If a doctor is fired from a hospital, the hospital should report it immediately. That’s how problem doctors are prevented from getting hired elsewhere. But the places where Dr. Duntsch operated failed to report him to the proper authorities. If they had, maybe Duntsch’s path of destruction would have been stopped much sooner.
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This is an unofficial transcript meant for reference. Accuracy is not guaranteed.
A lesser known. The story contained adult content and language and the spring and early summer of two thousand twelve Doktor Christopher Dance didn't have privileges to work at any hospital Kimberly Morgan who had been his medical assistant and his girlfriend had left him. Some other rumours among surgeons, where that Kimberly had actually coached him through a few of his surgeries. Now she was gone, it wasn't a smooth break up. He shouted
our house at two, a m one night and started banging on her window since he was
Well, to operate anywhere, there wasn't a lot for his remaining staffed. Do they played games, they read magazines, I stared at their phones. They noticed changes and the boss. He became depressed. He would come in and not say anything. He looked to shove old. He looked like he had bathed.
That's be Ellison his office manager. He might come in not saying
thing and leave, and this would be weeks at a time his patient.
Came in for check ups and he told them had be doing their operations any day now telling them
that is soon as we had privileges at a certain place that he wanted because of their up to date, technology than we would do surgery,
dentures ways were starting to bother her. I do not think its ethical to keep
stringing along patients that desperately need surgery. Without
hurry now them I. I don't think it's right. I had also her doktor dont tell a patient that he was going to
Nay Multi billion dollar clinic with the best in the greatest of neurosurgery, and I'm listening to this thinking. This is one
This was right after his stand at paler Plano, every patient
dont had operated on since that December have had major complications, pain, paralysis, death,
from there. He went on to Dallas Medical Center, where two of his three surgeries ended in disaster. After
Oh brown surgery be Ellison finally realised the same thing. Her friend Kimberly Morgan had
Harry Summers: Kelly Martin Flow L, a brown Mary effort. These
not all been tragic, flukes she quit and before she left, Ellison called all
patients she could and all the hospital she knew where he was applying and told them do not let him near you
Not let him near any patient
and why did you do that on him? You have proof
which is anywhere ever what we are afraid of.
Someone dying hardly ever walking again.
In what way the your mind when you learn that he had kept operating even after he left Ozma holy shit. That's what I thought. How are you people letting him for re? I'm sorry that's over, but that's what I thought when they had been going on. It's been happening for the past few weeks now you'll look up
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from wondering, unlock Laura, and this is doctor down. This is episode for spineless. If paler Plano had fired dungeon outright at the first sign of trouble, this story could have ended right. There
That would mean that, after the operation on his friend, Jerry Summers, there would have been no injury to marry effort or to Shirley Mock flow. L. A Brown and Kelly Martin would still be alive if they had fired him. Instead, doktor dense, operated twenty nine
we're times after Jerry Summers, paler Plano allowed his abrupt departure to seem voluntary. He would go on to Dallas Medical Center and then on to still more hospitals. Why
because, when paler Plano let him resign, they failed to do two important things. The first thing that they didn't do was report him to the state medical
The number one role of any state medical board is to protect the public number one
that's their number one responsibility. That's doktor, Henderson Paler could have told the board that they had conducted an investigation and found that one of their surgeons had severely mangled two operations in a row. The medical board, as a panel of physicians appointed by the governor and anyone can report a doctor to them. The second thing they didn't do was that they did not report
to the National Practitioner Data Bank. The data bank is basically a way of keeping up with America's worse doctors. It was set up in
Nineteen eightys as a way to improve the quality of health care. The intention was to keep bad doctors from sneaking from hospital to hospital or state to state
by keeping a national record of things that they done you, and I can't see this list. Other doctors can't see this list one.
And is that some reports or minor and depending on the context, don't necessarily mean a doctor's dangerous, but hospitals can see it and before they give privileges to a doktor, they must check to see if their new recruit is on it. A major report to the
need a bank like getting fired over mangled surgeries can make it almost impossible to find a job. If paler had fired, Doktor Densher outright, they would have been required by law to report him to the data bank. Instead, they gave him a letter in April of two thousand twelve that, while not exactly glowing strongly implied that he'd left on good terms, it said all investigations with respect to any
areas of concern regarding Christopher Dense M D, have now been closed. As of this date, there have been no summary or administrative restrictions or suspension of doktor dentist. Medical staff membership are clinical privileges.
During the time he has practised at paler regional medical center at play. No Doctor Henderson was shown that letter by the Dallas Medical Center administrator the day he was called in to take care of Mary effort. There was a short Ruth transfers.
Letter, and that was pretty amazing because everybody in the rooms at this
I was aware of the fact that it had to justice traffic surgeries, at least at the hospital ethically
or got rid of him in a way that save themselves a lot of red tape and legal fuss, kid
hand down the road protect yourself. First protect the doktor
second and make it be. Somebody else's problem
It didn't make sense to me why Bailey when went to protect doktor dance, so I took to cave in way a Dallas malpractice attorney who had
that representing more than a dozen of doktor dentures patients, she would join
Doktor Henderson's effort to stop Christopher Dutch Vanua
He explained that had bailiff, fired and reported him than they'd be the ones who could be
saddled with a bunch of legal bills, then, if Doktor Dodge was
unable to get privileges at other hospitals? Theoretically, Doktor Dutch could have soon
Taylor and said: look I could be making two million dollars
year here and youth. You made a
long decision about me. You didn't have enough evidence on me and you ve ruined my career, and you owe
the two million dollars for the rest of my life. Now, let's be clear with his track record, it would be absurd for doktor done to make a credible case that he was treated unfairly, but the fear of being sued and that culture of silence is real, so real that a watchdog group called public citizen did a study a few years back to see how often hospitals do this. They found that more than half the hospitals in the country had never reported a single doktor Dallas Medical Center, where two of benches three cases
tragically didn't report him either. So you might be wondering if his name ever made it to the data bank. Their reports aren't available to the public, but
was able to get my hands on doktor dentures from an outside source. Christopher dance was finally reported by method. Is hospital in the Dallas suburb of Mckinney. He never worked there, but he applied and based on what they learned happened: a Bachelor Methodist Mckinley.
Rejected his application and did what paler should have done report him to the data bank
he'll. Please leave your name number and detailed method will get back to you as soon as we can. Thank you had a great day.
Record you mean, as you might imagine, I had a lot of questions for veil her. I thank YE males and left voicemail messages for months. I negates Laura deal. I just wanted to see if you had gotten my last emo. I have some questions. If you could give me a call back, thank you, but Doktor Henderson did talk to them.
If that were abrogate Henderson. I need this big tears. Ceo warrior administrator of the hospital you're, a girl.
This was on July thirty of two thousand twelve just after
Doktor Henderson had operated on Mary effort at Dallas Medical Center.
This backer abrogated Henderson, Jerry Graff.
The is the president of Bail or Plano.
I'm good. I'm open,
you can help me with a problem.
Are you familiar with it
there are certain name of adapted done, Christopher Dire.
Well. So my unfortunately, I became aware in on Friday doctor
Henderson tells Garrison about Flow L, a Brown, the one
he'll never woke up after falling unconscious the morning after her surgery, then he tells
Harrison about the patient. He was brought in to operate on Mary,
put it bluntly, I'm concerned
whether or not he had any training whatsoever in Spain.
Surgery anyway, and that operating room could have done a better job. Henderson says it is trying to pull it off by this one.
He starts listing off the damage. As far as I can tell, you may have destroyed or nerves on the left side, I mean destroy them by transected them,
He talks about a screw lost and Mary efforts body we put the cliff device in the web. Servers muscle, try to put a pair
screw lateral the vat and lets us Muslim lost it.
Flow Ella Brown had died in the radiologists said it was a massive air embolism to the brain within far to your brain tissue.
Then he gets to the reason for his com.
Thirty had problems that your hospital will break. The bread
but Doktor Henderson knows that bad things happened at bilateral and he's wondering well what on earth
it is going on here. I about it.
A very, very bad actual ready to prohibit them. Whenever anyone anywhere I moved as the media in his pathological. Apparently he taught the way out of. Apparently we you choose your hospital acquired. No, no, I mean I'm trying to stop this guy Peruvian led operate anywhere any time any plays a Kapital, Doktor Henderson, never heard from Jerry Garrison again or any one else from Banner Plano. I wanted to talk to Jerry Garrison myself. I wanted to ask why they handle doktor dance, the way they did, but
I got back was this brief statement? Our primary concern, as always, is with patients out of respect for the patience and families involved and the privileged nature of a number of details. We must continue to limit our comments,
there is nothing more important to us than serving our community through high quality trusted health care. I think the failure
They were in this case at our hospitals, and subsequent cases is just beyond words,
shall was a doctor who sat on the Texas State Medical Board in two thousand twelve after he got a call from a fellow surgeon about dance. Shokhin took the unusual step of reporting it to the board himself, the first formal notification they receive,
but all this did was start a long, slow process see reporting a doctor to the matter.
Abort launches an investigation which usually takes months. The speed at which they work gets a lot of criticism, but in most cases that's not necessarily.
Bad thing. This is, after all, an accusation that could destroy a doctor's reputation and livelihood, so the investigation needs to be done carefully. But again, if the reporting had come from paler and then shared their findings, then the board could have used the information the hospitals had already gathered and, with an overwhelming reason for concern, they could act much
much faster. How fast had paler alerted the board right away? I would imagine
to the board would have met within days that have immediate suspension.
Why that can be done with or without notice. If somebody so bad, the board can say stop. Now
and you can come back and tell us if you were wrong or wife, but stop now to protect the public. They they let him go around March or April of two thousand to thirty
twelve so you're telling me that if they had notified the board, he could have been stopped within days of that they should have done that.
They should have been afraid to do. Was the worst economic lawsuit come on money? These are people die and respond because your lawsuit, I know you can't speak for failure, but I'm sitting here wondering why
Would they protect him like what did they have in it? There were gonna. Let him go so why
but what would they have to gain by not reporting am I have no idea, maybe
I don't want the hassle- I have no idea,
do. You think this happens very often use failures. Failure to report doktor damage to the Texas Medical Board would later trigger an investigation by state health authorities. Paler hospital did pay a price. Well, almost on December tenth, two thousand fourteen the state issued a notice of violation to bail out and find them a hundred thousand dollars
enough of died and continue to die as its egregious beyond words.
The moral human value system
They are to make the to stop disguising the people who had chance,
to make the system happen ignored a year.
After Bailey was fined almost to the day the notice and fine or withdrawn.
I failed to obtain their records of what happened in between, but was told by the state they were confidential.
Hi, I'm going!
grant the host of wondering show american scandal. We bring to life some of the biggest controversies in. U S, history, presidential
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story of the Volkswagen diesel scandal. To listen to this and other great series subscribed now to american scandal from wandering the hospitals weren't doing anything, to stop doktor dance and with
reporting him to the data bank. There was no way for anyone to know how bad things really were so dark
lunch was not getting anything all his record. That's doktor, Randal Kirby, because dance wasn't getting reported. No one was connecting all the dots, but then Kirby had a chance meeting and the doctors land of another Dallas hospital
in July of two thousand twelve, it spine surgeon, I'm access, surgeon, Doktor Robert Henderson, the doktor, who had begun
king into tendentious background and who happened to be working at the same hospital at the same time. We are
sit in the same doctors lounge, while we're waiting for the groom's to turn over and it's a small doctor's lounge at Pine Creek Medical Center and then some
new, the Doktor Henderson had done the recovery surgery. On MRS effort, I want to talk about your Henderson, my song, about what happened. The bad news
France is fast and ass. He had come in contact with other patients that had been injured by Doktor Dodge
and he was more intimately aware of what had happened out at the previous hospital. Also, he heard about my situation with MRS Effort
He's an extremely conservative, mature certain he's, not outspoken his eye
and for him to get up this upset about something which is very, very unusual. The two makes them
of an odd pair. Kirby speaks in passionate flourishes. Henderson is understated and deliberate. They both too
I had to call the Texas Medical Bored, so let us leave had egregious results available plain. Oh, he was not reported the day bank we ve had a grievous results. Adele's medical center and I said he's gotta be stopped. I told him that not only should we not be it in the operating room,
He should not be evaluating her interfacing with patients period until he was fully evacuated from both a mental and capability
standpoint, and what did they say they said
would get back to me and thank you very much for reporting the issue
and then the conversation was terminated.
I don't want to hear it, and so they,
and feel that they had enough to act on their patients. They had a quadriplegic and carefully.
Wasn't dagger, wasn't enough for them that
as it turned out. They weren't they
they ones, calling the board there were a number of practitioners ear in Dallas, nor calling down to the taxes. Medical board saying
You ve got a real problem with this nurse urgent and before this, how many surgeons or how many doctors have you reported to the medical before I've? Never boarding once and you ve been practicing parameters twin.
I mean, if I were you I'd, do everything I could to just say no. I can't recommend him at this time. A few weeks later, Henderson got a call from tensions old, fellowships supervisor at the University of Tennessee Medical School. Doktor, Kevin Folly, remember Folly, is the one Henderson talk to?
after Mary Efurd Surgery when he thought the had to be an impostor.
Foley was also an investor in the company. Dance helped found disk JANET's Christopher Dance was applying to work at a new hospital. The hospital needed Foley once again to vouch for his credentials.
Again a chuckle. My said well, at least you know what to do that, but then Doktor Folly says he can't mention what he's heard in doubt,
this he's, really that simple
asking me how we performed
during his time. Under my tutelage. He's under my turn,
it for a year. He did about six months,
surgery, and then you do about six months and research because he has a phd to any said. He was fine.
You know I'd say- was average was used,
relative now was, he was a terrible. Now he was average in that
they're asking for how do you do? I was under my tutelage unless a year, but don't they say, would you recommend them to be on your hospital staff or don't they now? There's no questions like that. They said you mean there's none. None of those Ali tell them that. There's a box for comments and folly says when he got the same form from Dallas Medical Center he'd written in that box about two problematic cases at his prior hospital that should be looked into their eager. Just tell him
said one all. That's hearsay, I didn't see it I said, will use my name them because you heard it from me and I personally saw the damage that he cried
This is why I really can do now.
Foley goes on to tell Henderson about the case of a doctor in Tennessee who tried to stop another doktor, he thought was dangerous. The second doctor, the one being accused sued, the first and one issue
From my standpoint, I dont know of a physician that all right a negative reference letter about it.
Their physician in Tennessee
Of course those flabbergasted about this- and are you
you're! Very! Where did you get notified every time? This guy wants
and now you're, not even more unique position that you've been notified, that he had two catastrophic events at Baylor and now he said to catastrophic events. You know when it's six or eight weeks later at another hospital,
Why are you or anyone else in your position? They have some control. Doktor Folly says there are limits to what he can do, because he didn't personally observe grows in confidence, but hospitals he says: well, there are the ones who have the responsibility to check him out. I just have to throw that ball back into the Dallas Court Folly says. As the cargoes on you can hear: Doktor Henderson's frustration grow.
As he tries to get folly to write something on the form that will stop. Don't you should do it. You gotta do, but I know what I would do it I would do. I would tell the truth and I would do everything I can to make sure this individuals enable do not only diagnosed patients but surgically treat patients in the foreseeable future. Finally, Henderson, let's doktor folly now he's got a gun,
but I back the gap left by the patient, I'm dealing with here in the office right now. They brought her stretcher, foolery, hips and the patient he's just
arrive, for a follow up visit is Mary effort
doktor folly wooden
talk to me and neither would anyone else from the University of Tennessee
I got a long letter about their unhappiness with previous news coverage about doktor, Foley's connection to Christopher Dance and then said: Doktor Foley,
does not intend to give an interview in connection with this matter
Doktor, Henderson and Doktor Kirby didn't hear anything about Christopher done for a few months. They figured. He was finally done that his medical mistakes had caught up with him and he was an operating anymore. Darker Anderson, I've we always
very well, but we do we hear any rumours in the great buying from anywhere about him, but then, in December, two thousand twelve Doktor Kirby gotta call. I had the most static coming at me because
I have privileges everywhere. He operated and saw worked at the same doctors and nurses that he was interacting with the call was for Doktor Kirby to come help with a woman who had suffered severe complications from a serpent.
Spine surgery, her name was Jaclyn. Try,
operation was at a place called the legacy surgery centre in one of the northern suburbs, but she had been transport
by ambulance to a large hospital in Dallas,
Per incision was severely infected, her vocal courts cut and her windpipe had a hole in it. Doctor Kirby had a hunch about her
perform. The surgery says again increased for Dutch. It was needed,
your allergist, the ran
mercy surgery, Center Frisco and I called him- and I said you guys Better- get him off staff as fast as your humanly possibly can, which way did
Jaclyn, Troy survived, but today,
her voice as nothing more than a rasping whisper, because her focal cords never recovered
carbon Henderson kept hammering the Medical board, but they fell
ever getting nowhere. Then, six months later I got
invitation to go to a nice restaurant here and Dallas Old Warsaw to meet with Doktor Dutch ended be introduced,
they have as their new spies university grasped the hospitals, Coggan University General Bet. It's not affiliated with any university. It was once named, Southampton Community Hospital, but was purchased by new owners in two thousand and twelve at the time. The move with welcome the hospital which had already been through two bankruptcies is in southern Dallas, a lower.
Come part of town, that's lacking in good hospitals. When Kirby got the invitation.
Down there raised wholly hell, but doktor jihadist,
That's the owner of university general. There was nothing he could do because
He had done anything really egregious down their university General Hospital, which was alike as he was, having terrible results down there, but the least the owner
only the hospital felt that if he were cut doctor
please off the medical staff, the doktor dungeon. Soon, I'm guessing it and go to the dinner.
Without actor too hot. I told you there was nothing in the data bank yeah. He should do the
was not true. I have the data bank report that they got and it was clearly on their role. He won't be here long term a phone calls in two years, because Dick is he he TAT, ran Rand Randy
We can't do anything about him. He's got clean record even though he had these complications and he's gonna see the hospital we early, some less than two weeks later. On June thirteenth, two thousand thirteen doktor corbies fears were realised. The hospitals owner call them. They use Randy right. We ve got a real drawn down here in your own fixing. Jeff glide well had broken his back during a motorcycle accident more than a decade ago. Since then, he's been living on disability in two thousand and twelve.
He developed a pinched nerve and his neck. When you get a desk, let's page and nerves said, sir, it fills just like get electrocuted. He needed to find a neurosurgeon who would take his insurance after consulting Google. He happened upon the website of Christopher Dent
his website, ah he was a phd in a neurosurgeon andy-
and there was not one flaw on his website at them, but good reports and
as the back late that or two pages long.
There was a Youtube video that was sponsored, but that's dots for network and it look like-
one on a water was been interviewed, are being found.
To show how did a doctor, he was it's. A miracle is all I got to say about a document that is wine great
hey. I was unaware that they were a paid advertise or pay too to take care of this website. Doktor dont hadn't, when an award, the video was an infomercial, slightly camouflaged to look like an honor. He is the best doctor. I think that
anybody could ever go to any of your having the problems that I had. You now gave him call because your fiction and another thing there's something off about doktor, dentures delivery. It just isn't as polished as the production around them and that due to the german or threaded papers, boy, elements and joys
This issue is that information helped convince glide, while the he'd found the right guy even more so after he met doktor dent in person. I was access all happy with the way it where the call my wife and my mother and set off I'd like I found some. But all my answer
that's my name. When the university general owner called in Doktor Kirby, he told him. The patient had quote are retained foreign body in his neck, with a lot worse, Doktor Dodge disposed to take a disease discount and service by Doktor, Dutchman incision in the neck in the wrong place, totally disoriented, and then he went through the leffler. But Mr Guide,
calls borrowing land destroyed and then Doktor Dodge proceeded to cut through the side and Mr Glide Wells Esophagus, which is the food pipe. The goes from the mountains,
and then he proceeded to drill a whole
neck wild words should abandon drilled to ping pong ball size or
in Moscow scale, poor Mister Guide Wells left now
and in the process injured the left from people artery, which is a very
thing I read bleeding profusely and stop the bleeding Doktor Dutch took a spy,
shouted in the hall and then Doktor dance had sound Jeff Gladwell up sponge an arm.
The retained foreign body that was the sponge left inside his neck when Doktor Kirby came in, he had glide well transferred to another hospital, are smoke and away from me,
man probably already started Harry is enduring a nurse changing the vacuum to going into his throat
glide well did finally have the next surgery he needed in December of two thousand fifteen on Friday, the thirteenth
he figured he didn't have any more bad luck left. Nothing
this has never happened in the United States of America may happen somewhere else that there has never been any sequence of events that comes close to this
If he was impaired, intoxicated perform this horrible operation. He would you would think he want to get the patient to someone. They can take care of the problem and he didn't he just disappeared, and that moment
Herbie decided. This went beyond medical boards and hospital administrators. This was not an operation, those perform. This was attempted murder. This was a criminal act
that's intensely hurry. He got in touch with Doktor Henderson, it was tat
to notify the Dallas District attorney
that's next time on doctor
well, it don't take no vacation from Wondery. This is part four of six of doctor death and investigated about the system that fail to protect thirty three patients in Dallas. If you'd like to help us spread. The word. Please give us a five star review and tell your friends to subscribe for available on Apple podcasts, Spotify NPR one and every major listing app as well as calm. If you're listening on a smartphone, tap or swipe over the cover art of this podcast you'll find episode notes, including some details you may have missed ill, also find offers from some of our sponsors. Please support our show by supporting them and thank you, doctor death was written, reported and hosted by me Laura Bill
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Transcript generated on 2020-01-30.