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Listener. Note this story contains adult content and language and the spring and early summer of two thousand twelve. Dr. Christopher dent didn't have privileges to work at any hospital. Kimberly Morgan who had been his medical assistant and his girlfriend had left him some of the rumors among surgeons where that Kimberly had actually coached him through a few of his surgeries. Now to gone, it wasn't a smooth break-up. He showed up at her house at two AM one night and started banging on her window. Since he wasn't able to operate anywhere. There wasn't a lot for his remaining staff to do. They played games. They read magazines a stared at their phones. They noticed changes in the boss. He became depressed. He would come in and say anything. He looked shoveled. He looked. He hadn't bathed, that's BJ Ellison, his office manager. He might come in not say anything and leave. This would be weeks at a time. His patience came in for checkups, and he told them it'd be doing their operations any day. Now telling them that is soon as we had privileges as certain place that he wanted because of their up to date technology than we would do surgery. Duchess ways were starting to bother her. I do not think it's ethical to keep stringing along patients that desperately need surgery without referring them on. I don't think it's right. I had also heard Dr Donatello patient that he was going to open a multibillion dollar clinic with the best and the greatest of neuro surgery. And I'm listening to this. Thinking, this is one big lie. This was right after his stint at Baylor. Plano, every patient done had operated on since that December had 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 flow Ella Brown surgery, BJ Ellison finally realized the same thing. Her friend, Kimberly, Morgan, had Jerry summers, Kellie, Martin flow, Ella Brown, Mary e furred. These had not all been tragic flukes she quit. And before she left Ellison called all the patients, she could and all the hospital. She knew where he was applying and told them, do not let him near. You do not let him near any patient. And why did you do that? I want him to have privileges anywhere ever. What we are fried of someone dying are never walking again, being paralyzed. And what went through your mind when you learned that he had kept operating even after he left us meta, holy shit. That's what I thought. How are you people letting him operate. I'm sorry, that's Volker, but that's what I thought. What in the heck. Is going on. Doctor, death is pleased to have bad times at the El royale, the dark exhilarating, new thriller from Twentieth Century Fox as its presenting sponsor. How much do we really know about the people we mean written and directed by drew Goddard and starring Jeff bridges to KOTA Johnson. Jon Hamm and Chris Hemsworth bad times of the El royale is a wickedly fun mystery with an amoral edge, seven strangers each with a secret to bury meet at lake tahoe's. El royale a run down hotel with dark past over the course of one fateful night. Everyone will have a lashanda redemption before everything goes to hell. All roads lead here. Don't miss bad times at the El royale in theaters, October, twelve, and stay tuned at the end of this episode to learn a little more about to the hotels ill-fated guests. From wondering, I'm Laura veal, and this is Dr death. This is four spineless. If Baylor plano had fired dunce 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 Brown and Kellie Martin would still be alive if they had fired him. Instead Dr Dench operated twenty nine more times after Jerry summers, Baylor plano allowed his abrupt departure to seem voluntary. He would go on to Dallas medical center and then onto still more hospitals. Why? Because when Baylor, 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 board. The number one role of any state medical board is to protect the public. Number one as that's their number one responsibility that's Dr Henderson. Baylor could have told the board that they had conducted an investigation and found that one of their surgeons had severely mangled to operations in a row. The medical board is a panel of physicians appointed by the governor and anyone can report doctor to them. The second thing they didn't do was that they did not report him to the national practitioner databank. The databank is basically a way of keeping up with America's worst doctors. It was set up in the nineteen eighties as a way to improve the quality of healthcare. 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 reason is that some reports are 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 doctor, they must check to see if their new recruit is on it. A major report to the databank like getting fired over mangled surgeries can make it almost impossible to find a job. If Baylor had fired Dr Dench outright, they would have been required by law to report him to the databank. Instead they gave him a letter in April of two thousand twelve that well, 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 dent MD have now been closed. As of this date, there have been no summary or administrative restrictions or suspension of Dr dentists, medical staff membership, or clinical privileges. During the time he has practiced at Baylor regional medical center at plano. Dr Henderson was shown that letter by the Dallas medical center administrator the day he was called in to take care of Mary effort. It was a short brief concise letter in that was pretty mazing because everybody in the rooms at this time was aware of the fact that he'd have to Jetta straffic surgeries, at least at the hospital. Basically, Baylor got rid of him in a way that saved themselves a lot of red tape and legal fuss. Kit the canned down the road. Protect yourself. I protect the doctor second and make it be somebody else's problem. It didn't make sense to me why Baylor would wanna protect Dr dent. So I talked to cave in way a Dallas malpractice attorney who had ended up representing more than a dozen Dr dench's patients. She would join Dr Henderson's effort to stop Christopher doen't then way explained that had Baylor fired and reported him. Then they'd be the ones who could be saddled with a bunch of legal bills. Then if Dr Dutch was unable to get privileges at other hospitals, theoretically Dr Dutch could have sued Baylor and said, look, I could be making two million dollars a year here and you've, you made a wrong decision about me. You didn't have enough evidence on me and you've ruined my career and you owe me two million dollars for the rest of my life. Now, let's be clear with his track record. It would be absurd for Dr doen't 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, 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 doctor, Dallas medical center where two of dench's three cases and tragically didn't report him either. So you might be wondering if his name ever made it to the databank. Their reports aren't available to the public, but I was able to get my hands on Dr Dench from an outside source. Christopher Dench was finally reported by Methodist Hospital in the Dallas suburb of McKinney. He never worked there, but he applied and based on what they learned happened at Baylor, Methodist McKinney, rejected his application and did what Baylor should've done report him to the databank. But if you'll please leave your name number and details message. We'll get back to you as soon as we can. Thanks, had a great day record you as you might imagine. I had a lot of questions for Baylor. I sent emails and left voicemail messages for months. Hi Nicki. It's Laura Beale. I just wanted to see if you had gotten my last Email. I have some more questions if you could give me a call back. Thank you. But Dr Henderson did talk to them. Affect wherever Henderson I need to speak to your CEO or your administrator of hospital. Curic yours. Okay. This was on July. Thirtieth two thousand twelve just after Dr. Henderson had operated on Mary effort at Dallas medical center. Robert J Henderson, Gary garrison is the president of Baylor. Plano. I'm good. I'm hoping you can help me with a problem. Permitted with neurosurgeon by the name of Dr done Christopher. Yeah. Well, so am I unfortunately I became aware of him on Friday. Dr Henderson tells garrison about flow. Al Brown, the woman who never woke up after falling unconscious the morning after her surgery. Then he tells garrison about the patient. He was brought in to operate on Mary e for. I'm concerned whether or not he's had any training whatsoever in spine surgery. Anyone in that operating room could have done a better job Henderson says. Us trying to do uplift it. Oh, five one. And he starts listing off the damage nerves. I can tell he may have destroyed four nerves on the left side. I mean, destroy them by transacted them. He talks about a screw lost and Mary efforts body. He actually put the device in the left so muscle. Try to put a pedicle, screw lateral that and less so muscle lost it and how flow Ella Brown had died in the radio said, it was a massive air blizzard to the brain with infarct new brain tissue, and then he gets to the reason for his call. And then I heard he had problems at your house. Is that correct? Right. But Dr Henderson knows that bad things happened at Baylor, and he's wondering, well, what on earth is going on. Uncomfortable about it. We had a very cagey and we try to very back eventually. It gets. And we're anywhere else. I mean, this guy's a media, any pathologic apparently he he talked way out of apparently these issues at your hospital. No, no. I mean. I'm trying to stop this guy from being let off rate anywhere anytime any place. Happy. Dr Henderson never heard from Jerry garrison again or anyone else from Baylor. Plano. I wanted to talk to Jerry garrison myself. I wanted to ask why they'd handle Dr dunce the way they did. But all I got back was this brief statement. Our primary concern as always is with patients out of respect for the patients and families involved and the privileged nature of 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 healthcare. The failure of Baylor. In this case, other hospitals in subsequent cases is just beyond words. Alan Schulkin was a doctor who set on the Texas State medical board in two thousand twelve. After he got a call from fellow surgeon about Dench Schulkin took the unusual step of reporting it to the board himself, the first formal notification they received. But all this did was start a long, slow process, see reporting doctor to the medical board launches an investigation which usually takes months the speed at which they work. It's a lot of criticism, but in most cases, that's not necessarily a 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 Baylor and then share their findings, then the board could've used the information. Nation, the hospitals had already gathered and with an overwhelming reason for concern, they could act much much faster. How fast had Baylor alerted the board right away. I would intimidate the board would admit within days to have an immediate suspension. While that can be done with or without notice. If somebody's so bad, the board can say Stott now, then you can come back and tell us if you're if we're wrong or you're rife, but stop now to protect the public, they they let him go around March or April of two thousand two thousand twelve. So you're telling me that if they had notified the board, he could have been stopped within days of that, but should have done that. The shouldn't have been afraid to do what's the worse that can have a lawsuit come on money. These are people dying were stopping because you're veritable lawsuit. I know you can't speak for Baylor, but I'm sitting here wondering, why would they protect him? Like, what did they have in it? They were gonna, let him go. So why? What would they have to gain by not reporting him? I have no idea. Maybe they'd quote don't want the hassle. I have no idea. And do you think this happens very often. Gifts. Baylor's failure to report Dr Dench to the Texas medical board would later trigger an investigation by state health authorities. Baylor hospital did pay a price. Well, almost. On December tenth, two thousand fourteen the state issued a notice a violation to Baylor and find them a hundred thousand dollars. Enough people died and continued to die. It's greediest field words, a moral union failure systems there to make it to stop this kind of thing. The people who had chance to make the system happen. Ignored. I year after Baylor was fined almost to the day. The notice and fine were withdrawn I filed to obtain the records of what happened in between but was told by the state. They were confidential. Hiring is a challenge. 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Find your perfect shade of change at Madison dash Reed dot com. Right now, Dr death, listener. Can receive ten percent off plus free shipping on their first color kit with promo code death. That's Madison dash Reed dot com. Offer code death. The hospitals weren't doing anything to stop Dr dent and without reporting him to the databank. There was no way for anyone to know how bad things really were. Dr Don JR was not getting anything on his record. That's Dr Randall Kirby because Dutch wasn't getting reported. No one was connecting all the dots, but then Kirby had a chance meeting in the doctor's lounge of another Dallas hospital into lie of two thousand twelve. He's fine surge, access surgeon, Dr. Robert Henderson. The doctor who had begun looking into dentist background and who happened to be working at the same hospital at the same time suit insane doctors while waiting for the turnover. And it's a small doctor's lounge pine creek medical center and pin since I knew that Dr Henderson had done the recovery surgery on this e heard. One and talked to Dr Henderson saw on about what happened of there. Bad news travels fast and downs. He had come in contact with their patients that had been injured by Dr Dutch, 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 surgeon. He's not as out spoken as I am and for him to get this upset about something is very, very unusual. The to make something of an odd pair. Kirby speaks and passionate, flourishes Henderson is understated and deliberate. They both decided to call the Texas medical board. NASA like, listen, we've had a grievance results. Baylor, plano, he was not reported the day Bank. We've had agreed GIS results douse medical center, and I said, he's got to be stopped. I told him that not only should he not be in an operating room. He should not be a valuating her interfacing with patients period until he was fully evaluated from both a mental and capability standpoint. And what did they say? They said they would get back to me and thank you very much for reporting the issue, and then the conversation was terminated. They then want to hear it. And so they didn't feel that they had enough to act on. Do they. Due to dead patients, they had a quadriplegic and care, and that wasn't enough to act wasn't enough for them. As it turned out, they weren't the only ones calling the board. There were number of practitioners here in Dallas were calling down to the Texas medical board saying, we've got a real problem with this nurse surgeon, and before this, how many surgeons or how many doctors have you reported to the medical before? I've never reported one medical and you've been practicing for how many years? Twenty one. I mean of our, you do everything I could to just to just say, no, I can't recommend him at this time. A few weeks later Henderson got a call from is old fellowship supervisor at the university of Tennessee medical school. Dr Kevin Foley, remember Foley is the one Henderson talked to right after Mary effort surgery when he thought doen't had to be an impostor Foley was also an investor in the company. Dench helped found disc- jenex Christopher Dench was applying to work at a new hospital. The hospital needed Foley once again to vouch for his credentials. Gonna chuckle my said, well, at least you know what to do that. Then Dr fully says, he can't mention what he's heard in Dallas. He's not really that simple. They're asking me how we perform during his time under my tutelage. He's under my tutelage for year. He did about six months of surgery, and then you did out six months in research because he has a PHD to and he said he was fine. You know, I'd say he was average. Was he supportive now? Was he? Was he terrible? No, he was average. That's all they're asking for how do while he was under my tutelage and I said, yeah, but don't they say, would you recommend him to be on your hospital staff or don't they know there's no questions like that. And I said, you mean there's none. None of those tells them that there's a box for comments and fully 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 this, their ego. Just tell him what says, well, all that's hearsay. I didn't see it. I said, we'll use my name then because you heard it from me. And I personally saw the damage that he created says, well, I really can't do that. Felli goes on to tell Henderson about the case of doctrine, Tennessee who tried to stop another doctor. He thought was dangerous. The second doctor, the one being accused sued the first and one in this says in from my standpoint, I don't know of a physician that will write a negative reference letter about another physician in Tennessee. And of course I was. Flabbergasted about this and. I just said, you're in a very unique position. Where did you get notified everytime has got one way or something. And now here even more position that you've been notified that he had to catastrophic events that they were and now he's had to catastrophic events. You know, six or eight weeks later at another hospital in that doesn't raise red flags. Right for you or anyone else in your position that has something troll. This Dr Kelly says there are limits to what he can do because he didn't personally observe gross incompetence. But hospitals, he says, well, they're the ones who have the responsibility to check him out. I just have to throw that ball back into the Dallas court, fully says, as the call goes on, you can hear Dr. Henderson's frustration, grow as he tries to get fully to write something on the form that will stop dunce. I said, do what you gotta do. But I know what I would do. I would. I would tell the truth and I would do everything I can to make sure this individual is enabled to not only diagnose patients, but surgically treat patients in the foreseeable future. Finally, Henderson. Let's Dr Foley. No, he's gotta go while I back. I'm I've got a patient. I'm dealing with here in the office right now. They brought her in on a stretcher from the rehab center. So the patient who's just arrived for follow up visit is Mary effort. Bubba. Dr fully wouldn't 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 Dr Foley's connection to Christopher doen't. And then it said, Dr. Foley does not intend to give an interview in connection with this matter. Anything worth doing is worth doing? Well, that's why bomb has put two years of research and development into their socks before they felt they had a product good enough to share with the world. The result is significantly more comfortable quality made and better fitting sock than anything else on the market. Socks seem simple. But once I wore on the socks, I realized the innovation there longer socks do actually stay up no tugging stretching, pulling to keep them from slumping to my ankles and Bomba short socks. Stay on your feet, no peeling off as you walk and wanting up in your shoe. This is the technology. We need people. 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Doctor Henderson doctor Kirby didn't hear anything about Christopher done for few months. They figured he was finally done that his medical mistakes had caught up with him any wasn't operating anymore. Dr Henderson is we always wonder where he went, but we didn't. We didn't hear any rumors in the grapevine from anywhere about him, but then in December of two thousand twelve Dr Kirby got a call have the most static coming at me because I have privileges everywhere he operated. And so I worked at the same doctors and nurses that he was interacting with the call was for Dr Kirby to come help with a woman who had suffered severe complications from a cervical spine surgery. Her name was Jaclyn Troy. Her operation was at a place called the legacy surgery center in one of the northern suburbs, but she had been transported by ambulance to a large hospital in Dallas. Her incision was severely infected. Her vocal cords cut and her windpipe had a hole in it. Dr Kirby had a hunch about who'd perform the surgery. So this guy Christopher Dutch. It was, I'm new, the urologist. The ran legacy surgery center Frisco and I called him and I said, you guys get him off staff. It's fast you humanly possibly can, which they didn't Jacqueline Troy survived. But today her voice is nothing more than a raspy whisper because her vocal cords never recovered. Kirby and Henderson kept hammering the medical board, but they felt they were getting nowhere. Then six months later, I got an invitation to go to a nice restaurant here in Dallas old Warsaw to meet with Dr. Dutch ended be introduced to him as their new spine circa university General Hospital. The hospitals called university general, but it's not affiliated with any university. It was once named Southampton community hospital, but was purchased by new owners in two thousand twelve. At the time. The move was welcome. The hospital which had already been through two bankruptcies is in southern Dallas, a lower income part of town that's lacking and good hospitals. When Kirby got the invitation, I called down there raves holy hill. But Dr jihadi said, that's the owner of university general. There was nothing he could do because he hadn't done anything really agree jus- down there university General Hospital, which was ally because he was having terrible results down there. But at least the owner, the owner of the hospital felt that if he cut Dr doen't loose off the medical staff, the doctor dunks would sue. I'm guessing you didn't go to the dinner. With doctor to holiday told you that was nothing in the databank. Yeah, he sure did because checked. That was not true. I have the databank report that they got and it was clearly on. There won't talk. He hasn't turn my phone calls in two years because he, he said, Randy rand, Randy, we can't do anything about him. He's got clean record even though he's had these complications and he's gonna sue the hospital. We were them less than two weeks later on June thirteenth, two thousand thirteen. Dr. Kirby's fears were realized the hospital's owner called him. He goes running derive. We've got a real problem down there and your loan fix it. 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 twelve. He developed a pinched nerve in his neck. When you get a a this, let's paint in nerves. It's it fills, dislike getting 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. He was a PHD and a neurosurgeon him the and there was not one flaw on his website, nothing but good reports and the list of accolades that were two pages loan. There was a YouTube video. That was sponsored by best docs networked and it looked like he won an award or was being interviewed or being found to show how did a doctor he was. It's a miracle is a like, got to say about a doctor diet, his one great man. He I wasn't aware that they were a paid advertise repaid to to take care of his website. Dr tons hadn't won an award. The video was an infomercial slickly camouflaged to look like an honor. He is the best Dr. I think that anybody could ever go to. And if you're having the problems that I had, you know, gave him a call because he'll fix you. And another thing there's something off about Dr Dundas delivery. It just isn't as polished as the production around him food to the of or thriller type of Z's in the bony elements and the joints. This tissues of fine that that infomercial helped convince glide well that he'd found the right guy even more. So after he met Dr Dunton person. So happy with the way it went that are called my wife and my mother and said, I think I've found somebody on my insurance. It's going to fix my neck. When the university general owner called in Dr Kirby, he told him the patient had quote a retained foreign body in his neck. It was a lot worse than that. Dr Don was supposed to take disease discount and the cervical spine doctor made an incision in the neck in the wrong place, totally disoriented. And then he went through the left low, but Mr. God wells firearm gland destroyed. And then Dr dunce proceeded to cut through the side Mr. glide wells Asaf Agha's, which is the food pipe that goes from the mouth to the stomach. And then he proceeded to drill a hole in the neck bladder to where should have been drilled to paint pong ball size hole in the Musco skeletal pill or Mr. guide wells left neck. And in the process injured the left for people artery, which is a very big artery than bleeds profusely and the stop the bleeding. Dr. Dunce took a sponge and shoved it in the hole. And then Dr dunce had sewn, Jeff glide well up sponge and all the retained foreign body. That was the sponge left inside his neck. When Dr Kirby came in, he had glide well transferred to another hospital. Are really not. I'm why smoke in a way that somebody live by. Already started here. He is enduring a nurse, changing the vacuum tube, going into his throat. Oh. 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 like this ever happened in the United States. American may happen somewhere else that there's never been any sequence of events that comes close to this. Even if he was impaired intoxicate and performed this horrible operation. He would you thank you. Wanna get the patient to someone that could take care of the problem debt need this disappear. And that moment. Dr Kirby decided this went beyond medical boards and hospital administrators. This was not an operation was performed. This was attempted murder. This is a criminal act is if some that's intentionally hurting. He got in touch with Dr Henderson. It was time to notify the Dallas district attorney. That's next time on Dr death. From wondering, this is part four of six of Dr death, an investigative miniseries about the system that failed 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 where available on apple podcasts, Spotify, NPR one and every major listing up as well as wondering dot com. If you're listening on a smartphone, tap our swipe over the cover art of this podcast, you'll find episode notes including some details you may have missed. You'll also find offers from some of our sponsors. Please support our show by supporting them and thank you. Dr. Death was written reported and hosted by knee. Laura Beale sound designed by Jeff Schmidt story consultant is Jonathan Hirsch associate producer is Pelevin Kusuma suit executive produced by George lavender marshal Louis and Hernandez Lopez for one. Doctor, death is brought to you by twentieth century FOX's gritting you thrill are bad times at the Elroy Al written and directed by drew Goddard and starring Jeff bridges to KOTA Johnson. Jon Hamm and Chris Hemsworth bad times at the El royale is a gritty pulpy mystery loaded with twists and turns that are as dark as they are exhilarating. Meet Emily played by Dakota. Johnson and rose played by Kaley Spain sisters, looking for solace on a long dark night. They arrive at the El royale grateful to have some shelter from the rain, but these to troubled souls are under no illusion that they are safe. Emily rose are just two of a cast of seven strangers each with a secret to bury that meet at like tahoe's. El royale a rundown hotel with a dark past over the course of one fateful night. Everyone will have a lash audit redemption before everything goes to hell. All roads lead here. Don't miss bad times at the El royale in theaters, October twelfth. Here's a preview of Ellen on the go. My whole adult life. I used to be like, I had to have a man and I want every woman here. It's a, no, you absolutely don't. I want women to know also you don't need a man. All right. It's Ellen. Welcome to my podcast. We're gonna listen to some of the best moments from the show, getting a hundred thousand dollars. Wanna see y'all or twelve days. It's going to be hosted by four executive producers that I love my med. Glad I'm Mary Conlon, Kevin Newman. I'm Andy lasts ner we're the executive producers of the own degener- show from every every single show for the very beginning. So they know allies is really the first time. Anyone has wanted to hear what we've had to say. I'm not sure if they want to marry. Well, that's very say anything that I wouldn't like. Please tweet me often news turn on. You can subscribe today on apple podcasts or whatever. You're listening to us right now listening.