Doctor Kills 34 Patients - Dr. William Husel
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- Опубликовано: 1 окт 2024
- A former Ohio doctor was acquitted of murder Wednesday after he was accused of hastening the deaths of 14 critically ill patients by ordering large doses of the powerful painkiller fentanyl.
William Husel faced one count of murder for each patient. He was found not guilty on all counts.
00:56 - Who is Dr. William Husel?
02:04 - Timeline of Events
04:08 - What Happened to the Patients?
06:04 - Palliative Extubation definition
06:28 - My Thoughts on the case
10:40 - What is Brain Death?
12:02 - the Outcome of the Trial
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#williamhusel #drhusel #fentanyl
My son died recently, he had no chance of survival and was in pain and scared. They gave him large amounts of pain medication and I’m sure they hastened his death. It still was traumatic and long. I also was an ICU nurse, and I saw what this doctor did frequently, but it was done out of mercy, not malice. Dr. Hussel was voted Dr of the year twice. I can tell you that would not have happened if he would not have been seen as caring and compassionate. In everything I’ve seen, the outcome of death was inevitable. He made their journey easier. If I could have made my sons journey easier and faster, I would have. I am very sad I lost my son but what I suffer the most grief about is what he had to go through.
Hello I'm sorry for your loss, it's difficult for people to walk in a person's shoes especially when it's the loss of a child,
I wish I could say I don't know what that is like but, but I've also walked in those shoes, and losing a son is something words will be able to explain. I lost my son Isaiah three years ago not of a illness he was sick from but a mental illness he was 20, I am so so sorry you had to watch your son go through that pain, it's almost mind numbing when your hands are tied and the outcome will always be the same no matter what you try and do! I hope and wish you find peace in your journey with grief, just know your son is at peace and he is not hurting anymore and he's always by your side, I talk to my son as if he was right next to me, I still do a birthday cake for him every year and on the anniversary day he went away I try and do something he would have wanted to do like what he had on his bucket list, even at 20 he had one. I'm sorry if I've said to much I just wanted to let you know I saw your comment and that your an awesome mom for being by your son's side,I think as moms we don't get told often enough how awesome and loving and caring we are so I just wanted to let you know your son has an amazing mom!
@@reneeanthony73hi! I’m not the commenter you replied to but I read both comments. I don’t know what it’s like to lose a son, but I know what it’s like to lose a brother. I found him dead in his bed in October 2019. He had just turned 29 a couple months before. I lost the one person in the world who really understood me, and my mom lost her first born/first son. I know my brother and your son are in Heaven, or in the light, or in bliss, whatever you believe. After he died all kinds of crazy absolutely unexplainable things happened that were clear as day signs that he gave me to show he still exists somewhere. All we have to do now is wait our turn to go join them! 💕🕊️🌈🕊️
if I were actively dying, I would want to be as high as humanly possible. NO ONE wants to suffer. NO ONE wants a hard death. Not a single person, so why then do we, by law, force so many to die this way? If I am at the end of my rope and the only thing I have to look forward to is the pain before I die, I would like to have the option of not having to suffer. Honestly, I think if we all really sat down and thought about it, you'd come to the same conclusion.
I totally agree with you.
It's one thing if you have put down these wishes on paper before you die (it's called Advanced Care Planning), or have told your loved one(s) whom you've authorized to make decision for you when you cannot (aka Health Care Proxy), it's another thing altogether when the patient is in the ICU where they are supposed to be receiving life-saving treatment attempts, and the physician took it upon himself to make that decision for you. Plenty of people believe in not giving up hope or rejects brain death in total given belief or religious reasons. According to this video, some patients may not have been brain dead - now we'd never know. And fentanyl is strong enough that 100, 200mg will knock you the heck out, on top of that, patients are intubated, meaning they are on sort of sedation already. Besides, if patient's brain dead already, what would they feel anything at all?
What is being discussed here is not whether a person passes peacefully or not. What’s being discussed is the dosage of medication actually hastening death which is illegal. Medication should be given to allow a person to peacefully and with dignity to transition from life to death naturally without pain. Not to have a dose so large that it hastens and causes the actual passing of the patient. Palliative care is just that. It provides terminal patients with relief from pain and suffering when life isn’t expected or suffering is inevitable as it might be with terminal cancer for example.
@@hocyee just so you know, fentanyl is dosed in mcg which is 1/1000 of a mg. Much much smaller dose. But I get what you’re saying. It’s potent. Palliative care is usually discussed between the patient and/or family if the patient cannot speak for themselves and the doctors as well as others who might have a part in it say the clergy if they’re requested, etc. Usually at that time, the patient’s care is withdrawn and comfort measures are employed. It really depends on what the patient and family wants for end of life as you mentioned in the patients advanced directives.
👏👏👏👏👏👏
I’m a RN. The MD doesn’t administer the meds. That’s done by the nurse. The pharmacist has to “approve” most all medications. Then there are protocols established by the hospital that automatically pop up to stop foolish things like this ever happening. Something isn’t coming out here. There has to be more to this.
Yes the medication has to have approval from pharmacy, however it’s not grabbed from pharmacy. You’re a nurse, how many times do you get an order from the doc then just have to walk to the Pyxis. It’s “reviewed” by the pharmacist with a click of the mouse and they’re not even on the same unit or floor. In house Pharmacy is tucked in the basement and they click “yes, safe to administer” because they trust that a doctor is doing the right thing, then they go back to reconstituting cefazolin with NS. Also there’s no max for fentanyl because it’s used for conscious sedation and some people (opiate addicts) can tolerate a shit load of fentanyl and still have normal respirations.
I’m not defending his actions, I’m stating there’s holes in the system and usually it’s never one person that the entire blame is for.
@@BrocKelley Meh, that’s not true. As a nurse, I always know what’s going on with my patient. Sometimes more so than the Doctor, that’s our job. Doctor’s are smart as hell, however we’re the ones with them all day. There wouldn’t be the Recommendation part of SBAR if that were the case.
@@raymackattack I am glad you said "sometimes". Most of the time not. In fact, without the education and training the nurse is in fact incapable of understanding more than the doctor most of the time. And I am an RN and an MD, so I am in the unique position to know firsthand what I am saying is absolutely true. In my experience as an RN and MD a physician understands more quantitatively and qualitatively about a patient in a few minutes than the RN understands after hours with the patient. That's just the nature of the two fields. No worries, physicians don't know anything about nursing either.
All palliative care is patient assisted suicide. Morphine and Ativan ALWAyS cause death. My grandfather suffocated to death recently because of aspiration pneumonia and his last coughing fit he was never able to take a full breath. Imagine dying like that. Fentanyl suppresses respiration just like morphine so giving any fentanyl whole extubation would be causing death. What do we do instead? What kind of comfort measures? Hope we die in our sleep peacefully if there is such a thing.
If I'm dying, give me all the drugs you want as long as I'm happy...
Hey I just came across this video, and I had to comment because I live in Ohio and while this trail was going on, I was completely obsessed and watched the entire trial from start to finish. I am also an ICU RN. I had never heard of giving such large doses of fentanyl and my immediate impression was “this doctor is a crazy serial killer” HOWEVER - after watching the trial, it is clear that he was railroaded by the hospital, and I fully believe Dr. Husel was a good doctor with the best intentions, and with no intentions of hastening death. His expertise was in palliative medicine, and he felt those doses, based on his experience, knowledge, and literature, were appropriate. The best video to watch is the defenses opening statement, bc they really lay out how this situation all came to be. It’s shocking. The hospital was trying to cover up so much. .. I would really encourage anyone whose interested in this trial to watch the defenses Full opening statement
From the moment I heard about this case, I suspected that he was being railroaded and maligned. One thing I know for sure is that if you are unconscious (and therefore unable to communicate suffering or pain or the sensation that you are suffocating) and have been on a ventilator for a prolonged period of time and you are so critically ill that family and your doctor has determined that further life support is futile and that the right thing to do is to take you off the ventilator because being on the ventilator is just prolonging your suffering I would much rather my doctor not be questioning whether they were giving too much sedative or too much pain medication to a person who is literally, actively dying. These are patients for which death is eminent who cannot tell you they are in pain. They are also patients who likely have been on opiate drips to prevent pain while on the ventilator and have at least some level of opiate tolerance. This prosecutor should be disbarred. I’m 100% sure that many of these families have been traumatized by an overzealous prosecutor with an agenda and now think that their family members were somehow murdered by the ICU Doctor Who was simply trying to keep them from experiencing extreme agony and distress in their final moments on this earth. During a palliative excavation, we should be giving opiates with the soul intention of preventing and minimizing suffering without any regard as to whether or not that might shorten someone’s life. The dosing is not intended to shorten someone’s life, but if keeping someone comfortable results in them taking 20 less respirations, then they would have otherwise I think that ethically that is exactly what we should be doing. The hospital administration and their lawyer should be ashamed.
That's why ones who disagree with a verdict. Need to actually look at the evidence.
When Evidence in court is presented..before we the public should give an opinion. We need to do our job to know all the facts.
The logical conclusion isn't always correct.
He was found not guilty. Because he didn’t do anything wrong,he was helping people not feel pain when their families made the decision to take them off life support.
If he was found not guilty that is a shame.
Not if he was lying to their families about their condition. You can't tell someone that their loved one is brain dead to get them on hospice. Doctors can not lie. It's is a families right take the decision based on real facts. He is a murder.
I guess you have your medical license and know all about it?
@@robmullin1128 a do tor lead to us about my fathers condition
Just like this scum bag. I am going to do everything I can to get her in prison. If you have a GOD complex someone might be coming. after you soon. Then you will see a law license Trumps a medical license.
@@FGuilt you'd rather they experience pain while dying?
The law is broken. If I have no chance of survival, give me ten grams of fentanyl. You'd never let that level of suffering happen to a pet, who can’t tell you how they feel, so why would you let it happen to a human being who is even perhaps begging for mercy.
As a vet I agree. Sometimes I’m very thankful for having humane euthanasia as an option for some of my patients that are suffering. My father died from cancer in a very painful and slow way and I kept asking myself why we could not give him the same help and comfort we do with pets right at the end. It was just unnecessary long suffering….
Yes, 30 yrs ago hospice nurses didn’t have control to give lg doses of some drugs. As an RN, I remember distinctly a patient crying to be put out of his misery, he was in so much pain. I spoke with the hospice nurse and she couldn’t give him any more meds, and told her what the patient was saying. She said, “oh, we can’t do that”. I answered, we do it to animals bc it’s humane. Poor patient died in unbearable pain. Now, hospice KILLS patients every day. Murdered my mom by giving OD of Ativan IV, even after we requested not to.
When a family member authorizes and attends a palliative extubation , trust me on this, there is no such thing as excessive sedation. Been there, done that.
AMEN!!! Theses families have no idea what this physician spared them from. As a provider, it is insulting to read the headlines on newspapers “36 died in kill mill” when it came time to present evidence 14 people were palliatively extubated, kept comfortable with families at the bedside to say a peaceful good bye and now they see dollar signs. These patients were suffering from such advanced stages in their disease processes. Septic shock with multi system organ failure, strokes, stage 4 cancer, Diabetes with wounds and a blood sugar of over (I believe the number was 899). They were all on vasopressors among other drips to keep them alive- all life saving interventions were removed at once. Of course they died.
@@doctordoctor7813 I agree to an extent, while they may have been spared from needless agony (both family and patient), their is not PAS in Ohio.
@@doctordoctor78133
@@raymackattack I don’t believe this was a PAS. If all of the evidence would have been admitted- the biased judge blocked much of it. Dr. Husel was not only a Critical Care physician , but an anesthesiologist. So he was comfortable with medications many of us shy away from. Dr Husel began giving the smaller doses of fentanyl- and then he had a patient initials TY. She was young. She had a bad death after being told palliatively extubated. She gasped and sat up tried to get out of the bed- she suffered and so did her family watching her die. It traumatized her family as well as the nurses & Dr Husel. He gave the higher doses after that. One patient he gave 1,000 mcg of dental to lived for 2 weeks. The doctor had coded many of these patients and brought them back to life. At times he would spend HOURS treating these patients aggressively. I can not tell you what a let down it is to work on a patient like that only to lose them. When efforts became futile, he wanted them to be comfortable. Comfort Care. There is no proof that any of these patients died of a drug over dose. They were dying. Just As the physicians agreed to- removing a ventilator can “hasten death” removing pressors can “hasten death”
These apparently been dying ICU patients who haven't suffered much because of Fentanyl. Victimless crime.
Thanks for bringing up pharmacy. I'm a pharmacist and I can't imagine sending doses that high to patients. Furthermore, if he's ordering 20 vials, we would recognize an uptick in fentanyl usage and that alone would catch it. In such a scenario, if one pharmacist didn't catch it still would not take 34 patients for us to notice.
Practically the first thing taught in nursing school is that "Unit Dose Medication" exists for safety. ANYTIME you think you need to pull multiple vials you STOP because something is wrong. It only takes a second to stop and think. I once stopped a Nursing student (And her instructor!) coming out of the med room with two FULL syringes of an insulin type med. (It is no longer used in hospitals due to high error rates.) You had to do calculations to get the ordered dose equivalent to use a standard insulin syringe. They obviously got the math wrong. But TWO entire syringes was the red flag they ignored.
@@theresalero7039 yikes!
34 deaths on an ICU doctor's watch isn't surprising. ICU patients die much more frequently than other patients......that's why it's called critical care. On the other hand, 2000mcg of Fentanyl is such a huge red flag to any healthcare professional who has ever handled the drug. As a RN of nearly 11 years, 7 of which in the ICU, and having given hundreds of doses of Fentanyl, there's absolutely no way I would have ever pushed 2000mcg. Period. I would have refused, barring some extremely rare condition where the patient was incredibly tolerant of opioids, in which case there would have been a precedent and history of them receiving ridiculously huge doses. What's equally surprising is that any pharmacist would approve it. As another commenter said, there's more to this story that we're not getting here.
Correct. Anyone knowing the doses would have not given it. I haven’t worked in the hospital in over a decade but back then, we had alerts about dosing so you knew how much to give or not give. It wouldn’t have even been the Dr’s wrong doing but the nurse who gave it.
Hmm as a former palliative nurse who cared for extubated patients, I am surprised that there were lawsuits at all. There are studies that indicate inadequately treated pain at end of life shortens lifespan, and if families understood the meaning of palliative extubation, then death should come as no shock at all. Makes me wonder what else is going on here… 🧐 some of those doses sound excessive but without knowing that medical history of each individual, how could we possibly say? Tolerance is built over time.
I watched the trial and it was a witch hunt. There’s a reason why the jury found him not guilty on all 14 charges. I would have done the same.
Attorneys probably approached the family. They prey on these types of people and fill their head with lies for a payday.
More likely than not, the lawyer convinced them that their loved one "could have been saved earlier if x, y, and z had been done".... by spewing nonsense, and then offering Them a chance at some solace by filing a lawsuit, they make a living out of this kind of work.
Then proceed to find any little blemish on the patients notes to have a basis for the lawsuit. In this case the fentanyl dosage, which honestly could have been agreed upon by the pt and the physician without the family knowing.
@@daddy3484 interesting!
I'll tell you what was going on; Hospital Admins panicked and were looking for a scapegoat.
I don’t think the case here is that death came as a shock after palliative extubation but rather excessive doses were used that hasten the process. The physician’s intentions were questioned because the doses he used seems to be out of the range of what is typically used for these procedures. If you watched the trials, two expert witnesses with long term experience of performing these procedures testified saying the doses used in these cases were unnecessary and uncalled for after extensively reviewing the medical records of these patients. Might I also add that the experts also testified that in some of these patients, palliative extubation was called prematurely
I am all for medically assisted death and many of the Doctors I have worked with agree in private but will not say it aloud. It puzzles me that we humans will euthanize a dog, cat ,horse... to alleviate suffering but not a human being; how humane is that. My first code as a licensed nurse was a 95 yo woman with cancer, bilateral amputee, bilateral mastectomy and every other itis you can think of; yet the family had her as a full code. The whole team is in full ACLS mode the physician walks in takes over calling the code and to our relief says "slow CPR" this was for documentation purposes only. We all knew it was the wrong thing to do (ACLS that is) but we had no choice . I cried afterwards and asked for forgiveness. At what point is enough enough?? How selfish we are hanging on to loved ones whose life is lying in bed connected to machines being pumped full of toxic chemicals. I know it is very personal and hard to let go but were is the humane in humanity. I hope all charges are dropped.
what is ACLS ?
I’ve seen patients that are not brain dead, have awareness of everything that’s going on but no longer have control of their bodily functions, motor skills, and have to be fed with an NG tube. This to me is more terrifying than brain death. My wife knows to put me out of my misery if something like this were to happen to me. It’s an important discussion to have with your closest loved ones.
I doubt your wife would do it
Eternity misery is dying without Jesus not living on this Earth being sick..
The discussions are important & so is having all the legal documentation in place as well.
@@316JOHNLT Amen Spot on
@@ChildofGod71 Know the devil is killing those people like he's caring but the truth is the thief comes only to kill and to steal and to destroy!
Coming from an ICU doctor: The underlying concept here is the double effect. The drug is given to alleviate suffering, but we know it has an unintended second effect of hastening their death by slowing or stopping their breathing. The reason for the drug is the former, but we accept that the latter outcome may also happen.
The only criticism I would give to this doctor is that the doses given were probably beyond what was necessary to alleviate suffering. While I imagine he had concerns about undertreating and leaving a dying patient in pain, the way to protect against this is instead to frequently readminister the drug, rather than giving a very large dose up front. So if you administer 100 mcg of fentanyl and the patient is still suffering, you can give an additional 100mcg in 5 minutes, and continue every 5-10 minutes until they appear comfortable.
Ultimately it is splitting hairs and without knowing more details of the particular cases where he gave 2000 mcg of fentanyl, I think this doctor was just trying to ensure his patients had a peaceful death, and there is nothing wrong with that.
This ICU RN of 22 years agrees. I've seen everything..Every case is different- No RN would push that much- unless they were suffering, " guppy ing" hospice, etc.ppl develop a tolerance, thus it takes more meds to be effective. I had covid pts on ATIVAN GTT, MORPHINE GTT( which I never had prior unless pt dying),DIP, ketamine, 2 percocet Q4, xanax Q6.. via peg-ETC..TRACHED,wide awake, and restless. . Withdrawal of care is not ONE persons decision, they need 2 attendings, apnea tests, etc... if DNR- then we don't escalate or increase pressors..etc.Ive held many hands during a terminal withdrawal from the vent.. no such thing as too much med when someone is GASPING for air.
I’m an RN since 2001. I would never administer these ridiculous doses. I would have told that doctor to go xxxx himself
Sounds good to me honestly.
I have been intubated without meds because they had to. Mercifully I passed out just as they cranked my head back but suffocating is not a pleasant way to die. It felt like my blood was burning and a weird ache in my bladder. It was confusing and scary and painful with people pulling on me like that. I would hope that when my time comes, they'll just put me out. Because like I said, that was plenty bad enough and I live to tell the story. When I woke up and starting fighting because, who wouldn't under the circumstances, then they snowed me and the lights went out. I'd rather the lights just go out.
Watching my grandfather slowly die after they removed him from life support and offered "comfort care" via a morphine drip was traumatic. I honestly wish he would have had this doctor... a lot of the commenters on this stating how awful this was have probably never lived the experience as a family member....
I watched a friend slipping away on a respirator. He passed shortly after they removed the tubes. It was necessary; he had no future remaining. Family and friends sadly 'waved goodbye'. 😔
@Bub Brett Then give it yourself so the nurse doesn't get her license taken when a lethal dose is given because you want to play God and alleviate time.
thats NOT the point.Did he have permission from the patients FAMILIES?? NO he didnt. He shouldnt be above the law..
make sure you advocate death with dignity laws in your state!, i completely understand your point of veiw!
Thank God the jury was wise enough to see the facts of the case and fully acquit Dr. Husel. Dr. Husel did nothing wrong and that was proven in an actual court of law.
OJ Simpson was also acquitted in a court of law !
All he need to be a quit in America is you need to have a good lawyer and a lots of money and be withe...
@@316JOHNLTLMAO. No. You need to be rich OR A DEMOCRAT. If you're a black democrat, just claim racism and BLM will be right there to raise money that you'll never see a penny of🤣 fun fact. The organization "Black Lives Matter" has never donated a penny to any victim they're "stood up for" and democrats don't give a shit. Hell, Obama dropped more bombs than any president in history, killing countless innocent women and children...and he received a Nobel piece prize instead of prison. Democrats like Antifa caused billions of dollars in damages across the country with their riots. Not only was nobody charged, rioters who were arrested were later given $10,000 each by our corrupt government.
Rioters were REWARDED WITH 10 THOUSAND DOLLARS. If that was a white republican (like the people involved in January 6th where literally nobody was hurt except a woman that was killed by the police), they'd still be going to court of the charges (again, just like the January 6th people"
Now please, quit saying white people get away with shit when you couldn't be more wrong in 2024.
I can tell you, as an ER dr (at the same hospital), that all of the pts presented at trial were dead already, many had even been brought back to life more than once after actually dying from cardiac arrests. Killing the patient is caused by removing things that keep them alive like a ventilator and vasopressors. That is a horrible experience. No one survives after that procedure. The question becomes how best to make sure the pt is not experiencing pain , anxiety, or any other discomfort, cause they’re too sick to even talk. A Mrs Castle suffered for days with tears streaming on the “normal” morphine doses with nursing pain assessment at the highest level during that time. Is that comfort care? No.
Overdressing patience with pain medicine is not caring even if they're too sick. It's so scary that doctors could medicate you to death...
@@316JOHNLT would you rather have pain at a level 8-10 while you are dying? The families give permission to end their lives by removing everything keeping them alive. Unless you have experience with palliative care in an ICU setting, you don’t know what you are talking about. Not being critical, just stating facts.
Most of the people objecting on this post are, I am almost certain, Roman Catholics, whose punitive views on the nature of life and death they are currently trying to make the law of the land. The greater the suffering, the closer to God is their universal motto.
Would you resolve to say, that unhealthy eating will in common cases, bring you to this end 🤔???
@@uplift56 well, I can’t say that is true. Healthy people who exercise and stick to a stringent healthy diet often die of a heart attack in their 40’s all from genetics. A couple of these pts overdosed on recreational drugs. Vascular disease is often hereditary and diabetes can happen at any age even kids less than 5 unrelated to diet. Sepsis, which is an overwhelming infection from any source will kill you, and is completely unrelated to diet. Just the luck of the draw.
It’s both disturbing and fascinating how he was able to be admitted into medical school with priors of construction and detonation of a bomb (and of all places, outside of a healthcare facility). It also makes you wonder, as you stated, how the pharmacist didn’t find the dosage questionable. From outside the situation, the trend is clear and it’s highly unfortunate that it took so long for a formal report to be conducted on the matter.
He also tried to frame someone else...…..that's a big character flaw...….
@@Anniefawesome sociopath. How did he get accepted to medical school with that HUGE flaw in his past? You would rather not have obvious personality disorders in med school
I don’t think you get that from in house pharmacy. Fentanyl is found right in the Pyxis and can be taken right from floor stock in most hospitals once a doctor has an order in for it. Once the order is in from the doc, the nurse just grabs it from the Pyxis and administers.
Yup! Good grief!
@@raymackattack I'd still think there would/should be some kind of limit to the amount that can be taken. Idk 🤷♀️
Why if nurses accidentally kill one they go straight to jail however, this doctor took 30+ people before going to jail?!
He didn't go to jail. He was found not guilty of all charges.
I’m surprised that they didn’t find some way to blame the nurses since they administered the large doses.
7 months ago my brother was dying. I received a phone call early morning from the ICU doctor in regards to making a final decision for my brother. Did he want me to keep pushing and attempting to revive my brother (who had an ejection fraction of 15%) or did he want me to put him on comfort care with high doses of mediations to relieve his pain and suffering. I told him to put him on comfort care and to this day it was the best decision of my life. Before he was on this measure of care I could see him actively suffering. Afterwards we was just asleep and pasted away a little while after. Ik this has nothing to do with this case, but I’ve seen many anti palliative care comments. It’s a good thing. Think about the patient not yourself.
You did a beautiful thing for your brother, and it doesn’t happen often enough. (I am an ICU nurse)
It has everything to do with this case
My brother was taken off tube in palliative care and had a morphine drip and died overnight. I was there at his side worried it was too much and nurses explained signs his body was in process of shutting down and morphine actually eased him and helped his breathing.
This doctor seems to be assisting death rather than giving palliative care. While he may not want to be gasping for air in his last moments, he cannot make that decision for others.
I sat with my mother for three and a half weeks while she was in a medically induced coma following a horrific car accident. Four times care teams talked to me about whether or not my mother should be kept alive, as she was 86 and very broken. I saw her facial features react when she was repositioned or I talked to her. Her level of sedation was lifted from time to time for evaluation. I knew she had a powerful will to live and persisted. Eventually, she moved from Intensive care to Acute care to Skilled care and then home. Seven normal, productive years later, she passed away. If a doctor decided, while she was in the ICU that she "needed" 100 times the dosage of sedation, it would not only have robbed her of those additional years, it would have been cold blooded murder.
My parents were both against being kept alive "on machines." Each one, when the time came, went on hospice and accepted natural death. I had to sign a "do not resuscitate" order for my uncle, as I was his healthcare power of attorney. I helped my mother make the decision for my father, far gone in his dementia and "failure to thrive." to discontinue his antibiotics. My daughter inlaw was there caregiver for her grandfather who made three decision to stop dialysis and accept death. I visited my husband's 18 year old friend in the hospital who had broken his neck and was a paraplegic--completely dependent for the rest of his life, however that long it might be. At no time is this an easy decision. But never would I ever consider hastening death for myself or anyone to "spare them."
Good for your mother but this situation is much different than yours.
For me, one of the biggest concerns I have is whether Husel was following the desires of his patients or if he was simply making the decision for them. I don't have enough information to know for his cases, but the fact that the families have sued and the nurses have been disciplined leaves me thinking that he seriously failed in communication with the families and with perhaps with the hospital. I am all for allowing death with dignity, but no one should be imposing it.
In your mother's case, you clearly knew your mother's needs and wishes better than the medical staff, and you made the choice that brought your mother seven more loving years. It doesn't sound like Husel had these conversations with the families, and I have trouble believing he had these conversations with the dying patients. Besides which, the doses being described sound far beyond what's necessary for comfort. He wasn't giving doses that bring unconscious slumber - he was giving doses that bring death. And regardless of whether he made the “right” call for these seriously I'll patients, I don't think that was his call to make. Not without the family. 😔
That's great for your mom.. this was not at all even comparable to to this story. Not guilty was the right decision. But now his life is over, even after he was found not guilty
@@MB-ke9miit was literally the same.
After an extensive trial, Husel was found not guilty on all counts on April 20, 2022.
As a ICU RN, I could never give that much fentanyl to a patient at one time, and I'd immediately report anyone who did. I can't understand how this got passed the pharmacists either.
If I saw an order for 1,000mcg of fentanyl I would've assumed that the MD was trying to order a fentanyl drip. Since fentanyl usually comes in 100mcg per vial, I'd have to be carrying around 10 vials of fentanyl. That would be insane!
Retired RN here. Opening 10 amps would raise my suspicion level. Where was the ICU manager in all of this? I was a Hospice nurse, and it was made clear to us not to overdose patients. There is a fine line, often difficult to navigate.
It got passed the pharmacist because they clicked “reviewed” and went back to mixing medications while the nurse grabbed it from the Pyxis. I agree as nurses we’re the last check before it hits the patient and no nurse in their right mind that is educated would give this. Laziness on the nurse’s part not looking at safe dose range if something looks fishy. And even if this were a state which participates in physician assisted suicide (which it’s not; California, Montana, Oregon, Vermont, and Washington) the ANA took a strong stance of NO to participating in such. There is no max dose on fentanyl because it’s used in conscious sedation, but there is a safe dose range and it’s splitting hairs, but there is a difference.
Exactly!!
They were overriding the pyxis and not all patients were terminal.
Something about this channel smells like libtard ideology
ICU doctors have patients "die on their watch" on a daily to weekly basis. It sounds as though this entire case is built around the fact that his fentanyl doses were large, not whether these patients were actually going to live or not. It speaks volumes that his nursing staff supported him and filed lawsuits against the hospital system. ICU nurses are notoriously independent and question anything that seems abnormal, so the fact that these terminal extubations/palliative extubations occurred and they felt fine giving these large doses of fentanyl says that the patient probably was at the very end.
With that said, when you make the decision to use an abnormal amount of a drug or deviate from established standards of care, you run the risk of something like this happening. Whether your intentions were good or not.
I actually somewhat agree to this. In my experience it’s PICU/NICU nurses. I have no experience with ICU nurses. But nurses in intensive care are VERY independent. Questioning absolutely anything and everything that even seems “off”
I feel the excessive dose of fentanyl was actually killing the patient rather then being palliative. It is not okay for euthanasia of people. Animals aren’t people as much as I love all mine. But 4000 mcg of fentanyl is pretty excessive.
Americans in general are obsessed with prolonging life instead of quality of life at the end, often to the detriment of patients. Loved ones who refuse to let go of their parents who are truthfully never going to recover. We need better laws allowing death with dignity, etc
We need to improve anti-aging research. It is advancing painfully slow
"Murder is OK if I thought the person is in great pain and wanted to die!". You're fucking insane.
Maybe a controversial opinion but letting them suffocate on their own isn't humane or with dignity.
I followed this trial pretty closely as it was taking place. The trial covered each of the 14 patients' charts leading up to their deaths in a decent amount of detail, many of whom were in poor health prior to admission, as well as some who were actively dealing with a substance use disorder. At least two patients were found unconscious, having been down for an unknown period of time. Listening to the family members testify, all of them said some variation of, "My loved one would not want to live like this hooked up to all these tubes."
What I found to be particularly troubling was how some of the family members who were testifying to their experience making medical decisions on behalf of the patient had pretty inconsistent, distant relationships with the patient. Phrases like, "we were out of touch for a while," or "we drifted apart" were used. Now, by no means am I saying that they didn't care or love their hospitalized family or that this type of relationship was true for every patient, I couldn't help but feel like some of them were only involved because they saw a potential windfall at the end of the tunnel. I tried really hard to not see it from the "they're only in it for the money" angle, but as much as the prosecution tried to reframe it, it genuinely felt like they were putting lipstick on a pig sometimes. Defense didn't even bother addressing that angle because it was such low-hanging fruit.
I followed this case closely as well and feel very differently about the families involved. Anyways, regardless of what the patients prognosis were and the intentions of the family members, it doesn’t give this doctor any right to deviate this much away from standard of practice. He can’t just decide and say they were dying anyways so why not just expedite it and give them insane amount of dose 1000 micrograms IV push of fentanyl…. If that was the case, doctors can just do anything they want and get away with it. They have to practice within the scoop of practice
I see what you’re saying. But the flip side is who else was going to fight for justice? I have some family I’m not close with but if I died unjustly at the hands of anyone I would hope they would speak up on my behalf. Money or not
@@bribri8232 That's fair. At what point does death become just or unjust? Ultimately, with whom does the responsibility lie? I don't think that any of these families were pressured by the doctor to stop life supporting measures and extubate the patients. They also didn't seem to have much interaction with the doctor at all. There were numerous mentions of a chaplain/spiritual advisor in the medical records who supposedly discussed things with the families for over an hour typically, yet none of those who testified said they remembered anything at all about a chaplain speaking with anyone in the family. There seemed to be some serious issues with documentation and the hospital is trying to place all the blame solely on this doctor. To me, the hospital should be the one under the microscope.
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@@cyllene2716 yes but deviating from standard practice does not mean out of scope of practice it also does not mean murder. They weren't able to prove beyond a shadow of a doubt that he actually expedited their deaths. I personally think he MAY have expedited SOME of these patients deaths, maybe by minutes, maybe by hours, but do I know for sure? No and the jury also was not convinced
pain management gets tricky w palliative care...
Health care is serious, that's one more reason why medical schools need to look into legal charges of candidates.....this guy was out there from young age with the whole bomb issue in college.... a person with this kind of mentality should not be allowed into the medical field.
Yeah I was kind of surprised by that
It was probably at a time where getting records was difficult, especially if the incident happened in a different state than the one he went to med school for
Here in Australia, before commencing a medical degree we need to provide around 5 different police/clearance checks
An excellent argument. Good point.
I applied 2022 cycle and had to go through many background checks and another one to the school that I’m going to. They do do this now.
I hope they arrest and charge the thousands of doctors who have murdered patients in the hospital these past 2.5 years. If they’re not going to arrest our current “healthcare” workers, then they need to let him go.
Exactly, since the entire horrific travesty of co & vid, and the vak seen, and all the ppl who were preyed upon by countless hospitals and their staff, all those ppl, everywhere, who walked into the hospitals but didn't walk back out...and it's THIS Doctor, who's just trying to alleviate suffering, that the system chooses to target?
Upside down world!! How many medical staff all over the world actually deserve the verdict that his enemies tried to push on him??
Yep, how many are guilty of FAR WORSE since the beginning of the "new normal"???
I've never seen all of America be afraid to go to those systems before... But they are NOW.
Yep, almost all of America now, trusts our "healthcare" workers like we would trust Ted Bundy.
Bless this doctor for doing enough to provide palliative care.
Please change your title, as he did not kill 34 patients as determined by the court. Serious question, is there anyone out there who isn't providing extra opioids and benzos for terminal extubation? Maybe not the massive doses described in this case, but I'm certainly not withholding drugs so a dying person can spend an extra hour in respiratory distress. Murder? No. Questionable practice? Most likely.
I’m surprised he was allowed to practice with criminal charges
With those criminal charges, i agree. However criminal charges do not exempt you from practicing medicine. It’s a case to case basis on whether you’re granted a license or not. Criminal Charge/time frame/circumstances surrounding the act/considerations from recommendations of the court, all things taken into account by state licensing committees.
@@raymackattack makes sense, thanks
He’s white
@@inthebooks3947 Bro, you can’t explain it all by “he’s white” 😂😂😂 His skin color does help him. I agree, however there’s more to it than that sometimes. White privilege does exist, however it only gets you so far. Don’t pour fuel on the fire of racism by continuing to blame anyone for the color of their skin (black or white). Intelligently research and make an argument from facts other that race without prejudice (crime facts/guilty/not guilty) and we can all make a difference.
@@raymackattack if he was black with any back ground they woulda never been into medical school. They didn’t take it seriously cause he’s white.
I'm glad he was acquitted. I'm an old RN and have seen this over and over. He's doing these patients a favor and when it's my time, if it ever comes to that, I hope my doctor does exactly what he did.
No matter how sick his patients were, he had no right to play God with these people's lives. Their deaths would have come when they did. Their families should have decided when to stop end of life care, not the doctor or nurse.
@@rain73ful That's your definition of God....
In 10 states, you can make your wishes known and decide for yourself your time of death. If this were legal in all states, there would not be cases like Dr. Husel's.
It’s common sense
It's about pain relief, not hastening death.
As an ICU nurse, I would definitely question excessive doses of any medication and report to my Supervisor in writing as well as in person.
@anita thank you for your service and honesty. You literally save so many lives with your service and integrity i know i would be dead without good docs and nurses thank you
As a potential ICU patient with a terminal prognosis, I would rather be given too much than too little. What is the use of prolonging suffering?
Agreed, But, who would push that?! ...unless they ordered that much- but did not 'use' that much? Brain dead pt would not be "guppying" ..would not need much..I dunno.I've seen WAY MORE SUFFERING,& false hope,then I cared to.But, I ALWAYS have hope& never Tell anyone to make That decision. I WOULD HOWEVER, answer truthfully if they asked me what I "would"do IF this were my mom?" ..
Nursing Student: Thank you so much for covering controversial cases in healthcare.
It's a mystery why the prosecutor didn't include negligent homicide in the charges in addition to murder when the prosecutor had to know the weakness of the evidence regarding intent
Greeeeaaaatttt question!!! I believe risk assessment advisors (usual have 10-20 years in nursing and fluent in legal) should be consulted about cases before official charges. They are the ones that advise hospitals on what standards are currently implemented from evidenced based practices. However, they make the big bucks from hospitals and probably would never get paid better from the prosecuting side.
I suppose it's possible that the prosecutor discussed this risk with the families and they were adamant about wanting murder charges. I don't know
My question is how did this guy even get into medical school after the whole bomb situation in undergrad? I'm in med school and the background checks are extensive!
They are extensive, and someone with this charge should not have been granted a license. However, when they find a charge (cause they will find it if you have one) it doesn’t automatically disqualify you. Depends on the charge/circumstances surrounding the charge/outcome and time frame and is decided on a case to case basis.
He was probably a solid Ç student with extensive help nonetheless
It was probably tannerite .
He works at my hospital, pretty cool guy. I don’t think he’s the monster people make him out to be. Especially if you seen some of the cases. I don’t agree with his decisions and I wouldn’t have carried his orders out. Oh yes it’s called mount Carmel not pronounce “car-mul”
*Quantity of life is a curse once the Quality of life is over.*
The worst job in this world is being Power of Attorney for Health Care.
Thank God for doctors who step-in to ease the prolonged suffering of your loved one's when their time comes.
Doc Husel was aggressively prosecuted, and fully acquitted of all charges. That should be the end of his persecution.
I know many people, especially men, who will not go to the hospital for fear of dying. My 48 yo cousin just died of pneumonia at home because he refused to go back to the ER. Things like this surely don't help. Sigh
Thank you for this thoughtful video! I recently discovered your channel because I wad looking into the RaDonda Vaught case and I appreciate your perspective as a medical profession. I would love to see you review other cases like this or about medical crimes, which I find fascinating. (And as a layperson that last image you showed looks like a ghost 😅)
Thanks so much!
Very well presented Doc
Seriously this man just stood trial and was found not guilty. What you are leaving out is every patient was being critically extubated. Some where people who had overdosed and where revived after extensive amounts of time. Most were in complete multiple organ failure, had coded numerous times and were revived by Dr Husel. This man was a fall guy for a failure to keep these medications regulated properly throughout the hospital system. The families never complained until months later when informed by the hospital. You should remove this video, seeing this video makes me question every other video I have watched of yours!!!
He said multiple times in the video that the patients were all being palliatively extubated and that the patients were critically I’ll. I don’t think anyone is disputing the fact that this doctor was trying to limit suffering, which is something we can all appreciate. However, I do think it’s worth a discussion as physician assisted death is not legal. There are so many nuances to this case. I think Dr. Cellini did a nice job of discussing both sides of the argument.
Because doctors take the hippocratic oath, patients believe doctors won’t lie and have our best interests in mind. We also tend to believe doctors research answers or have them in their head already. We forget the are human and have a wide variety of backgrounds and social values just like everyone else. I have felt fortunate to find the doctors I have had in the past.
Most doctors don't bother with the oath anymore. There was even a supreme court decision on it back in 1973. Let's face it - swearing an oath is a very old fashioned idea and not really relevant anymore. Ethics and ethical guidelines should be taught and established but it always up to the individual person whether to follow them or not.
This doctor got away with this because so many other people were complicit in enabling him to do it. They are just as guilty as he is.
Very well said, unfortunately not everyone understands this and doesn’t research or advocate for themselves. There are great doctors though don’t let a couple sully the rest. It’s just like any other profession. They should be held to high standards, but remember they are human.
The Hippocratic oath it's about doing no harm. The ICU is sometimes a torture chamber. Sometimes doctors just want to stop doing the harm.
As an RN, one thing that I must comment on, is that we must have the dose of whatever opiate we are giving increased. The patient will lose the effectiveness of his medication if we don't increase the amount of the opiate. Studies show that the patient does not become addicted to the medication. And even if a patient who has a terrible diagnoses with no good outcome, deserves the increased dose.
This is a good example showing the two-tiered system. No one checks for many years until after a lot of patients die. The doctor ends up acquitted while the nurses are thrown under the bus. IMO medical employees should not be punished unless they intentionally cause harm or death. I would like to see an algorithm select abnormalities to be reviewed by an outside independent body with medical people only as advisors.
IMO someone should have checked after the first or second death why this doctor was prescribing such high doses of fentanyl. I often wonder if errors are due overwhelmingly to understaffing and/or working too many hours straight. Whatever the cause(s), the administrators don't seem to care, and they need better oversight.
would you consider neglect intentional harm? if not, medical professionals shouldn't be punished for neglect?
He was found innocent in his criminal trial,he didnt murder anyone,you should take this down.
I’ve followed this case till the very end… I understand that there is no max dose to fentanyl that can be given during palliative extubation but when you deviate this much from standard of practice, it says a lot about his intentions. Who is he to think those practices don’t apply to him and can almost play godly in those situations. Obviously, not every doctor practices the same way and there is no clear cut rules in these types of situations but there are some general guidelines that every doctor should bide by for reasons like this. I also feel like he didn’t effectively communicate the situations of the patients to the family members as most of them described it when they testified. I understand the concept of death with dignity etc…. Physician might have his own believes around what is considered ethical but by law it is not up to him to make this decision but up to the patients will/person of attorney/ next of kin…. He got away with this one probably thanks to his prominent attorney Jose Baez…. On the other hand, you have nurse Ronda where it is clearly an accident and she took full responsibility for it and did all the right things but ended being found guilty…. This doesn’t make any sense… I will say though in both cases, I don’t like how the hospital washed their hands off of these cases and did image control instead of taking accountability for the systemic error that took place
Apparently common sense is "playing godly". "By law" physicians call it everyday. Get your facts right 👍
After I apologized to a patient and told him that I gave him a med which was ordered but which he did not need, he laughed and stated “ Oh honey, it’s doctors who bury their mistake.” After I gave him a diuretic when his CVP was normal, I freaked called the doc who laughed and asked me why I was so upset, but I insisted on giving a fluid bolts and order labs after that. Everyone in the ICU thought I overreacted, but it upset me, because it was an awful shift in the unit, I was in charge, one of the nurses had overdosed her patient with a Lidocaine drip, and collapsed unable to work anymore. So now we had to absorb her two patients, plus help our new grads with their assignments etc., you get the picture. BTW, I meant “bolus”😂 and the overdosed patient didn’t have a single PVC, lol, and survived without any problems. Nursing is not for the faint of heart, and we need nurses to work as a team, supporting each other.
He was aquitted! Yes his life was ruined. His family is on food stamps. Sad! 😢
I gave 1650 mg of dilaudid via a pain pump in 4 hours to a patient with cervical cancer in her home. She was a hospice pt and she was out of pain when I left but still verbally responsive. So it does take a lot to keep certain kinds of pts comfortable but what he ordered seems excessive and why not give the recommended dose and give more if needed?
As an ICU registered nurse I think these amounts of Fentanyl are grossly excessive and no way would I administer them.
I'm a nurse too. No way would I give those doses either.
As a former ICU Registered Nurse, I was concerned about the dosages. Would never have given these dosages. Would have reported to Nursing Supervisor verbally and in writing.
I personally think medically assisted suicide should be totally legal. If they were going to die I'd personally want 2000mcg also...to feel good while passing
These are the exact same types of comments that were all heard before the trial for the past 3 years. For all of you that don't know, there was a trial that lasted 8 weeks, the REAL facts were laid out, and he was not guilty.
So, the hospital pharmacist and the doctor should have had a conversation regarding the dosage. And the nurse that transcribed the order should have informed their managers
How did this guy even get a medical license? If you don’t look both ways before crossing the street, the nursing board will blackball you before you even apply. 😆.
Why wouldn’t he have gone to jail immediately for making a pipe bomb and trying to frame someone for it? Community service really?!!!
great question and how was he accepted into medical school with that background?
if he was an Arab or muslim he would get a death sentence
Probably a rich family behind is back. We already know that not all people are treated equally under the law😡. Sad but true
White
@@inthebooks3947 Unfortunately I agree and that is sad. Bunches of white men like myself would have a hard time admitting that and they would even make every argument against it, instead of showing a bit of humility and accepting responsibility for our white privilege.
So, how was he able to get the amount of fentanyl he did. Because, in pharmacy, on the Prior with side you can have as much as you want opioid wise as long as you have cancer, are on cancer treatment or have an oncologist on your chart. So, that’s my go to MAYBE especially if the first one in public records has cancer 🤷♀️. He could just be an arrogant doctor who likes to play angel of death. We don’t know. But what were the policies between the pharmacy and doctor and did he actually administer the drug cause the doctors don’t administer the drugs especially in a hospital setting. There’s so many things that need to be answered.
as much as i have some sympathy, i still dont agree with his stance on overdosing patients, sure they were suffering and in end of life care but he could of done it in a way where they got their standard fentanyl prescription and passed away on their own, he still essentially did assisted suicide, which should of been punishable, he had no right to make these calls, especially without families consent, but even with consent, he has no right to do that
Shocked that pharmacy and nurses allowed the huge fentanyl doses.
The pharmacy, ehh. They click a button that’s says reviewed, Not surprised. The nurses however. Tsk tsk. I’d be dammed if i gave 10 vials of fentanyl to one of my patients. 😅 That’s my license gone!!
Actually pharmacy was not aware until after the facts where the drugs were already administered. Nurses took out the drugs via Pyxis override… still doesn’t explain why they didn’t report it when they were verifying it retrospectively though
@@cyllene2716 pharmacists wouldn’t be reviewing prior orders for a patient that’s died, and seems they died pretty soon after the fentanyl administration
The orders were given verbally, the meds were pulled from the pyxis via override, bypassing pharmacy in almost all the cases.
@@fs6464 orders were given manually and pulled via Pyxis override. The orders were then entered into the system after the fact and in some of these cases pharmacy did “verify” retrospectively. Entire trial is on RUclips
Good video. Certainly the point about staying within dosing guidelines and having an open and honest conversation with your patients and their families is an important consideration in this case.
It's not uncommon to Rx 100mcg of Fentanyl 15 minutes for palliative patients being exhibited in the ICU . Some physicians try to get families to put a DNR order in place and remove resuscitation from the palliative patient . That being said , I seen palliative patients , who aspirated , come off the ventilator , extubated to start breathing on their with satuations of a 100 % on ambient air . The patients were sent home on comfort measure protocal, to live an 6 six weeks , comfortably able to eat , drink , talk , but in bed . Do I think 5his ICU physician may have tried to hurry to the patient's death . I know of doctors trying to get families to remove patients from life support, some families are really in tune with their lived ones condition and say " no , let's wait 72 hours before we make any kind of decisions " only to see the doctors huff and puff and storm out the meeting . Like you I wanted to know the patient's status and the situations surrounding deaths in question , but without the medical record we don't know . If families are suing , chart is locked up with the health records manager and the other people who have access are the lawyers and their staff and the hospital staff involved in the law suits . I agree that 2000 micrograms og Fentanyl is a large dose to administer at once to a patient , but the nurses could have refused to give the large dose and pharmacy could questioned why so many voles were ordered . Sounds like there were a lot people who wre asleep at the wheel when these patients died . As you mentioned in the ICU you can see 1 to two patients died per day . The hospital has assume some of the responsibility for any malfeasance ! The precautions for certain medications for palliative is not the same ss for Nonpallitve patients : it's like " don't worry , if it helps make the patient comfortable, just give the medication. " My feeling is that this doctor will get his license back to practice , but he may have to go to another State to practice.
2:30 My favorite part of this video so far is how he keeps saying Mount Caramel. 😅
/KA-ra-mel/ = a sticky, sweet, nutty confection made by cooking sugar with or without butter or milk (caramel)
/kar-MEL/ = a mountain in the Middle East which is mentioned in the Bible (Mount Carmel)
The moment I heard pipe bombs in college i knew he’s always been a wacko
Why would ANYONE want their loved one to suffer? All the anger they are projecting onto the Dr is coming from their desperation to make their loved one stay alive despite the fact they were suffering and dying. Sometimes families can’t see past their grief. Sad the Dr had to be their punching bag due to their ignorance.
Thanks for your videos which I find informative. Just one suggestion, maybe reduce the number of zoom in and outs. Thank you.
Will you be correcting this video now that this guy has been found NOT GUILTY of these deaths? This is the trouble with these 'true crime' videos. Being assumed guilty in a court of public opinion before you are given a trial is morally reprehensible.
My mother was in hospice care (hospitalized) before she died from cancer. The doctors made sure she wasn’t in pain. Sorry so many people here have had loved ones die in pain. Not sure what happened in this case so I’m hoping to watch the trial bec as an RN I agree with one of the other RNs who commented about the protocols in place in hospitals when it comes to medication administration. It’s hard to believe the doctor was able to prescribe as he’s accused of without several alarms sounding in the hospital.❤❤❤🙏🏽🙏🏽🙏🏽
I really wish he didnt talk about the things that may or may not of been true and this is a really hard subject to discuss and for sure judge a guy about things the reg person has no experience and or knowledge about and i know this is an earlier video so some things that are out now havnt played out yet. But i can’t understand why he thought talking about the pipe **** would be something that needs brought up. Because to me all it was was an attempt to make people question his morality and that really sucks man because idk just going by the evidence he was trying to ease the end of their life and as someone who watch my dad pass in hospice from cancer and after seeing him suffer fot so long knowing he was not in pain is some comfort. I know you cant have doctors just ending people whenever because its a fine line between compassion and something else but you have a guy that was voted Dr of the year twice and had a job that had to be absolutely horrible on your conscience. I would battle with did i do the right thing every day. And it seems like somewhere he said ok im doing this and like the guy said they had like suggestions how to handle it but not procedures so its seems like at the end of the day the call was his. They probably seen the high amounts ordered and thought he was stealing and then found out that and in trial there was evidence presented that the hospital had a plan for who would be the villain in this situation for self preservation so its really messed up im really upset the police took what they know and charged him with murder. And if you know he gave up his liscense and people troll him calling him dr death and he had serious mental issues ptsd and oh yea is on food stamps having trouble surviving. Dr of the year twice man and thats why people who dont know nothing shouldn’t judge people so quick. Idk this story is a bummer and disappointing. What happened to this country everyone is mean as hell. Compassion is against the law and i know of some things that’s happening in hospitals right now that is actually criminal and its not opinion its actually criminal when u publicly state a program of your hospital has closed down to avoid criminal liability and then later its actually expanded and i dont see anyone or any doctors being prosecuted stuff is messed up right now
Good on you for taking on a challenging topic like this. Have been enjoying the conversations in your last few videos.
I do not agree with universal application of Palliative Extubation or iatrogenically expedited death. When my dad was sick with respiratory failure, the ICU staff kept bringing up Palliative care...for someone who was awake, alert, and responsive. Now, my friend's young wife is in a well known hospital system often utilized by celebrities in Los Angeles. She walked into the facility for acute respiratory failure. She has had terminal cancer, but was not ready to give up time with her family yet. They intubated her to give support. She was awake and communicating with everyone when one bout of suctioning secretions, coughing, and bucking against the ventilator led to them knocking her out and paralyzed her. It didn't stop there. They so overly sedated her that it was a DEEP General Anesthetic that required intensive medication to keep her blood pressure up to normal levels. As an anesthesiologist, this is extremely concerning to me.
It appears to me that they interpreted DNR in a pt with terminal cancer as permission to finish her off. The family wanted them to bring her out of the sedation one more time to say goodbye, but they had other plans. After some half hearted efforts to "wean her," they became convinced that she will not awaken. They began to withdraw supportive care. Just today, the director of the ICU approached my heartbroken friend to pressure him into accepting active Euthanasia with Palliative Extubation, or shut off the ventilator while she is paralyzed and anesthetized. My friend said no, and then the ICU doctor stopped all supportive measures in order to expedite her death. This is not compassionate care, it is inhumane and cruel to expedite the death of someone who is not ready to go. This is the unethical and unfortunate state of medicine.
Palliative care at home is done by family members, INCLUDING medication. I personally have had to go to a pharmacy in the middle of the night to pick up a stronger or different pain reducer. No need to name it because sometimes people want to die at home and their people let them. IT'S HORRIBLE TO WATCH ANYONE SUFFERING THE AGONY OF A PAIN FILLED DEATH
If he did anything deceitful then I'm sure most agree that is wrong. Beyond that, I'll just convey my thoughts on medically assisted death. Medically assisted death should absolutely be legal. Government should not even be involved in such a personal decision to prevent suffering, excluding making sure there are parameters in place to prevent death against the wish of the patient. The illegality of medically assisted death is nothing more than a moral hill some politicians have chosen to die on. To that I say go suffocate on your own fluids instead of being peacefully euthanized. I just put my cat with stage 4 kidney disease to death a couple of days ago. I was happy to offer him a peaceful escape from pain and suffering while I held him and my wife talked to him. It is appalling humans are not provided with the same dignity and comfort.
Why do you keep pronouncing Carmel (karmel) as caramel? The first means garden and the later is sugar that's been heated until it turns brown.
*Doc tries to snuff me out by giving me too much opioids*
*Me sitting there watching TV* Thanks doc I am in no pain. I've been on opioids for 15 years so it's hard to control my pain
*Murderous Doc* 😐
How did he get past medical school admissions??? I get convictions for nonviolent crimes being looked past.... but making a bomb? Come on man..
I don’t get it. Normally, doctors don’t administer meds Iv when on the floor, nurses do. So what kind of nurses agreed to give those meds.
how did no one realize he was ordering that much fentanyl?
LOL I had to jump through so many hoops & provide numerous documents to the BON for a marijuana dui. This man got into med school with all those charges, crazy..
If he’s been accitted don’t you think in all good conscience you should take this video down as it’s still points the finger at him
I’m sorry but this doctor must be one of the few left that cares about suffering. This hysteria of not treating pain is killing so many people and worse leaving people to simply exist rather than live .
Why did it take 34 pts to be murdered by an MD. But a nurse makes 1 med error and thrown under the bus?
As a patient that is dying I wish I could ask my doctor to give me something to kill me faster but just keep milking me for 900k a year in medical cost
400 mcg is not a lot for a dying patient in pain whp has built up a tolerance. Please when it's my time, give me excessive doses.
I watch for these doctors. My mom died horribly over a long treatment that just made her live and die through hell. I have the same future in front of me. I always make sure the hospital knows I am DNR. I want the palliative doctor who will respect my wishes.
guess is that he was using the drug him self or something and more like using the excuse knowing the patient was going to die any way, looks more like a drug prompted case all though no one sees it that way
I was thinking that too.
This should be not put up under this title! He was found NOT GUILTY on all 14 cases he was charged for!!! If you would follow the whole trial you would know that he did NOT kill anyone!!!
I love these videos because it makes me appreciate the great doctors out there
🥰
Sometimes I wonder if these people are psychopaths and that’s why they become doctors
Mount Caramel or Mount Carmel one is a candy the other a religious reference to a place. You say it like the Candy, carahmel
for me 400mcg wouldn't be enough as I'm on 60mg oxycodone for a severe crush injury from a car crash. I'm immune from doctors opioid mistakes!
I mean, we all love fentanyl as critcare doctors…but just not that much🤣 i think he was trying to palliate his actively dying patients, but morphine infusion would have been the better choice..
Revisit this please
Saw a video he wife 5 kids food stamps living at parents and has some kind of medical disease.
So he was acquitted but the nurses were charged? Again, the nurses are always the fall guy in health care
i used to work icu, and i'm surprised they put those orders in. i mean, sure when we "pull the plug" on someone we always give them something, morphine typically. now I'm sure any other pallative/critical care professional out there will know the magic of the waste bin....but you can't really use that method if the input order says 2000 mcg of fent. that seems the reckless part to me, I'm not sure why anyone would involve themselves in that ticking time bomb, if I were the nurse on that day, I would have told the doc he can give the med himself. the whole system would have had to been complicit in these events, docs, nurses, pharmacy, and the admin because those orders would have been flagged for sure.
Thank you for this video. The modality of medical institutions i.e hospitals are in dire need of improvement. No one person should have decision making authority. Period. Meds should constantly be reviewed and consistently. if the doctor was being reprimanded, a whole slew of other doctors should also have been on trial. A team not a person. And that is only the beginning of changing the modality . Sorry for those whose end of life had to be that kind of experience. 🙏
Where were the old experienced nurses? Probably put out to pasture.
I live in this state. I remember being in pharmacy school when this happened and this was a pretty big deal. A bunch of pharmacists were fired because we are responsible for 50% of every order upon order verification. I really don’t agree with all of these large doses of fentanyl at once, as you really don’t need this much for palliative extubation.
As a MD In the comments pointed out the accepted standard is to repeat doses vs one high dose. So would that make the pharmacists more comfortable to get repeated orders, vs one order for high dose?
I am pretty much sure that everyone in that hospital knew what was happening. I work in palliative care and many of us feel that people suffer to long when they are passing away even with comfort care. With all the death I have witnessed I think medically assisted suicide is only way to go if the patient agrees with it.