Patel first began to raise alarm bells in 1984 at a hospital in the city of Buffalo where New York health officials cited Patel for failing to examine patients before surgery. Patel was fined US$5,000 and was placed on three years' clinical probation. In 1989, Patel moved to Oregon and began working for Kaiser Permanente Hospital in Portland. Medical staff alleged that he would often turn up, even on his days off, and perform surgery on patients that were not even his responsibility. In some cases, surgery was not even required, and caused serious injuries or death to the patient.
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His unprofessional behaviour continued, with his surgical work being described as "antiquated" and "sloppy", and some nurses even claimed that they hid their patients from him when they knew that he was in the hospital. He was referred to as "Dr. E. coli".[1]
Patel is also alleged to have shown a poor regard for hygiene with claims that he responded to a nurse's concern over his unwashed hands with "doctors don't have germs". Overall, Patel is linked to at least 87 deaths out of the 1,202 patients he treated between 2003 to early 2005, 30 of whom died while under his care in Bundaberg. Hospital staff have also accused Patel of altering medical records to hide mistakes.
http://en.wikipedia.org/wiki/Jayant_Patel