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Best American Crime Writing 2006 - Mark Bowden [75]

By Root 740 0
to an orthopedist who later reviewed the case for the Texas State Board of Medical Examiners, Scheffey’s surgical failure rate over those five surgeries was 100 percent. And almost all of them were entirely unnecessary. By the time the infection killed him, Viands was already facing life as a disabled person.

As disturbing as Viands’s case is, it was by no means unique or even unusual for Scheffey. There was Ed Gonzalez, for example, an auto body repairman from Humble who’d hurt his back lifting heavy equipment. Scheffey operated on him four times between 2001 and 2003, cutting out disks and bone and busily installing and removing hardware. After each surgery, Gonzalez’s back pain got worse. He is now unable to walk around the block, unable to sleep, and in pain twenty-four hours a day. He says that he might have killed himself if his father had not hidden his shotgun. A person identified only as B.P. in public records, a school custodian on whose spine Scheffey operated three times between 1998 and 2000, now has a condition called drop foot in which her foot hangs limply in a vertical position. She must wear a brace to walk. She has lost all bladder control and has to wear diapers. According to a later finding by a judge, not only did B.P. not consent to the surgeries, but they too were completely unnecessary. There is a long list of such people. Many, like B.P. and Viands’s widow, have sued Scheffey; many have not.

By almost any measure of medical performance, including the sheer number of his patients who are crippled, maimed, or in constant pain, Scheffey ranks as one of the worst doctors in American history. He is easily the most sued. Since 1982 he has had seventy-eight malpractice claims filed against him, a total that does not count what one attorney estimates to be more than 150 people who would have sued him if they had not been beyond the legal statute of limitations or if lawyers had been willing to take their cases. He has settled forty-five of those suits for more than $13 million. At least five people have died as a result of Scheffey’s surgeries, though doctors, attorneys, and former patients will tell you that the actual, unreported number is much higher. At least four of Scheffey’s patients have committed suicide because of the pain they were in or because of the depression brought on by the massive doses of narcotics the doctor prescribed or a combination of the two. One of those patients was so miserable that he committed suicide after he’d received a cash settlement from Scheffey.

Oddly, Scheffey’s litigation-stained career has been anything but anonymous or low profile. It has been splashed all over Houston newspapers, magazines, and television news reports, which have been fascinated by his spectacular cocaine bust, in 1985, and by the multiplicity of lawsuits against him. There was also Scheffey’s flamboyant lifestyle, which featured multimillion-dollar mansions in River Oaks and Shadyside; a house full of expensive, big-name art; a collection of Ferraris; a private jet; and status as a favorite son of Houston’s art community. He has been the subject of five legal actions by the state medical board to either restrict or revoke his license. Viands’s death led the board to suspend Scheffey’s license in 2003. In February 2005, after twenty-four years, it was finally revoked, and he was fined $845,000.

Scheffey did not respond to several requests to be interviewed for this story, but if his own estimate in a deposition is correct—that his three thousand spinal procedures represented 20 to 30 percent of his total surgeries—then he may have performed eight thousand or more total operations on knees, ankles, hands, and shoulders, as well as spines. Yet what makes his story even more startling is that all were done with the explicit consent of a vast medical, insurance, and governmental bureaucracy, which, even after he became notorious for injuring patients, approved and funded every unnecessary surgery he did.

LIKE VIANDS, MARY TYWATER believed she was going into the hospital for a routine operation.

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