Analysis of a summer tragedy

Modern downtown Boston with molasses flood area circled At about Witnesses variously reported that as it collapsed they felt the ground shake and heard a roar, a long rumble similar to the passing of an elevated train coincidentally, with a line of that type close bya tremendous crashing, a deep growling, or "a thunderclap-like bang! Author Stephen Puleo describes how nearby buildings were swept off their foundations and crushed. Puleo quotes a Boston Post report:

Analysis of a summer tragedy

Shop Anatomy of a Tragedy Dr. Wed, Aug 28, at 2: Christopher Duntsch came to Dallas to start a neurosurgery practice. By the time the Texas Medical Board revoked his license in JuneDuntsch had left two patients dead and four paralyzed in a series of botched surgeries. Physicians who complained about Duntsch to the Texas Medical Board and to the hospitals he worked at described his practice in superlative terms.

Another doctor compared Duntsch to Hannibal Lecter three times in eight minutes. Over the course of andeven as the Texas Medical Board and the hospitals he worked with received repeated complaints from a half-dozen doctors and lawyers begging them to take action, Duntsch continued to practice medicine.

His mistakes were obvious and well-documented. And still it took the Texas Medical Board more than a year to stop Duntsch—a year in which he kept bringing into the operating room patients who ended up seriously injured or dead. Hospital management, the court system and the Texas Medical Board formed a web of regulation that penalized and prevented bad care.

Even if a plaintiff wins the maximum award, after you pay your lawyer and your experts and go through, potentially, years of trial, not much is left.

The Legislature has also made suing hospitals difficult. In effect, plaintiffs have to prove a very tough case without access to the necessary hospital records. This is an almost impossible standard to meet, and it has left hospitals immune to the actions of whatever doctors they bring on.

Hospitals can get all of the benefit of an expensive surgeon practicing in their facility and little of the exposure. The medical malpractice cap and the near-immunity for hospitals snapped two threads from the regulatory web.

What remained was the Texas Medical Board. The protections make some sense. But the result is that unless a doctor is caught dealing drugs or sexually assaulting patients—or is convicted of a felony—it is difficult to get his or her license revoked.

What all this means is that the Texas Legislature has committed the state to a policy of medical deregulation—a free-market system in which doctors can practice as they please with limited government interference. Only their consciences, and those of their fellow doctors, limit them.

Into this milieu rolled Christopher Duntsch, M. Inhe founded a neurosurgery practice, Texas Neurosurgical Institute.

He hired a marketing team and nurses. He put together a website and began bringing in patients. Randall Kirby was another surgeon at Baylor Plano. Duntsch, he said, was the worst. As they dressed for surgery, Duntsch boasted to Kirby that he was the best neurosurgeon in Dallas.

The procedure can improve stability in the back, according to the Mayo Clinic, and relieve pain. Kirby said Duntsch had problems at nearly every step of the operation.

He seemed to have a hard time moving organs and blood vessels out of the way, according to Kirby. He then had trouble moving the plate into place. He was functioning at a first- or second-year neurosurgical resident level but had no apparent insight into how bad his technique was.

For the next several months, he was in constant pain, according to Mike Lyons, his attorney. Three weeks later, Duntsch performed a spinal fusion on Jerry Summers, a childhood friend.

His report was damning. She was 55 and had been experiencing persistent back pain after a fall at home. She said Duntsch came highly recommended. Kellie Martin and her husband, Don, went to see Duntsch, who suggested a procedure called a microlaminectomy, in which part of the spine is removed to relieve pressure on the nerves.

He was very eloquent in stating the causes and the need for the procedure. We felt confident too. Forty-five minutes passed, then an hour, two hours, with no word.the page is getting long, so made some jumps to sections: (click on one to take you to that section) Rick Hendrick aircraft wreck in Hendrick Motorsports Tragedy news - Arna Bontemps uses the conventional plot structure in “A summer Tragedy” to present the theme of being hopelessness and desperation, a genuine love between a poor couple, loyalty, freedom, and liberation.

Analysis of a summer tragedy

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