Books
“Blind Eye: How the Medical Establishment Let a Doctor Get Away With Murder”
A throrough investigation tells a hair-raising story but doesn't go far enough in its indictment of the medical profession.
Poisoning is the most intelligent — as well as the most cowardly — form of murder, because it’s nearly impossible to prove. That helps explain the FBI’s troubles in the notorious case of Michael Swango, who is suspected of having fatally poisoned some 60 people between 1984 and 1997 as an intern or resident at a number of hospitals and health-care establishments. In “Blind Eye,” journalist James B. Stewart (“Blood Sport,” “Den of Thieves”) painstakingly recounts Swango’s life and crimes in a clipped, matter-of-fact tone. Stewart discovers signs of psychosis (e.g., notebooks with newspaper clippings about train wrecks and car crashes) in Swango’s childhood in Quincy, Ill., and traces the way they blossomed into an avocation.
Swango’s poisonous ways began at the Ohio State University Hospitals in Columbus. Three witnesses saw the young intern inject a substance into a patient’s IV moments before she suffered a life-threatening seizure. Swango gave conflicting accounts of the incident, but the senior doctor assigned to investigate took his word over that of the witnesses (none of whom were doctors), and the hospital dropped the matter. After completing his internship, Swango spent the summer of 1984 in Quincy working at an EMF unit, where he often bought doughnuts and drinks for his co-workers. When a number of paramedics came down with violent flu-like symptoms, they had a glass of iced tea tested; it contained arsenic. The evidence was strong enough to convict Swango of battery.
After his release from jail in August 1987, his life became curiously repetitive: He’d secure a residency by falsifying records; mysterious deaths that were circumstantially traceable to him would follow; hospital officials would become concerned but do little; they’d learn about his past, usually through the media, and revoke his privileges; and Swango would find another hospital willing to hire him. This pattern held even after an FBI investigation forced him to seek work at a clinic in Zimbabwe. En route to a job in Saudi Arabia in June 1997, he was finally arrested, not for murder but for fraud. He was sentenced to 42 months in prison and could be freed as soon as next July. His story still has, as Hugh Downs put it in a 1986 “20/20″ segment, “an ending that leaves room for a sequel.”
It’s a credit to the grace and authority of Stewart’s writing that despite Swango’s never having been convicted of murder, the reader does not question his capacity to kill. Stewart lays the blame for Swango’s success at getting job after job on the medical peer-review process, which accepts only the judgment of experts — i.e., other doctors — as to whether a practitioner is guilty of malpractice or, in this case, malevolence. The notion is fatally undermined, he argues, by the siege mentality that rising numbers of malpractice suits have brought on: “The loyalty among physicians makes police officers’ famous ‘blue wall of silence’ seem porous by comparison.” He also excoriates the American Medical Association for opposing the National Practitioner Data Bank, a federal clearinghouse for information on disciplinary actions against doctors.
But he doesn’t go far enough in condemning the medical fraternity. The fact that this clubbiness begins in medical schools deserves more than the passing mention it gets. And while Stewart notes that most of the hospitals where Swango worked were not legally obligated either to check with the Data Bank or to report him (because of his status as an intern), he says nothing about the dubious wisdom of letting doctors whose training wheels have yet to come off act as primary caregivers to large numbers of patients.
His examination of Swango’s psyche is meticulous and convincing. But when it comes to creating a more general picture of serial killers, he’s stymied, relying on Freudian psychopathology theories that, as he admits, haven’t proved useful in treatment. Though he mentions that fully half of this country’s serial and mass killings have occurred since 1970, the possibilities that the rise of popular culture or newer psychological theories might help explain the psychopathic mind never appear in the book. Which is a shame, really, since “Blind Eye” might have been more than a simple — if artfully executed — true-crime story with voyeuristic thrills and easy outrage. It was a timely opportunity to understand a horrifying and increasingly large part of our shared experience.
Bill Vourvoulias has worked for and written for Time, Newsweek and the New Yorker. He lives in New York. More Bill Vourvoulias.
“The Aleppo Codex”: The bizarre history of a precious book
A reporter traces the shadowy fate of the definitive version of the Hebrew Bible
Matti Friedman An ancient and priceless book, a murky history of evasions and coverups, an underground of sinister and possibly violent dealers, a former spy who drops tantalizing hints and a wily 84-year-old millionaire who says stuff like, “The problem with this story is that it could damage your health”: Are these the ingredients for a cheesy, improbable historical thriller? Yet “The Aleppo Codex,” Matti Friedman’s account of his attempts to learn the history of one of the world’s most precious books, sports all of these assets, and it’s nonfiction. If reporting this story damaged Friedman’s health, it probably happened when he realized what he’d stumbled into and his reporter’s heart started beating in doubletime.
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Laura Miller is a senior writer for Salon. She is the author of "The Magician's Book: A Skeptic's Adventures in Narnia" and has a Web site, magiciansbook.com. More Laura Miller.
Augusten Burroughs: Conquer trauma by letting it go
Salon exclusive: The best-selling memoirist says past horrors haunt us because we think about them too much. Stop
Augusten Burroughs Many people continue to feel influenced and even controlled by the things that happened to them a long time ago. Sometimes, people harbor dark, traumatic memories from childhood. Or fragments of memories — incomplete scenes, uncomfortable feelings, perhaps even a sense of certainty that something specific and terrible happened to them, but little more than this.
Others experienced something traumatic in adulthood that continues to affect them day to day many years later. Maybe an assault has left a person afraid to leave their home or enter a particular neighborhood.
Continue Reading CloseAugusten Burroughs' many books include "Runnning With Scissors," "Dry," "Sellevision," "Magical Thinking" and "Possible Side Effects." His latest book is "This Is How." More Augusten Burroughs.
Why did we move to Paris?
Leaving New York seemed ideal. Until the crazy landlord, topless exams, the French flu, the lack of credit cards...
Rosecrans Baldwin Paris’s neighborhoods, the arrondissements, are organized like a twist. They spiral from the river like toilet water flushing in reverse and erupting out of the bowl — a corkscrew or what have you, a flattened pig’s tail, a whorling braid notched one to 20. But if you walk from one neighborhood to the next, there is little to suggest the numbers changing. So it was confusing. Anyway, if you began in the middle of the Seine and snaked around, we lived on the Right Bank in the top of the third arrondissement, called the haut Marais, the upper Marais, on Rue Béranger, a quiet little street curling down from Place de la République.
Continue Reading CloseRosecrans Baldwin is a founding editor of The Morning News. His first novel, "You Lost Me There," was named one of NPR's Best Books of 2010. His latest book is "Paris I Love You, But You're Bringing Me Down." More Rosecrans Baldwin.
Robert Caro’s bloated LBJ biography
Robert Caro's latest LBJ tome has everyone -- even Bill Clinton! -- hyping it. They've been had
“Even the President of the United States sometimes must have to stand naked.” When Bob Dylan wrote that line in 1964, the naked emperor was Lyndon Johnson, which makes that image perhaps the most disturbing in all of Dylan’s apocalyptic work.
By stripping down Lyndon Baines Johnson to his essence, Robert Caro has himself become an American legend. Since the publication of “The Path to Power” in 1982, Caro has transformed LBJ’s life into a cautionary tale of Shakespearean dimensions. In some wonky circles, the release of a new volume is heralded like the Summer of Love release of “Sgt. Pepper’s.” Can Caro possibly top his “Revolver”?”
Continue Reading Close“Bring Up the Bodies”: Hilary Mantel’s power play
The sequel to her Booker-winning "Wolf Hall" is a thrilling exploration of what it took to run Tudor England
“Bring Up the Bodies,” Hilary Mantel’s follow-up to her Man Booker Prize-winning 2009 novel, “Wolf Hall,” is a high-wire act, a feat of novelistic derring-do. Mantel makes bold not with form — by now meaningful experimentation in that area seems exhausted — but with the very material that brings most readers to novels in the first place: our imaginative identification with fictional characters and the experiences we feel we’re sharing with them.
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Laura Miller is a senior writer for Salon. She is the author of "The Magician's Book: A Skeptic's Adventures in Narnia" and has a Web site, magiciansbook.com. More Laura Miller.
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