Season One, Episode Six of The Med Disaster Podcast, hosted by Dr. Sam Rhee, recounts the August 2024 death of 70-year-old Navy veteran William Bryan during a planned splenectomy at Ascension Sacred Heart Emerald Coast in Okaloosa County, Florida. After severe left-sided pain and imaging showing a splenic abnormality with blood in the peritoneum, Bryan initially wanted to return to Alabama but agreed to surgery after warnings from surgeon Dr. Thomas Shaknovsky and the hospital’s chief medical officer.
The late-day operation began after Shaknovsky arrived an hour late, encountered poor visibility, bleeding, and a massively distended colon, and converted from laparoscopic to open surgery. Shaknovsky misidentified anatomy, stapled and cut the inferior vena cava, and during the ensuing chaos removed and mislabeled Bryan’s liver as the spleen, insisting it was an enlarged, displaced spleen. Bryan suffered catastrophic hemorrhage and cardiac arrest and was pronounced dead at 7:06 PM. Pathology confirmed the removed organ was a fully intact liver; autopsy found the spleen untouched and no splenic artery aneurysm, confirming death from surgical injury.
The episode describes Beverly Bryan’s account of being given a false explanation, the medical examiner ruling, the family’s legal action, and investigations revealing prior Shaknovsky errors in 2023 (removing part of a pancreas instead of an adrenal gland and a bowel perforation during a gallbladder surgery). It covers Florida’s emergency suspension of Shaknovsky’s license, Alabama’s review, the hospital’s response, and allegations that the hospital was negligent in supervision and credentialing.
The episode compares the case to a 2006 Massachusetts incident where a surgeon removed a kidney instead of a gallbladder and discusses contributing factors such as fatigue, time pressure, poor visualization, cognitive overload, OR hierarchy, and system safeguards, emphasizing surgical checklists, crisis management, institutional accountability, and patient questions about surgeon experience and safety protocols.
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