He performed scores of operations, including one where an elderly patient bled to death after Patel severed an artery and vein during pancreatic surgery. (Goldsmith 2014). His highly regarded status was quickly taken away as only three years later the same hospital restricted Patel's practice; he was expected to seek second opinions before performing surgeries and he was barred from practicing on the pancreas and liver (Oregon Board of Medical Examiners 2010.). Subsequently, in 2000 the Oregon Board of Medical Examiners reviewed four of Patel’s cases, and Patel’s medical license was restricted statewide (Goldsmith 2014). Patel resigned from Kaiser in 2001 yet, he was still granted six radiant letters of recommendation from the hospital and its doctors (Goldsmith 2014). According to Goldsmith (2014) “Most of the physicians who wrote the letters would not have known about corrective actions taken up to that point against Patel” as “Kaiser kept its own doctors in the dark” (Goldsmith