Oct. 27, 2025
Debbie and Anthony Pignataro - Part 2
Dr. Anthony Pignataro was a Buffalo-area plastic surgeon with a taste for luxury and a reputation for confidence (some might say arrogance). He claimed to be an innovator, even creating a bizarre “snap-on hairpiece” that bolted directly to the skull. But beneath the image of success was a trail of questionable surgeries, mounting complaints, and growing chaos at home.
Become a partner in crime
Today's snack: Sponge candy
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Hi, I'm Rich and I'm Tina.
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If there's one thing we've learned in over twenty years of.
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Marriage, it's that some days you'll feel like killing your husband.
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And some days you'll feel like killing your wife.
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Welcome to love, Mary Kill.
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Hey Tina, Hey Rich. How are you today?
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I'm okay. How are you?
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I am doing pretty good.
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Good.
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I'm glad you came back.
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Yeah, I honestly was a little upset after the last episode.
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That was distressing.
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Case. Yeah, it was disturbing for sure.
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Yeah, And I was actually reading some I read an
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article this morning about emergency rooms and like they're overwhelmed.
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We've been watching The Pit lately, which I know we're
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a little late to the game on that, but it's
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a great show, and I've been thinking, oh, it's a
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little bit, you know, it's dramatized, dramatized, it's really not
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that bad. But I was reading an article today that
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made me feel like, oh my gosh, emergency rooms are
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really just overwhelmed.
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Yeah.
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Well, we live in a rural area, so the emergency
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rooms when we've had occasion to go, have never been
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that busy. But if you're in a major metropolitan area
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like Pittsburgh.
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Yeah, it's going to be a lot busier.
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Yeah.
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I remember when I went for my gallbladder. It felt
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like I had to wait forever. I know it wasn't
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really forever, but oh you did.
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Have to wait longer than you should have. But it
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was things.
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It was a Thanksgiving weekend, so I think that's why
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they were short stuffed, even though there weren't a ton
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of people in there, but the probably only one doctor.
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For most people. This episode will air on October twenty seventh,
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so right around Halloween.
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Oh it is October fifth when we're recording this.
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We're so far ahead of the game.
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Well, we won't be for a lot.
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Are you feeling Halloween ish yet?
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Well, as we've mentioned before, we're empty nesters, so it
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feels kind of weird. We put up some I put
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up some fall decorations, but you know, it's just me
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and you here most of the time, so I didn't
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go all out.
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I put our big black inflatable cat in the front
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yard although.
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From Hammocker Slummer, which we love. We bought it last year. Yeah,
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I love it's I mean, it's a great piece. It
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was expensive, but it's really cool and the neighbor kids
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love it and it gives us a lot of great joy.
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I'll put a picture up of it.
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But the cat's having some issues though. The tail isn't
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standing up. I can't figure out why, but I need
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to go troubleshoot.
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Well, Hammocker Slummer is going out of business, which is
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a huge bummer. So all of their things have a
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lifetime warranty.
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Yeah, so that will maybe not so much anymore.
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Just when we bought it, and we paid kind of
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a lot for it, we were like, well, you know,
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there's ever an issue, we can return it.
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Yeah, now we're stuck with it.
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It's huge though, it's like thirteen feet tall or something.
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Yeah, it's really cool. And the eyes light up and
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it's yeah, it's really cool.
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We love it.
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I know we need to get rolling on this episode,
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but you love a scary movie. If you had to
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give one recommendation right now, what would your recommendation be.
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You know that answer is going to change depending on
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what day you asked me. But the first thing to
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pop into my mind, I'm going to go old school
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and say Psycho by Alfred Hitchcock. I'll never forget the
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first time I saw that movie. I was probably in
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my early twenties. It was on TV at like midnight
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and I was just I was at my mom's house
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that I was staying up late and I watched it
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and I know it's like dated now, but it freaked
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me out.
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I have never watched it for that reason, because you
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take a shower every day, and I just feel like
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it would scare me. I am a high anxiety person anyway.
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I'm the jumpiest person you'll ever meet, right, Like, it
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doesn't take much.
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I walk into a room and.
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I jump, and I'm like, oh, you scared me. I
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save it one hundred times a day. So yes, I'm
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very jumpy. So I have not watched that movie on
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purpose because I think it would disturb me.
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Well, if you had to recommend one, what would you
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pick today?
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Off the top of my head, I don't really know,
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but I like a good suspense movie.
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The other day, I finished a.
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Two part case and I was like, I'm gonna just
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watch a movie, and I watched The Drop and that
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was on Peacock.
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I think, and it was really good.
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So it was not really a horror movie, but.
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It was scary.
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So if you have Peacock, I recommend watching the Drop.
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I thought you were gonna throw out a Halloween because
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I know you're a fan of the classic kind of
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yeah slasher films.
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Yeah, that movie is well whenever we've we've watched. We
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used to watch it every year on Halloween. But it's
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really long, and it takes like forty five minutes to get.
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To any drama.
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Really, it's a little slow to get.
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The music is great in that film.
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And yeah, well, let us know if you have recommendations
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for a really good horror film.
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It's been weird because it's so warm here. The leaves
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are just starting to turn now, but it hasn't felt
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like Halloween.
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No, it really hasn't.
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Normally we'd be watching a scary movie every weekend, but
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we really haven't done that yet.
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Yeah.
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Soon, I made you a snack.
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Yeah, with unflavored gelatine. Yeah, it tastes like nothing.
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Guessing what it was? Yeah, so what were you guessing?
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Well, you would ask me last night do we have
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any unflavored gelatine? And I think we used to, but
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we don't anymore. I'm not sure where it went, but
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I know that you need gelatin for like a chocolate
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cream pie and you love a chocolate cream pie, so
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I thought it might be something to do with that.
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Gotcha, it's not what it is. So, you know I
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like to do snacks. If I can that tie into
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the location of the case. Yeah, our case takes place
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in Buffalo. Previously, when I did a Buffalo case, I
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made you Buffalo wings, right, I didn't want Those were
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really good, But I want to.
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Another guest with unflavored gelatin.
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I did a little googling and I found a candy
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that Buffalo is known for called I had never heard of,
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called sponge candy.
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Okay, have you ever heard of that? I don't think so.
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It's gonna look familiar to you because it's a lot
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like a candy that I know you are a big
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fan of.
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Is it honeycomb? Yes, I've always wanted to make that homemade,
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and I never have. That is one of my favorites
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for sure.
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Yeah.
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Well here it is. It looks perfect, but I think
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the inside is a little chewy or it's not as
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well when.
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You get the occasional chewy honey.
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Okay, Well you're gonna like this. It might stick to
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your teeth though. Okay, what did you think about my
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sponge candy.
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I think you're amazing. It's crazy to me that you
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just whipped that up this morning.
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In our kitchen. I like a good challenge, you really do.
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I think it's because you only cook for the podcast,
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so when you get the opportunity, you're like E cided
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to But it looks like professional candy. And we have
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a story near us called World Market, and that's where
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you can get violet Violet Crumble Crumb viilet Crumble, and
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that's one of my favorites. You usually put one in
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my Christmas stocking and it looks just like Violet Crumble.
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It doesn't taste quite as good, but it's really good.
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The honeycomb part came out definitely a little too dense
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and chewy, not as airy, and I like.
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The chewiness in it, but it could have just a
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smidgemore flavor. Did you think it was maybe just a
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little bland compared to Violet Crumble. But for your first
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a little bit, for your first time, that incredible and
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you did such a good I can't believe you dipped.
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I mean in this mold, there's like thirty pieces, so
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you dipped like thirty pieces of honeycomb so.
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I tempered the chocolate and I dipped.
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It, and I think i'd probably the chocolate is a
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little dark for me.
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That like a seventy percent sixty five.
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Okay, But bravo to you. It's beautiful. There's nothing you
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can't do. I really enjoyed it quite a bit.
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Good.
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Thank you.
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If you hear any loud chewing during the podcast, that
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will be me eating this sponge candy.
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Would you like to give us a quick recap of
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part one?
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Absolutely?
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In part one, we introduced doctor Anthony Pignataro, a Buffalo surgeon,
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and his wife, Debbie. Anthony came from a well off family.
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His father was a prominent and well respected surgeon, while
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Debbie grew up in a more blue collar home. The
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couple had two children, Ralph and Lauren. Early in their marriage,
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Anthony began showing classic signs of narcissism. He saw himself
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as a brilliant innovator in the field of plastic surgery.
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In fact, he even invented a permanent hair piece that
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attached to the scalp using tiny bolts embedded in the skull.
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They gave me nightmares.
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But behind the bar, Anthony was a dangerously incompetent surgeon.
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He refused to admit mistakes and insisted on doing things
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his way, even setting up an operating room in the
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basement of his clinic where he performed cosmetic procedures without
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proper equipment or trained staff. It was only a matter
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of time before tragedy struck. That tragedy came in August
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nineteen ninety seven, when twenty six year old Sarah Smith
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went in for what should have been a routine breast augmentation.
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A week later, after she'd been kept alive on life support,
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her husband Dan made the heartbreaking decision to let her
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go on September first.
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Anything that I left out of there that you think
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is worth noting.
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We didn't really talk about it at the time that
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we were recording. But another patient of his die too,
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But that was during a different because he was an
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ear nosed throat doctor before he focused on the cosmetic surgery.
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Yeah, and that one wasn't quite as blatant. It was
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a seventy two year old man. I wasn't able to
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find out too much detail about that particular surgery, But
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that one might not have been, you know, as as
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blatantly obvious that Anthony screwed up.
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I guess okay, but Anthony was not a good husband
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and he had had at least two affairs that we
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know of.
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Yes correct. In the days after the botched surgery, while
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Sarah Smith lay in a coma, Debbie was beside herself.
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Despite all the cruelty she had endured from Anthony, the infidelity,
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the insults about her weight, the constant belittling, she still
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believed he was a gifted surgeon. Debbie tortured herself with guilt,
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replaying that awful day in her mind. Had she waited
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too long to speak up when Sarah stopped breathing, could
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she have somehow prevented the disaster. Anthony, on the other hand,
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didn't seem to lose much sleep over it. Almost immediately
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he went back to work as if nothing had happened.
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He continued performing surgeries, including the same trans umbilical breast
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augmentation surgery on another patient the day after Sarah's surgery.
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He believed that he has a patient because of his incompetence,
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and then the next day he goes back in does
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