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The New York State
Health Department said it is now investigating 29 transplant cases,
21 of them deaths, at Mount Sinai Hospital, including the death
of a liver transplant recipient who died the same week as liver-donor
Mike Hurwitz (see Transplant Week story)
as well as an earlier case involving a liver-donor.
"There's
a growing number of cases we're seeing," said Health Department
spokesman Rob Kenny. The 29 cases involve two live donors and
27 patients who were waiting for or had received liver transplants.
State Health
Department officials have been at Mount Sinai all week, and spokesman
John Signor said: "We are not going to rush. We're going
to make sure we do a thorough investigation. When it's complete,
the findings will be made public."
The department
said it was taking seriously all allegations regarding liver transplants
at Mount Sinai. Spokesman Kenny said it was "not unusual
to have an increase in complaints following a case like
the death of Mike Hurwitz, a liver-donor whose death was attributed
in part to "woefully inadequate post-surgical care."
Kenny said
investigators were examining records and interviewing medical
personnel "regarding infection control and protocols.
The Health
Department said earlier it wanted to review the case of Rabbi
Jeffrey Wartenberg, 62, who reportedly had an infection when he
received a liver transplant at Mount Sinai on Jan. 2 and died
there on Jan. 18 of the infection.
Health Department
officials also said they are looking into the death of Anthony
Montemarano, 48, who died of an infection in the liver transplant
unit on Thursday. Montemarano's relatives told the New York Post
the unit was understaffed and "filthy."
One of the
other situations under review involves surgery on another liver
transplant donor performed by the chief transplant surgeon, Dr.
Charles Miller, in January 1999.
In the course
of surgery on Paul Luna, 55, of Patchogue, NY, who planned to
donate part of his liver to his son, Luna's gall bladder and abdominal
wall were cut, resulting in his gall bladder being removed and
a surgical mesh being implanted to hold up the abdominal wall,
according to his attorney Dr. Harvey Wachsman
But, Wachsman
said, tests on the son performed while the father was on the operating
table showed that the son was not ready for a liver transplant,
so the donor operation "was never necessary."
The attorney,
who filed a lawsuit last June against Miller and others at the
hospital, also said that Miller failed to visit Luna after the
surgery to explain what had happened.
One of the
State Health Department's findings in Hurewitz's death was that
Miller, the surgeon in charge, never visited the patient after
the operation.
The Health
Department additionally said it was taking a closer look at an
earlier complaint about the March 2000 death of a patient who
died of an infection while awaiting a liver transplant at Mount
Sinai, according to spokesman John Signor
"We initially
did look at this. We weren't able to substantiate it, but we will
look at it again in light of the other case," he said.
The state,
which mandates that all "unexpected deaths" or those
not caused by a patient's underlying illness be reported within
24 hours, said it intended to investigate whether Mount Sinai
should have reported Wartenberg's death.
Wartenberg
was "an extraordinary human being" who secretly paid
off people's mortgages to save their homes and ran a food pantry
for the needy, said Stephen Brown, vice president of the synagogue
in Sayville, NY.
The rabbi,
a chaplain for the Suffolk Police Department, and his wife raised
17 foster children.
Dr. Nathan
Kase, interim chief executive of Mount Sinai, said in a statement,
"We are aware of the recent inquiry by the state and are
cooperating."
Other
sources: NY Post, Albany Times Union, Newsday, NY Daily News,
NY Health Department
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