Doctoring the Truth
Welcome to Doctoring the Truth, a podcast where two dedicated audiologists dissect the world of healthcare gone rogue. Explore jaw-dropping stories of medical malfeasance, nefariousness, and shocking breaches of trust. The episodes provide deep dives that latch onto your curiosity and conscience. It's a podcast for truth-seekers craving true crime, clinical insights, and a dash of humor.
Doctoring the Truth
Ep 31-Aw Snap! Another Sociopathic Surgeon! (Part 2)
What happens when the person wearing the white coat is more dangerous than the disease they claim to treat? The horrifying saga of Dr. Anthony Pignataro reveals how a man with fabricated credentials and failed medical training managed to operate on unsuspecting patients from a makeshift basement surgery room.
Born into medical privilege but lacking any genuine talent, Pignataro constructed an elaborate house of cards—forged diplomas, exaggerated abilities, and a bizarre claim to fame with his "snap-on toupee" invention. Behind this facade lurked a true medical predator who performed complex surgeries without proper equipment or qualified staff.
This chilling case serves as a stark reminder to verify your healthcare provider's credentials and never assume that the diplomas on the wall guarantee competence. The next time you consider a medical procedure, remember Sarah Smith and take those extra steps to ensure your provider's qualifications are legitimate. Your life may depend on it.
- “Last Dance, Last Chance” by Ann Rule
- OxygenWKBW 7 News BuffaloiHeartLauren Delisle.
- WSVN 7NewsWKBW 7 News Buffalo.
- Podcast, Housewives of True Crime, Dr. Death, the story of Dr. Anthony Pignataro
- Podcast, True Crime Campfire, Pygmalion: Dr. Anthony Pignataro
- Podcast, Medical Murders, Anthony Pignataro
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Stay safe, and stay suspicious...trust, after all, is a delicate thing!
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Hello Amanda, Welcome Allie.
Speaker 2:It's spooky season. We caught the germs.
Speaker 1:Back to school germies. Oh honey, you sound awful.
Speaker 2:Actually you know how, when you wake up, you first try to talk and you're like, oh, that's not good. And then you talk throughout the day, so like, actually, this sounds really good right now. Yesterday I was like, oh, I can't hardly talk instead of your normal.
Speaker 1:Oh wow, yeah, that's. If I try to go high, she cuts out your base.
Speaker 2:I was trying to talk to my niece on facetime and you know, using the mother east voice and I like just cut out, I was like a nope, she's probably a little happy to help by this.
Speaker 1:Auntie wishes she could sleep because, accompanying this, cold is a headache.
Speaker 2:You guys know how it feels. You know when your pillow is a boulder.
Speaker 1:Yeah, yeah that, oh well, dang those little Petri dishes of germs, those students, One of these years.
Speaker 2:Maybe I'll be immune one of these years.
Speaker 1:I don't know. I think these kids keep inventing new germs as they go. Well, bless your heart. Well, the good thing is that I can let you take a backseat.
Speaker 2:Listeners there may not be as much banter today, which I hope you're sad about.
Speaker 1:Unless we, you know.
Speaker 2:I guess, if not, you're welcome.
Speaker 1:Yeah, but honestly, we can just jump right in and put everyone out of their misery, because I know you're on your edge of your seats about part two, dr Anthony Pignataro our snap on, snap off, sociopath.
Speaker 2:This is not really a correction per se, but my caption for the last post was I said something like okay, frankenstein, but it's because Jenna said to me just personally I thought it was on the recording that and maybe you're going to say this later, so I'm sorry if I ruin it but they called him Frankenstein in jail and so that's why I said that, but I was like I wonder if people are like that's a weird weird that she said that.
Speaker 1:But yeah, I, I think we're going to mention it, but yeah, they wouldn't let him wear his toupee in jail. He just this bald head with four bolts coming out, nefarious.
Speaker 2:I was listening to his back, I was just like if he caught a breeze, it's like under there kind of like a little like a flying squirrel, kind of like hanging out on all corners. Yeah, yeah.
Speaker 1:Like when we used to play those parachute games, and, and, and in elementary school. Okay, everybody One, two, three lift. Yeah, I mean, it's a spectacle. It's a spectacle, it's spectacular. I mean, yeah, if he did anything for society, he at least gave us a giggle for that, even though he's a dire person who did not contribute much other than that. So not to bring it down, oh my God Don't. Oh, there you go. God, you're so creepy. Listen, you're going to need to get sick around October 31st.
Speaker 2:Just sit in my garage a second yeah.
Speaker 1:Do we have any other corrections? I, I know, jenna, you had the correction section, but that's a good one. Did we do anything else? Oh sure, okay, we'll just say that for now. Meanwhile, we're going to talk about stan plus shoes because I haven't even thought of a good segue at stancom that are built for anyone on their feet all day, like Amanda and myself healthcare workers, service pros, athletes or anyone seeking lasting comfort. Founder Rob Gregg designed them, after grueling 16-hour mailroom shifts left him with blisters and back pain. Grueling 16-hour mailroom shifts left him with blisters and back pain.
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Speaker 1:So to recap, born into privilege as the son of a prominent Buffalo surgeon, anthony Pignataro seemed destined for medical greatness, but the reality was far darker. He could only secure admission to an unaccredited medical school in Puerto Rico and he failed out of three separate residencies, earning the chilling label of medical sociopath. And yet still managed to forge credentials to practice medicine. Patients paid the price in deaths and disfigurements. Pignataro briefly tasted fame and fortune with his bizarre invention, the snap-on toupee. But behind the glossy marketing lay a man who performed dangerous surgeries in his basement operating room, including a liposuction surgery so botched that it nearly killed patient Terry Lamotti. Colleagues and loved ones described a pattern of grandiosity, blame-shifting and a startling lack of empathy. His wife, debbie, bore the brunt of his emotional abuse even as she propped up his fraudulent career and raised their children Exploiting loopholes and deception. Pignataro constructed a house of cards masquerading as medical practice, one that would ultimately collapse spectacularly and horrifyingly.
Speaker 2:I was going to say you're catching my germs, You're rubbing off on me. I'm getting all gravelly. I was going to say are you? Catching my germs.
Speaker 1:I think you're rubbing off on me, I'm getting all gravelly. This week is part two, where we explore the homicide case that became Anthony's undoing and a twist that will send a chill straight down your spine. I'm concerned about his mishap resulting in the almost fatal sepsis of patient Terry Lamotti. Anthony set about looking for the next flashy trend in plastic surgery that would earn him more money and bolster his fame. He attended conferences on a relatively new technique for breast augmentation called TUBA, which stands for transumbilical breast augmentation, and I feel like you talked about this. I was going to look it up. Was the episode 20 about your plastic surgeon also gone wrong? Okay, anyway. So TUBA involves tunneling a cannula from the belly button to the armpit area next to the breast and then expanding the endoscope to widen the area to push a tightly folded sac into the area of augmentation to fill it with saline. This approach would significantly reduce scarring. Anthony visited one practitioner, one to observe a couple procedures and then decided well, he was ready. I mean he could provide that service himself. After all, he sat through a lecture, watched a couple. I mean, you're totally prepared, right? He'd been shoving underwires into female corpses for years, so there was no need for hands-on practice. Why not practice on the patients so you can make money at the same time? I'm so mad.
Speaker 1:An article by one of the pioneers of the surgery highlighted that the advantages of this approach include minimizing risks like bleeding, infection and poor healing, as the procedure is less invasive than the traditional approach. But he warned that the greatest danger of any implant surgery is that it's done by someone who is not qualified to do it. In his article he expressed deep concern about the fact that many surgeons were taking a weekend course and then going on to do it themselves. He sagely advised the general public that a patient can die from any type of anesthesia and any kind of surgery and that every potential patient should check out the qualifications of the surgeon and the anesthesiologist, which is good advice, but that's assuming that there was an anesthesiologist involved. Anthony felt they were unnecessary. That was an unnecessary expense. He told Debbie he could easily show her what to look for while the patient was out and there was no need to have nurses and other qualified staff on site. It was just needlessly added to the expense of the procedure. I know For each procedure Anthony only had three possible assistants a 22-year-old LPN with no prior experience, his wife with no formal training and a 17-year-old high school student interested in maybe becoming a doctor someday. In the real world, medical assistants play a crucial role in the outcome of any surgical procedure. They are RNs and physicians and are a requirement for any licensed facility. Minor mistakes in surgery can be life-threatening to the patient and may result in the surgeon losing their license, but no matter. Anthony was in the business of pinching pennies to make money. Also, I couldn't imagine him taking the advice of an actual qualified medical assistant, given his grandiose sense of self. His ego did not allow for advice or other people's opinions. There was never enough space in the room for that.
Speaker 1:Let's talk about Sarah Smith. Sarah Smith was a slender, beautiful woman tall, clear blue eyes and blonde hair. She'd been a cheerleader in high school, and her friends and family described how that role perfectly fit her personality. She was positive, she had a sunny disposition. She was friendly to everyone, compassionate and energetic. She was close with her family, especially her brother, david, who was four years her senior. Tragically, david had muscular dystrophy, which is a progressive disease. So throughout their childhood, sarah took on the role of David's friend, confidant and protector. According to her father Russell.
Speaker 1:Sarah met Dan as a senior in high school while cheering for his basketball team, and it was love at first sight. They began dating in high school and kept up their relationship even though long distances were difficult, while they were both attending colleges in different towns. Sarah's brother, david, died in February 1990 before he could graduate from college. In June that year, dan and Sarah married. They had their first child, nathan, shortly afterwards. Sarah was an optimist and Dan describes her as his soulmate, who taught him how to look at life positively.
Speaker 1:Dan was tall, with broad shoulders and handsome, and Sarah appeared docile and quiet until he got to know her. Her mother-in-law, sandy, recalled she was feisty. She was firm emotionally. She and Dan decided what they wanted out of life together. Dan worked as a drafter designer and Sarah worked for a law firm. They both worked full-time and had a business together that they started in college, creating solutions for companies that wanted to ship products like heavy machinery and ensure that those products arrived in good condition. We called it DSS for Dan and Sarah Smith.
Speaker 1:Dan said by August of 1995, they had saved enough for a down payment on their first home. Sarah took on the legal legwork for the purchase, which saved the couple money. They were thrilled. Dan built a shed out back for his man toys and Debbie discovered that she loved gardening. She spent hours planting flowers and landscaping. She called it their potluck garden because there was a whole section of the back garden where she planted packets of wildflower seeds and they just never knew what would come up. Dan later talked about how daisies were her favorite flowers.
Speaker 2:Yeah, that's so wholesome.
Speaker 1:I love that A potluck garden. Years after Nathan was born, the couple welcomed a daughter named Amanda.
Speaker 1:Aw Amanda. Nathan was like his mother, sandy Smith said thoughtful and strong. He was his mother's son and he thought that she was the most special mother in the world. When Sarah had Amanda, amanda was a miniature vision of her, a version of her mother, but Amanda's emotions were more on the surface. Dan and Sarah's time off work was spent with family and good friends. Friday nights were special to us, dan said we rented kids' movies and made popcorn and we all bundled up in blankets on the living room couch. We usually fell asleep there. Sometimes in the summer we went for drives on Friday nights.
Speaker 1:One night at her in-laws' house, sarah attended a farewell party for the in-laws for an exchange students at their pool. Sarah wore a bikini and Sandy recalled that, even though Sarah looked stunning, she revealed to Sandy how inadequate she felt with small breasts. She bemoaned the fact that, despite having two children, she was still small. She told Sandy to remember her in that suit as she was planning to have augmentation surgery. A friend of hers at college had recommended this plastic surgeon who was doing a new, less invasive technique. It would be in and out and voila. She would have more self-confidence. Dan and I love this guy Dan remembers being confused about why on earth Sarah would want to do this. Because he thought she was perfect just as she was. But he wanted to support her and all of her desires, so he went along with her plans.
Speaker 1:Sarah received a promotion at work six months earlier and so she saved the extra money to afford the surgery. When she first met Dr Pignataro for her initial consultation, she was impressed. He told her oh, what a great candidate she was for his new technique. Dan later recalled he told her he was going to charge more for it eventually, but since it was a new technique he was prepared to give her an excellent price. What a salesman.
Speaker 1:Dr Pignataro noted on her chart that he'd done a thorough workup on Sarah, although he had not done anything. He didn't do any x-rays or check her heart rhythms with an EKG. These are all crucial tests to do before undergoing anesthesia. He told her testing was not necessary because she was under 40. So Sarah signed the consent forms agreeing to the risks of surgery and her surgery was scheduled for August 25, 1997 at 9 30 am. Presurgical screenings for any surgery requiring general anesthesia require a basic evaluation of the patient's heart and lungs. This is because the medications that allow patients to sleep throughout the procedure can also affect the heart's rhythm, which an EKG would identify beforehand. A chest x-ray is also required because these studies can easily catch subclinical pneumonias and rare tumors. Her age didn't change the fact that her surgery was complicated and Anthony's failure to screen her was negligent.
Speaker 1:On Friday, august 22nd, dan and Sarah hosted a movie night popcorn camp out in the living room with their children. It breaks my heart. Right there it was almost Labor Day, school would start for Nathan soon and Amanda would start preschool On August 25th. Dan drove Sarah to Bignitar's office for her appointment. Almost immediately she was taken to a back room and given a variety of pills meant to relax her. Then she was returned to the waiting room, which was surprising to Dan because the meds had clearly affected her and she was woozy and drowsy. But then things got even stranger as his wife was led behind a closed door. Anthony insisted that Dan leave the waiting room. Dan resisted, stating he preferred to wait right where he was. Anthony came back several times and repeated himself, urging Anne go do errands, come back later. So, feeling pressured, dan finally left.
Speaker 1:Then Sarah was taken to the basement surgery, where Anthony only had a blood pressure cuff and a pulse oximeter, which he told his wife to watch. There was no heart monitor and, additionally, there were no devices available to maintain her airway and deliver oxygen during the procedure. Anesthetics administered improperly can slow or stop breathing, leading to death. It's imperative that the medical team closely monitor and assist a patient's respiration when they're under anesthesia. Dr Pignatar would have known this. I mean, it's surgery 101. However, he proceeded with the procedure nonetheless, without any of these safeguards in place. He gave Sarah a cocktail of drugs that he hoped would keep her asleep for the next couple of hours while he operated on her.
Speaker 1:During the first hour, sarah's face began to lose color. Debbie pointed this out to her husband, who told her to remove Sarah's fingernail polish and examine her nail beds. Pignataro didn't look up from what he was doing as he made the incision at her belly button and moved the tube-like device into it to create a pathway to her breast. Debbie tried to alert him again, but he ignored her. Then the pulse wax alarm went off.
Speaker 1:Her O2 levels were low, so Anthony barked at the LPN to hook up the EKG, which showed a flatline. She was in state of cardiac and respiratory arrest, with a doctor with no crash cart, no intubation kit and not a single registered professional around him to assist. Anthony instructed his teenage intern to call 911, and within five minutes sirens roared into the parking lot outside the West Seneca practice. When EMTs entered the basement surgery, they were horrified to discover Anthony trying to secure Sarah's airway with a wire coat hanger. This is so dangerous and stupid. Medics delivered CPR and shocked Sarah's heart into beating before taking her to the hospital, but by the time they loaded her into the ambulance she'd been without oxygen for 19 to 20 minutes. She slipped into a coma in the emergency room. Emts later described how obstructive, in a way, and clueless, dr Pignataro had been and like the dumbass in episode 20 apparently in his episode 20 he tried to throw himself into the ambulance with sarah and was kicked out.
Speaker 1:What is it with these guys?
Speaker 2:probably like I'm gonna be able to talk my way out of this. If I can control the narrative on the drive or something like that, do you think it's got to be a narcissistic drive of sorts?
Speaker 1:Right, because this is. I had to keep looking back at your episode going. Am I telling the same story? Because some of this stuff was just so crazy that it's it's. Yeah, it's eerie that that they behaved in the same way. But you're right, it's probably to do with this narcissism. But poor Dan, dan the husband. He had no idea that any of this was happening and anthony refused to take responsibility. So he told his wife that she was the one needed to tell dan that his wife was in critical condition and in the hospital. Can you imagine, poor debbie. So she said, dan, I mean, she's had no training on how to be a nurse.
Speaker 2:She was like I was just going to take off the nail polish to check the nail beds. I'm still in shock about that. We have nothing actually here for anesthesia, but we've got some fucking nail polish so we can watch your nail beds.
Speaker 1:I know, I know, and she had faith that her husband was a good doctor. I mean, she didn't know. I'm sure she didn't know half the stuff he was up to. She said we've had a little problem. Your wife was not breathing, but she's breathing now. She's on the way to the hospital, I'll drive you.
Speaker 1:It wasn't until, and in the book Last Dance, last Chance by Anne Rule she mentions that Dan was like well, I can drive myself. Why do I need to be driven? But he realized as he was being driven it was because, you know, he got this sense of doom. And then he got to the hospital and a priest came out to greet him, yeah. And then he realized the enormity of the situation. He was taken to see sarah in the icu. She was comatose, with tubes and a ventilator coming out of her body. He said it was like somebody grabbed my ankles. I fell on my knees with shock. I realized then, when he contacted his mother, sandy, all he could do was yell she's's flatlining, she's flatlining. The first thought that Sandy had was oh my God, sarah's parents have lost their son and now they're married. Oh gosh, yeah, I forgot about the brother.
Speaker 2:I'm also like have a priest available by all means, and like near in case, but like let's not be greeting at the door, we don't need to be going into panic mode before we're already entering her icu room. You know, like like in that situation I would have like already blocked out before I even got there. I wouldn't even remember going to the room, which maybe would be a good thing, I don't know, yeah, god, that's like throwing a kleenex box at people. Yeah, that would be bad, bad news, terrible.
Speaker 1:So the rescue team reported the tragedy to the West Seneca Police Department. Thank God they did that because they were like this basement surgery center was not a thing they're like it was ill-equipped. It was lacking basic and proper tools to ensure patient safety.
Speaker 2:I mean, they did have nail polish.
Speaker 1:I mean, most ORs don't have that.
Speaker 2:So they've got that in court.
Speaker 1:Most ORs won't let them in until that stuff's been done. You know what I mean you can't wear nail polish to a surgery. Anyway, knowing that his time was limited, anthony accelerated his surgery schedule. I wish they could have just made him stop right away, but he was like I got to get as much money as possible before they take my license away. So God forbid he actually learned anything about the tragedy that he just propagated through his dangerous and negligent practices. Nope, let's go gangbusters. No lesson to learn here, folks. It's time to make the money. So that's what he did break from this revolting story, and we're gonna do a. I don't know, can you do?
Speaker 2:yeah, it sounds like a boat horn, let's do that again, all I can think about is living in duluth yes, a fairy noise ready but are we saying chart? Are we just doing? Oh, we're saying chart, no, ready?
Speaker 1:are we just doing quote notices? We're saying chart note Ready. No, we're doing chart note Chart note that's horrible. I love it. I'm sorry.
Speaker 2:Yeah, wow, geez, thanks. Anyway, welcome to chart note. She's like wow, that was horrible, awesome, Welcome Exploiting my germs.
Speaker 1:What I did to you. No, no, you're your foghorn was great welcome to chart. Knows where we look at what's new, weird and potentially life-saving in health care. Who put?
Speaker 2:weird in there.
Speaker 1:I was gonna say that's when I wasn't looking I don't remember writing that was there a little fairy that got in there and put the word weird. All right, well, we're gonna look at what's new, weird and potentially life-saving. You didn't do that, that was in my template no, but the next part.
Speaker 2:Read the next part. Is that why it says weird?
Speaker 1:so you don't have to scroll through pubmen at 2am. I thought that you were saying.
Speaker 1:This is where you found it scrolling pubmen at 2am wow, there's been a little AI theory, maybe into our chart note situation, which is interesting because it's all about healthcare and AI updates. So not only have they messed with our template, but there's some other stuff going on. So, okay, ai I'm going to talk about a few different things just quickly. But AI gets a stethoscope upgrade. So forget the old rub and listen. Researchers in the UK developed an AI powered stethoscope that can detect heart failure, atrial fibrillation and valve disease in 15 seconds. That means you might walk into a clinic complaining of just a little fatigue and walk out knowing that the precise difference between I need a nap and my heart's quite low. So, of course, the doctors caution. Yeah, it's fast, it's smart, but it's not a replacement for a cardiologist. But humans still get the final say. Number two for AI and healthcare update a digital twin for your heart, and maybe more so. Ta-ta, ta-ta, t-a ta-ta consultancy services debuted a digital twin heart. It's a virtual, ai-powered replica of your actual heart, running data from MRI scans and real-time sensors to monitor your recovery or warn of trouble. Think of Iron Man's seatbelt for your circulatory system. So early tests with marathon runners showed that it can spot subtle signs of stress, inefficiency or damage that might not trigger alarms until much later. In the not-too-distant future, this might be a wearable health tech device giving your cardiologist early warnings before your heart decides to stage a mutiny.
Speaker 1:Number three stroke diagnosis fast-tracked. In England, stroke centers are now using a new AI CT scan tool that slashes the time from hospital arrival to treatment from 140 minutes to just 79. Since time is brain is more than a saying it's literally how many brain cells you can save. This has tripled the rate of stroke patients recovering with little or no long-term disability. This is amazing. So, in other words, patients are walking out of the hospital with fewer limp arms and fewer regrets about ignoring that nagging headache. That seems a little cavalier, that last comment, but honestly, yeah, to basically cut the time from hospital arrival to treatment in half. That's amazing, yeah.
Speaker 1:Number four just greenlit amvutra, which is a drug by Alnylam for treating a rare but deadly condition called transthyretin cardiomyopathy. Until now, people with this disease have often had limited options and survival rates have been grim. Amvutra works by reducing the production of the mutant protein that builds up in the heart, helping to slow or even reverse damage. It's not cheap, so there's a six-figure price tag per injection, but for patients and families facing oblique prognosis, this is a significant leap forward. Number five entire body scans Again in the UK. It's our UK, I mean what, the size of Chicago they're doing all the AI medical research.
Speaker 1:Good for you guys. You guys are so smart. In the UK, researchers have completed a massive project full body imaging of 100,000 volunteers combined with genetic, lifestyle and health data. So the result is a billion anonymized scans that are teaching us wildly things like early signs of dementia that can show up as tiny brain size changes, or how fat distribution matters more than BMI. Okay, well, that's true. Like where the fat is.
Speaker 2:I don't know if it's a type that's really like I'm going to Google it while you talk.
Speaker 1:Okay, number six precision medicine meets gene editing. The frontier of personalized medicine continues to expand. Genomics and artificial intelligence are now being used to tailor treatments to a patient's genetic profile, particularly in cancer, rare diseases and chronic illnesses. In some cases, crispr gene editing is being tested in patients with inherited blood disorders, with the ultimate goal of achieving a one-time functional cure. Add to that the rise of continuous remote monitoring in wearables and sensors, and we're inching towards a healthcare model that doesn't merely treat disease it tries to predict it, prevent it and neutralize it.
Speaker 2:It feels smart, though we can just remember that we graduated without AI.
Speaker 1:We graduated without AI Summarize.
Speaker 2:the other day I asked if I found this recipe that I wanted to make. But it was a gluten-free recipe and I don't have to be gluten-free, so I don't own the flour to make things gluten-free. So I asked I'm like, how do I make this?
Speaker 1:yummy. How do I make this glutinous?
Speaker 2:Like to avoid buying more flour. Can I sub? Can I sub?
Speaker 2:No, I'll put this flour for this and I got this ginormous breakdown of like for baked goods. Typically, yes For like if you're trying to thicken things or like whatever. It was like a whole detailed thing about like different things you're trying to do with flour, if it will work or not, and why not. So I was like, wow, thank you. So like the science behind it? Yeah. And then they happened to notice that all the measurements for the recipe were in grams and it must know I'm not from that side of the pond and it said would you like me to convert these for you? So I said, sure, thank you so much.
Speaker 1:Yeah, see, there you go.
Speaker 2:I'm almost 40, though Well, you're not over 40, but oh my God.
Speaker 1:That sounds so weird to say that I'm just like, okay, I need to take this class, yeah, but you're not, so stop it. And also, I just want to take the class so I can be like, okay, I know what's going down, I mean I've got no business okay so can you ever?
Speaker 1:but like, could you go to ai and be like okay, here's a couple of graphs, what can you pull out of this? That's meaningful Crunch of the data. For me, I mean, that kind of stuff would be great because it'll save time. I don't have to learn how to use Adobe whatever the hell, the Adobe app that never loads and I can learn some stuff I don't know what's going on with Adobe?
Speaker 2:It's never worked well. Yeah, adobe Acro. I don't know what's going on with Adobe. It's never worked well. Adobe Acrobat.
Speaker 1:Get a life, get a life. Well, they're doing all these ads now, where it's like Acrobat can do this and that and that and that and it's stuck in my head. I'm like but what is it actually doing for me? Okay, but any who's old?
Speaker 2:Also, where are you in your life, where you're seeing?
Speaker 1:I think I was on peacock watching, watching a sitcom. Honestly, if you want to know, there's a spinoff of the office called the paper and I binge watched it yesterday in its entirety and you know, I think it's pretty good. I think characters are growing on me. But, yeah, we had something else about Acrobat and it stuck in my head. So, yeah, ear worms that they were.
Speaker 2:I'm not going to be able to go that long again.
Speaker 1:Shall we go back to the case. Yeah, yeah, maybe we can use that as like a little snippet and just like, keep playing it. And just like keep playing it. I can just make it. I'll try it. Amanda's like probably I'll grab everyone at the end Direct turn voice so you can clip that. Go to the case.
Speaker 2:You know I'm feeling the brother Five hours.
Speaker 1:Five hours mental.
Speaker 2:Literally this probably feels like five hours.
Speaker 1:People are probably like skip, skip, skip skip Skippity, what is it skippity, what is it skippity toilets you have teenagers the kids. I went to skippity.
Speaker 1:I went to skippity toilets. I still don't know what it means, but whatever, I'm in like flint. Well, I can't say that. Alright, so we're gonna go back to the case. I'm trying to avoid it because I really hate this guy. We're off the rails this time, all right. So let's go back. And we're talking about this doofus.
Speaker 1:Officers reached him at his practice for questioning, but Anthony was vague. What a surprise. He said he'd sedated Sarah with a local anesthetic and something that would make her sleep if something just randomly, something that would make her sleep. Before he started surgery he stated he was concerned about the pulse ox alarm and conjectured that perhaps she took something before coming to his office that she hadn't told him about. When questioning got uncomfortable, he bowed out claiming I got patients waiting for me. Classic.
Speaker 1:On Monday September 1st 1997, dan had to make the devastating decision to pull the plug on Sarah. She would be a I know it's terrible she would be a vegetable her whole life. She was brain dead. He felt that she was already gone and she wouldn't want the shell vegetable. Her whole life she was brain dead. He felt that she was already gone and she wouldn't want the shell of her existence to be kept alive like this. Dan later told the media that at Sarah's memorial service he overheard their little girl, amanda, telling one of her friends that their moms died when they were 26. So they better be prepared, because that was going to happen to their moms too. I mean, I'm crying, baby girl.
Speaker 1:So now we have a homicide investigation and the case was escalated from a local police matter to a case for the district attorney's office. Seasoned detectives Pat Finity and Chuck Craven were pulled on as lead detectives for the DA. They didn't waste time and began interviewing key witnesses. I was like they didn't waste time interviewing key witnesses. They did, and it wasn't a waste of time. They didn't waste any time. They began immediately.
Speaker 1:What really propelled the investigation forward, however, was the testimony from the 22-year-old LPN who had been at the scene. So imagine these two old, seasoned Irish detectives and they're like dude. She was a little dim, this LPN licensed practical nurse, and she didn't seem to know what any medical terms like scalpel and ambu bag. She called it an amber bag, and they were like what. And ambu bag? She called it an amber bag and they were like what is an amber bag? So she? But eventually they were able to scrape together, revealing details of what actually transpired. So on the day of sarah's surgery, anthony gave sarah 20 milligrams of valium and then directed his nurse to administer six cc's of sodium pentothal in three cc's of versed.
Speaker 2:I'd be like see you next Thursday.
Speaker 1:Bye, yeah, I'm out, and this was funny. Before you send her back to the lobby, it's like holy cow. So she's just sitting there like whoo Was she in a gown with things flapping in the breeze? Like, come on, probably, anyway, whoo Was she in a gown with things flapping?
Speaker 2:in the breeze Like come on what I don't know, Probably.
Speaker 1:Anyway, I guess, so combining, yeah, well, this is before the surgery.
Speaker 2:He gave her these pills. Yeah, no, I mean normally, who knows that Pignataro's surgery, so combining.
Speaker 1:Oh God, combining CNS depressants is always potentially dangerous. Valium is used for anxiety and sodium pentothal is a quick-acting hypnotic. Versed acts like a sedative. So using the three together when supervised by a trained anesthesiologist, is potentially safe, but definitely lethal in the hands of someone like Anthony. This was bad enough. But then the nurse told investigators that before the surgery began, anthony told her to give Sarah a second dose of sodium pentothal through her IV port. Minutes later, as Dr Pignataro began his incision into her belly button, sarah yelled ouch. So that I mean, let that sink in. She could feel it. So then Anthony told his nurse to give a third dose of sodium pentothal through her port. So even to investigators who weren't well-versed in medicine, it seemed like a high amount of substances, especially given Sarah's petite frame. A few weeks later the medical examiner shared Sarah's toxicology report results. It confirmed their suspicions. An excessive amount of sodium pentothal and other substances had caused asphyxiation. Sarah's death was the direct result of the drugs that Anthony Pignataro had given her during her procedure and then, failing to secure her airway sealed the deal. It's so senseless.
Speaker 1:When the media got a hold of the story, patients of Dr Pignataro began coming forward with their own catastrophic stories. Among them was Terry Lamotti, the last patient to experience Anthony's malpractice and survive. That was enough for the DA to secure a search warrant. And while Anthony wasn't at his practice, investigators got inside. Like many patients before them, they descended the basement steps and found an unequipped makeshift surgery. A single chair sat haphazardly at the center with a light to help Pignataro see during operations. There were a few items connected to wires and very little sterilization equipment and no emergency kits around. One might expect to find a similar setup in a stage play where an actor performs as a physician For a real doctor. The scene practically screamed malpractice. And there was another red flag. Along the walls of Anthony's office, diplomas hung proudly in frames, creating a picture of the perfect professional. But Pat and Chuck weren't so quick to trust them. They rang the institutions listed and call after call, the same news came back Nobody had given Anthony Pignataro any of those diplomas. And this single shocking truth upended the entire investigation. Not only had this guy killed an innocent woman by improperly medicating and caring for her, but he also screwed up on a handful of other patients without so much as an honest certification, as back alley doctors go. This guy was as fake as they come, but his farce met its foil.
Speaker 1:On January 27, 1998, anthony was indicted before a grand jury on six counts Manslaughter in the second degree, assault in the second degree, falsifying business records in the first degree, reckless endangerment in the second degree, criminal possession of a forged instrument in the third degree and criminally negligent homicide. Though Anthony wanted to fight for his innocence, his attorneys told him that going to trial was going to lead to more prison time, so they urged him to plead guilty. With his name on the line, anthony wavered. It was clear to the public that he'd made mistakes as a doctor, but he wasn't sure he was willing to own up to what he'd done. Admitting where he'd been wrong had never been his game.
Speaker 1:Throughout the spring of 1998, 39-year-old Anthony Pignataro faced a difficult decision accept a plea deal or go to trial on significant charges, including the criminally negligent homicide of 26-year-old Sarah Smith. On June 8, 1998, he made up his mind. He pleaded guilty, waiving his right to appeal his sentence and relinquishing his medical licenses. I mean, this wasn't exactly a huge sacrifice, given that most of his credentials were fake or, at the very least, exaggerated. So three months later, on August 4th, he was sentenced to six months in jail, five years of probation, 250 hours of community service and a $2,500 fine. I mean for killing a woman. That was nothing. For killing a woman. That was nothing. So, but still that made Pignataro the first doctor in Western New York history convicted of homicide for a patient's death. The judge snarled at him. You will never practice medicine again anywhere in the world. To recap, pignataro was stripped of his medical license, convicted of second-degree manslaughter, negligent homicide and more, and was sentenced to only six months in jail and five years probation. Six months that's barely enough time to watch five true crime documentaries about your own trial.
Speaker 1:Victim Terry Lamardi gasped when she learned the news. Watching this miscarriage of justice Later on she asked with heartbreak and outrage he's getting away with this and yet somehow Anthony still had the loyalty of his wife While he had made some mistakes. Debbie still believed he was a good guy. It was a lie she'd clung to for 20 years. Debbie trusted that the latest obstacles would change her family for the better, even if they now made her the wife of the convicted felon. Maybe in her mind, some jail time, wow, how sad is that when 40-year-old Anthony I know, I know right, and they say. It takes the average victim of intimate partner violence, whether it's emotional or physical abuse, 11 years to get out, once they realize yeah, yeah, so I forget where I was.
Speaker 1:So when 40-year-old Anthony was discharged from prison on December 7th 1998, debbie had hope and Anthony sat on the couch watching videos of his son's junior high school football games or nurturing their gymnast daughter. He appeared to be renewed For his community service hours. He decided to volunteer at a therapeutic writing center that serves individuals from underrepresented backgrounds and those with disabilities. This was a cherry on top of the new and improved Anthony, but it was merely another act. Just a week after he returned from jail, debbie got a letter In it, the news that Anthony was having an affair. The relationship had begun before he went to prison and continued after his release.
Speaker 1:This wasn't the first time that he cheated on her, and Debbie had forgiven him in the past, but she just wasn't sure she could do the same this time. She held her tongue, biding her time and sorting out how she'd respond. On the one hand, she wanted her children to continue living the lives they knew, and she wasn't sure if she could support them on her own. On the other hand, anthony's behavior had once again shattered their marriage, despite his claim that he was a changed man. As she pored over her options, debbie wondered if there were other things her husband was hiding from her. On their bank statements, she soon found that Anthony was making regular $100 mystery withdrawals from their account.
Speaker 1:Desperate for answers, debbie did more digging and found Anthony's mistress's home address. One day in February 1999, she decided to pay a visit. But when she pulled up she saw their family cadillac parked in the driveway. Upset debbie drove the car home, leaving her. So she got in the cadillac that the asshole had driven there and left her car. So she left her car for anthony to find when he decided to head home. But that evening evening he didn't come home, coward. Instead he called his wife and he tried to tell her it's not what it looks like. The excuse rang empty.
Speaker 2:I hate it when my Cadillac just parks itself in the wrong place.
Speaker 1:Mm-hmm, the excuse rang empty in Debbie's ears. Anthony pushed her too far this time. She had all the locks changed on the house to ensure that he couldn't come back unless he demonstrated a willingness to change. She also withdrew all the money from their joint account. Even worse, anthony's mom found out about his affair and threatened to cut him off from his dad's estate if he left Debbie. Anthony didn't like the sound of that, so he did what he always did when he was in a pinch. He devised a scheme. Debbie's house was vandalized and he came over to protect the family. Debbie felt safer with him around. On one such occasion, the vandals scrawled killer, killer, killer in spray paint on the garage door. What she didn't know was that Anthony was likely the one doing the defacing, and if so, it had the intended effect. Cornered by fear, debbie was more lenient about letting Anthony spend the night.
Speaker 1:By June, anthony was over regularly, but it was around this time that Debbie fell sick. She felt excruciating pain in her stomach, and while doctors suspected it might be pancreatitis, they couldn't be sure. Ultimately, debbie was sent home from the hospital with more questions than answers, and as the summer heat rose, so did her mystery illness. She developed soreness and numbness all over her body and found it harder to remember things. Some days she couldn't even make it out of bed, and when that happened, her husband would bring her food. The food never tasted right, though. There was always a metallic flavor that tainted almost everything she ate, and she grew weaker and weaker, and physicians racked their brains trying to figure out what was going on.
Speaker 2:I hate him. I did not see this coming.
Speaker 1:I hate him so much. This is the twist, isn't it?
Speaker 2:Yeah, yeah, ugh.
Speaker 1:I'm so mad. I am mad too. But then she started feeling weak, numb, her coordination failing and symptoms that doctors couldn't explain. The tests came back Arsenic levels were sky high, some of the worst ever seen in New York State. Forensic analysis of Debbie's hair samples showed a slow but steady increase in arsenic until one section of her hair showed that what should have been a fatal dose, and that timeline they could trace back. This is amazing. They could trace that timeline in her hair sample back to the night that Anthony told her, to Debbie's surprise. Oh, you don't look like you feel well. You should rest. I'll bring you chicken soup. If only that was all she got, but it was soup with a side of arsenic. Investigators learned that Anthony had purchased taro, which is an ant killer, with arsenic, and if it wasn't enough I know People in prison mentioned that they ratted on him. He's mounting an insurance scheme in a side room.
Speaker 2:One of my psychos that I covered in the past also used.
Speaker 1:Tarot ant killer. Yes, really that's crazy. And he was asking around in prison like apparently that's what they're like.
Speaker 1:Well, yeah, darrow ant killer apparently that's common knowledge ant killer, so debbie told. Debbie told seven eyewitness news. You don't want to believe that your spouse could be capable of something like this. After some digging, investigators, chuck and Pat learned about Anthony's latest affair and what a mess it had been. Then they found out that Anthony's mother had told them that he was going to lose his inheritance if he divorced Debbie. Next they learned that Debbie had a $100,000 life insurance policy and her husband was the beneficiary.
Speaker 1:As far as new beginnings with his mistress were concerned, it made more sense for Anthony to kill Debbie than to leave her. However, it wasn't until an unexpected witness came forward that Chuck and Pat were able to confirm their theory. A man that's pseudonym, adam, had come forward saying he spent time in jail with Anthony and around that time Anthony started doing heroin and after both of them got released they still met. Sometimes Adam remembered Anthony bringing up the subject of poison and how annoyed his wife made him. He hated how constantly she checked on him. He even said Debbie has to go. Though Adam knew what that meant, he didn't think that Anthony was capable of murdering his own wife. When the news reports came out about Debbie's poisoning in August, he almost couldn't believe it. At the start of September they also came into possession of Anthony's mistress, who confirmed a similar story. Meanwhile, debbie tried her very best to remain loyal to the man who poisoned her. She didn't want to believe that he'd done it. But then a family member revealed that Anthony was still actively involved in his affair. And finally it seemed that Debbie's unshakable devotion to her husband had been shattered. She was convinced that she had to let him go.
Speaker 1:Throughout the fall. Debbie remained in the hospital, undergoing extensive physical rehabilitation for the persisting numbness in her limbs. Although the majority of Debbie's symptoms were abating, her numbness persisted and worsened. Intestinal symptoms like pain, nausea and diarrhea are usually temporary. Doctors often stop investigating the cause after those symptoms resolve. Arsenic's toxic effects on the nerves, however, become irreversible after one to four weeks of repeated exposure. This is a result of arsenic's ability to cause cellular death in the body's peripheral nerves. So during her long days spent trying to regain mobility in her body, debbie finally had time to consider how she'd like to move forward.
Speaker 1:It wouldn't be hard to get Anthony charged with their poisoning. The DA investigators, chuck and Pat, now had substantial evidence. Plus, anthony had broken his probation which said he had to stay drug and alcohol free and couldn't leave the county without consent from the courts. In the months following his release from jail, anthony had been drinking large quantities of tequila and his friend Adam admitted that they'd done heroin together. At times, anthony had crossed state lines without permission to attend a job interview and made plans to move to Florida to start a new life there.
Speaker 1:On February 1, 2000, he was sentenced to the maximum prison term of 15 years for attempting to poison his wife Pathetic. I mean she should have died from the amount that he gave her. Like doctors were, like couldn't believe that she survived this lethal dose. I mean she was paralyzed, immobile and in a wheelchair, but she survived. Ultimately, he was convicted of several crimes, including attempted murder. Anthony tried to keep in contact with his son while he was locked up, but the damage to their relationship was irreparable. Ralph did end up writing to his father, but that letter was to ask his father to do right by their family for once.
Speaker 1:In December 2013, anthony was released from his sentence early for good behavior snort, and he moved to Florida where he settled in a Palm Beach area and changed his name to Anthony Hout H-A-U-T-E, like a bad sequel that nobody asked for. He immediately set about reinventing himself. He moved to Florida to shed his old name like a snakeskin rebranding, and, under this shiny new persona, he launched Tony Haute Cosmetic and Skincare LLC. Glamorous right. In reality, it was the same old Pinotaro hustle, just with palm trees. He started selling miracle creams and something he dubbed DNA, which were plasma treatments which, spoiler alert, was pseudoscience in a jar.
Speaker 1:And naturally, he did what all disgraced fake doctors do when they want to look legit he threw on a crisp white lab coat, struck a pose and introduced himself as Dr Hote. Imagine Dr Oz meets late-night infomercial, only with fewer credentials and way more felony baggage. Infomercial, only with fewer credentials and way more felony baggage. It was classic Pignataro an endless parade of deception. In 2019, he advertised his services as a qualified carer for the elderly. Would you want this buffoon with a body count looking after your granny? I don't think so. Hopefully nobody took him up on the offer. You can change your name, change your identity, but you can't change your rap sheet. As a judge once told Anthony, your life to me has been a charade of misrepresentation, self-centered, manipulative disrespect for the value of human life. End quote. So, alleycats, thanks for joining this unnervingly outrageous tale of malpractice, murder, poison and identity theft, say skeptical of bargain procedures, basement clinics and suits Dang.
Speaker 2:That plot twist I did not see coming. But then the double plot twist of Debbie turning him in. Then I was like fuck yeah, debbie, debbie, yes. Debbie go what a loser, debbie, yes, debbie go.
Speaker 1:what a what a loser yeah, and it just goes to show like I mean, this wasn't that long ago, guys, it's just a handful of years ago. So I'm not against elective procedures, do what makes you feel good about yourself, but please make sure that your practitioners are board certified. Look them up online Don't just take the thing hanging on the wall in the office and then, you know, check out what their practices are. Is their clinic actually licensed to be a surgical center? Because that's not a small thing. And yet this wasn't the first case we've talked about where people just do stuff to people in their basements. These people exist. It's so crazy, absolutely crazy. Oh, I mean I feel like we were talking about old times, but I was like five years ago why did this take place?
Speaker 2:and then you would say a year. I'm like okay, that was not that long ago.
Speaker 1:And then he got out of prison in 2013, guys so, yeah, he's out there now and in 2019. He is like advertising I'll take care of your granny. I'll take care of old people. Yeah, no, he's out there, but he's got a different name, so don't let anybody named Dr Anthony Hote H-A-U-T-E. Look after anyone you care about.
Speaker 2:Floridians, be careful, there's that Right.
Speaker 1:So our second sponsor of the day I'm just going to jump in is old glory. It's the ultimate destination for officially licensed merchandise, offering over 300 000 items for music, sports entertainment and pop culture fans, and they've been going since 1969 and I will tell you, I have found all kinds of fascinating things apparel, movies, lifestyle brands for people that you just don't know what to get. You know what they like, you know, but they have everything. You know, everyone can get anything these days on Amazon. So what's wonderful about this is you can really pinpoint what somebody is into and get them something unique that they've never, they never would have expected, so something they never even knew they wanted. And you can do that, dear listeners, by joining, by using our special promo code. So you go to oldglorycom and use our promo code. Stay suspicious, I know that our promo code.
Speaker 2:Stay suspicious. I know that's a shock. Stay suspicious. What is it?
Speaker 1:Suspicious S-T-A-Y-S-U-S-P-I-C-I-O-U-S For 15% off any product which is exclusive to our Doctoring the Truth listeners, you're welcome. So now it's time for a medical mishap, and this is an email. Normally I would have amanda read it, but if you're if you're scratching okay, I will read it. Okay. So this email says dear amanda, jenna and alley cats, I absolutely love the pod, oh bless. I've been a listener practically from day one and I can't wait for Wednesdays to play the new episode during my lunch hour. Oh good.
Speaker 1:I was going to say sorry for those days that you can't do it all in one lunch hour. Yeah, also, how much lunch do you get? We're probably five minutes faster lunch hour at this point, but okay, so you should. Now I play it on a bluetooth. Oh no, you should know, I play it on a bluetooth speaker in the break room and we all gather around to hear the later, latest episode, gasping and sometimes laughing at the stories you tell oh, that's not the first time I've heard that either, though I wanted to write from the.
Speaker 1:No, I know we're going off in the, we're moira in the lunch room. I wanted to write from the beginning, but it took a bit of courage and overcoming procrastination. I get you. I get you so for real. But I did it. Yay, you did it. So here it goes.
Speaker 1:I've been a nurse in a rehab unit for years and you'd be amazed at the things that patients misplace Phones, slippers, wedding rings but nothing prepared me for the great denture disappearance. One morning Mr L, a sweet older gentleman recovering from hip surgery, starts panicking because his dentures are missing. So we tear the room apart bedding, drawers, the trash, nothing. We even check the laundry bins because stranger things have happened. But by lunchtime the whole unit is on denture watch.
Speaker 1:His roommate swears that he saw mr l chewing something earlier, which is he chewing his own denture, which should not help the mystery. Finally, after hours of searching, searching, a dietary aid comes running down the hall holding a sealed cup of vanilla pudding from the breakfast tray, and inside, bobbing like a tiny shipwreck, were the dentures. Mr l apparently taken them out, tucked them into his pudding for safekeeping and then promptly forgot and sent the tray back. When we brought them to him. He just popped them back in and grinned at us with vanilla pudding still dripping off the edges, and said you found my treasure. The entire staff lost it From then on whenever we couldn't find something we'd joke check the pudding, mr L.
Speaker 1:That's so gross too. Mr L healed just fine dentures, and all but the image of that dental treasure floating in pudding will haunt me forever, and all but the image of that dental treasure floating in pudding will haunt me forever. I can imagine she says keep doing what you're doing. Your stories educate and eliminate the issues surrounding healthcare, which is essential for everyone to be aware of. Thank you for reading this, even if it doesn't make it on the pod. Oh, but it did, yours truly, june. Thank you, june. Thank you, june. Dentures in pudding.
Speaker 2:Now I'm going to double check my pudding cups before I dive in. Guys, put them in a safe place, Right? This does not include a pudding cup. He's probably like they'll be nice and secure in here. They won't slide off because there's stuff in the pudding. Yeah.
Speaker 1:But also I don't feel like eating the pudding stuff let's just send that back yuck oh my goodness. Well, that was quite an episode. Do we know what we can expect?
Speaker 2:next week, commander, if you need some time.
Speaker 1:No, I don't know I don't know, I don't know, I know.
Speaker 2:Whatever it is, I'm like so busy at work right now and I'm like reports behind and I'm like I don't know, it's going to be a surprise to all of us. Our break is over, guys.
Speaker 1:Yeah, well, we get that. Listen. We put a lot of heart and soul and time and effort into this for for you, dear listeners. So if you're interested in continuing to follow doctoring the truth wherever you enjoy your podcasts for stories that shock, intrigue and educate, please download, rate and review wherever you listen to your podcasts. We need that, we need to show that we're out there and we keep getting personal which I love personal texts and emails and whatever. But we need you to actually get out there on the sites that you're listening to this stuff on and actually rate and review all good stuff, of course, right About how much you love us and what you like and what you want to hear, so that we can continue doing this. But, you know, maybe in a more public way, are we ready to go?
Speaker 2:public guys.
Speaker 1:We love our followers. You guys are awesome. I mean yeah, I mean 31. We're like living the dream.
Speaker 2:The 30s are the best years ever, would you agree, amanda? I've not made it out of. The 30s are the best years ever, would you agree, amanda? I've not made it out of the 30s yet, but I would say it's been definitely my favorite decade.
Speaker 1:No, you haven't. I'm not saying yeah, they were my favorite decade, that's the long behind. But, dear listeners, please download Rate Review, please don't be shy, it doesn't cost you anything, but it'll really really really boost our morale, but our ratings, and will help us keep this going. So, with that, stay safe and stay suspicious.
Speaker 2:I got to stop doing that jingle because it's not ours. Goodbye, bye, sorry for all my sniffles, you're gonna have to.
