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In April 2005, Dr. Jayant Patel, who formerly had been a surgical star in Portland when he handled thousands of cancer and abdominal surgeries at Kaiser Permanente NW, surfaced as the subject of Australian media accounts, where patients called him "Dr. Death" after a string of botched surgeries. This was the trigger for a six-month investigation by the Oregonian, revealing that Kaiser had known about Patel's problems, waited years to address them, paid out millions of dollars in damages to his patients and failed to report malpractice allegations against him as the law required.