surgery resident dies in Houston

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droliver

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This is the most bizarre thing I've heard in awhile:

http://www.chron.com/cs/CDA/ssistory.mpl/front/2052396

Doctor decapitated by faulty elevator at St. Joseph Hospital
By PEGGY O'HARE
Copyright 2003 Houston Chronicle
?Doctor was driven by compassion for indigent
Hitoshi Nikaidoh


An aspiring missionary doctor, who was voted by medical school classmates as the epitome of a good physician, was killed Saturday at Christus St. Joseph Hospital when an elevator malfunctioned, decapitating him, authorities said.

Hitoshi Nikaidoh, 35, of Dallas, a surgical resident at the hospital at 1919 La Branch, was stepping onto a second-floor elevator in the main building around 9:30 a.m. when the doors closed, pinning his shoulders, said Harold Jordan, an investigator with the Harris County Medical Examiner's Office. The elevator car then moved upward, severing the doctor's head, Jordan said.

"It is an unexpected and tragic loss," said Dr. Hisashi Nikaidoh, Hitoshi's father, from his Dallas area home. "He is an outgoing and very caring person."

A woman who also works at the hospital was on the elevator at the time and witnessed the accident, police said. Because of the malfunction, she was trapped on the elevator for 15 or 20 minutes before firefighters were able to reach her, police said.

The woman was not injured, but was later taken to the emergency room because she was in shock, said Sgt. Kenneth Perkins of the Houston Police Department's Special Operations Division.

Nikaidoh was on duty at the time and wearing his doctor coat and surgical scrubs when the accident happened, Jordan said.

The scene was one of chaos when police and firefighters first arrived at the hospital, Perkins said. Medical personnel were in disbelief, some crying.

"They were trying to console one another. Just to see other people in disarray -- the looks on their faces pretty much told the whole story," he said.

Police have launched an investigation into the accident. St. Joseph Hospital officials have taken the entire elevator bank out of service, but normal patient services have not been interrupted.

Hospital officials would not answer any questions Saturday about the accident since the investigation has just begun. They also would not reveal the name of the elevator manufacturer.

One worker at the hospital said there had been problems in the past with these particular elevators and that maintenance crews had been trying to service them in the past week, Perkins said.

Nikaidoh was a member of the 2003 class of the University of Texas-Houston Medical School, where he previously served as Student InterCouncil President, the student-leader over six schools within the medical center.

He became a devout Christian while in medical school, his father said. He became a youth group leader and decided to become a missionary doctor.

Hospital spokeswoman India Chumney Hancock would not discuss Nikaidoh's background or how long he had been with the hospital. "In respect for the family, we're not giving out any information," she said Saturday.

"Since the investigation has just begun, we're not answering any questions at this time," she said.

Both city and state inspectors will review the fatal accident, said a licensed elevator inspector who served on the Texas Department of Licensing and Regulation Department advisory board.

"Annual inspections are required, and I'm familiar with that hospital building and know they have a contracted (maintenance) company," said Alan Van Nort, a member of the state's Elevators, Escalators and Related Equipment Advisory Board.

Van Nort said he also is familiar with another hospital elevator accident earlier this year that injured 14 passengers, including 12 patients, at the Intracare Hospital in the Texas Medical Center area. The elevator dropped several floors before jerking to a stop and broke several passengers' bones and hurt backs and necks.

But hospital elevators are not inspected any more intensely than office building elevators, Van Nort said.

"The city has primary responsibility for inspections, and then reports of any incident go to the state for review," he said.

Mignette Yvonne Dorsey, spokeswoman for the City of Houston Building Services, said the city would be tracking the inspections done by the City Planning Department's inspectors. But there was no specific inspection information available from the city Saturday night.

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Originally posted by droliver
The woman was not injured, but was later taken to the emergency room because she was in shock, said Sgt. Kenneth Perkins of the Houston Police Department's Special Operations Division.

I would imagine so.
 
That is one of the saddest things I have heard in a very long time. I can't believe it. It almost sounds like it came from one of those satire newspapers like the Onion.

I'm not really religious, but may God rest his soul.
 
This person sounded like a great guy who would go on to really help those who needed it the most. It always makes me wonder about the big scheme of things when a compassionate and caring person like this dies in a freak, absurd accident. If it's any consolation, at least he is in a much better place now.
 
Horrible! Can you imagine being a witness to something like that? Ugh. I would imagine it was quite a gory scene. I am guessing his family will be getting a sizable settlement (rightfully so--there's a reason why elevators are supposed to have sensors!).
 
I would imagine it was quite a gory scene. I am guessing his family will be getting a sizable settlement (rightfully so

I found this statement somewhat interesting. I was just talking to my wife about our litiginous society. Although we expect elevators, stoplights, etc. to always work perfectly, they are still mechanical objects that malfunction. It always amazes me how people immediately want to sue somebody for a malfunction of equipment. **** happens and it sucks but will 5 million dollars bring back that phenomenal human being? We always need someone to blame for everything so we sue somebody. How bad do you think the elevator maintainance crew or inspector feel about this incident? They're sick over it, I guarantee it. They probably blame themselves for his death. What if the sensors just went out the night before and had not been reported? You just don't know.

Anyway, I'm just ranting. I hate that our society feels the need to sue somebody for any/every tragedy. My stapler misfired in a colon resection and the patient ended up with an anastomotic leak, but I'm not sueing Ethicon. I will just report the incident or not use their staplers. Maybe I need to sue them. That will make the staplers cheaper for the patient.

Smurfette: None of this post is aimed at you personally. You just happened to hit a nerve.
 
Originally posted by dr.evil
I found this statement somewhat interesting. I was just talking to my wife about our litiginous society. Although we expect elevators, stoplights, etc. to always work perfectly, they are still mechanical objects that malfunction. It always amazes me how people immediately want to sue somebody for a malfunction of equipment. **** happens and it sucks but will 5 million dollars bring back that phenomenal human being? We always need someone to blame for everything so we sue somebody. How bad do you think the elevator maintainance crew or inspector feel about this incident? They're sick over it, I guarantee it. They probably blame themselves for his death. What if the sensors just went out the night before and had not been reported? You just don't know.

Anyway, I'm just ranting. I hate that our society feels the need to sue somebody for any/every tragedy. My stapler misfired in a colon resection and the patient ended up with an anastomotic leak, but I'm not sueing Ethicon. I will just report the incident or not use their staplers. Maybe I need to sue them. That will make the staplers cheaper for the patient.

Smurfette: None of this post is aimed at you personally. You just happened to hit a nerve.

Obviously vast amounts of money will never bring him back, nor will it diminsh the suffering created for his loved ones over his untimely death. But in cases like this what else can be done to send out the message that his life was important and that his family is not going to just throw their arms up and say "Oh well, **** happens".

I hate frivolous law suites as much as the next guy, but the fact that people are entitled to sue over blatent wrongs against them or their loved ones is a very good thing in my opinion. Imagine if we were unable to sue if we are ever wronged. Suites send out the message that if you mess up then you're gonna pay big, and hitting individuals/companies in the pocket book is probably the surest way to keep them in line and mindful. People/companies usually don't start paying real attention until they realize they can lose a lot of money.
 
Not to make light of this tragic situation in any way...

But on my first day of residency, I attempted to hold the elevator for an attending and he quickly scolded me and told me the old addage that a true surgeon will NEVER hold a door or elevator with his hands- a surgeon holding an elevator with his hands is akin to one walking around with a scope around your neck.

May God rest the soul of our brother.

ESU_MD
 
Originally posted by ESU_MD
Not to make light of this tragic situation in any way...

But on my first day of residency, I attempted to hold the elevator for an attending and he quickly scolded me and told me the old addage that a true surgeon will NEVER hold a door or elevator with his hands...

What do surgeons use to open/hold doors?
 
As the old joke goes, "A surgeon holds a door open with his head, not his hands."
 
Originally posted by ArrogantSurgeon
Obviously vast amounts of money will never bring him back, nor will it diminsh the suffering created for his loved ones over his untimely death. But in cases like this what else can be done to send out the message that his life was important and that his family is not going to just throw their arms up and say "Oh well, **** happens".

I hate frivolous law suites as much as the next guy, but the fact that people are entitled to sue over blatent wrongs against them or their loved ones is a very good thing in my opinion. Imagine if we were unable to sue if we are ever wronged. Suites send out the message that if you mess up then you're gonna pay big, and hitting individuals/companies in the pocket book is probably the surest way to keep them in line and mindful. People/companies usually don't start paying real attention until they realize they can lose a lot of money.

Do you know what the safest form of transportation is? It's the elevator - much safer than walking, bicycling, flying by airplane, train travel, and MUCH safer than stairs and cars. There are fewer deaths or injuries per million miles traveled by elevator than any other form - bar none.

This elevator was either a. decrepitly old, which makes me wonder how the county elevator inspector would pass it or b. either grossly out of service, or sabotaged.

The whole essence of the elevator safety principle is twofold (well, threefold): to safely move people, to not move if the door does not completely close, and to not open the doors when there is no car present.

This person being wedged in the door, and the elevator starting to move, would make me think the error is with the hospital maintenance, and not the manufacturer. That "the sensors went out" doesn't make sense; they're hard-wired, in series, in the operation. The sensors are out, the door doesn't open or close. Period.

Still, the manufacturer will be sued, and the hospital, but the blame (from my uninformed view) does not rest with the manufacturer. Even so, in this horribly litigious society, the manufacturer will get hit for not making their elevator even more tamper-proof. It's akin to the thief who falls through the skylight while breaking and entering (211, to people in LA), and sues for the injuries he suffers.

Nothing can bring this doc back, and that is a horrible tragedy. Even more so will be how everyone tries to spread the fault.
 
Originally posted by ******
As the old joke goes, "A surgeon holds a door open with his head, not his hands."

Not a good idea for door or elevator -- this thread proves it. I am going to be a lot more careful with elevators from now on.
 
I am curious as to whether the woman in the elevator was hitting the door open button when this all began.

Dr. evil~

Actually, I am a person who is usually very against litigation for civil damages. People should be held accountable for their own stupidity. I don't think the family is owed millions and millions or should "sue the pants off" of the hospital, but I do think that they are owed something.
But while this was a freak accident, there were several things that happened that were all individually dangerous in themselves (1. elevator doors did not reopen when a person was standing in the doorway. 2. elevator doors (I assume) were exerting some abnormal amount of force such that a grown man was trapped by the doors and could not escape even when he realized the elevator was in motion and was likely doing everything he cold to get freed, and 3. the elevator actually went into motion despite the fact that the doors were not shut and someone was in the doorway. All three of these things are supposed to have safety features to prevent this type of occurrence.). I don't know all the details of what happened here, but if there are known problems with these elevators, and people were working on them the previous week, somebody majorly screwed up by allowing these elevators to be used as they were clearly unsafe for several reasons. We've all thought about elevators getting trapped or cables snapping, but being physcally trapped in the doors and being decapitated by the moving car is way beyond the typical conceivable elevator problem.
 
I thought this story was urban myth, but the website looks legit. It's interesting that there's a link to another story about a man dismembering his stepfather on the same page. I guess we should stay away from Texas.
 
Originally posted by grouptherapy
I thought this story was urban myth, but the website looks legit.

Its true...Toshi was a friend of mine.
 
Originally posted by Smurfette
I am curious as to whether the woman in the elevator was hitting the door open button when this all began.

This was the exact thought that I had...I wonder if she feels extremely guilty now if she didnt hit the door open button.
 
She probably wasn't, but you can't really blame her. Severely traumatic situations like that seem to suck the mental capacity out of people unless they are use to functioning in them on a daily basis.
 
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