"Absolutely Disgusting": Doctor Fatally Poisons Patients and Colleague

Dr cave here to talk about perhaps the most disturbing case I have ever come across in medicine involving nothing short of medical PTSD which as you know is a betrayal of trust a betrayal of trust when patients are at their most vulnerable and in this case specifically here in the operating room where we're naked where we're fasting and hungry and cold and entrusting Our Lives to somebody and when somebody betrays our trust that we give them in this incredibly sacred moment it is absolutely disturbing and I'm actually going to show you the video I'm going to cut the chase for you and show you exactly what the incriminating evidence at Dr Ortiz here he just walked away from a cooler watch him again as he comes in pardon a warmer he's got a bag of IV fluid this is an anesthesiologist and this was what probably sealed his case he goes into a warmer he's putting something in there and he's taking something out what he put in there was what would cause nearly 10 or 11 patients at least maybe more and even a colleague of his to nearly pass away after a routine elective surgery and in one case just actually trying to help a colleague this is the most bizarre and disturbing betrayal of trust I can imagine because it ended up in patients after routine int elective surgery with one exception that I'll tell you in a moment to one of his colleagues who he poisoned leaving the operating room hypertensive tartic and eventually pulseless requiring shocks and CPR but not responding to those normal shocks and CPR and epinephrine because of the unique poison that he used that I'm going to tell you all about and I'm going to show you what the antidote was that nobody ever knew because of how he chose to poison his patients using lipos suction medications I do need to acknowledge everyone who has had medical trauma I hope never in a capacity this egregious but it's very real there's no question about it and patients come to me from all over the world having experienced gaslighting having been blown off in this case exemplifies so much of how that betrayal of trust can lead us to second guess ourselves so just to make it very very clear what this individual looks like well here you go this is Dr Ortiz that's him putting a bag of Ivy fluids into a warmer the video that you saw this is a screenshot from there to the right is Dr Caspar one of his fellow anesthesiologists in Texas whom died from receiving one of those IV bags that he had tainted to understand how this all played out we're going to go through the clues one by one and I'm going to explain to you medically what happened with you with each of them at every step and why it confused so many doctors for so long the first clue was when patients or when patients and supervisors were noticing that there was a very large number of complications in a short period of time like 10 11 cases between May through August in 2022 that's way more complications than you would expect from a surgery center in that period of time they notice that they were longer cases longer cases need more bags of fluid clue number two is that the bags of fluid were taken from a specific warmer why are IV bags put in a warmer simply because when you are under anesthesia your temperature regulation is out of whack we need to warm your body to prevent it from going hypothermic and the fluids you receive in your IV should be warmed to help minimize that potential hypothermia pardon not hypotension clue number three was that these complications were found to occur when a particular anesthesiologist was at the center and not occur when that particular anesthesiologist was on vacation this began to narrow down who a potential culprit was it didn't help when an RN very early on notified authorities of a particular anesthesiologist that was refusing to receive IV fluids from the RN and insisted on getting his own fluids this difference I don't know if anyone can see the difference between these two bags of fluid this is actually where this poisoning was eventually identified if you can figure out what the differences between these two I'll give you a shout out and also by the way if you know what this medication is here which was the antidot that nobody knew to use because of his particular poisoning unfortunately Dr Caspar who was a colleague of Dr Ortiz was receiving an IV bag for hydration because she wasn't feeling well during this time period and one of the bags of hydration that she received was one of the bags tainted by Dr Ortiz Dr Caspar died and her autopsy found a particular medication in her blood a medication called bupivicaine which is a very close relative of this medication called lidocaine which is a very close relative of the natural substance extracted from the plant from the from the cocoa Le down in Colombia so anyways that plant alkaloid has anesthetic properties so this is now beginning to paint the picture of why were these medications even in the operating room even in this surgery center in the first place well it gets deeper because an 18-year-old in one of these 1011 cases an 18-year-old was one who had to go to the ICU after their surgery 18yar olds are typically healthy they typically don't have problems with their heart that require resuscitation with medications like epinephrine they typically don't need shots of epinephrine or shocks pardon from an from a defibrillator they don't need CPR after surgery something about this 18-year-old led to an analysis of what was in the IV bag which was found to have bupivicaine lidocaine and indeed epinephrine itself so what happened why were all these ICU doctors why were all these patients so confused well they were effectively gaset when they're told they're getting a bag of Ivy fluids they're getting anesthesia and instead are ending up with ventricular tachicardia or ventricular fibrillation I want to take a quick quick second to look and see if anyone has figured out the connection here I'm looking at the uh all of your comments uh Hey Kaitlyn by the way total sidebar but I hope your wedding video is going well um who else was able to figure out that the doctor yes doctor poison some people but what was the connection here to these medications uh Kaitlyn I agree with that as well I'm not seeing anyone who's going to get a shout out here about what went wrong specifically okay well I'm going to cut to it then when someone gets lipos suction you may or may not know that the surgeon has to what's called to mess the abdomen if that's what the fat is being extracted from you have to inject large volumes of fluid stuff like this but you can't just Infuse fluid you need to also numb the area with that fluid if you want to help minimize the pain after the lipos suction so we mix the fluid with local anesthetics like lidocaine and bivic they numb the area so that even though the patient is asleep under general anesthesia they won't have as much pain so we don't have to use as much general anesthesia we also include epinephrine notice how small this vies this is one milliliter of epinephrine one milliliter this is a tiny tiny amount this is enough to um uh Kill Me by putting me into ventricular tachicardia potentially fibrilation who knows what it would do to me but it would complete havoc on my body yet we put this in lipo suction to messent solution why do we put epinephrine because it helps constrict the blood vessels in the abdomen or the butt or wherever you're doing lipos suction and it helps prevent systemic absorption of the Liane or bupivicaine or whatever else is being used to numb that part of the body typically lto cane is used sometimes bupivicaine is used when we use epinephrine and we prevent that sudden systemic absorption meaning your body full on absorbing all that local anesthetic it helps minimize the risk of toxicity from the local anesthetic because local anesthetics numb nerves if the concentration in your blood is too high it'll numb the nerves in your heart and in your brain what does that lead to a heart that no longer pumps correctly because your heart needs nerves to pump correctly to pump blood to your brain if the nerves in your brain are not properly firing because of local anesthetic toxicity you're going to have a seizure you're going to go unconscious you might die from the combination of all your nerves being completely thrown into Haywire so the epinephrine prevents a rapid spike in your blood concentration of local anesthetics lto cane in particular now the problem is that these medications do not go in a normal IV bag they go in a bag of fluid that goes into your abdomen so it doesn't go directly into your bloodstream because that would kill you very very fast be very clear goes into your body into like soft tissue not into a bag that gets infused into your bloodstream directly the other problem is that as you can tell all these medications are colorless you can't right it's not like it's tinged yellow or blue or red it's not like uh B12 that's methylated that's red it's not like propol that's white it's not like um plenty of colors out there methylene blue whatever whatever you can't tell if they're mixed into a bag so what Ortiz did is he actually put them into an IV bag and would put the IV bag in the warmer so when somebody came to grab a bag of fluid that was clue number one right these were longer surgeries that needed more fluids so people would get a bag of fluid from the warmer in the hallway then they would inject they would let that Infuse into the patient under anesthesia and the patient would not a an awake patient will say hey I'm starting to feel num on my lips I'm hearing ringing in my ears I'm not feeling so good those are the early signs of local anesthetic systemic toxicity local anesthetic systemic toxicity that is the name of the condition that these patients would ultimately suffer from local anesthetic systemic means body wide toxicity if the patient's asleep they can't tell you that the level is rising higher and higher until their heart Peters out and now you're in an emergency because you have to start doing chest compressions the problem is that when the heart stops working due to last or local anesthetic systemic toxicity the normal algorithm for resuscitating a patient does not always work because this bag I didn't see anyone answer in the comments maybe I missed it I'm so curious did anyone know what this is I've talked about it in past videos yes Lizzie I am way behind in the chat I'm sorry what is this yeah I don't I don't see anyone telling me though so I don't know well this is intra lipid this is 20% lipid ulion it's literally fat it actually tells you on here you're going to read with me here it says how many calories it's got uh 250 MLS 200k Cal you can actually read it's literally pure fat that we're infusing into your veins the fat will actually absorb the bivic cane and take it out of the out of the heart muscle so like Benjamin here says lipid emolion therapy the fat will suck out local anesthetic that is binding to the sodium Channel receptors in your heart muscle that is preventing your heart from beating properly we rarely rarely ever give lipid emosion unless we know there is local anesthetic systemic toxicity it is not a firstline usage at all that's not the only problem though because when someone is having last in addition to giving intralipid immediately we also use less epinephrine to resuscitate the patient usually in a code for you medical professionals we are giving one milligram of epinephrine as part of our ACLS algorithm our Advanced cardiac life support algorithm for last however you don't want to give that much epfr at a time you want to give more like maybe 50 or 100 micrograms literally one tenth of the dose on top of that Ortiz was poisoning his patients and his colleague it seems like for that matter his own colleague who does that right he was poisoning their bags with epinephrine in them so you already have epinephrine at uh toxic levels in your bloodstream the algorithm typically involves giving whopping doses of epinephrine but if you give that to someone who's already got way too much epinephrine you were just gaking more havoc on the body this is leaving doctors totally confused like what is going on why is this patient not responding to our emergency treatments on top of that as you might know in the ACLS algorithm we sometimes give lidocaine as an an anti arhythmic you can give otone but some older algorithms still use lidocaine these patients had local anesthetic systemic toxicity the last thing you want to do is give Co give pushes of IV lidocane in someone who is suffering from alocane biocane systemic toxicity literally every part of our algorithm is broken except for the chest compressions the high quality CPR and the shocks and on top of that what went wrong with the bags it was later found when they were looking at the bags this is what if you're if you're in the hospital if you're in a medical profession be aware of this bags like this are different than bags like this because they have a wrapper around them this wrapper you'll know if it's been punctured you should at least be able to tell if there's somewhere if someone were going to poison a bag that's got a wrapper on it there's going to be multiple holes going through here there might be a leak inside the bag but if someone is handing you already an unwrapped bag you need to really look at the end and see with some this is where you inject medications for those of you who don't know you unplug this here to spike it to get IV fluid slowly infusing out but if you want to inject medications in you inject it through this port here you need to be super super Hawkeye to find the little puncture holes you can barely see them in the camera in this area here because it's these are very small needles you won't see it so if you're ever getting fluid try to get one that's in a wrapper that has much less chance of being tainted than one that's already been opened now of course I don't want to fear Monger these are very very rare events but when it was looked back to see what went wrong in these 10-11 patients between May and August there were unwrapped bags that someone was putting inside the warmer that had the medications these colorless medications very potent into them you don't need more than one or two ccs to kill somebody of these medications you cannot tell if someone has added one to two CC's or 1 to two milliliters in a bag of a thousand milliliters because you're not going to be able to tell the difference on the fluid level that's simply such a small amount this medication is so potent that you would never tell what is a takeaway from all of this it's not to be a fear Mong Rite saying not get surgery this is one anesthesiologist in a big country there are of course horrible people out there and medical PTSD it all comes back to what we started with the Betrayal of trust I don't want you to not speak up for yourself if you feel that you have been gaslit I've been gaslit by doctors and it blows my mind the incredible narcissism and entitlement and grandiosity that some people have fortunately it's not most doctors in my experience but all it takes is one and I've had far too many patients who have been gas SLI by one doctor and have forgone so many Medical Treatments and all I want you to know is that you need to speak up you need to feel empowered to advocate for yourself if you know someone who has been scratching their head why did the doctor do this to me why did they say this to me please be empowered to speak up if not with that doctor with another doctor you can watch my videos on how to respond to someone who's gaslighting you in the medical profession so that you can Advocate it happens too often hopefully not this degree of utter insanity and truly egregious and disgusting betrayal of trust but all it takes is a couple of small ones to compound into patients that come to me that have lost so much hope not only in doctors but even in themselves and if you've lost hope in yourself it's very difficult for a Healer to heal you with that said we're going to launch into our Q&A here just as a shout out if you if you appreciate how I break down the secrets of medicine please join our exclusive access if you have been betrayed and you have medical pcsd you can always learn more about my clinic in San Francisco but remember that you have more power over your health than you've ever been told and you deserve to have that self-compassion to go past medical PTSD and the trauma that others in positions of power and may have caused on to you well chasing the wild you are very very um welcome for that Stephen good to see you I don't have my book written yet one day hopefully um Courtney Fraser I had medical PTSD because of what happened in February I felt so uneasy I'm I'm sorry and I want you like everyone else who has had this experience and not ignore it it's like when someone is aware under anesthesia and the operating the worst thing that one can do is to pretend the awareness did not happen you know what the first line the first action you need to do if that patient tells you they thought they were aware of something in the operating room when they were supposed to be asleep you need to have an emergent psych consultation it's one of the few psychiatric emergencies there are many psychiatric emergencies I shouldn't say that but in the setting of surgery I can't think of any other psychiatric emergency other than awareness yet how many doctors don't even think to ask about it and pretend that could never happened Heidi so good to see you and thank you for the kind comments uh peace back to you jpace and Carrie an I totally agree absolutely crazy but also a lot that we can learn from uh Katie thank you for the kind comments so good to see you I hope you're doing well um in the land down under as they say uh Lo very kind of you as well hey Julie is saying the doctors unfortunately will not discuss what happened everything is a big secret I finally had an NP nurse practitioner that discussed what happened yeah um Julie I agree you know there's this Ivory I'm GNA be full transparency medicine is like this Ivory Tower that uh for many Financial incentives has been built to keep many individuals out and the problem with medicine is you know you know what give me a shout out or comment below and I'll give you a shout out if if this is you and I know I know there's many of you have you ever felt like information was withheld so that pardon do you feel that information that was withheld prevented you from better taking care of yourself so be clear the Ivory Tower leads to patients not getting information and to not being able to heal themselves and advocate for themselves and Empower themselves with knowledge I don't want to sound cliche but knowledge is power like Einstein said so long ago too many patients don't have the knowledge to Advocate take control of their health Stephen thank you so much for that super thanks PTSD and Lyme disease patients Scott if you're referring to Chronic lime this is a challenging Branch just like how any chronic viral illness or bacterial infection can lead to all sorts of a vague complications in the long term have you heard of chronic lme have you heard of long covid have you heard of HIV syndromes there are I mean after hepatitis viruses there are so many I mean mononucleosis after evv infections there going to be all sorts of long-term sequella we just don't know about them very well now some of them we do know well like after uh chickenpox vericella you can have zoster so we know about that one we treat that one it's got very defined very defined symptoms but anything that's more vague we are very quick to not acknowledge the organic underlying cause it's what I this is why I do what I do in my clinic because you got to address the root cause what is the chronic inflammation after a viral illness or bacterial infection done to the body and long Co patients I mean in case you don't know in San Francisco we use ketamine and NAD and stellate gangan blocks to help address the wound up sympathetic NM system that has been wound up because of chronic inflammation and that fight flight response from the wound up sympathetic nervous system further feeds in to chronic inflammation or hyperinflammation so that's what the goal of our therapies are are to help reduce the sympathetic fighty response in hopes of reducing the chronic inflammation does not work for everyone but I'll tell you the number of patients that have come who have been completely gaset and hopeless compared to the number of patients that find treatment is a very favorable ratio pardon that find symptom really very favorable ratio and hey Kathy you're so welcome uh man so many kind comments I appreciate all of them thank you um I'm going in for a lower GI should I be scared do you mean a colonoscopy by lower GI if not well if so I would hope you wouldn't feel scared um hey thank you Lizzie I appreciate it um the IV has to be wrapped before using it well Susan all I'm saying is that if somebody has a wrapped IV it's highly well it's less likely that it's been painted with than one of these already pre peeed IVs that's all I'm saying I'm not saying everyone should insist on a peeled IV but it is worth considering what went wrong in this process how do you know how can we be certain the IV bag is in plastic if we medicated well you don't know this is for mental health profession who are dealing in this space that's all Susan hey thank you so much for your agreement I I hear you and I agree that long Co sucks Rachel I'm sorry it sounds like you might have been suffering from it Carrie in asking good questions asking lots of questions is not wrong being respectful and listening to the answer is crucial both for the doctor and the patient and jod heay back to you when a doctor fails to explain test results or doesn't do more than basic testing well that sounds like a lot of modern medicine to me doesn't it when the story broke she told fellow anesthesiologist she was taking IV home to hydrate and it was intentional did not know he was doing it to others well it sound this is based on my reading from the doj uh and thank you so much as a reminder hiid please hit that like button if you're learning something new uh I went into a nuclear stress test just because the doctor ordered it and I was in his off oh it was in his office I'm sorry Courtney that you had what may have been an unnecessary test so I cannot know for certain and I agree that root cause analysis is very important Wendy agreed how scary is it to have a heart valve replaced well cruising on the high season travel there are percutaneous valve Replacements then there's open heart valve Replacements which one are you talking about they both have risks they both have many benefits if we can do them with minimal invasiveness like going through the groin without having a saw open the sternum there's a lot to be asked for and lot to be expected in a minimally invasive approach but it depends on the individual um and Jane I'm sorry that you had this experience with mono you have nailed it how a particular illness can have lifelong changes it's not just long Co it really is not because you already you know about Mono I'm sorry you had that appoint that you had that experience but I hope that you can Advocate you know I got to say that myoga conom myelitis or what we call chronic fatigue syndrome shout uh please leave a comment if you're aware of this so you can help educate others I don't think this just comes on its own willy-nilly it might in some individuals but the debilitating fatigue and the absolutely excruciating pain that Al often accompanies it if it's with fibromyalgia often has some trigger in the past that we believe might be viral in origin not all patients but probably something in the double- digit percentages 30% or so but if we don't even acknowledge that that an initial inciting infection can have lifelong consequences we are just wasting time and if you're a patient you don't have time to waste when it's your body that's been fatigued and your body that's been in pain and the next video that I'm going to do right is your future video is going to be specifically on when doctors sometimes I don't don't take this the wrong way but how much it helps for a doctor to have experienced pain to be able to treat patients who are in pain if you're if you've ever thought about that let me know because it's a a very very touchy subject but kind of goes into this gaslighting thing which can be abusive if a doctor doesn't know what a patient's going through um I've had my own experiences that I want to personally share next time and I hear you on the chronic fatigue Mama Bear have your questions answered before you're put under it's your body of course absolutely um I will ask that I'll say it's important to start asking your questions early because if a lot of questions come up the minute before you go under anesthesia you might not get the answers that you want and you might not have enough time to process the answers through your advocacy your engagement earlier on in a surgery process when possible behooves you as the patient uh for years doc told me there was nothing there I'm sorry that you had that I wonder what the underlying reason was um now chronic pain after gallbladder surgery this is a different so we're talking about viral and bacterial infections having long-term consequences but you need to know that anytime someone has surgery there's always a risk of post-surgical pain were you aware of this I don't think patients ever told this ACC pain can transform into chronic pain whether from gallbladder surgery from orthopedic surgery whatever and this is why the human body needs to have the right support inside and outside to prevent the insults that can happen from physical traumas viral infections Etc from turning into lifelong complications I'm not saying it's anyone's fault but I am saying that the more prepared the body is and the better support it has internally and externally the less likely I at least believe it is for that body to transition to a chronic disease um what if the cardio can't see me before my surgery well talk to your anesthesiologist Janna I can't tell you on here I'm sorry uh just as a heads up three weeks of post-surgical pain is not uncommon necessarily chronic postsurgical pain refers to pain after surgery that goes on like three months after the surgery I hope that your surgery gets better soon Rachel aren't the surgeries to prevent pain not make it worse well Rachel I don't disagree with you but have you heard of failed back surgery syndrome does anyone here know about fbss many acute insults to the body if the body is not prepared acute insults means like what physical trauma being hit by a car having surgical trauma having psychological trauma viral infections Etc the body isn't prepared this can transform into chronic pain for any number of reasons the spinal cord being overly sensitized what we call the windup phenomena or Central sensitization I mean there's many reasons future videos but uh don't think that medical intervention necessarily means cure because that's absolutely not the case in some cases it is I love modern medicine don't forget I'm an anesthesiologist I support Western medicine in the right context for my last surgery they gave me xylazine hey Jean xylazine is not used in the United States in human beings so I kind of doubt they gave you xylazine they may have given you Dex medamine but xylazine is a veterinary medicine at least in the US uh I hope they didn't give that to you the AMA gave you PTSD I'm sorry to hear about that Scott does Deeper sedation oh this is an interesting question have to be requested by the treating physician prior to the procedure deeper than life cation conceded as I'm having a considering as I'm having a procedure tomorrow and my GI said it took 9 milligrams of veret well Justin that's a lot of medazzaland N9 milligrams but you should express that to your anesthesiologist tomorrow so that you get the right amount to start and the right amount as it's titrated once the procedure starts um I want to a quick reminder um this is not medical advice this is information for you to consider and discuss with your doctor about please don't forget that and also if you're learning something new do please hit that like button and share with others you're so welcome Justin I'm wishing you the best for your procedure tomorrow uh I'm sorry Sterling Hawk that speaking with the manager did not change anything but hopefully if another person speaks up eventually Karma will hit uh the karma train will hit that individual if you know what I mean and yes Dina I totally agree I'm just learning about stronger meds and they really do scare me and yeah I agree these meds are literally one milliliter That's How Strong these medications are that can um recre havic in the body there's a time and a place to use them properly and that's why we go to medical school for so many years hey one last question and then we're going to um then we're going to move on does oh well Juliana doctors treat people people with chronic pain like we are crazy well Juliana uh it's not just chronic pain it's patients that are female that are minorities that don't speak English that have chronic pain either musculoskeletal neuropathic migraines bottom line if you cannot prove it on a Laboratory test you are susceptible to being gaset I myself have it sucks totally inappropriate and this is why I hope that if you're here listening if you have been gastate or if A's been gaset remember that you have more power over your health than you've ever been told and that if you can advocate for those who have been gaset I hope that you can help turn the tide the more patients Advocate the more doctors have to listen if not they'll lose their jobs I'm not saying to be mean to doctors but I'm saying to to be open in your communication with them and demand respect and give respect Rick thank you for the uh kind super thanks thank you for your work as a registered nurse for all these years and you're right that there is good and bad but when the profession of healing falls into bad it's often very very bad and egregious like The Case of Dr ortis it's not to be afraid of medicine but it's about learning to be your own advocate in medicine because you are the greatest shareholder and stakeholder in your own health until next time

Channel: Medical Secrets

Views: 219,081

Keywords: medical betrayal, patient safety, anesthesiology, true crime, healthcare malpractice, patient advocacy, medical ethics, forensic medicine, IV tampering, emergency medicine

Id: dUrxrbEdDQs

Length: 35min 5sec (2105 seconds)

Published: Wed Apr 17 2024