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Surgeon charged in SLO man's death

A San Francisco transplant surgeon who came to San Luis Obispo in early February 2006 to harvest the organs of a 26-year-old disabled and dying man is facing three felony criminal charges relating to the man's death.

Dr. Hootan Roozrokh, 33, has been charged with one count of dependent adult abuse after allegedly prescribing excessive amounts of morphine and Ativan and administering the topical antiseptic Betadine into the stomach of the patient.

Roozrokh has also been charged with one count of administering a harmful substance - Betadine - to a human being knowing that it would cause injury.

He's also facing one count of administering unlawful controlled-substance prescriptions - the pain-killer morphine and the sedative Ativan - that weren't used for a legitimate medical purpose, according to the complaint.

San Luis Obispo resident Ruben Navarro was dying of a rare metabolic disorder when he was sent Feb. 3, 2006, to an operating room at Sierra Vista Regional Medical Center so his organs could be harvested.

“We aren't alleging that the doctor's actions contributed to his death,” said Stephen Brown, San Luis Obispo County chief deputy district attorney. “We're alleging that the doctor's actions were an attempt to accelerate (Navarro's) death.”

A report from federal regulators shows that Roozrokh ordered Navarro to receive 200 milligrams of morphine and 80 milligrams of Ativan - far in excess of the usual doses.

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When Navarro was admitted to the hospital, he weighed approximately 80 pounds and suffered from adrenal leukodystrophy, cerebral palsy, severe chronic neuromuscular and cognitive defects and a seizure disorder. He was also in a coma.

However, Navarro didn't die within 30 minutes of being removed from life support, so his organs could not be harvested. He died the next day, Feb. 4.

It's against state law for transplant doctors to direct treatment of potential organ donors until they are declared dead, Brown said.

“The lines weren't just blurred; (Dr. Roozrokh) took over,” Brown added. “Central to this case is the mistreatment of a disabled patient.”

An autopsy revealed that Navarro died from natural causes, according to the county Coroner's Office.

Roozrokh, a surgeon at Kaiser Permanente's now-closed kidney transplant program, was working at the time on behalf of a group that procures and distributes organs.

Roozrokh's lawyer, M. Gerald Schwartzbach, called the charges “unfounded and ill-advised,” saying his client “has unfairly been the subject of an 18-month witch hunt.”

“Nothing that Dr. Roozrokh did or said at the hospital that night adversely affected the quality of Mr. Navarro's life or contributed to Mr. Navarro's eventual death,” Schwartzbach said in a statement.

Previously, Schwartzbach said his client was being used as a “scapegoat” and that he “killed no one.”

Last month, Navarro's mother, Rosa, filed a wrongful-death and medical malpractice lawsuit against Roozrokh and others, claiming her son was removed from life support without her permission and given lethal doses of drugs.

Roozrokh will be allowed to surrender at San Luis Obispo County Jail, where he can post bail and will be given a future arraignment date, Brown said.

If convicted of all three counts, the surgeon faces potential punishments ranging from eight years in state prison to probation, with up to one year in jail and a $20,000 fine as conditions of probation, Brown said. Sierra Vista hospital officials launched an internal investigation after nurses alerted their bosses after Navarro's death. A spokesman has said the hospital has since strengthened its organ donation procedures.

April Charlton can be reached at 489-4206, Ext. 5016, or acharlton

@santamariatimes.com. The

Associated Press contributed to this report.

July 31, 2007


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8 comment(s)

Mike wrote on Jul 31, 2007 12:05 PM:

" This is outrageous. When are people in this country going to realize that the government is not looking out for our interests. The Feds do not have a right to interfere in this matter and the Dr. should be cleared of all charges. All he did was try to ease the mans suffering and harvest his organs so that someone else could live a better life. "

cliff wrote on Jul 31, 2007 12:46 PM:

" This is Absurd!!! The patient was terminal awaiting eminent death which btw was determined to be from "natural causes". He was DNR without any chance of recovery. The California Medical Board should simply review the case to determine if there was professional misconduct. There is no role for criminal proceedings. The mother clearly sees an opportunity for $$$$ and/or a means to deal with her guilt. Next, we'll see Bill Frist and Tom Delay taking up the cause. "

Jo wrote on Jul 31, 2007 2:39 PM:

" Sounds like "Mommy Dearest" may have some monetary interest in the process as well. "

josie wrote on Aug 1, 2007 12:51 AM:

" I bet 100 dollars if it were any of these commenters beloved child, they would not have the opinions they posted below! It's like saying if you kill my family in a car accident it's o.k., NOT. I'd hate to have any of you at my bedside when I'm hospitalize. "

Sara wrote on Aug 1, 2007 8:35 AM:

" Sounds like the mother was either not ready to let her son go, or sees the opportunity for a financial windfall. In the meantime, a doctor has his own life on the line for trying to help others. I certainly hope the tax-payers are watching this DA, who maybe should have learned a lesson in the Duke case! "

a santa maria resident wrote on Aug 2, 2007 11:36 AM:

" The doctor went over the line - period. It doesn't matter that the young man was "going to die anyhow" - he wasn't dead yet - and the dying process shouldn't be "speeded up" just to accommodate the doctor's schedule. That is almost like cattle lined up for slaughter...what is the next step? 'Well, he has brain damage from the wreck, but his kidneys are good - so let's just "ease his suffering so someone else can live"' - who gets to make these decisions???? Are we going to start ending the lives of Alzheimer's patients, because they are "suffering"? Will anyone with a disability be fair game, because their lives are "suffering" anyway? We don't know that...and we can't judge what someone else feels. Geez, it is NOT a doctor's right to give massive doses of a drug JUST so he can harvest the organs. Maybe the mother can't let go, but the doctor hasn't done anything to help her get over it. He should pay - because he couldn't wait a few days for the man to die a natural death. "

Bruce wrote on Aug 4, 2007 7:17 AM:

" The man's choice was to give his organs. He was, for all intents, dead. Why is the mother/wife all sad and upset? Simply put, she found an ambulance chasing attorney who put a spin on it and wants to make some money. If it were me, (or my wife) once we decide to give our organs, it is that single person's choice, knowing full well that he/she will be almost dead or near death. It doesn't take a village to figure this one out. "

Cali Girl wrote on Aug 6, 2007 10:00 AM:

" I agree with A Santa Maria Resident. When doctor's go thru residency they must take the hipocratic oath that states they will protect their patients. This surgeon might have had good intentions, but the road to hell is paved with good intentions. He does not have the right to admininster ILLEGAL amounts of doses to "help" end his patient's sufferings. He knew this was illegal..period, point blank. Maybe the mother is seeing this as a financial gain, but it's within her rights as well. We don't have the right to judge her because we don't know all the facts. However, in the surgeons case, what a fool to waste his life. "





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