Texas neurosurgeon kills and paralyzes several patients over the course of 18 months.

[The_Sunny_Doc]

oh C'mon now, that's a SERIOUS stretch.

his residency on the other hand....

Here's what Dr. Kirby (the guy who crusaded to get him off the job) has to say on Google Reviews--

"I am not going to rest until this monster Duntsch is brought to justice and incarcerated
I recognize the neurosurgical training program that trained him in Memphis, TN was a disaster and the hospitals in our Metroplex that failed to report him the the National Practitioner Data Bank and the Texas Medical Board are in violation of federal and state law - I am dealing with these issues thru the proper channels and I will get action
Duntsch needs to be tried on negligent homicide and aggravated assault charges by both the Dallas and Collin County DA's offices and put in jail for a long time
Trust me
I'm am trying as hard as I can to prevent anything like this to ever happen again
Randy Kirby, MD"

Is anyone on SDN a resident there?

---

Members don't see this ad.

 

[Cyberdyne 101]

oh C'mon now, that's a SERIOUS stretch.

his residency on the other hand....

It looks like he was there for med school, residency, and a fellowship.
http://www.healthgrades.com/physician/dr-christopher-duntsch-2kj4q/background-check

 

[Cyberdyne 101]

Is anyone on SDN a resident there?

@mimelim and @SouthernSurgeon seem to have their hands full fighting the tobacco lobby in another thread. If we're lucky, they'll enlighten us about the benchmarks and standards of surgical training.

*Btw, I'm kidding about the "tobacco lobby." I've actually learned a lot from those who're involved in that discussion.

 

[The_Sunny_Doc]

Here's an email Duntcsh wrote to his wife in 2011, before all of the botched surgery reports came in. It's a glimpse into the mind of a megalomaniac/sociopath. Fascinating.

"You, my child, are the only one between me and the other side" I am ready to
leave the love and kindness and goodness and patience that I mix with everything
else that I am and become a cold blooded killer. The sad fact is that I would
go faster do better and catch more respect and honor by ****ing every one in the
brain, emotionally and mentally controlling them in a manner that borders on
abuse, taking no prisoners, and sending everyone in my way, and especially that
****s with me to hell for the simple fact they thought they could much less
tried."

"What I am being is what I am, one of kind, a mother ****er stone cold killer
that can buy or own or steal or ruin or build whatever he wants. And only other
people and his heart have made it difficult. You showed and made me believe and
then took my mother ****er away. You took my girl away. And I won't forgive
you for that for a long time."

 

[Dr Van Helsing]

Here's an email Duntcsh wrote to his wife in 2011, before all of the botched surgery reports came in. It's a glimpse into the mind of a megalomaniac/sociopath. Fascinating.

"You, my child, are the only one between me and the other side" I am ready to
leave the love and kindness and goodness and patience that I mix with everything
else that I am and become a cold blooded killer. The sad fact is that I would
go faster do better and catch more respect and honor by ******* every one in the
brain, emotionally and mentally controlling them in a manner that borders on
abuse, taking no prisoners, and sending everyone in my way, and especially that
***** with me to hell for the simple fact they thought they could much less
tried."

"What I am being is what I am, one of kind, a mother ****er stone cold killer
that can buy or own or steal or ruin or build whatever he wants. And only other
people and his heart have made it difficult. You showed and made me believe and
then took my mother ****er away. You took my girl away. And I won't forgive
you for that for a long time."

Is this real life? So this guy knowingly botched all of these surgeries? Those emails trumped any narration by Patrick Bateman in American Psycho.

 

[TraumaLlamaMD]

"At first I thought it was s,mply my world and that it was too much for you. Then it seemed thal it was nothing more than boring to you ... so then I thought it was my vodka bottle and neurostimulants, but I watched you closely and besides concern for my healthy ycu were chill and rolled with me on that. "

A brief moment of insight...... And then back into the abyss of bats#%t crazy.

 

[NYCdude]

Disgusting human being, if you can even call him that.

 

[Promethean]

He doesn't so much write as excrete stream-of-consciousness as text... it is disorganized, impulsive, tangential. He is profoundly narcissistic, a trait which chronic cocaine use tends to enhance. I don't think that he has had an acute psychotic break. From that letter, I would say that his issues go way deeper than that.

It is very disappointing, but sadly not at all surprising, that someone like this was able to do so much harm. As LizzyM said, follow the money. I've seen hospital admins overlook some truly egregious behavior among high earning surgeons... and I've also seen residency programs graduate a few folks because that was easier than taking the appropriate action. Especially when that person has a significant history with a single institution. To acknowledge a really severe problem in the later stages of training is to admit that the problem had been present there for a long time, and should probably have been dealt with sooner. Eventually, it is simpler to just send them on down the road and hope for the best.

 

[ridethecliche]

He sounds really good at making excuses for himself, regardless of what is going on.

I would love to see a panel of experts come and discuss his cases, comorbidities, and outcomes. It doesn't sound like he was operating on complex patients and I'm willing to bet that some simple statistics would find that his outcomes ended in issues far more than that which is reported in literature which is cause for concern to begin with.

Such a messed up story all the same.

I work in a spine practice and some patients don't do well no matter how hard you try, I mean I had to have surgery twice to get better but that unfortunately happens in 5-10% of cases. That said things like screws being in the wrong place, drilling into the spine and not noticing etc, are just insane. You can see and smell CSF when you operate and get a dural tear and they're not terribly complicated to manage during these procedures because they usually occur when the dura has kind of gotten stuck on the spine and is annealed there due to scar tissue.

He wasn't doing giant spine tumor cases. Honestly, I bet the outcomes for spine tumors at my institution are better than the outcomes for the patients he operated on in Dallas. That's insane.

 

[Promethean]

I've circulated a lot of neuro cases and helped with a number of lumbar punctures, shunt placements/revisions, etc, but I don't recall ever noticing that CSF had a strong smell. But, then again, I go out of my way not to inhale body fluid aromas if I can help it.

What does it smell like?

 

[Promethean]

http://www.girardslaw.com/blog/duntschs-med-school-had-report-of-drugs-before-surgeries.cfm

I don't understand how he was able to leave employee health with the excuse that he couldn't pee then and would be back in an hour.

At my facility, if they are concerned enough to "randomly" drug test you, security escorts you to employee health... and you don't leave. If you can't pee, they have a watercooler and you can drink up right there. But you can't leave under any circumstances. Well, you CAN. But, it is considered a resignation from your position and may still get you reported to your Board, depending on the circumstances. There is no excuse that you can possibly give to get out of there without producing a specimen.

That part just boggles me. How, when he turned back up days later, did he still have a position to return to?

 

[Promethean]

http://www.girardslaw.com/video/witness-says-duntsch-used-lsd-cocaine.cfm

And this is why I can't hang out with any of my old friends from back in the day, like ever again. Even if I were perfectly scrupulous about avoiding use of any substance, I wouldn't want anyone to ever have any reason to question that in a video deposition.

 

[musicalfeet]

The anger I feel about this is just...ugh. I can't explain it. Can they charge this guy for anything criminal? I feel like he'd deserve it. Those who are put in any sort of position of knowledge/power should face the consequences if they abuse it. His negligence is sort of abuse...to me anyway.

 

[Promethean]

Take a look at his LinkedIn...
https://www.linkedin.com/pub/christopher-duntsch-md-phd/b/1b7/40

TIL, cocaine can f*** you up...really, really, really, really, really badly.

Yeah, that impressive resume is at least partly damage control and deliberate PR maneuvering. He also has a BrandYourself website. These are the steps you take when you are trying to rehabilitate your Google results. Basic PR. If you don't have enough positive links, you make a few up and make sure that they all link to one another, so that hopefully you can drive negative press off the first page or two of Google search results when someone searches your name.

I'm not saying that he wasn't involved with many of the things he has listed, but no way he had time to actually be fully engaged in all those things. Anyhow, I'm going to stop gawking at this trainwreck now. It isn't getting any less tragic or horrific the longer I look at it.

 

[The_Sunny_Doc]

Yeah, that impressive resume is at least partly damage control and deliberate PR maneuvering. He also has a BrandYourself website. These are the steps you take when you are trying to rehabilitate your Google results. Basic PR. If you don't have enough positive links, you make a few up and make sure that they all link to one another, so that hopefully you can drive negative press off the first page or two of Google search results when someone searches your name.

I'm not saying that he wasn't involved with many of the things he has listed, but no way he had time to actually be fully engaged in all those things. Anyhow, I'm going to stop gawking at this trainwreck now. It isn't getting any less tragic or horrific the longer I look at it.

I guess social media can be a good thing in that it can display one's craziness/narcissism for the whole world to see.

People like him are so interesting. How did he turn out the way he did? How does his brain chemistry affect his lack of empathy and drug-seeking behavior? What role did his childhood play in shaping him into the monster he is? Forensic psychiatry must be a fascinating fellowship.

 

[studentp0x]

GPA/MCAT has no bearing on the likelihood that one will begin using drugs. GPA/MCAT does not measure moral compass and professionalism.

For a breath of fresh air in that regard see:
http://www.bostonglobe.com/metro/ob...ng-his-soul/6VEPh0iyePvBtO9wBKzRRN/story.html

I dont think it measures your practical skills either.

Also is there any evidence that he was actually operating while high every time? Seems unlikely that it occurred during all of his screw ups... Also I cant see how someone can suddenly become ******ed at anatomy after doing a line of coke to the point where everything they perform illustrates severe incompetence.

 

[DoctorLacrosse]

I dont think it measures your practical skills either.

Also is there any evidence that he was actually operating while high every time? Seems unlikely that it occurred during all of his screw ups... Also I cant see how someone can suddenly become ******ed at anatomy after doing a line of coke to the point where everything they perform illustrates severe incompetence.

I agree. hence why I think the real reasons behind it all are far more morbid than operating under the influence (unless he was borderline overdosing or extremely intoxicated during operations).

 

[Dr Van Helsing]

I dont think it measures your practical skills either.

Also is there any evidence that he was actually operating while high every time? Seems unlikely that it occurred during all of his screw ups... Also I cant see how someone can suddenly become ******ed at anatomy after doing a line of coke to the point where everything they perform illustrates severe incompetence.

Watch your vocabulary usage, bud.

 

[EvenStevens]

Watch your vocabulary usage, bud.

Now you're getting it

 

[Dr Van Helsing]

Now you're getting it

I actually tried really hard to be respectful. I'm proud of myself.

 

[studentp0x]

Watch your vocabulary usage, bud.

lolwot

I agree. hence why I think the real reasons behind it all are far more morbid than operating under the influence (unless he was borderline overdosing or extremely intoxicated during operations).

Yeah it's a complex issue for sure. Drugs may have amplified it, but there is absolutely no way drug usage = incompetency of that level.

 

[jjmusicman29]

I want to cry/vomit....my mother has a painful neuropathy/degenerative disease in her spine from a chemical poisoning she got as a chemical engineer....she has worsening pain in her spine and I recommended she visit the minimally invasive spine clinic in Dallas since she wanted to see a doctor for that. Now I find out that THIS insane person was there....and my mother almost paid them a visit...the horror is something I can't put into words.

 

[Dr Van Helsing]

I dont think it measures your practical skills either.

Also is there any evidence that he was actually operating while high every time? Seems unlikely that it occurred during all of his screw ups... Also I cant see how someone can suddenly become ******ed at anatomy after doing a line of coke to the point where everything they perform illustrates severe incompetence.

Watch your vocabulary usage, bud.

lolwot

You didn't understand what word you used that offended me? Well let me make it abundantly clear for you, it was the word ******ed. ******adtion is a mental disability, which the affected has no control over. Dunstch did not abruptly become "******ed," as you so eloquently described. He was an addict with a potential laundry list of other mental illnesses - but he was not ******ed. Think before you speak. Believe it or not, it makes one look extremely immature when they use this kind of offensive language. I guarantee if you used that word in an interview, you would immediately be asked to leave. At the least you would be rejected.
But I digress.

It was *****s like you that made my upbringing hell.
rant/

 

[AspiringERMD]

Take a look at his LinkedIn...
https://www.linkedin.com/pub/christopher-duntsch-md-phd/b/1b7/40

TIL, cocaine can f*** you up...really, really, really, really, really badly.

Reading that makes me honestly think he had a psychotic break

Sounded psychotic to me too. My verbal MCAT score wasn't great, but those sentences made hardly any sense whatsoever.

 

[Dr Van Helsing]

This gif really has no place, but since were on the topic of drug usage.

 

[Dr Van Helsing]

.

 

[Promethean]

Sounded psychotic to me too. My verbal MCAT score wasn't great, but those sentences made hardly any sense whatsoever.

I tell you, that isn't psychosis. I read some of his other writing, including ...ugh... some of the poetry. Psychosis is a temporary deviation, but that appears to be a recurring baseline. I've known people like him. When they are writing something that is highly structured, for academic purposes, they can, with enough editing, write tolerably well. But when they try to put thoughts down on paper, it comes out as word vomit.

Now, he may have been intoxicated to some degree when he wrote that. The weird flight of ideas where he goes off on a tangent about Einstein vs. Bohr suggests that. But psychosis can be treated with the right medication. I'm not sure that more drugs would help this guy. His problems are rooted in personality.

 

[Dr Van Helsing]

I tell you, that isn't psychosis. I read some of his other writing, including ...ugh... some of the poetry. Psychosis is a temporary deviation, but that appears to be a recurring baseline. I've known people like him. When they are writing something that is highly structured, for academic purposes, they can, with enough editing, write tolerably well. But when they try to put thoughts down on paper, it comes out as word vomit.

Now, he may have been intoxicated to some degree when he wrote that. The weird flight of ideas where he goes off on a tangent about Einstein vs. Bohr suggests that. But psychosis can be treated with the right medication. I'm not sure that more drugs would help this guy. His problems are rooted in personality.

Anybody know a psychiatrist that they could link to analyze the letter? I'm sure it's not rocket science for most of you non-pre-meds to diagnose, but it would be interesting to get a professional analysis.

 

[AspiringERMD]

I tell you, that isn't psychosis. I read some of his other writing, including ...ugh... some of the poetry. Psychosis is a temporary deviation, but that appears to be a recurring baseline. I've known people like him. When they are writing something that is highly structured, for academic purposes, they can, with enough editing, write tolerably well. But when they try to put thoughts down on paper, it comes out as word vomit.

Now, he may have been intoxicated to some degree when he wrote that. The weird flight of ideas where he goes off on a tangent about Einstein vs. Bohr suggests that. But psychosis can be treated with the right medication. I'm not sure that more drugs would help this guy. His problems are rooted in personality.

Gotcha. Obviously as an incoming med student, I have no professional basis for my assertion. It just sounds so very disorganized! Thank you for your insight. Would love a psychiatrist to weigh in as well.

 

[Promethean]

The problem is that you can never get a straight answer from a psychiatrist if you ask them to read something and offer insights if they know it is related to a specific, identifiable person. That crosses a line from being speculation to the actual rendering of a medical opinion without thorough examination. So, sorry, the best you will likely get is the arm chair analysis from psych fanboys like me.

EDIT: My opinion should also not be taken to have any professional validity, as I don't have additional training beyond the basics in psychiatric nursing. I'm just someone who has some education and a lot of experience with crazy people, people on drugs, and the frequent overlap of the two. I've lost a lot of people to various drugs, some of whom were self-medicating for psych issues for which they were unable to access real help.

 

[Dr Van Helsing]

I tell you, that isn't psychosis. I read some of his other writing, including ...ugh... some of the poetry. Psychosis is a temporary deviation, but that appears to be a recurring baseline. I've known people like him. When they are writing something that is highly structured, for academic purposes, they can, with enough editing, write tolerably well. But when they try to put thoughts down on paper, it comes out as word vomit.

Now, he may have been intoxicated to some degree when he wrote that. The weird flight of ideas where he goes off on a tangent about Einstein vs. Bohr suggests that. But psychosis can be treated with the right medication. I'm not sure that more drugs would help this guy. His problems are rooted in personality.

Could you elaborate on the bolded?

 

[Promethean]

Could you elaborate on the bolded?

His narcissism and megalomania don't seem to be limited to a single email or even a brief period in time, and I doubt that they are purely drug induced. I am not qualified to diagnose a specific personality disorder, but I'd wager that a psychiatrist could. They just wouldn't (and indeed shouldn't) do so publicly.

Edit: As for personality disorders not being treatable with medication... you can certainly snow anyone into stupid placidity with enough antipsychotics. I've seen that very thing done to someone quite dear to me. But it doesn't fix their issues. It just makes them easier for other people to deal with, but it robs them of any real hope of growth and recovery. Axis II disorders, personality disorders, only improve with therapy, patience, and love, if they ever do. Some just don't.

Edit again to avoid running up my post count: How did I get back here? Insomnia. I guess 4 hours is all the sleep I'm getting tonight. I'm going to try again to wander away from this thread, and go play some video games until dawn.

 

[Aloft085]

Here's what Dr. Kirby (the guy who crusaded to get him off the job) has to say on Google Reviews--

"I am not going to rest until this monster Duntsch is brought to justice and incarcerated
I recognize the neurosurgical training program that trained him in Memphis, TN was a disaster and the hospitals in our Metroplex that failed to report him the the National Practitioner Data Bank and the Texas Medical Board are in violation of federal and state law - I am dealing with these issues thru the proper channels and I will get action
Duntsch needs to be tried on negligent homicide and aggravated assault charges by both the Dallas and Collin County DA's offices and put in jail for a long time
Trust me
I'm am trying as hard as I can to prevent anything like this to ever happen again
Randy Kirby, MD"

Is anyone on SDN a resident there?

This guy, Dr. Kirby, is an f'ing hero. He's probably lost a ton of money in missed salary by pursuing this guy.

 

[mmmcdowe]

I will say that this guy is undoubtedly guilty, but at least one of those patients they interviewed is suffering from post-laminectomy syndrome, which is an unfortunately complication but not necessarily because a surgeon is bad.

 

[studentp0x]

You didn't understand what word you used that offended me? Well let me make it abundantly clear for you, it was the word ******ed. ******adtion is a mental disability, which the affected has no control over. Dunstch did not abruptly become "******ed," as you so eloquently described. He was an addict with a potential laundry list of other mental illnesses - but he was not ******ed. Think before you speak. Believe it or not, it makes one look extremely immature when they use this kind of offensive language. I guarantee if you used that word in an interview, you would immediately be asked to leave. At the least you would be rejected.
But I digress.

It was *****s like you that made my upbringing hell.
rant/

You sound like one of those party poopers that no one likes in real life cause you take everything seriously.
But I like how it's cool for you to call me a *****.

 

[sinombre]

It's a word that you need to strike from your vocabulary. It offends a lot of people. No need to get pissy in response to getting called out for it.

It has even been removed from the DSM... "mental ******ation" in the DSM-IV is now "intellectual disability" in the DSM-5.

 

[Aloft085]

It has even been removed from the DSM... "mental ******ation" in the DSM-IV is now "intellectual disability" in the DSM-5.

That's just the way euphemisms work. Calling someone "special" is already the new "******". There's nothing inherently bad about either word, it's just that they eventually reach a level of widespread usage that makes them unsuitable clinically. The terms "idiot", "imbecile", and "*****" were also medical definitions at one point. As those became standard societal insults, they couldn't really be used in a medical setting any longer, since you'd obviously upset the patient and family.

It's a bit silly in my opinion to rag on a guy about using a word that's only a few years out of date. We're not exactly in a clinical setting here. Honestly, the political correctness can be frustrating at times, like when tv stations censored the movie Tropic Thunder to say "special" instead of "******", as if that really changed anything.

Basically, what I'm trying to say here is: let's not be so self-righteous. In another decade or two, some young 20-something on SDN will be ragging on people for using the term "intellectual disability", for being offensive. That's just how things go. Eventually people figure out the euphemism, and it's no longer an effective euphemism.

 

[Aloft085]

(a) TV censorship regulations are really dumb. You can do so much inappropriate stuff on TV but heaven forbid you say a curse word
(b) The use of the term ******ed in a humorous, satirical movie, in a hilarious context is very different than using it as an insult in regular conversation.

You know what the difference is between calling someone a '******' and calling them a '*****'? About 50 years worth of medical terminology evolution. In another few decades, ****** will join the cohort of other previous disability-related insults. We're just spinning the hamster wheel here, man. Let's try not to take it so seriously.

 

[Dr Van Helsing]

You know what the difference is between calling someone a '******' and calling them a '*****'? About 50 years worth of medical terminology evolution. In another few decades, ****** will join the cohort of other previous disability-related insults. We're just spinning the hamster wheel here, man. Let's try not to take it so seriously.

I see your point. However, the word ***** hasn't been used in psychology in over 100 years. http://en.wikipedia.org/wiki/*****_(psychology) Hell I didn't know it was ever a legitimate medical term. The word ***** doesn't currently hold the same meaning as it did in 1910. Calling something or someone ******ed is consciously associating one person with a diagnosed intellectual disability to another person. There is a fundamental difference in the two words. Calling someone a ***** or a fool, in 2015, is saying that they acted without thinking, without care; it's not a conscious insult to equate their intelligence to someone who has a disability. My generation has been trained to associate that word directly to someone with a mental impairment. So when I hear a person casually pass something off as ******ed, I feel offended because that word is actually a living breathing person to me. That person, to me, is more than a tactless insult.
So do you see the difference now? And just because Tropic Thunder used the word, doesn't make it right.

 

[Dr Van Helsing]

The hypothesis that the word might become inoffensive in the future does not make it inoffensive at present

He doesn't care; I've read post after post in other threads and I have serious reservations about is ethics. He is constantly in the minority and has disappeared on more than one occasion after his logic was cornered. Sometimes I think he's trolling.

 

[Beargryllz]

FTA

The Legislature has also made suing hospitals difficult. Texas law states that hospitals are liable for damages caused by doctors in their facilities only if the plaintiff can prove that the hospital acted with “malice”—that is, the hospital knew of extreme risk and ignored it—in credentialing a doctor. But the Legislature hindered plaintiffs’ cases even more by allowing hospitals to, in most cases, keep credentialing information confidential. In effect, plaintiffs have to prove a very tough case without access to the necessary hospital records. This is an almost impossible standard to meet, and it has left hospitals immune to the actions of whatever doctors they bring on.

Can you genuinely *not* subpoena documents in these cases? Like, lets say I screw up majorly. Can I just say "no, you can't have my reports, HPIs, or any documents that would incriminate me." Is evidence even allowed at all or can you just say "no, you can't see that"?

Is that really how it works in the real world?

 

[Aloft085]

The hypothesis that the word might become inoffensive in the future does not make it inoffensive at present

Well, you certainly have a right to be offended at whatever you want to find offensive. If you want to be the kind of guy that gets outraged over trivialities, then go right ahead. You'll find that there's no shortage of trivialities in life, however.

 

[knv2u]

Anyone else curious what his gpa/mcat was?

But in all seriousness does anyone know roughly what percentage of the patients got screwed up?

My understanding is that he did very well in undergrad, was awarded a prestigious MSTP MD/PhD full ride to medical school, and graduate summa cum laude from medical school. I wish I was joking.

 

[knv2u]

From the article: "And still it took the Texas Medical Board more than a year to stop Duntsch—a year in which he kept bringing into the operating room patients who ended up seriously injured or dead."

I don't know how procedures are scheduled for an OR (or any inherent rights encompassed by licensure), but would the facility have been able to suspend the scheduling of his procedures? Or were the post-op complications not able to be identified within enough time to suspend the surgeries?

No, the mistakes were known very early on, but Texas laws were written to protect physicians and made it difficult to suspend his license. When I researched this story when the news about it first broke, he botched one surgery so badly that a second surgeon had to be called in to fix the problems. One of the screws was several inches from where it should have been, and the corrective surgeon even commented that he thought the doctor was an impostor and actually called to verify his medical degree/residency. The patient had complications never seen before for a fairly routine procedure. That doctor filed a complaint against the doctor.

 

[Satire5Texul]

My understanding is that he did very well in undergrad, was awarded a prestigious MSTP MD/PhD full ride to medical school, and graduate summa cum laude from medical school. I wish I was joking.

"Top 5,7,10% Nationally on the Step 1,2,3 Medical Boards Nationally"

Like someone else mentioned, crazy resume.

Never had to scroll so much. He is still writing poems on that creepy site that reads them back to you. Reminds me of his robotic, emotionless negligence.

 

[studentp0x]

My understanding is that he did very well in undergrad, was awarded a prestigious MSTP MD/PhD full ride to medical school, and graduate summa cum laude from medical school. I wish I was joking.

Damn I saw that while skimming over.

Though in no way does being book smart guarantee that you'll be good at the job you want to do.

 

[KnuxNole]

As long as you NEVER utter the word ******ed in public, or else people will shun you harder, with no friends, lovers, etc. Especially in areas that are outside of juvenile areas

 

[studentp0x]

As long as you NEVER utter the word ******ed in public, or else people will shun you harder, with no friends, lovers, etc. Especially in areas that are outside of juvenile areas

http://dictionary.reference.com/browse/******ed?s=ts

adjective
1.
characterized by a slowness or limitation in intellectual understanding and awareness, emotional development, academic progress, etc.
2.
Slang. stupid or foolish.

 

[KnuxNole]

True, you can say the slang, but it's a HIGHLY frown about slang. Especially for people over 13. Usually, low class people or people who are immature usually say those things freely in public, so it's nothing anyone here needs to worry about .

Unless someone from high school SDN posts here, which sadly, there are people who are in their teens who act like children, which is lame. But, they can learn to be better, and people of actual worth!

 

[Dr Van Helsing]

http://dictionary.reference.com/browse/******ed?s=ts

adjective
1.
characterized by a slowness or limitation in intellectual understanding and awareness, emotional development, academic progress, etc.
2.
Slang. stupid or foolish.

Why are you trying to defend your empty point of view to a resident? Why are you insulting our intelligence by resorting to a dictionary as if we didn't know what the word already means!? Not only is this off topic, which is against the TOS, but the discussion was resolved. There is freedom of speech, but if you choose to use the word you look like an insensitive a**h***.
If "the point" was our universe, you are in another.
If the point was a needle in a haystack, you are in NYC working in an office cubicle.
What are you trying to do here? What does the definition prove?