concerns about his intent to keep CMS viable and in the best interest of the patient/consumer.

    • Phillip

      It’s pretty easy to spot an ideologue

      • ThatSound

        I’ve read your prior posts. You are absolutely correct. And quite an arrogant one at that.

    • (((PrincessDemandyPants)))

      He most certainly does. I am very worried about the viability of CMS with Price at the helm.

      • Dr_T_Gasman

        Tom Price is a member of the fringe group American Physicians and Surgeons, which is largely opposed to the type of peer review process that should have removed Dr. Duntsch from practice.

    • Raymond James

      This type of miscreant is often smart enough to leave a Hospital when he/she knows the outcomes are about to catch up to him/her. Once off a Medical Staff, it is hard to catch up to such a person because of the legal limitations of the Medical Staff and the Hospital a physician had recently departed. In order to catch these clowns, the process has to be followed so meticulously that the timeline it takes to do so has a shaded area underneath filled with a bunch of complications or, unfortunately, dead bodies. Physicians and lawyers in per review would love to move more quickly, but the legal hurdles to do so are lengthy and ridiculously expensive. With immunity we should be able to report suspicions to our individual state medical boards and expected thorough investigation across all hospitals and clinic’s where such practitioners hide.

      • vicnicholls

        SMB’s aren’t exactly a friend to such issues though. Its more about protecting the pocketbook than anything else.

        • Jennifer Oconnor

          Spine surgery brings in top dollar…..it’s amazing how easy it is to look the other way as long as the money keeps rolling in. Having said that there are hundreds of competent, ethical surgeons who would never dream of neglecting their patients as Duntsch had been. At least he’s getting what deserves

  • Kimberly O

    I’ve enjoyed D Magazine’s coverage on this case. It’s a chilling realization of what can happen when the medical system fails. I’m glad justice was served but hope this will be a wake up call to the many institutions that paved the way for this path of destruction and death.

  • JohnyAlamo

    Thanks Matt for following this story. It comes on the heals (pun intended) of the heals of the America College of Physicians announcing that any surgery should be the very last choice with back pain : https://www.wsj.com/articles/no-drugs-for-back-pain-new-guidelines-say-1487024168?mod=e2fb

  • Sheila Silva

    Matt, I cannot express my gratitude enough to you for writing this news article about this doctor and what he has done to his victims. I hope in some way the guilty verdict will help to bring closure to the people he harmed in some small way, maybe they can sleep a little better at night knowing that his guilt has been proven and they just “don’t have to get over it”. His actions have not only hurt his patients but their families as well. Thank you for not sweeping this under the rug so to speak.
    Sheila Silva, Jennifer Rich’s Mom and Nana to her children.

  • Miss_Tree_Lane

    I would like know know what course of action will be taken with ALL the other people involved in the destruction of the victim’s lives? Where’s the culpability with all the people who failed to do their jobs that resulted in these horrific incidents? Dallas Medical Center, Baylor Hospital, Texas Medical Board, all of the institutions that looked the other way as this he continued “path of pain?”
    Dr. Duntsch’s conviction should mark the beginning of a broader effort of fix a broken system. If nothing’s going to be done to fix the systemic negligence, it will only be a matter of time before this happens again.

  • To the ignorant liberal idiots

    Gotta love how D Mag was going to run an advertisement for him and almost refused to pull it when his license was revoked.

  • Tylor Barbara

    Butcher!!

  • BPutnam

    Unfortunately, a guilty verdict for this butcher will be the only satisfaction the victims will see. Texas Prop 12, Tort Reform has seen to that. Tort Reform created the perfect storm that has come to fruition in the form of “DR. Duntsch”! Our Texas “Lawmakers” essentially deemed all the pain and hurt perpetrated by Duntsch, on the victims, to be acceptable collateral damage, in lieu of protecting the bottom line of their benefactors…the Lobbyist for the Insurance and Health Care Industry. Sure the victims will see Duntsch go to jail, but they will never see a penny of recompense for the hurt and pain they endured, and will continue to endure. Texas Prop12, Tort Reform Law was written to insure that “we the people” were stripped of our 7th Amendment Right to seek restitution through the court system. The harm perpetrated by this monster, and knowingly allowed by the Corporations, permitted Duntsch to execute this sick massacre. They KNOW THEY ARE EXEMPT from accountability because of Tort Reform. That’s right, the monster will go to jail, but the victims will not receive restitution for the pain they may endure the rest of their lives! Tort Reform law was written to do one, and only one thing… PROTECT THE BOTTOM LINE OF THE Insurance and “health care” corporations! Their PAID Lobbyist wrote the law, they bought and paid for our “Representation”, then convinced all the TX Sheeple, this dishonest scheme of tort reform, would be GOOD for Texans. We have been duped and Dr. Duntsch is only the tip of this “tort”berg of harm done to Texans. We Republicans, who evangelically tout that we are the protectors of life, are complicit in the demise of the victims of Duntsch. We trusted that our Political Representation were looking out for our rights and protection, but regrettably their agenda is far more complicated. They continue to be willfully blind, and knowingly support a system that is guaranteed to hurt unsuspecting victims. We are all at the mercy of this corrupt system, which now operates with the moral compass of ISIS. Protect yourselves, and your loved ones, as unfortunately there will be more Duntschs coming to a facility near you, and if YOU become their next victim, understand there is no recourse! Repeal and Replace Prop 12, Tort Reform, RETURN our Constitutional Rights!

  • Scruffy Face

    Wow… Just wow!

    First off, THERE IS NOTHING “MINOR” OR “ROUTINE” about this type of surgery. This surgeon should have realized himself he did not have the skills necessary and withdrawn himself from this type of work.

    I had a dual anterior discectomy with fusion myself after my neurologist reviewed my MRI results ordered by another Doctor who told me “it’s just arthritis” (at Medicsl City Dallas) and discovered I had ruptured two disc six weeks prior.

    Doctor Richard Naftalis performed my surgery at Baylor Dallas in 2009. Dr. Naftalis is not only a highly skilled surgeon the man has a gift! I have very little scaring from my surgery. I was involved in an auto accident 10 months after surgery that left me with chronic pain. A careless driver rear ended me in Grand Prarie.

    Any time surgery is involved, especially when the patient is under anesthesia, it is anything but “minor” or “routine”.

    I am thankful everyday that Dr. Naftalis did such wonderful work on me and if I thought another surgery would fix my chronic pain issue I wouldn’t hesitate at all to go back to Dallas (or where ever Dr Naftalis is currently practicing) and have him put his skills to work again. I have no doubts it was Dr Naftalis skills and attention to details that made the difference between me only having chronic pain as a result of the auto accident and being dead that day.

    People need to know that this type of surgery IS life changing and they should not fear having it done. I was up walking the same day as my surgery and I had 10 months where I was totally pain free after surgery.

    Dr Naftalis was recommended to me by my neurologist when I asked one simple question. “If you had to have this surgery yourself, who would you have do it?”

    I really hope people understand that not all surgeons are incompetent quacks and Dallas is home to some of the finest surgeons available.

    I live in Houston now and I see advertisements on TV everyday for surgeons that claim they can resolve pain issues others can’t. I wont even consider another surgeon myself. But that’s based on my own personal experiences.

    Until you live with the day to day pain that comes with ruptured disc. Until you live with not being be able to simply hold a glass to drink out of, you cannot know the pain associated with this type of injury.

    Dr Duntsch should have never continued performing this type of surgery knowing his own history of failures. There can be no doubts the man knew he had no skills. There is also no doubts he knew the pain a failed surgery like this could cause. The mere fact that a patient died at his hands because of HIS errors (not the patients preexisting condition) shows his lack of concern for his patients outcome. His actions alone are criminal to say the least, he is no better than a common killer or rapist! He deserves life in prison for his actions, only because the death penalty is not on the table!

    If you are told you need this type of surgery consider carefully who you allow to do the work, get opinions and research the surgeon yourself, then call Balor Nerology Associates or find Dr Naftalis to do the work.

  • Millie5201

    I always understood he knew how to do the surgeries but, was operating high on drugs and or alcohol. So, I am surprised to not hear that in the trial.

  • Dr Culpepper

    Several facts, from public documents, regarding this tragic story were left out. Hopefully these omissions have nothing to do with Baylor’s advertising or their involvement on the D Health advisory board. While Baylor Hospital of Plano may not be accountable for this tragedy, they should not be allowed by our media to distance so glaringly.
    In summer, 2011, Dr Duntsch was recruited and given, by Baylor Hospital of Plano, a salary guarantee of $500,000 per year, a $600,000 loan to be forgiven over 3 years, and a massive marketing budget.
    Many of the horrible surgeries that he botched were at Baylor Plano, and resulted in formal warnings and supervision requirements by Baylor, which is not mentioned in this article.
    Our area hospitals are quick to take the credit for a good doctor’s work, and include a physician’s success in their marketing, but when a bad doctor screws up, hospital’s say “it’s just that doctor, not our hospital”.
    But the most relevant exclusion from this story:
    When Dr Duntsch applied to do more surgeries at the next hospital, which is mentioned multiple times in this article, Dallas Medical Center, they requested info from Baylor on Dr Duntsch. Baylor simply told them by email that “he left voluntarily” and did not inform Dallas Medical Center of their many concerns.
    I have served on multiple credentialing boards. Honest information and warnings from a physician’s previous affiliations are critical to protect our community. It is imperative that knowledge of danger be shared when asked. Baylor of Plano failed in that important task.
    The market power of Baylor allows this part of the story to be withheld, or buried deep in the news. And yet that is the actionable item in this tragic event. That is the policy that must be addressed. A physician or hospital must be allowed and expected to share concerns when they are as blatant as they were with Dr Duntsch. And if anyone neglects to share those warnings, then that must have accountability as well.

    • Matt Goodman

      Dr. Culpepper, you can read all about those facts and more in this much longer feature from the November issue, if you’d like: http://www.dmagazine.com/publications/d-magazine/2016/november/christopher-duntsch-dr-death/?

      This piece was about the final days of testimony regarding Mary Efurd, who was treated at Dallas Medical Center. None of our editorial decisions are ever influenced by advertising or the makeup of our advisory boards.

      • Scruffy Face

        Someone should inform your sales staff that purchasing advertising space doesn’t guarantee favoritism then. As a previous advertiser I was “guaranteed” favorable reviews. Furthermore, I was even offered a guaranteed listing in D Magazines “Top 100” if I purchased a specific amount or greater level of advertising.

        You may claim Baylor had no influence but your past sales tactics guarantee we know differently.

      • vicnicholls

        In another state and area, Dr. Culpeppers’ statements appear to be valid. You can easily see stories that are given out, who is attacked, and who has stories that are hidden.

        Not just that, but justice appears bought off at the state and local level of government. It isn’t surprising the news media is no difference and more easily bought, in the form of “ad dollars”.

  • Dr_T_Gasman

    From reading about the cases, it wouldn’t have made an impact on the outcome. These were not subtle injuries.

  • BS

    I think this is great, many cases go on for years and years because they are protected by the medical centers and the local courts.

  • danwalter

    Thank you for writing about this case.

  • Oliver Holmes

    According to Paul Babiak who co-authored the book with Bob Hare, Snakes in Suits: When Psychopaths Go To Work, a high number of people with Psychopathic Personality Disorder flock to surgery as a profession. The law is another profession which has a high number of psychopaths. In fact, there are more psychopathic lawyers than there are in psychopathic surgeons. This makes sense since a smart psychopath would want to study the law so that the psychopath can play the system and break the law without getting caught.

  • neverendingmods

    Hoping the victims and families of the victims can rest better knowing this POS will never operate on someone again. And that this surgeon will sit in a cell for rest of his life thinking about the lives he destroyed.
    And people ask me why I won’t have another back surgery. There are far too many Doctors and Surgeons who think they are God, that they should be able to decide if a person should or shouldn’t get better. May this be a wake-up call to the medical community at large.

  • Cheryl Wright

    He should get lethal injection. He purposely messed these patients up for life … He killed one or 2. Why wasn’t he investigated way b4 now. He is a killer he might as well had a gun. Just saying … And the system failed these patients as well and should be sued for continuing to let him practice .