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There was Floella Brown, whose sliced vertebral artery triggered the stroke that killed her at Dallas Medical Center. There was Kellie Martin, who died from massive blood loss after a surgery at Baylor Plano. DuntschвЂ™s patient outcomes would draw lots of attention over the years. He was the first surgeon to do so, but not the last. Hoyle called the whole surgery sloppy, enough so that he canceled the remaining three or four operations he had scheduled with Duntsch and vowed never to work with him again. When Duntsch tried to reposition it, he stripped a screw the cage wasnвЂ™t going anywhere. But Hoyle says an X-ray later showed it was positioned too far to the left. Duntsch placed a surgical cage where the disc was, to widen the opening around the nerve roots and relieve the pressure that was causing PassmoreвЂ™s pain. вЂњThatвЂ™s dangerous-even that attitude is dangerous.вЂќ Duntsch relented, allowing Hoyle to move in, stop the bleeding, and clean out the wound. вЂњWe need to talk about this,вЂќ Hoyle said, locking eyes with him. Hoyle stepped in front of Duntsch to block his way. ItвЂ™s less than a millimeter from the spinal canal. This posterior longitudinal ligament is one of the spineвЂ™s two major stabilizers. He announced that he would be removing the ligament that separates the disc from the spinal canal. But Duntsch kept going, as if he were fishing in a pond at night, saying he was working by feel, not sight. It was pouring out of the epidural blood vessels and pooling in the disc space. The disc was pressing on a nerve, which caused the pain.Д«ut as Duntsch worked, Hoyle looked over and saw blood and not much else. HoyleвЂ™s job was to cut Passmore open and sew him up, and on December 30, 2011, he made a small incision just above the 36-year-oldвЂ™s groin and moved the blood vessels and organs out of the way, allowing Duntsch clear access to the lower spine to remove a herniated disc.

This would be the first and last time Hoyle worked next to Duntsch. A Surgeon on the Loose: Duntsch made surgical mistakes that one doctor called вЂњnever events,вЂќ meaning they shouldnвЂ™t ever happen in a career. вЂњI thought he was either really, really good, or heвЂ™s just really, really arrogant and thought he was good,вЂќ Hoyle says now. He met Duntsch that day in the physician lounge at Baylor Regional Medical Center at Plano, where the operation occurred. Mark Hoyle, who was the general surgeon during PassmoreвЂ™s surgery. IвЂ™m the only clean minimally invasive guy in the whole state.вЂќ ThatвЂ™s according to Dr. And yet nearly all who met him said they liked him immediately.Д«ut heвЂ™d make troubling, bizarre pronouncements, like вЂњEverybodyвЂ™s doing it wrong. His fellow neurosurgeons found him to be fast-talking and cocksure, a bit of a loner. He always had a plan, always had a pitch, always had a way to fix you. He was taller than 6 feet, with a stubby nose and neatly cropped hair above bright blue eyes, and he had crafted a strategy that endeared him to patients and to referring physicians: IвЂ™m the best, heвЂ™d tell them. But then he gave Passmore the card of a neurosurgeon named Christopher Duntsch.Дuntsch had only been in the Dallas area for a few months. His pain management specialist advised against an operation. He thought surgery might give him some relief, eliminate the need for drugs, solve both problems at once. They numbed the pain radiating from his lower back, down each of his legs. In November 2011, Passmore was hooked on prescription opiates. He also vibrates-his chest shakes, his right hand jitters. Lee Passmore canвЂ™t feel his feet.В His right leg is as stiff as his pressed blue jeans, and when he walks, he appears to use his hips to heave it forward.

Drokz and mr courage big l put it on accapella