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The sponge he warned them about - and then closed him with it

The sponge he warned them about - and then closed him with it

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A surgeon warns a sponge is inside a patient - then closes him up anyway, risking lives across Dallas. How could they miss the warning?

The sponge he warned them about - and then closed him with it

In this episode, we trace the chain of surgeries, decisions, and institutional choices that let a single surgeon operate across multiple Dallas hospitals despite mounting harm. What did credentialing, resignation letters, and temporary privileges allow to happen - and why did the warnings fail to stop him?

Person: Christopher Daniel Duntsch
Event: Surgical errors across 31 operating rooms
Location: Dallas area hospitals
Period: 2010-2013
Case: Retained surgical sponge in Jeff Glidewell

- Duntsch warned operating room staff that a four-by-four sponge was inside Jeff Glidewell’s throat, then closed the incision anyway.
- Baylor Plano accepted Duntsch’s resignation after a patient bled to death and issued a clean letter instead of reporting to the National Practitioner Data Bank.
- Dallas Medical Center granted temporary privileges that were not reportable at the time, allowing Duntsch to move between hospitals.
- Residency records show Duntsch logged fewer than 100 supervised procedures while typical graduates log over 1,000, plus prior complaints about substance use.
- After Glidewell developed sepsis, vascular surgeon Randall Kirby reopened the throat and found and removed the sponge.

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