Cautionary tale of a philandering serial killer with an MD This was a very difficult watch. With all the victims left in Paolo Macchiarini's wake - & there were many - it was the patients, who's hope hung on this charlatan, who were the true victims. To see the film footage of his two-faced haphazard approach to any surgery let alone cutting edge surgery is horrific. It's like seeing a catastrophic car crash, where you know lives are definitely going to be taken, happening in slow motion and the driver of the car is purposely & knowingly driving his passengers off a cliff & he jumps out of the car just as the car veers over the edge to certain death.
I have spent a lot of my adult life in hospitals & undergoing surgery so I have met a lot of Specialists, surgeons, experts in their medical field and it is true that every now and then you come across Doctors who really think their job entitles them to play God but it's rare to meet one who actually believes they ARE God - Paolo Macchiarini is just such a doctor and this is what makes him so very dangerous. Seeing the now deceased patients and their children & families so excited and hopeful to be getting a 'revolutionary' surgical procedure that they were told was going to improve their lives was gut wrenching. Each of their post operative processes was fraught with problem after problem & even with the terrible suffering they were enduring in the face of all these it was clear that this man who promised so much could not even find compassion enough to be honest with his patients, be honest with colleagues, be honest with himself that his grand experiment had been a huge and catastrophic failure. But then narcissists cannot admit defeat or failure and this man is a fully fledged pathological narcissist.
The teams of medical staff and colleagues who placed their entire trust in Macchiarini were not totally off the hook. Even when they saw there were questions & issues, even when they saw flaws in the implants indeed in the actual premise, and repeatedly in the post-op recovery they should have dug deeper and asked the pertinent questions. They did eventually and in an attempt to atone for their involvement, the patients immeasurable cost & the significant way this man had tainted their profession they tried their hardest to alert various organisation heads...but to no avail.
Taking down this man was not helped by the inflated position that had been shaped & created for him by various media outlets who hung on the chance to spread the story of the Dr who was saving lives with his - fabricated - humble demeanour, his - manufactured - passion for his patient's wellbeing and his - fundamentally flawed -medical innovation. Never mind the gapping hole in their due diligence prior to going to air or print, never mind whether their subject and his efforts were actually rooted in truth or fact. They must bear some of the responsibility for his continued harm as they not only continued to feed his already considerable ego but they also publicised his work which in turn helped bring more patients into his lair & onto becoming his medical guinea pigs.
Unsurprisingly Macchiarini's ego & pure fabrication was not just perpetuated in his professional life but also within his private life too. By the end of the documentary you realise just how all-consuming his life of lies had become. While his fakery & bluster was blatant in the medical field - where mistakes & errors cannot just be swept under the rug or easily explained away - it was obvious that in that medical world was where he fed his ego. Then there was his endless stream of fabricated love affairs within his private life, the lies, the grand (unbelievable) stories, the effusive romancing - this was where he had his recreational fun, and yet again true to form it was at the expense of others.
Sadly from my perspective it is pure pain that follows this man, whether it be immense physical pain of his deceived dying patients or the emotional pain of patient's families & his broken hearted lovers, it follows behind him like the hideous stench of his rotting plastic windpipes.
In the end it would take a multifaceted, global approach to bring this duplicitous conman down but what he faced cannot be called 'justice' when compared with the suffering he has unleashed on so many. The fact he had to face a courtroom and eventually, on appeal, a jail sentence was pleasing but the sentence was woefully insufficient at 2 and a half years. It must have felt, for the victims families, like he had once again been able to get away with his disgusting self serving behaviour. I just kept picturing him sitting back with that smarmy smirk on his face thinking he had pulled off the best con of all - getting away with murder.