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e patients on a single day in 1975, one of whom was a woman giving birth who was left permanently brain damaged (58), plunged a patient into cardiac arrest as the result of a massive injection of Xylocaine in 1980 (72), and had stood trial, in June 1985, for the attempted murder of a patient whose life-support system he had disconnected (90-92).

Kappler was raised by his parents in Pittsburgh, Pennsylvania. Neither of his parents had graduated from high school, and both were alcoholics. In add

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