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Neurosurgeon on drug charge denied bail

I agree that the dead bodies are the crux of the issue. Someone who has people's lives in his hands for a living really could do without people turning up dead at his house.

Other than that, this is just tabloid gold for people who like to see highly talented and successful people who put on an appearance of perfection for the world get their comeuppance.
 
Court reduces jail sentence over neurosurgeon Suresh Nair's cocaine-fueled sex sessions

A NEUROSURGEON who embarked on cocaine-fueled sex sessions with escorts has won a reduction in his sentence, with a court agreeing one of the women willingly took the drug which killed her.

Suresh Nair, who pleaded guilty in late 2010 to manslaughter and supplying cocaine, has had a two year and three month jail term for supplying cocaine to escort Victoria McIntyre slashed to six months.

The decision means he will now be eligible for parole a year earlier than originally ordered by the Sydney District Court.

Ms McIntyre died after taking the drug at Nair's Elizabeth Bay apartment in February 2009.

"It involved a supply...where both the offender and the recipient were adults and were consuming the drug, this morning's appeal judgment said.

"Such conduct is common and rarely comes before the courts."

The judgment said Nair took the drug "to heighten sexual arousal" and may have given it to Ms McIntyre in the hope she would have the same reaction.

But its said that his sentence in the District Court wasn't supposed to be in relation to her death, but only for giving her the drug.

"Her death is relevant only to (Nair's) knowledge...of the risks associated with the supply of cocaine- something of which the applicant, as a neurosurgeon, ought...to have been aware."

Nair has failed in his bid to have his sentenced for the manslaughter of Suellen Domingues-Zaupa reduced.

A committal hearing in 2010 heard Ms Zaupa, who also died from a fatal supply of cocaine, could have been saved because Nair waited a long time to call an ambulance and give first aid.

"His liability for manslaughter arose by reason of a supply of a quantity of cocaine that substantially jeopardised Ms Zaupa's physical safety and endangered her life and...by his own consumption diminished the capacity to render assistance."

The 44-year-old also failed to have a second cocaine supply charge, done while he was out on bail for the first two crimes, reduced.

He will be eligible for release on parole in July 2014.

http://www.dailytelegraph.com.au/ne...led-sex-sessions/story-e6freuy9-1226623391995
 
I was operated on by a surgeon who used coke. He drilled into my skull and took a tumor out of my mastoid section. Then on a second surgery he reconstructed the ear; made new ear bones from cartilage, and some polymer, and took muscle from outside of my ear for an eardrum, and made a new canal. I was really screwed up before. The surgery was 8 or so hours for the first one. Don't know about second.

Sometime in later years... at least from what I hear, he was arrested for coke. My source didn't really have a season to lie. I can't be sure, really. I have never wanted to ask him about it... But when I was arrested for pot and it came up in conversation, he was very cool.
 
While I wouldn't mind a doctor performing on me who enjoys his hookers and blow on weekends (and lets be honest, I'm sure a decent portion of them do), one who can't manage his lifestyle enough to avoid them while out on bail definitely isn't coming anywhere near my brain.
 
lol you want a cokehead performing surgery on you

one slip during and he could make you retarded...
i dont want some withdrawing off coke or someone who possibly stayed up all night doing blow even driving my car
some dumb shit being posted in this thread
you can say whatever you want but i doubt youd let this guy come in on a comedown and perform a life or death surgery on your kids
he probably has several surgeries a day, do you think he's gonna tell his boss he cant do em cuz he stayed up late doing blow

no different than a doctor shouldnt be a alcoholic before you bring up that shit

the whores arent relevant to his job but drug use definetly is...
 
I have a friend who's a neurosurgeon resident at a level 1 trauma center. He does lots of coke and we use to go one some pretty epic coke binges. He's fucking brilliant (Joint M.D. Ph.D grad) and a dope ass mother fucker who puts in 80+ hours a week to fix the results of pot smoking teen-agers who go skateboarding without helmets.

He does an amazing job and is extremely talented and takes his work very seriously. He saves multiple lives per day, as well treating injuries that would otherwise render the person a cripple or a vegetable in a way that they can walk out the door in a week.

Nothing but respect for him, and !_MDMA_! I would be 100% comfortable with him doing surgery on me, I know him well and I've seen him at study and at work, and he's always on point.
 
Yeah maybe some people can handle it, but this guy sounds like he had no conscience and showed lack of responsibility on many occasions, he should have been stopped from working in the field earlier I think.

The Herald reported that two medical negligence complaints were made against the surgeon in recent years. He was accused of botching two spinal operations, one of which led to a patient needing corrective surgery, while the other left a woman incontinent and with a partially paralysed leg.
 
Brothels ignored warning on neurosurgeon Suresh Nair

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Sydney's brothels were warned of a violent and dangerous drug-addicted doctor targeting sex workers before he supplied lethal doses of cocaine that killed two prostitutes during wild sex binges.

But an investigation can reveal that not only did the sex parlours continue to deliver scores of women to the neurosurgeon, they also allegedly sold him cocaine worth tens of thousands of dollars.

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Suresh Nair was jailed in August 2011 after pleading guilty to the manslaughter of Suellen Domingues Zaupa, 22, who died of a cocaine overdose in his luxury Elizabeth Bay flat in November 2009.

He also pleaded guilty to supplying cocaine, which in February that same year killed another prostitute, Victoria McIntyre, 23, in the same apartment.

Nair was sentenced to a minimum five years and four months but following a successful appeal last year, he is eligible for parole in July.

As the disgraced doctor prepares to walk free, Fairfax Media has seen a haunting warning naming him that was distributed to "commercial sex establishments" and staff before Ms McIntyre was sent to Nair by Sydney agency HM Escorts.

The red alert, issued by the NSW government-funded Sex Workers Outreach Project (SWOP), told of a prostitute's near-death ordeal in Kings Cross at the hands of a "doctor" of Indian appearance, named "Suresh". Having initially lured the girl into consuming cocaine on a broken promise of "extra thousands", the doctor then requested she "insert" a "drip". She subsequently collapsed. "After the girl woke up, he became paranoid that people were hiding in the house watching him," the notice added.

That caution, which remained buried even during Nair's trial, was published in a closed sex industry publication called the Ugly Mug List, which serves to unify and protect sex workers by outing and identifying dangerous clients.

But business records from Sydney brothel Liaisons show how Nair – instead of being barred – was given free rein inside the brothel, spending more than $140,000 in the nine months separating the two deaths. The parlour's internal room rental records show that less than half that sum is tallied as sexual services.

It can also be revealed that in the weeks of September leading up to the second fatal overdose involving Ms Zaupa, Nair spent $56,405 on his MasterCard in one visit to the plush Edgecliff parlour that lasted 25 hours.

Room records show $17,320 of that was attributed to "cash-out". A further $20,330 was listed simply as "advance", and the remainder was recorded as regular sex services by the hour and a $450 tip. A legal statement signed by a Liaisons worker says "tip", "cash-out" and "fantasy" were allegedly three words regularly used to conceal Nair's cocaine transactions inside the premises.

During the sentencing, District Court judge Robert Toner said Nair had made it "patently clear" during evidence that neither Ms McIntyre nor Ms Zaupa had brought narcotics to his home.

The judge found it was the "agencies", used by Nair, which supplied the drugs through a "party package" that included both the cost of the cocaine and women.

As Ms McIntyre lay dying before him, the drugged Nepean Hospital neurosurgeon neglected to administer any sort of assistance that might have saved her.

Later that year, he allowed Ms Zaupa to lie dead on his bed for almost two days as he sourced more escorts and then shifted the cocaine party to a nearby harbour hotel.

During the trial, a sex worker, Siobhan Eirlys, told the court that on the night of Ms McIntyre's death, Nair had ordered her and another worker to leave his apartment because they refused to snort cocaine, the doctor stating: "What's the point of you being here if you're not going to party?"

Another escort named Emily described the doctor's dual addiction to cocaine and sex as out of control, recalling rocks of cocaine "the size of my fist" and his "aggressive" manner in persuading the girls to snort "line after line" of the drug.

Emily also testified that Nair had pushed thumbnail-sized "rocks" of cocaine inside her. "He was putting his fingers in places," she told the court. "I just thought he was being weird but he was putting rocks [of cocaine] in me."

The court had previously heard evidence from toxicologist and 10-year veteran of the NSW Police Force William Allender, who having confirmed he had seen "a lot" of cocaine deaths in his time, described the 7.1 milligrams per litre of the drug found in Ms McIntyre's blood as "startling".

However, while all evidence, until now, suggested Nair's Russian roulette drug orgies had always occurred amid the familiar surrounds of his $1.7 million bachelor pad, and occasional hotel suite, the leaked files shine new light on his activities – and the previously hidden role played by Liaisons.

Reams of roster sheets and room records, together with credit card receipts, show a disturbing picture of extraordinary sex sessions held by Nair inside the parlour. On September 11, 2009, the doctor arrived at Liaisons at 10.50pm where, after a $9000 MasterCard payment listed only as "C/Out Advance", he remained in Room 8 for 25 hours. In that time, he hired nine different prostitutes. When all but one of the night shift sex workers in his company finally left the building at 7am the next day, Nair booked another four incoming day shift staff to reboot his drug-fuelled orgy, which continued until 11.50 the following night.

Despite not leaving the room, he took out an early morning "advance" of $8800 followed by a further $4000 in a mid-morning transaction listed as "cash out". Shortly after 4pm, records reveal he signed off on another "advance", to the tune of $11,000.

The regular in-house fee for an hour with a Liaisons worker at that time was $330, and the brothel would take a $180 cut.

This session was by no means an isolated occasion. In May, Nair booked four girls for another of his all-night binges, which cost $19,640 – $10,000 of which was marked down as "tips".

Chris Seage, owner of consultancy firm Brothel Busters, said that Nair "needs to come clean on where he got his drugs from".

"He should not be given parole until he informs police of the names of the escort agencies and brothels that were supplying him."

Mr Seage said it was "outrageous" that commercial sex establishments ignored the warning that came before the two deaths.

"Everyone in the industry reads the Ugly Mug list so it is disappointing that some businesses continued to compromise lives by allowing women to see Nair."

Aside from the sex workers who were either killed or compromised in Nair's company, there remain an unknown number of hospital patients whose operations went wrong as the neurosurgeon tried to keep up appearances at Nepean Hospital.

In January this year, Nair settled a civil action against him by former patient Karmen Bradley over botched back surgery, which included a claim, by her, that when he called her to say sorry, he admitted he did not know "what to do".

There are other patients whose operations went horribly wrong. However, the Health Care Complaints Commission has refused to divulge the full extent of the damage caused, stating on Friday it "can't disclose" any complaint-related information.

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Read more: http://www.smh.com.au/nsw/brothels-...suresh-nair-20140524-38vk9.html#ixzz32haDO6pL
 
Disgraced surgeon Suresh Nair left a trail of shattered lives

Besides two dead prostitutes, Suresh Nair harmed others, writes Georgina Robinson.

It's been six years since David Sheppard's life was turned upside down by his encounter with disgraced neurosurgeon Suresh Nair.

He has not been able to return to work as a Qantas Defence Services engineer due to complications from the surgery, and still relies on anti-depressants.

His marriage didn't survive the aftermath of the botched procedure and he now observes, not participates in, his nine-year-old son's life.

There were always risks involved in the spinal fusion surgery Mr Sheppard underwent at Dr Nair's hands in November 2007 after injuring his back at work.

The surgeon warned him of the risks, but assured the then-37-year-old that if all went well he would be back at work in three months.

Two years later, when Dr Nair was arrested over the death of a prostitute in November 2009, Mr Sheppard was waiting to see him for yet another consultation at his Derby Street rooms opposite the Nepean Public Hospital in Penrith.

Mr Sheppard didn't know it at the time, but in that two years, Nair had been in serious trouble. He had been suspended for a second time by the NSW Medical Board and had fled his apartment as a second prostitute lay dying inside after an all-night cocaine binge.

Mr Sheppard, meanwhile, was in excruciating pain. But it wasn't until that day in November that he began to wonder if something more than bad luck had affected the outcome of his surgery.

''I remember being in hydrotherapy one day and there was a lady there who had been due to see [Nair] for a procedure a week before he was arrested,'' he recalled. ''She said to me she thanked god every day she saw another surgeon.''

Mr Sheppard is shocked at the fate that befell Suellen Domingues Zaupa and Victoria McIntyre, the two prostitutes who died from cocaine overdoses within nine months of each other after partying with Nair in Elizabeth Bay.

Nair was sentenced three years ago on manslaughter and drug supply charges. But with the disgraced surgeon now on the eve of early release, Mr Sheppard is highly critical of the NSW justice and healthcare systems.

''He's caused a lot of issues in my life and in other people's lives, as well as the deaths of those two women,'' Mr Sheppard said.

''I think the system is too lenient with people who are professionals but can't control themselves.''

It is not clear yet whether Mr Sheppard's injuries were caused by Nair's negligence or by bad luck.

Several patients have contacted Fairfax Media with claims they were worse off following surgery performed by Nair.

But others wrote praising a man they credited with restoring quality to their lives.

Specialists who worked alongside Nair described him as a ''conscientious practitioner'' and a ''reasonably talented'' surgeon.

Patrick Cregan, who was the clinical director of surgery with the South Western Area Health Service at the time Nair worked at Nepean Public Hospital, told Fairfax Media during the criminal court case there were ''often bad outcomes'' in neurosurgery and that it was a '' fairly murky area''.

Mr Sheppard said: ''I am more angry towards the hospital than Nair because they allowed a doctor to continue working and operating even though he had been suspended so many times before, and as a patient I never knew.

''Had I known about his situation I would never have let him do it.''

Mr Sheppard is still waiting on the outcome of his workers compensation claim before going into his own claim against Nepean Private Hospital.

Another former patient of Nair's, Helen Kerner, is also puzzled that he might be getting out of jail so soon.

The surgeon's drill slipped during a delicate but standard procedure and sliced through several nerves in her spine.

''I won't be the same ever again,'' she said, ''but he gets out of jail and he can live a normal life and have fun. All of us patients can't. Not the ones he's mutilated. It's not fair.''

Read more: http://www.smh.com.au/nsw/disgraced...tered-lives-20140525-38wut.html#ixzz32kmqigrI
 
I think there are bad people who do all sorts of jobs, I'd like to hope it is rare. There are bad medical professionals, bad police, bad politicians, bad sporting people etc etc.
 
I think there are bad people who do all sorts of jobs, I'd like to hope it is rare. There are bad medical professionals, bad police, bad politicians, bad sporting people etc etc.

The problem with medicine is that a lot of people get into it for reasons which have nothing to do with helping people - the prestige, the money, the pressure from their family to get a ''good job'' (which is huge in certain immigrant communities).
 
'How many more are there like me?' Patients call for truth on cocaine doctor's victims

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Medical victims of a jailed cocaine-addict surgeon have called for an independent audit of his patient database to establish how many botched operations resulted in death or suspicious injury. The Medical Council of NSW knew Suresh Nair had a severe cocaine addiction as far back as 2004, but allowed him to continue operating as a neurosurgeon at Nepean Hospital until November 2009.

In the lead-up to his practising certificate finally being revoked, he supplied lethal doses of cocaine that killed two sex workers during wild orgies at his Sydney home.
But a veil of secrecy still surrounds hundreds of complex - and potentially deadly - surgical procedures that he was allowed to perform, over a five-year period, while dazed on drugs.

The Medical Council and NSW Health continue to refuse to divulge the number of complaints, serious injuries and possible fatalities linked to his work.

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Following a month-long investigation by The Sun-Herald into the disgraced doctor's wild life, more medical victims have emerged. In the countdown to Nair's possible release from prison next month - where he is serving time for manslaughter and drug supply - those patients are now demanding the doctor's full client records be independently scrutinised.
Carla Downes, who suffers a 27 per cent whole-body impairment after bungled surgery by Nair, asked: ''How many more are there like me? The Medical Council identified him as a serious risk to the public. As a patient, I deserved to know that too.

''It wasn't as though I went to him for a Band-Aid or Panadol. He was at the base of my brain. He was inside my spine - twice. He destroyed my life. To this day, neither the medical council or Nepean Hospital have acknowledged it.''
Judy McIntosh died last month, having become a quadriplegic during surgical treatment by Nair in September 2008. Her slow and agonising decline was witnessed by her son David, who is also calling for an independent inquiry.
''It is an undeniable fact that NSW Health has a case to answer, let alone Nepean Hospital, for continuing to allow him to operate, despite identifying ongoing chronic issues surrounding his work.
''This amounts to a massive failure in duty of care.''

In 2004, Nair was forced to undergo mandatory urine testing, three times a week, at Nepean Hospital. Within four months, he failed and was placed on a six-week suspension.
In its 2005 annual report, the Medical Council (then NSW Medical Board) referred to a doctor, now known to be Nair, who had ''a severe impairment in the form of cocaine abuse/dependency'', adding crucially: ''It is considered the practitioner must be suspended for the safety of the public until his rehabilitation was further progressed.''

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However, by October 2004, he was already back in the operating theatre, albeit under stricter conditions, including constant health monitoring and a maximum 30-hour working week.
When those restrictions were gradually lifted, Nair was suspended again in 2008 following referrals from two concerned colleagues, about his work.
In 2008, Mrs Downes was the victim of a botched laminectomy procedure by Nair, which led to him performing a neck operation in May 2009 and further spine surgery in September that same year.

Whether Nair was still undergoing urine checks at that time is unclear, but The Sun-Herald can confirm that 10 days after he performed the second procedure on Mrs Downes, he spent $19,640 on an 11-hour cocaine and sex ''party pack'' inside Sydney brothel Liaisons.
Internal brothel room records, seen by Fairfax, also show that in those September weeks either side of Mrs Downes' third botched procedure, he spent a further $58,000 on sex and drugs there.
''I feel sick to the stomach,'' Mrs Downes said of those revelations.

''I'm on the verge of losing my bowel and bladder functions. He is on the verge of freedom.''

Two months after that third bungled operation and the subsequent death of a second prostitute in his apartment, Nair was arrested, charged with murder, and finally suspended from the hospital indefinitely. As intense media focus turned to his medical victims at Nepean, Fairfax can reveal that the hospital's hierarchy established a ''review team'', headed by two surgeons, to ''audit'' the clinical outcomes of patients treated by Nair ''in comparison with his peers''.
In August 2010, that team found no ''significant variation'' from peer practice.

It was added that while the terms of reference were ''not to prove that Nair was a safe and competent neurosurgeon … the evidence was broadly in favour of such a conclusion.''

On Friday, NSW Health Minister Jillian Skinner declined to comment while a Ministry of Health spokeswoman deflected calls for a fresh inquiry, citing both the previous ''retrospective audit'', plus an accompanying review which found Nepean Hospital bosses had ''generally managed Nair's impairment issues appropriately.''

The Medical Council said the decisions had been based on information ''available at the time'', adding confidentiality requirements prevent it from disclosing information about individual determinations.
Victims of his botched operations still suffer

Carla Downes has a 27 per cent whole-body impairment and is on the brink of losing bowel and bladder function following three major operations under Suresh Nair, the last just three days before he went on a drug and sex binge in Sydney brothel Liaisons. Ms Downes wrote to the NSW Medical Council and her name was passed on to the Health Care Complaints Commission for investigation. ''A courier collected my scans, MRIs and X-rays,'' she says. ''They later confirmed there were three or four charges Nair could be held accountable for but, because he admitted liability and does not plan to re-register, I am not permitted to view the actual findings.''

Karmen Bradley is one of an unknown number of medical victims who have reached confidential settlements with NSW Health over Nair's negligence. In a civil action filed in 2011, Ms Bradley said she was owed a duty of care by the neurosurgeon, but that both operations he performed on her in October 2008 resulted in her suffering "substantial injury, loss and damage". Ms Bradley said Nair later called to apologise, and admitted he did not know "what to do". The case was settled last year.

In October 2009, Debbie Burns was operated on by Nair at Nepean Private Hospital - three weeks before he was charged with supplying the cocaine that killed Brazilian prostitute Suellen Domingues-Zaupa. When she woke from her spinal surgery in extreme pain, with no feeling in her left hand and unable to hold up her head, he assured her everything was normal, placed her on morphine and recommended she stay in hospital. Two days later, he called to say he was too unwell to see her and told her she could go home immediately. In 2010, she told Fairfax Media: ''I would do anything to go back to before … the pain is far worse than before I had the operation.''

In 2006, Nair's drill slipped during a delicate but standard procedure and sliced through several nerves in Helen Kerner's spine. She was left partially paralysed and incontinent by the procedure, and she is another patient who later sued for negligence. Nepean Hospital admitted a breach of duty of care. ''I won't be the same ever again,'' Ms Kerner told Fairfax Media last month. ''But he gets out of jail and he can live a normal life and have fun. All of us patients can't. It's not fair.''

David Sheppard has never returned to work as a Qantas Defence Services engineer after suffering complications from Nair's surgery in 2007. His marriage became a casualty in the aftermath of the treatment. Had Mr Sheppard been informed his surgeon had been been suspended over his cocaine addiction and identified as a public risk, his life might be very different today. He recalls with clarity a 2009 conversation shared with a woman in hydrotherapy who had been due to see Nair for surgery a week before his arrest over the second drug death at his home. ''She said to me she thanked God every day she saw another surgeon.''


Read more: http://www.smh.com.au/nsw/how-many-...ors-victims-20140607-39psf.html#ixzz33z8P90m3
 
I'll not defend a doctor who gets his jollies by breaking rule number one of his professional code: do no harm. But I can't help but taking a step back and asking: which came first, his addiction, or his not being very good at his job? Either one could lead to the other, and start a downward spiral. I'm sure it happens all the time that a former straight-shooter and high achiever, ends up in a high pressure job with a narrow margin for error, and for the first time in his life ends up feeling mediocre. This is a recipe for doing reckless things in one's free time in order to compensate for feeling like a little man at work. Notice how in gangland dramas, it's usually the less respected, lower-ranking, more visibly flawed and troubled gangsters who are the cruelest to their victims, and live life the fastest and hardest. And from their perspective, why not? They know they're going down, probably soon and probably violently, so why not at least have fun with it?

I'm a family physician in training, who enjoys fun of the chemical variety. Over the course of my training, which is brutal by most people's standards, I've hit snags and had corrective actions levied against me, as has been the case for all but one of my fellow residents. I've made doubly sure to give a clean urine sample whenever one has been asked for, and have never even said a single word when the subject of recreational drugs has come up at work. As far as I know, no one who knows me as "Dr. [MDAO]" has any clue I've ever had anything to do with drugs. There may be one or two who suspect it, but they have no proof. I have absolutely no doubt that if my love of chemical pleasures were known or strongly suspected, it would be waved in my face, and probably at least partially blamed, for any or all missteps I've made. I have no doubt that pissing in a cup daily with some big bruiser staring at my johnny would be part of my educational corrective action plan, and many would say behind my back that "my type" does not deserve my profession. That despite the fact that I have never given medical orders or seen patients while high, have never obtained pharmaceuticals or paraphernalia illegitimately from work, and am truly caring and present with my patients. Say what you will, but a bong hit in the evening keeps me sane and motivated, and no doubt keeps me from taking out my professional frustrations in ways that chafe other people. Still, I would be crucified, because I'd make a far easier scapegoat than the old-boys'-club connected doctor who makes medical errors and treats coworkers unprofessionally because he's sleep deprived and has lost all passion for his job. He's playing the game right, I'm not. It's the same reason why cops and judges love drug possessors -- the court cases are a walkover, because there's never any question that an illegal and widely disrespected act has been committed. Bottom line, when drugs are involved, drugs are blamed. Punitive "treatment" is mandated, and the case is wrapped up in a nice little package with a frilly bow, with all the onlookers safe in the knowledge that their world has been rid of another dangerous deviant.

Again, forcing other people to take dangerous drugs, letting people die for your pleasure/negligence, and taking risks with other people's bodies by not knowing your limits as a surgeon are absolutely inexcusable, and are gross violations of the Hippocratic Oath no matter how you spin it. All I'm suggesting is that Dr. Nair was just not a good surgeon and not a good human being in general, serious coke addiction or none, and I'm not so sure he wouldn't have treated people badly if he was a lifelong straightedge. I lament the fact that the bottom line for many reading this article will be, "Blame drugs! More drug testing for healthcare workers, NOW!", and very little brainpower will be spent exploring his character and how he eluded accountability for his subpar surgery for so long.
 
There's an important cultural aspect to it as well, I believe. A lot of these immigrants or children of immigrants from Asia and India are raised in very strict conditions (part of which is cultural) and pressured greatly by their parents to succeed and eventually reach the upper middle lifestyle they came to the Western world hoping to achieve. So they spend their teen years and their early - mid 20's, often even into their 30's depending on their career choice (eg: neurosurgeon), dedicated to their study, driven by expectations imbued by overbearing families, missing the gradual exposure to things like sex and drugs that allows the other kid/teenagers/young adults to hopefully adjust to these things and learn to balance them as part of their lifestyle. Then in their late 20's or early 30's they finish their residency or move up a tier in their law firm or whatever, they're earning tons of cash for the first time, out of their parents house or the tiny shitty rented room they were in before. Suddenly they have a ton of money, they're maybe a little under-socialized and they have high pressure jobs which give them a lot of steam to blow off, and they find themselves not only exposed to sex and drugs, but with the cash to indulge in the extreme.

Or leaving out the hookers & blow and going to the question of whether he just wasn't a good surgeon - again, the pressure is imbued in them from a really early age. Do Well at High School. Do Well at University. Do Well At *. There's often no question of whether they'd personally be suited to these jobs, or be happy with them, it's just a question of whether it will pay enough to allow them to achieve a certain idealized lifestyle.
 
Hospital missed warning on cocaine-addicted doctor Suresh Nair

One of Sydney's busiest private hospitals allowed a cocaine-addicted neuro-surgeon to continue operating on patients, despite him having been barred from the adjacent public hospital that had forwarded "serious concerns" about his work.
The Nepean public hospital sent a letter to neighbouring Nepean Private Hospital in April 2009 warning its management that, by allowing Suresh Nair to practise, it was potentially "exposing the patients to a risk about which they are not aware".

Yet two months before, the Nepean public hospital failed to inform the NSW Medical Board (now Medical Council) it had received a formal visit from police concerned about the death of a sex worker in St Vincents Hospital after a drug overdose at Nair's home and his links to cocaine.

The revelations form part of a joint Fairfax/Four Corners investigation, due to screen on Monday, that lays bare failings in the NSW health regulatory system.
The expose relates that, while the NSW Medical Board, the Health Care Complaints Commission, the Nepean public hospital and Nepean Private Hospital were all warned about Nair's chronic, continuing addiction over a five-year period, he continued to slip through the cracks and retain his certificate, leaving a trail of crippled victims and shattered lives, right up until his arrest in November 2009, when a second prostitute died in his home, also from a cocaine overdose.

Last month Nair was released from prison after serving four years after pleading guilty to one count of manslaughter and two counts of supplying cocaine. Immigration Minister Scott Morrison cancelled Nair's permanent residency status and he is now expected to be deported to his native Malaysia, where he has not lived since he was 10.

As far as his medical victims are concerned, it is a new beginning they can only dream of. "My whole life has changed," says Carla Downes, who still suffers because of botched surgery by Nair. "I crawl up the stairs because I can't walk up them one at a time."
Rhonda Taylor, another of Nair's patients whose 2009 spinal fusion went horribly wrong, says: "The impact Dr Nair and ... Nepean Private Hospital have had on my life is ... they've taken my life away."

In September 2004, Nair was suspended for eight weeks at Nepean public hospital after mandatory weekly urine tests exposed his cocaine use. In the board's 2005 annual report, Nair was identified as having a "severe impairment in the form of cocaine abuse/dependency" and "it is considered the practitioner must be suspended for the safety of the public until his rehabilitation was further progressed".

But it was not long before he returned to the operating theatre, under stricter conditions. When the board relaxed those conditions in 2008, Nepean public hospital again had to withdraw his clinical privileges. Fellow neurosurgeons also raised the alarm in January 2009 about his "inability to function as a consultant". One colleague described his surgical decisions as "often bizarre".

In February 2009, the rogue doctor's dual addiction to cocaine and sex proved fatal when an orgy with prostitutes led to the overdose death of Victoria McIntyre in his luxury Elizabeth Bay flat. While Nair did not inform anyone within the health system about that death, NSW Police did.

Former Kings Cross local area commander Tony Crandell said: "Detectives attended Nepean hospital in person to notify medical staff of the concerns that they had and the involvement of Dr Nair in this particular death and our concerns in relation to not only the supply of cocaine but his addiction to cocaine."

When asked why it chose not to inform the Medical Board of these developments, Nepean Blue Mountains Local Health District chief executive Kay Hyman said "it wasn't an issue ... that Suresh needed to answer to or was in any way considered a person of interest".
While the hospital was under no obligation to report the information, the chairman of the Medical Council's NSW committee, Choong Siew Yong, labelled its decision as "very regrettable". "We would have called an immediate action hearing and in all likelihood he would have been suspended," Dr Yong said.

Healthscope, meanwhile, which operated Nepean Private, said it had "no record" of receiving the warning letter from the head of neurosurgery at Nepean public, a copy of which had been obtained by Fairfax and Four Corners. A spokeswoman stressed the Medical Board had formally cleared Nair to resume operating, with restrictions, from January 2009.

As the failures between health authorities piled up, Nair continued to perform intricate brain and spine surgery at Nepean Private, and later returned to the public hospital. Outside work, he partook in drug-fuelled sex binges inside Sydney brothel Liaisons where he spent more than $140,000 in nine months.


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Timeline

1980: Immigrates to Australia from Malaysia, aged 10.

1992: Graduates from University of Sydney, aged 23.

2004: Forced to have weekly urine tests while working at Nepean Hospital. Tests positive to cocaine. Receives an eight-week suspension.

2005: NSW Medical Board annual report refers to Nair's "severe impairment in the form of cocaine abuse/dependency". He continues to operate on patients.

2008: Nepean public hospital suspends Nair again after complaints from colleagues are referred to the NSW Medical Board.

2009: Escort Victoria McIntyre dies on Valentines Day from cocaine supplied by Nair. The tragedy is repeated nine months later when prostitute Suellen Domingues Zaupa also dies of an overdose. In between, Nair spends $140,000 hosting numerous cocaine-fuelled orgies at Liaisons brothel while maintaining his role at Nepean Private Hospital and later at the adjacent public hospital again. After being charged with murder and manslaughter, his practising certificate is finally revoked in November.

2011: Sentenced to five years and three months' jail for manslaughter and two counts of supplying cocaine.

2013: His prison term is reduced on appeal.

July 31, 2014: Released from prison but has his visa cancelled. Is expected to be deported to Malaysia in the coming weeks.

SLIPPING THROUGH THE CRACKS:

2004: Tests positive to cocaine at Nepean public hospital. Receives eight-week suspension.

2008: Clinical privileges withdrawn by the hospital with colleagues later raising alarm about his "confusing judgment" and "bizarre" surgical decisions.

2009: Police attend Nepeain public hospital and inform hierarchy about the first escort overdose death in Nair's home, venting additional "concern" about Nair's cocaine links. The hospital chooses not to forward this information to the Medical Board. He continues working.

2009: Nepean public hospital sends a letter to Nepean Private Hospital confirming it has barred Nair due to "serious concerns" about his ability to practice. However, the private hospital says it never received the letter. Nair continues to work at the private hospital. By the time he was arrested in November, he was back operating at both Nepean hospitals.


Read more: http://www.smh.com.au/nsw/hospital-...uresh-nair-20140823-107fu7.html#ixzz3BGIp4wAy
 
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