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Jason Dearen - Kill Shot: A Shadow Industry, a Deadly Disease

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Jason Dearen Kill Shot: A Shadow Industry, a Deadly Disease
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Praise for Kill Shot A shocking scientific detective story thats impossible to - photo 1
Praise for Kill Shot

A shocking scientific detective story thats impossible to put down. Jason Dearens skill at unraveling a deadly tale of greed and corruption is matched only by his storytelling chops.

Seth Mnookin, New York Timesbestselling author of The Panic Virus: A True Story of Medicine, Science, and Fear

Dearen unfolds his story like the murder mystery it sadly is. Kill Shot also is a postmortem on a medical system gone alarmingly astray, told by a writer who is as skilled at storytelling as fact-gathering, and whose journalism helped expose the perpetrators.

Larry Tye, New York Timesbestselling author of Demagogue: The Life and Long Shadow of Senator Joe McCarthy

A shocking, fascinating, edge-of-your-seat thrill ride, Kill Shot exposes the dark underbelly of American medicine. Its a must-read for anyone interested in the future of health care.

Matt McCarthy, MD, author of Superbugs: The Race to Stop an Epidemic

Ace investigative reporting, meticulous science writing, and Agatha Christie suspense powerJason Dearens Kill Shot, a potent expos on the deadly consequences of greed and lax oversight in the drug industry. Dearens in-depth tale of how fungal meningitis spread from one compounding pharmacy to kill and maim Americans in multiple states is an indictment of self-regulation and a call to action to protect patients from even greater harm.

Cynthia Barnett, author of Rain: A Natural and Cultural History

An imprint of Penguin Random House LLC penguinrandomhousecom Copyright 2020 by - photo 2

An imprint of Penguin Random House LLC penguinrandomhousecom Copyright 2020 by - photo 3

An imprint of Penguin Random House LLC

penguinrandomhouse.com

Copyright 2020 by Jason Dearen

Penguin supports copyright. Copyright fuels creativity, encourages diverse voices, promotes free speech, and creates a vibrant culture. Thank you for buying an authorized edition of this book and for complying with copyright laws by not reproducing, scanning, or distributing any part of it in any form without permission. You are supporting writers and allowing Penguin to continue to publish books for every reader.

Ebook ISBN 9780593085790

While the author has made every effort to provide accurate telephone numbers, Internet addresses, and other contact information at the time of publication, neither the publisher nor the author assumes any responsibility for errors, or for changes that occur after publication. Further, the publisher does not have any control over and does not assume any responsibility for author or third-party websites or their content.

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For Steph

And for my mother,
Della Betzina (19521992)

CONTENTS
AUTHORS NOTE

This is a true story. The material in this book comes from interviews with more than a hundred and fifty sources, shoe-leather reporting in eight different states and Washington, D.C., and tens of thousands of pages of public documents.

All of the scenes included here were reconstructed using a wide range of sources: videos, photographs, transcripts, emails, personal handwritten notes, in-person and telephone interviews, U.S. Food and Drug Administration inspection reports and emails, and visits to the places where the scenes occurred.

Most of the people who appear in this book were interviewed in person, and many shared documents including medical records, calendars, and emails that helped me piece together their stories. For those who declined to be interviewed, I used transcripts of their testimony in multiple federal criminal trials and before the grand jury, as well as documents produced as evidence, which are public records. Most quotes were transcribed from videos, emails, trial transcripts, and inspection or investigative reports. When that wasnt possible I relied on interviews with people involved to reconstruct the conversation.

More details on the sourcing of each of the books scenes can be found in the notes section.

During the nearly three years I spent reporting this book, I gave everyone multiple opportunities to participate through interviews or written questions and answers. I made multiple requests for interviews with Barry Cadden and Glenn Chin by letter and contact with their attorneys. They both declined.

PROLOGUE

OCTOBER 2012

ALBANY, KENTUCKY

The gravedigger arrived just after sundown, the night already full of the trills of crickets and katydids. He headed to the top of the cemeterys hill and pushed his shovel into the earth quietly, chunking out the grass and weeds on top before hitting soil. He was careful not to attract the attention of the residents of the small homes adjoining the site or of those in cars traveling along North Cross Street, the towns nearby thoroughfare.

The deceased was a judge, Eddie Lovelace, and his funeral a few weeks earlier had lasted hours, with what seemed like the entire 2,000-person town in attendance. State troopers, farmers in bibbed overalls and boots, even a man the judge had sent to jail twice came to pay their respects.

Two weeks before his death, the judge had still been presiding over criminal cases in the Colonial-style courthouse a few blocks from his house. The seventy-eight-year-old still walked three miles every morningthe same route down to the Talbott Funeral Home, then over to the Clinton County Hospital. Eleven days before his funeral he had collapsed after stepping off his porch to retrieve the Lexington Herald-Leader from the mailbox. He had staggered to his feet and made it back to his kitchen, paper in hand, calling to his wife, Joyce, and waking her up. She immediately noticed that his face looked different. My legs just arent working, hed said. She hurried to call her daughter, Karen, a nurse who lived down the street.

The next day, as Lovelace lay in a hospital room at Vanderbilt University Medical Center, a neurologist confirmed that hed had an atypical stroke, in an unusual part of the brain.

A few days later, his speech had become too garbled to understand. Then he lost his ability to breathe or move his extremities. When his granddaughter asked for a thumbs-up, he managed only a weak response. Doctors still saw brain activityhe was in therebut he was locked in.

The judge died a week after arriving at Vanderbilt. The cause of death was listed as unknown, and he was buried a few blocks from his small house on Lovelace Street, which had been named in his honor.


* * *

Less than a month later, the gravedigger scooped out a couple of feet of dirt before his blade reached the top of Lovelaces cement vault. The weight of the earth above it had already created a tight seal, but a few swings from a sledgehammer cracked the vault open, interrupting the quiet.

The next morning, a hearse drove three hours north to Louisville, where the body was unloaded and taken into a low-slung mortuary building. The exhumed corpse was eased onto a stainless-steel table. The judge was still dressed in his robes, a gavel in his right hand. A key to the front door of his house was in his pocket, where he always kept it.

The medical examiner cut open the remains and studied each major organ. Multiple areas of the judges brain showed evidence of hemorrhaging. As the pathologist reached the top of the spine, he noticed a growth covering the base of the brain stema microorganism, a translucent jellylike mold.

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