For many years, Dr. J. Steve Bynon Jr., a transplant surgeon in Texas, gained accolades and nationwide prominence for his work, together with by serving to to implement skilled requirements within the nation’s sprawling organ transplant system.
However officers at the moment are investigating allegations that Dr. Bynon was secretly manipulating a authorities database to make a few of his personal sufferers ineligible to obtain new livers, doubtlessly depriving them of lifesaving care.
Memorial Hermann-Texas Medical Middle in Houston, the place Dr. Bynon oversaw each the liver and kidney transplant packages, abruptly shut down these packages up to now week whereas wanting into the allegations.
On Thursday, the medical middle, a instructing hospital affiliated with the College of Texas, stated in an announcement that a physician in its liver transplant program had admitted to altering affected person information. That successfully denied the transplants, the hospital stated. An official with data of the investigation recognized the doctor as Dr. Bynon, who’s employed by the College of Texas Well being Science Middle at Houston and has had a contract to steer Memorial Hermann’s stomach transplant program since 2011.
It was not clear what may have motivated Dr. Bynon. Reached by cellphone on Thursday, he referred inquiries to UTHealth Houston. He didn’t verify he had admitted to altering information.
On Friday, after this text was revealed on-line, UTHealth Houston launched an announcement to information shops defending Dr. Byon as “an exceptionally proficient and caring doctor, and a pioneer in stomach organ transplantation.” The assertion stated that the survival charges of Dr. Bynon’s sufferers who obtained transplants had been among the many finest within the nation. “Our college and workers members, together with Dr. Bynon, are aiding with the inquiry into Memorial Hermann’s liver transplant program and are dedicated to addressing and resolving any findings recognized by this course of,” it stated.
Based in 1925, Memorial Hermann is a significant hospital in Houston, but it surely has a comparatively small liver transplant program. Final 12 months, it carried out 29 liver transplants, in response to federal information, making it one of many smallest packages in Texas.
Lately, a disproportionate variety of Memorial Hermann sufferers have died whereas ready for a liver, information reveals. Final 12 months, 14 sufferers had been taken off the middle’s ready listing as a result of they both died or grew to become too sick, and its mortality charge for individuals ready for a transplant was increased than anticipated, in response to the Scientific Registry of Transplant Recipients, a analysis group.
This 12 months, as of final month, 5 sufferers had died or turn into too sick to obtain a liver transplant, whereas the hospital had carried out three transplants, information present. The investigation is in early levels, and it was unclear if doable adjustments to the ready listing really resulted in a affected person not receiving a liver. A hospital spokeswoman stated the middle handled sufferers who had been extra severely unwell than common.
The U.S. Division of Well being and Human Providers stated in an announcement that it was additionally investigating the allegations. So is the United Community for Organ Sharing, the federal contractor that oversees the nation’s organ transplant system.
“We acknowledge the severity of this allegation,” the H.H.S. assertion stated. “We’re working diligently to deal with this concern with the eye it deserves.”
Officers started investigating after being alerted by a criticism. An evaluation then discovered what the hospital known as “irregularities” in how sufferers had been categorised on a ready listing for liver transplants. When medical doctors place a affected person on the listing, they need to determine the varieties of donors they’d think about, together with the individual’s age and weight.
Hospital officers stated they discovered sufferers had been listed as accepting solely donors with ages and weights that had been not possible — for example, a 300-pound toddler — making them unable to obtain any transplant.
Different transplant surgeons stated if the listing was tampered with, sufferers wouldn’t concentrate on adjustments of their standing.
“They’re sitting at house, perhaps not touring, considering they might get an organ provide any time, however in actuality, they’re functionally inactive, and they also’re not going to get that transplant,” stated Dr. Sanjay Kulkarni, the vice chair of the ethics committee on the United Community for Organ Sharing. “It’s extremely uncommon, I’ve by no means heard of it earlier than, and it’s additionally extremely inappropriate.”
The hospital stated in its assertion that it didn’t know what number of sufferers had been affected by the adjustments, or once they started. It stated the problems affected solely the liver transplant program, however the hospital additionally closed the kidney transplant program as a result of it was led by the identical physician.
Dr. Bynon, 64, has spent his profession in stomach transplants, and is taken into account one of many early practitioners of superior liver transplants. He spent almost 20 years on the College of Alabama at Birmingham earlier than transferring to Texas in 2011.
Some former colleagues described Dr. Bynon as off-putting and boastful, whereas others known as him proficient and devoted.
“In my expertise, the whole lot he did was concerning the affected person,” stated Dr. Brendan McGuire, the medical director of liver transplants at that Alabama program, who labored with Dr. Bynon for greater than a decade. “When he transplanted somebody, that individual was his affected person for all times.”
On its LinkedIn web page, the College of Texas Well being Science Middle as soon as featured a photograph of a billboard with Dr. Bynon on it. The signal learn, “Dr. Bynon offers new life to transplant sufferers.”
Dr. Bynon additionally served on the Membership and Skilled Requirements Committee of the United Community for Organ Sharing, which investigates wrongdoing within the transplant system.
Most lately, in December, Dr. Bynon made headlines for performing a kidney transplant for former Lt. Gov. Ben Barnes of Texas.
The closure of the packages at Memorial Hermann has stunned many within the transplant neighborhood as a result of this can be very uncommon for a program to be suspended over moral points.
On the time it shut down its packages, Memorial Hermann had 38 sufferers on its liver transplant ready listing and 346 sufferers on its kidney listing, in response to the hospital.
Officers stated they had been contacting these sufferers to assist them discover new suppliers.
Roni Caryn Rabin contributed reporting. Susan C. Beachy and Kirsten Noyes contributed analysis.
