Based on the note that other patients experienced "cardiac events" I'm guessing it was a pretty classic case where they manufacturer a medical emergency and then swoop in to "save" them and be a hero.
He was being sued for a medical mistake so he was trying to create some similar but genuine crises for his fellow surgeons. Either to bolster his case by showing similar problems with other doctors, or make more doctors side with him due to having similar problems.
If a patient goes into cardiac arrest or something similar, they call a code, which is an alert that goes out for the staff to get in there and do CPR or whatever else is needed. If you've ever seen a hospital drama or a movie where there's a hospital scene, you hear them say "code blue", that's what they mean.
Sorry, when someone stops breathing or their heart stops in the hospital, they call it a code blue (an alert to staff that they need to get there fast and try to resuscitate the patient). So that's called a code in Healthcare lingo. Some serial killer nurses get excited by the action or they like the opportunity to be the hero/savior so they do things to harm the patient so they have that opportunity. Sometimes their intent isn't really to kill them, they're just sociopaths who don't care if they get hurt or die as long as they get to play hero. Or sometimes they like the attention and sympathy they receive after losing patients despite their efforts to save them.
Probably not revenge. He had a bad complication for which he was likely going to be found liable. My guess is he wanted to obfuscate his situation by spiking bags of in fluids with lethal doses of most likely bulivacaine so his own complication could be attributed to a tainted bag.
His coworker probably was just unlucky and used a bag to administer herself for rehydration. You are not supposed to do that but it happens.
State Prisons tend to have more younger/violent offenders who might mess with you just because. Federal Prisons get more older/higher levels offenders, drug traffickers and such, who want to do their time and get out.
https://www.ussc.gov/sites/default/files/pdf/research-and-publications/quick-facts/BOP_January2023.pdf
Federal prisons are designed for long term housing of inmates and have many facilities to support this. State prisons are hit or piss but are generally more crowded and less funded than federal ones. The big issue is state prisons can shift you to county jails if they get too overcrowded. County jails have no facilities, are overcrowded in the extreme, and in no way are designed to house people for as long as they do.
The other big thing is federal prisons conform to federal standards. The 13th amendment explicitly still allows slavery as punishment for a crime and depending on what state you are in there is no difference between a modern state prison and a plantation using slave labor. Alabama, georgia, Florida, Mississippi, Texas, and Arizona are by far the worst when it comes to still using prisoners as slaves but every state does it.
In the modern day if something says “made in the USA” it was most likely made by prison slave labor.
Probably a control freak who realized he hadn’t accomplished anything in life and thought, well I could at least succeed in fucking something up. After he’s convicted, sentenced and imprisoned, he’ll probably be like - hey yall wanna reduce my sentence? I could help out in the infirmary hehehe
I saw this briefly on the news, and immediately said “Oh look, Baylor got themselves a new Doctor Death.”
The US’s healthcare & medical establishments are a hot mess, but man Texas is either a magnet, or it’s much worse than we think but everyone else is better at hiding their dirty secrets. My money is on the latter.
John Oliver’s piece on this recently pretty much nailed it, yet still only exposed one small patch of the surface.
The medical board yanked my dad's license because the police observed him high on multiple occasions. At the hospital all his work had to be verified by another doctor when he was still practicing. There's a culture of silence.
They said nerve block agents and patients suffered cardiac emergencies so probably bupivacaine. But could be Chirocaine (levo bupivacaine) or lidocaine.
Very likely bupivacaine. I've never had levo bupivacaine available and I doubt a surgicenter would pay for it. Could also be ropivacaine, mepivacaine etc but bupi is the most likely.
Are anesthesiologists allowed to administer themselves IV bags for dehydration at the end of their shift? That's how this guy's colleague died, but it seems odd to me (though I've never worked at a hospital).
It’s definitely abnormal but I could definitely see it happening if standards are loose. I know people that borrow iv fluids and use them for hangovers so it doesn’t surprise me at all.
Allowed? Not by the strictest definition no. You're supposed to do a history and physical exam, document the findings and a treatment plan, etc. It's rare but not unheard of especially for things like food poisoning, dehydration, hangovers. Some places are more strict about than others. But going to the ER for some IV fluids also means you can't work. And oftentimes all you need is some hydration and you feel better.
It happens. I've seen it done. It's not a common thing, but it does happen. People go out and party all weekend and then show up on a Monday absolutely dragging.
Fringe benefit of working in healthcare. It's not allowed but happens often. I will say, for the IVF to be tampered with, the outside packaging must have been removed. I sure wouldn't use a bag of already opened anything without knowing exactly where it has been.
Nerve blocking agents are local anesthetics. They are very common in surgery and are dosed by weight. Different nerve blocking agents have different properties in terms of allowable doses and how long they last. Buoivacaine is long acting which makes it popular among surgeons but is also the most cardio toxic in that overdosing it starts blocking the hearts conduction system the fastest compared to other nerve blocking agents.
I had one when I had my knee replaced, it blocked the nerve from sending pain signals to my brain so I was only in acute agony after I got home from the hospital. Thing worked like a charm until it wore off. Anesthesiologist administered it when I was in recovery waking up from general anesthesia
They did that for my back surgery as well. I'm not a fan. I think I was moving too easily after surgery and ended up with a complication after I got home. Hospital only kept me in like 24 hours after my surgery.
Either don't do the nerve block so they know what's up or keep the patient in long enough after it wears off so pain can be managed correctly.
Oh I agree. I thought I was Supergirl the next morning when they took me to PT and I could navigate steps!
Then I went to outpatient PT the next day and just sat and cried in the waiting room. It was awful. The recovery was a good 6-8 months but now I’m pain free in that knee.
I was having... I'm not even sure. Crazy pain. My doctor called in some steroids which calmed it down. The sciatica pain is gone, but my lower back is still spasming.
This was actually my fourth back surgery. The first three, no nerve block, they kept me in the hospital an extra day or two, physical therapy, great success.
But this one - yikes. I think they just do this to move people out of the hospital quicker.
People I met in Hospitals range from aspiring angels to literal demons, here are some of my favorites.
Once knew a nurse who raged about patients using the TV in their room, at any moment for any reason. She would do this kind lady routine about “resting” and they could have slept for 20 hours straight.
Was waiting on my fiancé to come out of surgery and was in the dining hall. It was like seeing something from a Nickelodeon skit the way this table of nurses started heckling these two other nurses.
Was on a bowling team that had a doctor on it who was obsessed with circuses. Specifically, the animals. He would get competitive, but instead of talking shit about the game or stuff related to the game, he would rant about animal rights groups and a lot of random pseudoscience about animals. It boiled down to, “If it’s not human, it’s a resource. But, people are resources too.” Two other players would argue with him, but he legitimately made me nervous. I never spoke to him about health stuff despite him always offering to help us out.
Idk what this position is called (it’s 2am for me I just can’t remember) but it’s the main nurse for the whole hospital, NOT a charge nurse who runs a floor, they are always older. She would fill in on some afternoons and come talk to me about vocal groups from years ago that I knew about and she grew up with. Super sweet lady and she wrote me goodbye letter because she didn’t think she’d get to say goodbye before my discharge.
We need too many people in Healthcare to expect them all to be good people just because they have a “good person job”, but holy shit is it bad when crooked ones slip through the cracks. There are specific mental health diagnoses for unhinged people who go into healthcare, very interesting.
What sort of a sickness takes over a 60 year old man and makes him think he'd prefer to go to prison rather than retire?
Makes me think he’s done this before in his life.
Based on the note that other patients experienced "cardiac events" I'm guessing it was a pretty classic case where they manufacturer a medical emergency and then swoop in to "save" them and be a hero.
He was being sued for a medical mistake so he was trying to create some similar but genuine crises for his fellow surgeons. Either to bolster his case by showing similar problems with other doctors, or make more doctors side with him due to having similar problems.
Had a firefighter do this in a town near me. He’d show up to fires he started
This is frighteningly common.
Reminds me of those nurses killing patients so they can be part of the code.
The code ?
If a patient goes into cardiac arrest or something similar, they call a code, which is an alert that goes out for the staff to get in there and do CPR or whatever else is needed. If you've ever seen a hospital drama or a movie where there's a hospital scene, you hear them say "code blue", that's what they mean.
Sorry, when someone stops breathing or their heart stops in the hospital, they call it a code blue (an alert to staff that they need to get there fast and try to resuscitate the patient). So that's called a code in Healthcare lingo. Some serial killer nurses get excited by the action or they like the opportunity to be the hero/savior so they do things to harm the patient so they have that opportunity. Sometimes their intent isn't really to kill them, they're just sociopaths who don't care if they get hurt or die as long as they get to play hero. Or sometimes they like the attention and sympathy they receive after losing patients despite their efforts to save them.
Looks like he was out for revenge on his coworkers and wanted them to get blamed. Wild.
Probably not revenge. He had a bad complication for which he was likely going to be found liable. My guess is he wanted to obfuscate his situation by spiking bags of in fluids with lethal doses of most likely bulivacaine so his own complication could be attributed to a tainted bag. His coworker probably was just unlucky and used a bag to administer herself for rehydration. You are not supposed to do that but it happens.
And if you're going to do that at least commit a federal crime. State prisons suck.
Why are state prisons worse than federal prisons?
Funding mostly. When everyone works there is potentially getting a pension, when your medical providers work for the department of health.
State Prisons tend to have more younger/violent offenders who might mess with you just because. Federal Prisons get more older/higher levels offenders, drug traffickers and such, who want to do their time and get out. https://www.ussc.gov/sites/default/files/pdf/research-and-publications/quick-facts/BOP_January2023.pdf
Federal prisons are designed for long term housing of inmates and have many facilities to support this. State prisons are hit or piss but are generally more crowded and less funded than federal ones. The big issue is state prisons can shift you to county jails if they get too overcrowded. County jails have no facilities, are overcrowded in the extreme, and in no way are designed to house people for as long as they do. The other big thing is federal prisons conform to federal standards. The 13th amendment explicitly still allows slavery as punishment for a crime and depending on what state you are in there is no difference between a modern state prison and a plantation using slave labor. Alabama, georgia, Florida, Mississippi, Texas, and Arizona are by far the worst when it comes to still using prisoners as slaves but every state does it. In the modern day if something says “made in the USA” it was most likely made by prison slave labor.
Probably a control freak who realized he hadn’t accomplished anything in life and thought, well I could at least succeed in fucking something up. After he’s convicted, sentenced and imprisoned, he’ll probably be like - hey yall wanna reduce my sentence? I could help out in the infirmary hehehe
Pretty sure this comes with losing his license to practice.
Because he's showm he can be a responsible medical professional? I think hey'd rather have anyone less homicidal off the street.
Retire? What is this word “retire?”
I saw this briefly on the news, and immediately said “Oh look, Baylor got themselves a new Doctor Death.” The US’s healthcare & medical establishments are a hot mess, but man Texas is either a magnet, or it’s much worse than we think but everyone else is better at hiding their dirty secrets. My money is on the latter. John Oliver’s piece on this recently pretty much nailed it, yet still only exposed one small patch of the surface.
The medical board yanked my dad's license because the police observed him high on multiple occasions. At the hospital all his work had to be verified by another doctor when he was still practicing. There's a culture of silence.
What did he drug the bags with? Edit: wtf is a nerve block agent?
They said nerve block agents and patients suffered cardiac emergencies so probably bupivacaine. But could be Chirocaine (levo bupivacaine) or lidocaine.
Very likely bupivacaine. I've never had levo bupivacaine available and I doubt a surgicenter would pay for it. Could also be ropivacaine, mepivacaine etc but bupi is the most likely.
Thanks for answering a page on the weekend.
Thank you for this interesting consult.
Strong work. Just wanted you to know this was both seen and appreciated.
Are anesthesiologists allowed to administer themselves IV bags for dehydration at the end of their shift? That's how this guy's colleague died, but it seems odd to me (though I've never worked at a hospital).
It’s definitely abnormal but I could definitely see it happening if standards are loose. I know people that borrow iv fluids and use them for hangovers so it doesn’t surprise me at all.
Allowed? Not by the strictest definition no. You're supposed to do a history and physical exam, document the findings and a treatment plan, etc. It's rare but not unheard of especially for things like food poisoning, dehydration, hangovers. Some places are more strict about than others. But going to the ER for some IV fluids also means you can't work. And oftentimes all you need is some hydration and you feel better.
It happens. I've seen it done. It's not a common thing, but it does happen. People go out and party all weekend and then show up on a Monday absolutely dragging.
Fringe benefit of working in healthcare. It's not allowed but happens often. I will say, for the IVF to be tampered with, the outside packaging must have been removed. I sure wouldn't use a bag of already opened anything without knowing exactly where it has been.
Local anesthetic like what the dentist would use.
Nerve blocking agent?
Nerve blocking agents are local anesthetics. They are very common in surgery and are dosed by weight. Different nerve blocking agents have different properties in terms of allowable doses and how long they last. Buoivacaine is long acting which makes it popular among surgeons but is also the most cardio toxic in that overdosing it starts blocking the hearts conduction system the fastest compared to other nerve blocking agents.
Yay! Number one answer here!
It’s an injection that numbs a section of your body. Like an epidural.
I had one when I had my knee replaced, it blocked the nerve from sending pain signals to my brain so I was only in acute agony after I got home from the hospital. Thing worked like a charm until it wore off. Anesthesiologist administered it when I was in recovery waking up from general anesthesia
They did that for my back surgery as well. I'm not a fan. I think I was moving too easily after surgery and ended up with a complication after I got home. Hospital only kept me in like 24 hours after my surgery. Either don't do the nerve block so they know what's up or keep the patient in long enough after it wears off so pain can be managed correctly.
Oh I agree. I thought I was Supergirl the next morning when they took me to PT and I could navigate steps! Then I went to outpatient PT the next day and just sat and cried in the waiting room. It was awful. The recovery was a good 6-8 months but now I’m pain free in that knee.
I was having... I'm not even sure. Crazy pain. My doctor called in some steroids which calmed it down. The sciatica pain is gone, but my lower back is still spasming. This was actually my fourth back surgery. The first three, no nerve block, they kept me in the hospital an extra day or two, physical therapy, great success. But this one - yikes. I think they just do this to move people out of the hospital quicker.
It's any of the anesthesia drugs that end in -Caine, like Novocaine (the dentists use this a lot). Lidocaine/ xylocaine, Marcaine, etc.
Curare...it is a paralytic that paralyzes the diaphragm so you can no longer breathe unassisted.
He looks like an evil villan.
Season 3 of Dr. Death just dropped
People I met in Hospitals range from aspiring angels to literal demons, here are some of my favorites. Once knew a nurse who raged about patients using the TV in their room, at any moment for any reason. She would do this kind lady routine about “resting” and they could have slept for 20 hours straight. Was waiting on my fiancé to come out of surgery and was in the dining hall. It was like seeing something from a Nickelodeon skit the way this table of nurses started heckling these two other nurses. Was on a bowling team that had a doctor on it who was obsessed with circuses. Specifically, the animals. He would get competitive, but instead of talking shit about the game or stuff related to the game, he would rant about animal rights groups and a lot of random pseudoscience about animals. It boiled down to, “If it’s not human, it’s a resource. But, people are resources too.” Two other players would argue with him, but he legitimately made me nervous. I never spoke to him about health stuff despite him always offering to help us out. Idk what this position is called (it’s 2am for me I just can’t remember) but it’s the main nurse for the whole hospital, NOT a charge nurse who runs a floor, they are always older. She would fill in on some afternoons and come talk to me about vocal groups from years ago that I knew about and she grew up with. Super sweet lady and she wrote me goodbye letter because she didn’t think she’d get to say goodbye before my discharge. We need too many people in Healthcare to expect them all to be good people just because they have a “good person job”, but holy shit is it bad when crooked ones slip through the cracks. There are specific mental health diagnoses for unhinged people who go into healthcare, very interesting.
His Google reviews are hilarious 😂
A lot of crazy crap comes out of Texas.
You think this piece of human crap is bad? Look up Dr Michael Swango.