Best American Crime Writing 2006 - Mark Bowden [82]
With Kendall there were parties and social invitations, even though many people wondered, as one acquaintance put it, “what she was doing with him.” But he never quite made it back inside: “I went to a party at their house, one of those art groups,” says the friend. “I just remember that it was a big party with big money but kind of sleazy people. Girls with surgeries, like they might have had a background in exotic dancing. You know what I mean.”
Through all this tumult, both social and professional, there is no evidence that Scheffey altered even a small part of the work behavior that had caused him so much trouble. It seemed that Scheffey’s practice had never operated quite so efficiently, relying upon an elaborate network of enablers that included fellow surgeons, nurses, radiologists, anesthesiologists, and a system of insurance and workers’ comp approvals that was easily gamed. The TWCC, which, in effect, controlled 90 percent of his revenue, not only allowed him to continue but failed to challenge him when he was asking for approval (in one case, for the fifteenth surgery on a patient). Once the TWCC approved it, there was little anyone could do.
Scheffey had also found the perfect home for the sort of work he did: a facility in Pasadena called Vista Medical Center Hospital. Vista was owned by a publicly traded Houston company called Dynacq Healthcare, whose main line of business was high-volume surgery. Dynacq, in fact, made both the Forbes and Fortune lists of the one hundred fastest-growing companies in 2002 on the strength of its astounding 47 percent annual growth rate over a three-year period. In a 2003 article in Barron’s, company spokesman Jim Baxter boasted that “a very active surgeon might be able to do five spinal surgeries in a day.” It is unclear if he was referring specifically to Scheffey, but he may as well have been. In one deposition, a Vista nurse said that Scheffey would often have two operating rooms going at the same time. So dependent was Vista on Scheffey that when his license was later suspended, in 2003, his absence led to dropping profits, which had a direct impact on Dynacq’s bottom line.
Vista was also remarkably undiscriminating in whom it allowed to use its facilities. In 2001 Vista became the last hospital in Houston (of twenty at one time or another) to let Scheffey operate. According to a 2004 report by the Texas Department of State Health Services, Vista not only failed to check on its doctors’ records and on lawsuits against them but also knowingly allowed Scheffey to perform surgeries in 1999 and 2000 as the main surgeon and without a monitor, in violation of his probation. In response to a detailed and lengthy written query from this magazine, Dynacq spokesperson Christina Gutel would say only: “Dr. Eric Scheffey was licensed by the Texas State Board of Medical Examiners during his tenure at Vista Medical Center Hospital. As soon as that board suspended his license, his surgical privileges were revoked at Vista Medical Center Hospital.”
All the while, of course, the list of Scheffey’s victims only grew longer. In 2001 he’d operated on Thomas T. “Buddy” King after King had injured his back in a truck accident. Instead of the four hours the operation was supposed to have lasted, it took fourteen hours. King lost large amounts of blood. When it was over, he had severe pain in his legs. On the third day after the surgery, on his way to the bathroom, King dropped dead of a blood clot. Another patient, Jennifer Springs, was a fast-food cashier who had injured her back in a fall in 1995. Scheffey had operated on her back eight times between 1996 and 2001, telling her that if she did not have the operations, she would eventually be unable to walk. She got worse and worse, at one point staying in the hospital for three months. She now has severe leg and back pain, far more