Dr. Death

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Authors: Jonathan Kellerman
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Guadalajara, Mexico, at the age of forty. He'd served an internship at a hospital in Oakland, gotten licensed as a general practitioner at forty-six.
     
    No specialty training. The only jobs the news pieces had mentioned were civil service positions at health departments all over the Southwest, where Mate had overseen immunization programs and pushed paper. No indication he'd ever treated a patient.
     
    Beginning a new career as a doctor in middle age but avoiding contact with the living. Had he been drawn to medicine in order to get closer to death?
     
    The name and phone number at the bottom of the page was Attorney Roy Haiselden's. He'd listed no e-mail address.
     
    Next came several euthanasia stories:
     
    The first few covered the case of Roger Damon Sharveneau, a respiratory therapist at a hospital in Rochester, New York, who'd confessed eighteen months earlier to snuffing out three dozen intensive-care patients by injecting potassium chloride into their I.V. lines— wanting to "ease their journey." Sharveneau's lawyer claimed his client was insane, had him examined by a psychiatrist who diagnosed borderline personality and prescribed the antidepressant imipramine. A few days later, Sharveneau recanted. Without his confession, the only evidence against him was proximity to the ICU every night a questionable death had occurred. The same applied to three other techs, so the police released Sharveneau, terming the case "still under investigation." Sharveneau filed for disability benefits, granted an interview to a local newspaper and claimed he'd been under the influence of a shadowy figure named Dr. Burke, whom no one had ever seen. Soon after, he overdosed fatally on imipramine.
     
    The case prompted an investigation of other respiratory techs living in the Rochester area. Several with criminal backgrounds were found working at hospitals and convalescent homes around the state. The health commissioner vowed to institute tighter controls.
     
    I plugged Sharveneau's name into the system, found only one follow-up article that cited lack of progress on the original investigation and doubts as to whether the thirty-six deaths had been unnatural.
     
    The next link was a decade-old case: four nurses in Vienna had killed as many as three hundred people using overdoses of morphine and insulin. Arrest, conviction, sentences ranging from fifteen years to life. Eldon Mate was quoted as suggesting the killers might have been acting out of compassion.
     
    A similar case from Chicago: two years later, a pair of nurses' aides who'd smothered elderly terminal patients to death as part of a lesbian romance. Plea bargain for the one who talked, life without parole for the other. Once again, Mate had offered a contrarian opinion.
     
    Onward. A Cleveland piece dated only two months earlier. Kevin Arthur Haupt, an emergency medical tech working the night shift on a city ambulance, had decided to shortcut the treatment of twelve drunks he'd picked up on heart-attack calls by clamping his hand over their noses and mouths during transport to the hospital. Discovery came when one of the intended victims turned out to be healthier than expected, awoke to find himself being smothered and fought back. Arrest, multiple murder charge, guilty plea, thirty-year sentence. Mate wondered in print if spending money to resuscitate habitual alcoholics was a wise use of tax dollars.
     
    An old wire-service piece about the Netherlands, where assisted suicide was no longer prosecuted, claimed that doctor-initiated killings had grown to 2 percent of all recorded Dutch deaths, with 25 percent of physicians admitting they'd euthanized patients deemed unfit to live, without the patients' consent.
     
    Years ago, while working Western Pediatrics Medical Center, I'd served on something called the Ad Hoc Life Support Committee— six physicians and myself, drafted by the hospital board to come up with guidelines for ending the treatment of children in

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