Exeter Hospital: Stop Making Excuses and Test Employees for Hepatitis C

An open letter to New Hampshire’s Exeter Hospital.

To Whom It May Concern:

You may find the outrage I’m about to unleash unfair. But the Hepatitis C scare caused by your lax security has threatened someone I love and thousands of others. I spent my childhood in and out of the hospital, getting stuck with needles weekly and sometimes daily. I had a blood transfusion in the 1970s, before blood was tested for AIDS contamination, so I know the fear many of your patients feel right now.

Mood music:

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I just read about your clash with state health officials over whether some of your employees should be tested for Hepatitis C along with thousands of your patients. The state is worried that more than one employee was involved in your outbreak because another patient contracted Hep C even though that patient had a procedure at the hospital prior to David Kwiatkowski working there.

State officials are practicing the due diligence you failed to practice when your lax procedures made it easier for Kwiatkowski to steal drugs and leave contaminated needles behind — needles that were then used on your patients. You cite your employees’ right to privacy, which is pathetic. Your first responsibility is to your patients and employees, protecting both from being infected and taking care of them if they become so.

You’re probably thinking, “Who is this jerk to criticize us? We’re the hospital that blew the whistle on Kwiatkowski when hospitals across the country had failed to contact the police after he was caught doing the same thing in their facilities.”

I do give you credit for blowing the whistle, and I agree this isn’t just about your hospital. The entire system failed to protect the public from this monster. Hopefully, this will lead to better reporting in and more cooperation between all states.

That doesn’t absolve you of all responsibility. The Centers for Medicare & Medicaid Services found that you “failed to follow standard procedures for preventing the abuse of powerful narcotics administered by staff,” according to an Exeter Patch article. Their investigation found that drugs were not secured to prevent theft by employees who should not have had access to them, among other violations. Your president and CEO, Kevin J. Callahan, failed to apologize for this when he was busy writing a letter to the editor about how proud he was of his institution’s response to the crisis.

Now you balk at the state’s plan to test other employees because of their right to privacy? Give me a break. What about their health?

As I sit here waiting to learn if my relative has Hepatitis C or not, the last thing on my mind is the privacy of your employees. Do I think most of them are excellent at what they do and free of blame here? Absolutely.

But when there’s a danger of Hepatitis C spreading further, you have to stop complaining and roll up your sleeves.

For the sake of your patients and your employees, let state health officials do their job.

Sincerely,

Bill Brenner

Kwiatkowski Exeter Hospital Mashup

Exeter Hospital’s Hepatitis C Scare Hits Close to Home

David Kwiatkowski made national news for spreading Hepatitis C to patients at Exeter Hospital in N.H. He worked his way across the country, getting fired from several hospitals but escaping arrest until officials at Exeter blew the whistle. The story hits too close to home, as a relative was potentially exposed during an ER visit there last fall.

Mood music:

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To date, 31 patients have tested positive for Hepatitus C. The hospital realized something was horribly wrong after a cluster of patients from the Cardiac Catheterization Unit Kwiatkowski was assigned to were diagnosed with the potentially life-threatening disease.

According to Exeter Patch, The Centers for Medicare & Medicaid Services found that the hospital “failed to follow standard procedures for preventing the abuse of powerful narcotics administered by staff.” The investigation found drugs were not secured to prevent theft by employees who should not have had access to them, among other violations, the publication said.

Exeter Hospital President and CEO Kevin J. Callahan defended the hospital in a letter to the editor in the Union-Leader, saying, among other things, “I am proud of the way our staff has handled this tragic situation. We stopped Mr. Kwiatkowski from working. We immediately notified authorities and we have been assisting investigators ever since.”

Now state health officials have fanned out across the region to test more than 3,000 patients.

A few thoughts:

  • Callahan is right that his staff has acted diligently to deal with the situation, but there’s no apology in his letter. He needs to apologize, because despite the larger problem of Kwiatkowski slipping through the cracks, the hospital still failed to secure its drugs from this sort of thing.
  • The hospital needs to ensure that everyone who caught Hepatitis C is taken care of for life. No hospital bills, no waiting in lines. The hospital’s lax procedures allowed this to happen, and the victims shouldn’t have to pay a cent for their care. If they are charged, they should sue Exeter’s ass off.
  • Hospitals need to rethink how they vet potential employees and, when one is fired for something like this, they should be legally obligated to call the police. I’m sure the inevitable pile of lawsuits will help bring about those requirements.

I want to have have some compassion for Kwiatkowski. Having an addictive personality as I do, I know how your sanity and common sense melt away when you start to itch and twitch at the hands of your addiction. But his actions have put someone I love at risk.

That being the case, I hope he gets the maximum penalty. I suspect I’m not the only one who feels that way.

David Kwiatkowski

David Kwiatkowski