Listener discretion is advised. This episode features discussions of murder, medical malpractice, mental health conditions and assault that may be upsetting. We advise extreme caution for listeners under 13. All medical professionals face uphill battles, finding a work life balance, but not all are able to achieve it. The result, burnout.

While this condition manifests for most as short term fatigue and irritability for victory. Not sure it was grounds for murder. As a nurse in the United Kingdom during the 2000s tour supported his wife, daughters and a deepening drug addiction for a decade before he snapped. Ultimately, his failure to get necessary help likely contributed to the deaths of multiple individuals. The victims of victory, not sure, aren't the first to die by the hand of an overworked nurse. But they are evidence that permanent evils can be committed when temporary afflictions reign.

King. This is Medical Murders, a Spotify original from podcast, every year, thousands of medical students take the Hippocratic Oath. It boils down to do no harm. But a closer look reveals a phrase much more interesting. I must not play it God. However, some doctors break that oath. They choose to play God with their patients, deciding who lives and who dies each week on medical murders. We'll investigate those who decided to kill. We'll explore the specifics of how they operate not just on their patients, but within their own minds, examining the psychology and neurology behind heartless medical killers.

I'm Alastair Madden and I'm joined by Dr. David Kipper, M.D.. Hello, everyone. I'm Dr. Kipper, and looking forward to offering Allaster some medical insight into our newest case of victory in Achuar, a nurse who had his own ideas about how best to treat his patients.

You can find episodes of medical murders and all other PARCA shows for free on Spotify or wherever you listen to podcasts to stream medical murders for free on Spotify. Just open the app and type medical murders in the search bar. Today we are discussing Victoriano Chuir, a contemporary serial killer who poisoned over 20 hospital patients in northern England. Through his winding journey from the Philippines to the UK, Chuir repeatedly exhibited an unchecked affinity for crime and when put under pressure, it manifested into the 2011 Stepping Hill Hospital poisoning incident.

All this and more coming up. Stay with us. This episode is brought to you by Honey Nut Cheerios with a happy heart powered by Honey Nut Cheerios.

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Restrictions apply. See full terms at Sportsbook Doug Faneuil Dotcom Gambling Problem Call one 800 gambler. Victorino Chewer was born on October 30th, 1965, in the Philippines, the third of six children Chuir knew all too well what it meant to be a forgotten middle child. It wasn't just that he was overlooked within his family. His siblings received the short end of the stick to their father.

Angel, no blow to a senior, had his attention on three other marriages outside of the one he shared with Victorinox mother Vonetta, with each of those wives. Angel had other children as well. And while he may have had enough money to support his four families, he wasn't so generous in giving them his time, a fact Victoriano resented. Unfortunately, Chewier didn't seem to like his mother Wanita very much either. Allegedly like chewers. Father Wanita was rarely around to take care of her children, as Chuir once recalled.

Later on, his parents left them like animals. It was likely that sense of abandonment in early childhood that led him to recklessness in adolescence.

In high school, Chuir indulged in drugs and alcohol. Forming bad habits would follow him. But at the time, Chewier wasn't thinking much of his future. His grandmother, on the other hand, was. And as Chewers primary caretaker, she made a concerted effort to urge CHUIR towards a prestigious profession in the medical industry. Chuir wasn't keen on being a nurse, but his grandmother reportedly promised him that if he got his nursing certification, she would pay for him to get a doctoral degree.

The latter appealed to CHUIR far more. Initially, Chuir shrugged off the offer. But in 1986, when she was just 21, it said that he watched his father suffer a heart attack and die. It wasn't a great emotional grief as much as it was a mental awakening. His father had been the successful breadwinner for the family as a manager for a computer business. Now, Chuir felt the need to establish a lucrative career for himself, and he wanted to do even better than his father had done, persuaded by his grandmother's suggestion to pursued nursing at the Metropolitan Medical Center in Manila.

It was no small decision. The facility was well respected within the country. Its high standard of care, combined with low service costs, made it an ideal destination for medical tourism. Medical tourism describes the phenomena of traveling abroad to receive medical treatment. Traditionally, those in less developed countries travel to highly developed countries for treatment unavailable in their nation. But recently, we're seeing a shift in the opposite direction. There are a few reasons for this. One is the high cost of health care in the developed world, with many medical interventions costing much less abroad.

There's also the issue of health insurance, which doesn't always cover the costs of surgeries or operations that may be cheaper in other countries. Another reason for this trend is that underdeveloped countries often have shorter wait times for many health care procedures. People also make these journeys because certain therapies or drugs they want aren't yet approved at home. However, this approach to finding care doesn't come without its negatives.

Medical tourism can affect the treatment that those native to high tourism regions receive because doctors in these countries are steadily becoming busier with foreign patients, native patients are having trouble getting adequate health care.

Also, this nuance further exacerbates economic class divisions in these countries in regards to equitable medical treatment. However, medical tourism does seem like an unfortunate inevitability at this point, and it's no wonder that many people turn to it for more affordable and alternative forms of care.

For many in the US, the Metropolitan Medical Center in the Philippines was likely seen as an ideal institution for otherwise costly procedures. But while Americans may have found its medical costs low compared to what they would pay back at home, locals still considered the place pricey, with high demand for its services and educational offerings. The facility charged exorbitant fees for schooling. Unfortunately for CHUIR, these costs were simply too high for him to stick around. So Chuir enrolled at the less prestigious Galong Medical Center in Manila.

One U.K. newspaper once described the institution as dilapidated. Nevertheless, Chuir took his studies there in stride. It helped that coming from the more esteemed Metropolitan Medical Center, he seemed to have a leg up on his new classmates. While his pride may have initially been bruised by the transfer, he was able to feel like a big fish in a small pond at Galong.

His days were long, but he managed to tend to multiple facets of his life every day at four a.m., he rose to give his grandmother a bath. Then he headed off to his course, is never arriving home before seven p.m., despite the rigorous lifestyle chewer made friends with doctors and convinced them to provide free health care to his family members. As far as Chuir was concerned, he was successfully replacing his father. And what little downtime chewer did have he got a side hustle running errands for a wealthy student, one of those errands required sure to score illegal drugs for his classmate, the task taught you how to make some quick cash, which he eagerly spent on designer clothes.

This was chewers, way of fitting the mold of elite society, a group of people he idolized. After a year's worth of diligent study and daily, Grind's Chuir was required to take a competency test and passed. He could become a nurse. But this achievement is vehemently disputed, as three different versions of his medical school records were later found. On one of them, a clear photograph of a young man who wasn't Chuir, meaning she likely paid another student to take his qualification exam for him to his credentials were more than likely bogus.

Today, such licensing discrepancies are nearly impossible. In order to become a registered nurse in the United States, for example, students must graduate from an accredited program, pass the standardized exam called the NCLEX, are an exam and obtain a state license. This ensures that a prospective nurse has all the knowledge they need to do their job correctly. And in today's world, it would be hard to forge these credentials to or might have been able to successfully fake as qualifications because of Galong Medical Center apparently wasn't up to par with competing hospitals.

It's possible that their college program didn't do their due diligence in verifying chewers competency test. He could have had another student take his exam or he could have forged his records. This also probably would have been easier during a time when documentation was largely physical and not so computer based.

He also might have managed to present well with his attitude and designer clothes, manipulating those around him into feeling he was an impressive and bonafied character. It's actually not so uncommon for people to falsify medical credentials. And I've seen this personally.

I had a friend who is engaged to a psychiatrist and her wealthy father grew suspicious of this guy's professional legitimacy. A little homework from dad and the wedding was off and the Imposture psychiatrist was on his way to jail. This is considered fraud and a criminal act that could result in harsh jail time depending on the severity of circumstances. This is a pretty crazy thing to do. And if true, it did. In fact, counterfeiter's qualifications. He had no concern about consequences.

However he got there, Chuir received a bachelor of science in nursing from the Galong Medical Center College of Nursing in nineteen eighty nine. At twenty four years old, he was now a registered nurse. Details of this next period of his life are sparse. In the 1990s, he worked as a nurse obtaining jobs at medical centers in Manila. Still, the cash flow wasn't what he'd hoped it would be to supplement this. It seems to have continued his college hustle.

He allegedly made extra money on the side by selling stolen health care products, clothes and electronics. And she was mind. He was a modern Filipino Robin Hood, stealing from the rich and giving to the poor.

More than that, Chuir saw himself as the dashing, romantic lead of his own life. At one point, he journaled about his escapades, juggling interest for multiple female colleagues. From his reflections, it's clear that Chuir enjoyed showy gestures and saw himself as nothing short of a hero.

One love interest. Marianne certainly enjoyed his bravado and sure shared her affections. In 1996, thirty year old Chuir and Marianne were married in a civil union. In the years that followed, they had two daughters.

But his new persona as a family man did little to dissuade Chewer from his backhanded dealings. He kept up his habit of stealing and was eventually fired from his nursing job.

Chuir Blane's the termination on union issues, though his alleged theft of about 1000 70 Philippine pesos from the hospital, or nearly 30 dollars at the time, was more likely down on his luck. Chuir took a surprising turn with his career. He became a car salesman, but you quickly learned he'd made a bad decision in yet another 180 degree pivot, 36 year old sure sought work as a nurse yet again in 2002. This time, he got hired by a nursing home in Warrington, a large town in northwest England.

This job required him to relocate himself and his family. But it wasn't a hard decision for sure. He'd been struggling to get by on his nursing salary in the Philippines. His new job ensured that he'd be making significantly more. It also allowed him to obtain a two year work permit. Chuir may have thought he was making meaningful changes in his life for the better. He had an opportunity to start fresh, to leave behind the demons of his past and stay on the straight and narrow.

In Britain, he could become a brand new person. Unfortunately, the new person he chose to become was a murderer.

Coming up, Victoriano Chuir baffles police with a bizarre killing spree.

Hi, listeners, it's Vanessa from podcast.

When you think of a criminal, do you picture a killer, a gangster, a thief? I bet you didn't think it could be the little old lady down the street who murdered her tenants. Every Wednesday on my series, female criminals meet the unlikeliest of felons, mothers, neighbors and unsuspecting lovers with a penchant for dangerous behavior. Discover the psychology and motives behind their disturbing crimes and find out where their story stands today. But that's not all. Airing right now on female criminals is our special five part look at the world's most infamous femme fatale women who were deceptive and deadly but not always the villain.

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No purchase necessary for one million dollar promotion. First online real money wager only for one thousand dollars free bet refund issue. Does non withdrawal set credit that expires in fourteen days terms applies to Sportsbook fan dotcom. Four terms and restrictions. Gambling problem call one 800 gambler. Now back to the story in February 2002, 36 year old Victoriano Chuba moved himself and his family from the Philippines to England, seeking a fresh start during his rough and tumble life. He'd stolen from hospitals he'd worked at, sold illicit drugs and likely cheated on his nursing exams.

And while England gave him a clean slate, Tewa found that old habits die hard in the years that followed his big move to the United Kingdom. It's believed Chewier stole drugs from the nursing home, where he worked likely for his own personal use. His early life dealing illicit substances had fostered secret addictions that Chuir hid quite effectively. Drugs helped him escape his waking reality, where his home and work life felt equally unmanageable. But stolen painkillers were only a temporary solution.

Just three years into the job at the end of 2005, Chuir pursued work elsewhere, though it's unclear why he left. It's possible she got caught stealing medication or engaging in some other form of petty theft towards hospital patients. Regardless, the nursing home provided him with a letter of recommendation to other prospective employers. Though like his test scores, its validity remains unconfirmed.

In 2008, Chuir was working as a nurse in Stockport, England, where conflict arose when he berated a colleague, the debacle landed him in a disciplinary hearing. He embellished a testimonial to save his neck, but ultimately he left the job on unpleasant terms. His next job, however, would go far worse.

On June 1st, 2009, Chuir became a member of the nursing staff at Stepping Hill Hospital, also in Stockport today, with a staff of over five thousand seven hundred Stepping Hill treat some half a million patients each year.

At the time Chewier was hired, the facility's recruitment team relied on the judgment of the UK's Nursing and Midwifery Council, or NMC, when evaluating the credentials of international applicants. Officials from the NMC had previously reviewed she was passport, work history and qualifications and found no red flags. While he may have withheld information about disciplinary action he had received while working as a nurse in the Philippines, the NMC concluded that she had provided the correct certificates and evidence of training.

They added him to their register of nurses after he supplied them with his papers in 2003, and as a result he was able to work at Stepping Hill in 2009.

In the US, the Board of Registered Nursing encourages clinical agencies and nursing programs to work together in establishing policies that are unrestrictive while still protecting the rights of patients.

The interview process for a registered nurse mainly takes a behavioural based approach. Employers want to get a sense of how a nurse will perform on the job, what their motivation is for nursing and what their general disposition and personality are like. In addition to these interviews, hospitals require a series of qualification markers before hiring. These include checks on credentials, licensing, residency, completion and specific certifications. There's also a reference check, which is meant to verify their training and work history with previous employers.

Generally, they screened for any imposed medical sanctions, a criminal background, Social Security validity and motor vehicle or driver records.

The UK's nursing and midwifery program might not have chewers nefarious history of theft during their background check for many reasons, maybe because of the increasing demand for Darcis throughout the country. Background checks at the time were perform more superficially and copies of documents were accepted in place of originals. Whatever the case chewers is, criminal past was effectively overlooked.

But his legal records weren't the only issue the nursing council missed, it seems they also failed to adequately assess chewers mental health. In 2010, about one year into his employment at Stepping Hill, Tewa underwent counseling for depression. His spiral had likely been sparked by a dependence on drugs which he'd nursed throughout the preceding decade. He also took sleeping pills and painkillers for knee and back pain. But the counseling wasn't enough because Chewer didn't change anything about his life. He persisted in his unhealthy habits, wasting away in his job.

On top of this, his relationships with his wife and daughters were strained. In 2011, two years into his employment as stepping Hill Hospital, Chuir snapped.

On July 7th, 2011, 44 year old mother of two, Tracy Arden, was admitted to stepping Hill Hospital with a mild chest infection. Staff assumes the woman who had been battling multiple sclerosis since the age of 32 would recover and leave the facility in no time.

However, in the privacy of Arden's treatment room, Chouest secretly contaminated Arden's sailin drip with insulin.

Intravenous therapy is a medical technique whereby liquids are delivered directly into a person's vein, the most commonly used liquid is normal sailin a sodium chloride solution, which is used as a fluid replacement.

Insulin delivered via a drip poses more danger than insulin administered via a shot into the body's muscle. Insulin, which is produced by the pancreas, works by allowing ourselves to convert glucose or sugar into energy. This energy is what allows tissues and organs to function properly. Diabetics are given insulin either because they can't make it at all.

These are the type one diabetics or produce an insufficient amount known as Type two diabetes.

The risk of giving a non diabetic insulin allaster is inducing hypoglycemia, which is when normal blood sugar levels become dangerously low. This can cause hypoglycemic shock, sometimes called insulin shock, where the brain eventually stops getting the glucose it needs to function, leading to coma or death.

And if the administration would create this reaction very acutely, the kind of IV tampering Chu engaged in is very dangerous for a number of reasons. Any substance going directly and continuously into the bloodstream needs to be very carefully doled out and strictly monitored. The effects of Arden's insulin dosing likely set in very quickly.

Chewers, actions plunged Tracy Arden's sugar levels fatally low and caused her to go into hypoglycemic shock within the hour, Arden was dead. Despite the sudden death, no one suspected chewer had engaged in foul play unnoticed, Chuir struck again later that July, 83 year old Alfred Weaver had been admitted to stepping Hill for a chest infection earlier that month. Like with Odyn, Chuir poisoned Weaver by adding insulin to his saline drip and sending him into hypoglycemic shock 10 days later.

Weaver was dead around that time.

At least four more male patients at the hospital suffered hypoglycemic attacks, despite the fact that only one was diabetic. All were victims of chewers, insulin overdoses. But somehow the hospital failed to investigate the alarming similarities in the deaths.

Chuir escalated his unchecked rampage, not content with murdering only his own patients. He injected insulin into sealed drug vials known as ampoules. This forced unknowing nurses to administer the insulin spike drug mix to their patients. Daphne Harlowe, age 86, had been admitted to stepping Hill Hospital after suffering a fall and had no history of diabetes. Within a day of her admission, she experienced a severe hypoglycemic attack.

Zubia Aslam, age 24, suffered a similar unexpected attack. Neither were patients of Chuir. Zuby is ampoule, was later examined and found to contain high amounts of a human insulin analog. Today, human insulin analogs can be manufactured by recombinant DNA technology, while naturally harvested insulin can be collected from the pancreas of pigs or cows. An overdose or an unnecessary administration of either one of these types of insulin can be deadly. But the pig and cow derivatives tend to be more unreliable and less predictable.

In the U.S., cow insulin hasn't been available since nineteen ninety eight and pig insulin was discontinued in 2006. Although there wasn't an FDA ban on these, it was determined that these insulins are generally less effective because the body recognizes them as foreign, which negatively affects absorption, even though you can still get naturally harvested insulins in other countries.

The analog seemed to work better because they mimic human insulin. More precisely, it obviously depends on the amount, but it would probably be more dangerous to overdose someone with the analog insulin in comparison to the natural animal insulin. This is because it would be better absorbed and less rejected by the body. However, as you know, any exogenous form of insulin is dangerous for non diabetics with normal blood sugar levels. It most likely wouldn't have been difficult for CHUIR to access either one if stepping in a hospital carry both kinds.

Maybe he chose a human analogue because there was more of it and he wanted to avoid suspicion. Or maybe he knew it would provide a more predictable outcome. I can't say for sure why he chose one over the other, but he likely knew that both were potentially life threatening. And since stepping hurdles seemingly gave unfettered insulin access to their nurses, Chuir kept injecting sailin bags with insulin, tricking his colleagues into poisoning their patients on his behalf. But they wouldn't be deceived for much longer.

Chaos broke out across Stepping Hill Hospital as doctors and nurses scramble to save the large numbers of patients who were inexplicably going into hypoglycemic shock on July 12th. One nurse discovered several saline bags that were leaking clear evidence they had been contaminated. Hospital staff quickly tested the ampoules and found insulin. Hospital staff called law enforcement and an investigation was promptly launched, a forensic scientist found that a small v shaped hole had been cut into the rubber resealable connector typically found at the bottom edge of saline bags.

Additionally, two puncture holes were found in the inner membrane of the bag, which appeared to be made by a hypodermic needle. Further testing showed that a glucose bag, saline bag and an antibiotic bag also had needle puncture holes, while another sailin bag had been contaminated with a local anesthetic called Lidocaine. Greater Manchester Police leapt into action, officially titling their multi-million dollar detective work on the poisonings operation.

Roxburgh preliminary measures included strong suggestions that the hospital staff changed their security policy. The police also set up CCTV cameras at the entrances and exits towards being while investigators examined the medical records and blood samples associated with all hypoglycemic attacks at the hospital. They cross-referenced the dates of the attacks, but the work shifts of thousands of hospital staff on July 20th, 2011, one week after madness, had taken over the medical facility. Police felt confident enough to make an arrest.

Unfortunately, they nabbed the wrong person.

Nurse Rebecca Layton had worked at one of the affected hospital wards during the poisonings. Forensic tests suggested that she had handled several contaminated I.V. products. So Leighton was charged with criminal damage, with intent to endanger life. The press quickly dubbed her the Angel of Death and published photos taken off her Facebook page. She spent six weeks in prison before Detective Sergeant Simon Barraclough realized Layton was innocent, saying the evidence proved not to be the evidence we expected it to be.

The fact is Rebecca Layton didn't do this. It seems there were victims who were poisoned or died while Layton was not on duty without substantial evidence to keep her jailed. The case against Layton was dropped. Though Layton was free from the law, she was fired from stepping hill after she admitted to stealing drugs and medicine. Later, she sued the Greater Manchester Police for breach of privacy and negligence in allegedly leaking her name to the press. But while Layton's fate was not so bright, Chewer had gone unscathed.

A more sensible person might have learned their lesson, but then a more sensible person wouldn't have become a murderer in the first place. Five months after Layton's release, Chuir struck again, and this time he wouldn't get away so easily. Coming up, the law catches up to Victoriano chewer. It rubs the lotion on its skin or else it gets the hose again. In nineteen ninety three, one year after the events of The Silence of the Lambs, FBI agent Clarice Starling returns to the field to pursue serial killers and sexual predators while navigating the high stakes political world of Washington, D.C..

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Now back to the story. In 2011, Victoriano Chuir tampered with multiple sealing bags administered to patients as stepping Hill Hospital in Greater Manchester, England, poisoning a confirmed 22 patients. Two of them died. Police initially arrested the wrong person, but they weren't about to give up the chase.

At the beginning of January 2012, Chewer was working the night shift at the A3 ward of the hospital when he got into an argument with an elderly patients daughter. When she forced Chuir to procure a heart monitor for her mother, Chuir angrily threw it on a table.

The next morning, staff discovered that the patient's prescription charts had been altered. Taking a closer look, nurses noticed that the chance of five other female patients, aged 79 to 92 had been tampered with. Crude alterations had been made to the prescribed dosages of drugs, doses were doubled or even tripled, and in one case a new drug was added, which could have caused a heart attack. Thankfully, the intended victim survived with no significant harm.

A medical chart can contain demographic's vital signs, diagnosis, treatment plans, radiology images and more. And it helps physicians know what each patient needs. Tampering with medical charts isn't a common issue in hospitals, Allaster, but the systems in place to prevent it aren't always totally optimal.

Charts have gradually been becoming more computer based, which provides some extra security with data entry and editing while allowing for easier information sharing. Electronic record keeping also eliminates the problem of trying to read a doctor's handwriting. These cyber databases require extra levels of authorization, safeguarding against improper chart altering possibilities. However, many hospitals still use physical records, which potentiates this risk. Some red flags that might indicate tampering could be dramatic. Dose changes and medications crossed out entries, different handwriting and missing documentation of important health markers to its attempt to change patient charts is definitely less sophisticated than as poisonings, but arguably just as dangerous.

While Chuir brazenly continued to endanger patients of stepping Hill, police were still investigating the original spate of poisonings. At one point, over 100 detectives were working on the case, and due to the randomness of the murders, they cast a wide net. During the fall of 2011, one thousand one hundred and seventy seven people were interviewed. Police obtained three thousand two hundred and ninety one statements. Five thousand three hundred and ninety four items were ultimately exhibited at the trial, and the prosecution file grew to over 30000 pages long.

Investigators eliminated suspects one by one until only Chuir was left. They dispatched a team to the Philippines and turned up his criminal past.

On January 5th, 2012, Victoriano Chewer was arrested at his home in Stockport, England, chewers, neighbors were stunned. One described him as a very nice man, always more concerned with how other people were rather than himself a gentle, caring man. Another neighbor remarked, You don't think anybody like that could be a mass murderer. There was absolutely nothing there to suggest anything odd about him. Meanwhile, a colleague at the hospital said his attitude is really good, really gentle.

I have not seen him lose his temper with staff or patients. However, she also noted that she'd heard rumors that CHUIR was being bullied. Still, the poisonings and tampering promptly stopped. Justice, however, would take a bit longer to come. A few days after chewers arrest, he was released on bail. He was not initially charged as it was common practice in the United Kingdom for suspects to be released on bail as police continued an investigation. Chuir could not, of course, continue to work at the hospital, but he was permitted to live at home and leave it as he pleased.

While out on bail, he attempted to clear his name in the media. Chuir invited BBC correspondent Ed Thomas into his home. Naturally, Thomas accepted. Curious what you could possibly have to say in his defence, Chuir told Thomas he wanted to walk into stepping Hill Hospital with a placard around his neck that read I Am Victorinox. You're accused of poisoning patients. Thomas later reflected on the interview, recalling that you had never once said he didn't kill the patients.

Instead, Chouest spoke of his own struggle with suicidal thoughts and injustice. It seemed chewier was far too gone in his own victimhood to believe his wrongdoing was unjustified or worth denying.

In March 2014, police agreed chewers, crimes were undeniable and rearrested him this time. Forty eight year old Victoriano Chuir was charged with the murders of Tracy Adon, Alfred Weaver and Arnold Lancaster. He was also charged with 31 other offences, including causing grievous bodily harm and attempted poisoning. The court proceedings lasted three months, and at no point did chewers motive ever become clear. The only hint came from a letter he'd written but never sent found by police while searching his home.

Chuir wrote the 13 page letter back in June 2010 at the suggestion of a therapist. In it, he admitted that he had deceived his friends and colleagues, believing he was an angel that had turned into a devil.

When police questioned him about the letter, Chouest said that he'd written it to a girlfriend he'd had an extramarital affair with trying to explain his confessional tone, but it was clearly about his murders. Prosecutors suggested that Shawa took out his personal frustration on patients for reasons truly known only to himself. Queen's Counsel or the chief lawyer presiding over the prosecution, Peter Wright summed up the mystery. What may lead an otherwise caring, unassuming and conscientious nurse to act as we say he did is impossible to fathom.

Chuir tried to blame burnout, saying I'm the only one working sixty six hours a week. But there was damning evidence suggesting Tewa was fully aware of his actions when he committed them. A blood sample Chuir took from Grant Mousel, one of the 22 patients who had been poisoned indicated the man was deep in a hypoglycemic coma. After taking Marcel's blood sample, Chuba recorded him as being responsive and alert. This reveals that chewers murders were no accident. After a three month trial, Chuir was found guilty of murdering Tracy Arden and Alfred Weaver, as well as guilty of 22 counts of attempted grievous bodily harm, one count of grievous bodily harm, seven attempts of administering poison and one count of administering poison.

He was cleared of murdering Arnold Lancaster as it was found that Lancaster had actually succumbed to cancer. But Chewer was still convicted of attempting to cause him grievous bodily harm by poisoning.

Tewa showed no emotion when he was given 25 life sentences. He won't be eligible for parole until he's 84 years old in 2049.

In response to chewers senseless killing, the United Kingdom's NMC launched a review of nurses who trained outside Europe, including 11500 from the Philippines. Of the many thousands reviewed, only four were found to have fraudulent qualifications.

Victoriano Chuir was truly an aberration. It's important to remember that Victoriana Chuo was an outlier. The vast majority of the thousands of nurses who come from overseas are just as compassionate, hardworking and ethical as anyone else. I personally trained with and learn from some amazing nurses from other countries, especially the Philippines chewers. Troubling story seems to be the result of a traumatic childhood, ongoing drug abuse and a predisposition to mental instability, while most nurses demonstrate a passion for their work.

It seems like his primary goal was besting the relative success of his father without an inherent desire to care for suffering people. It's not surprising at all that his demanding work as a nurse contributed to his derailment. This episode emphasizes the importance of secure record in hospitals and how medical charts need to be universally secured and privileged. It also illustrates how no system, no matter how thorough or stringent, can completely eliminate the possibility of an apparently caring person suddenly deciding to do harm.

We don't know why she decided to kill, and it's extremely unlikely that we ever will. What can be said is that true evil persists when injustices go unchecked had to have been held liable for his early life of crime. He might have been stopped far sooner. Medical intervention for his outstanding mental health issues may have also prevented his vile murders. But ultimately, neither of these outcomes were realized and those who died by chewers hand are sadly gone forever. Thanks for listening to medical murders and thanks again to Dr.

Kipa for joining me today. Thank you, Alastair. You can find all episodes of medical murders and all other Spotify originals from podcast for free on Spotify, not only just Spotify already have all of your favorite music, but now Spotify is making it easy for you to enjoy all of your favorite podcast shows like Medical Murders for Free from your phone desktop or Smart Speaker to stream medical murders on Spotify.

Just open the app and type medical murders in this search bar. We'll see you next time. Medical Murders is a Spotify original from podcast. It is executive produced by Max Cutler, Sound Design by Trent Williamson with production assistance by Ron Shapiro, Carly Madden, Kristen Acevedo, Jonathan Cohen, Alexandra Kirk Bordetella and Joshua Kern. This episode of Medical Murders was written by Devon Hughes with writing assistants by Maggie Admi, Fact Checking by Bennett Logan and research by Chelsea Wood, medical murder star Dr.

David Kipa and Alistair Murden.