dr. Sanusi Umar | $50k+ for failed 11k grafts transplant. Depleted my donor. Wrecked!

[WreckedOne]

• 36y old. Was NW6 previously. 
• Had two surgeries with dr. Sanusi Umar over the last 3 years. Despite not many reviews from his patients on HT forums, I thought I did a good research at the time.I saw pictures of one of his old patients that had same level of loss and later appeared to have full head of hair. Haven’t seen it from anybody else at the time. Also saw he was promoting himself as fixing bad transplants from other surgeons. Had money, and decided to travel from Europe to California to see him. Payed him over $50k for transplant (+ flights, accommdation, his medicine, etc). Overall spent over $70k on this. Wanted to do it right, avoid Turkey with mass transplants, etc. But what a mistake it turend out to be…
   
• In first procedure he aggressively transplanted 7600 grafts over 4 days (hair 2900, neck 590, beard: 4000, thigh: 140). Scalp redness for longer time (5/6+ months). After a year, I think maybe 15% successful grafts (and almost all beard hair fell out). He made hairline way too agressive reasoning that I will be transplanting lot of grafts. My forehead wrinkles touching the hairline. He put the strong hairs on the sides, which looks unnatural. Also hairline grafts appeared to stick much more then the rest, so it’s like having someone draw a circle on my scalp, and then being empty inside.
   
• He didn’t really understand why the growth is not good, and then he told me that it appears that some of his patients had condition called LPP (lichen planopilaris), and he wanted me to test for it. But he didn’t say I can test in Europe (he said he doesn’t trust doctors here), so year after first procedure I went again to see him, he did biopsy and it came with confirmed LPP. Then he asked me if I want to do 2nd procedure. And obviously travling half the world to see him expecting to have the 2nd procedure, I didn’t want to go back home just doing biopsy that I could have done in Europe as well. Terrible from him. Other doctors later told me, that he should have never asked me nor do the 2nd procedure, until LPP is calmed down. I don’t know at what state the LPP was at that moment, but like I said it was confirmed.
  So, did 3200 grafts over 3 days (only head hair) + fat injections. He didn’t charge for this procedure, as it was basically repair of the failed first one. Growth was better with this procedure (hard to say % wise how successful) but density remained big issue. 
   

• Before 2nd procedure, me asking about grafts I have left, he told me I don’t have to worry and that I have many grafts which he can use. But I did worry rightly from where he will take additional grafts. After I asked him again about this he mentioned that he needs to take grafts from the beard (what’s left) and that I can think of doing light micropigmentation. After that I completely lost trust in dr. Umar, and stopped communicating with him. At that point he transplanted almost 11,000 grafts, with very low success rate and he wanted to do another from beard, knowing that almost all previous beard grafts fell off. It was just crazy.
   
• Also, before the procedures, he told me I will not need to take medicines like Finasteride, etc. Later on he put me on Minoxidil, Finasteride, and then switch Finasteride with Dutasteride. It affected me also mentally and physically (loss of sex drive, etc). After taking them as per instructions for over 1.5 years, I stopped after I lost trust with Umar.
   
• After doing new research, I consulted with top doctors (Pekiner, Mwamba, Bisanga, Zarev, etc). Unfortunately they confirmed my doubts. Almost all refused to do operation on me. Bisanga said Umar was too agressive with first op, and that they would never do that. Zarev refused and said good density couldn’t be achieved due to not enough grafts in donor area. Pekiner and Mwamba were willing to have live consultation at least, but I decided to consult and see well rated HT surgeon that was nearer first.
   
• Went for a live consultation with one surgeon where he confirmed that I have maybe 1000 grafts left. Without knowing at which doctor I went previously, he pointed many mistakes Umar made and said he was way too agressive, that he should have seen LPP immediately if there was one, and suspecting that he didn’t see it because there was no LPP before him, and that his aggressive approach with 7600 grafts over 4 days could have resulted in LPP in the first place, also that my hairline was done too low, unnatural, etc. And I agree with everything he said, as I was suspecting all of this. After he gave his opinion, only then I told him my 2 procedures were with Dr. Sanusi Umar, and he was shocked just looking at me for a few moments without saying word. He never saw his patients, but he knew him, and thought that he is top surgeon. He told me honestly that he thought at beginning that I went to cheap Turkish clinics, one of those surgeons that agriculture in the morning and surgery in the afternoon.
   
• I don’t even want to mention his pricey hair oil and vitamins he asks you to take. That oil you should put 2 per day and wear for hours, your scalp changes color, and you can’t go anywhere with that on your head… It’s ridicolous, and there was no difference once I stopped truting Umar and stopped taking also that oil some 10 months after second surgery.
   
• Summary: I thought I was going to the top hair transplant surgeon, traveling half the world to do the procedures, with overall cost going over $70k, and he wrecked me completely. It’s even worse than if I was bold. When I was bold I was just another bold dude, but now due to low density and stronger hair with more density on the harline it’s very visible and people notice immediately. It costed me and still does a lot of mental health, (avoidance of social gatherings, being self-conscious about this and constantly getting feedback from others in terms of eye looks at the hair, etc). I’ve let it grew longer few times only to see that density difference is just too grave and it looks much worse. I’m constantly trimming my hair with 0 clipper. But even when clipped to 0, it doesn’t look natural due to density difference. It went from having big expectations prior to the surgeries (as I thought I’m going to the top doctor and paying top money for great result), to going much below the baseline bold feeling, going through a lot of emotional pain due to all that.
   
• Did micropigmentation after that, but it didn’t help much really. It does look a bit better when clipped to 0, so I can at least be comfortable enough to go out without hat (I can’t stand the hats anymore at this point).
   
• Scheduled another procedure (with the surgeon I saw live) for February next year (he checked and no signs of LPP are visible now) to transplant remaining 1000 grafts to improve if possible at least a little bit. The plan is to laser off his hairline, and move my hairline less agressively so that it can look more natural. I don’t really have hope I will be able to grow hair looking normally, as it will still likely be too little density to be able to cover it normally. But at least then I will know I did everything I could, and if I can’t achieve normal look, will just keep clipping or shaving it until the rest of my life.
   
• Had to write down this and get it out! Be careful and do your research well! Avoid aggressive surgeons that are doing lot of grafts over short time and don’t have many patient reveiws on forums like this, no matter how good they appear or promote themselves!

 

Before the procedures:

11 months after 1st procedure with 7600 grafts:

3 months after 2nd procedure with fat injections and 3200 head grafts (total cca 11k grafts now) :

7 months after 2nd procedure:

13 months after 2nd HT and after micropigmentation  (TODAY in daylight):

 

[LRiv91_]

Man I’m so sorry this happened to you. I also had a bad HT as well but no where near this caliber. I’m sure it’s taken a toll on you I can only imagine! Mentally it’s exhausting. 
 

i just went to Eugenix in India for my second HT. I’ve seen some cases from them with NW6 and have looked amazing. Maybe you can consult with them? 

Maybe someone with more experience can chime in with some ideas.  Do you not have any other potential donor hair? Chest? Back? Maybe? 

[A Fue Good Men]

I’m really sorry to hear about your experience. It takes a lot of bravery to post your story online. I would suggest you plan your next surgical move very carefully given that you have limited donor. It seems like you’ve consulted with well known names so that’s a great start. Good luck on your journey and know this forum is a safe place for good advice.

Feel free to PM me if you’d ever like to talk.

[WreckedOne]

@A Fue Good Men Thanks. I appreciate it.

Somebody on the other forum said I should ask for money back, so I want to put this also here- no money can compensate the amount of emotional pain I had to endure and the way it affected me mentally (and to a good degree still does). In my worst nightmares I couldn't even imagine this type of result. I was going to the doctor who was promoting himself as fixing other bad transplants. He is even a dermatologist. I was paying top money, and was giving effort of going to another continent. In my head I did everything right. It was just not nowhere in my head that this would ever happen. I don't wish this experience to anybody, and with getting it off my chest, is reason why I shared this.

For other who are reading this and choosing their surgeon:

• Spend time doing your research, compare pictures and cases on forums.
• Choose doctors that did many transplants and have many good reviews from others.
• Go for live consultations to a few doctors at the top of your list, assess their approach and then decide on one.
• If somebody is proposing big number of grafts in short period of time, run away!!
• Be very wary of your donor area and your capacity! ask about it, ask about the plan. Don't take any BS comments on this, ask for specific numbers of grafts in donor area, how much will be transplanted, what will be left, what will be the plan with what's left, etc.
• If I had the privilege to do it all again, I would do max 1000-1500 graft with the well respected surgeon who did many transplants, see how that goes, and then repeat throughout few years, until enough coverage is achieved.
• Worst case, if one surgery doesn't go well, you will waste part of that 1000-1500 grafts, but will not be wrecking as if you had 7000-8000 grafts and waste 90% and no donor is left. You will be able to assess, go on further consultations with others, change surgeon, etc.

Edited October 1, 2023 by WreckedOne

[Gatsby]

@WreckedOne as a Norwood 7 and repair patient from two horrible punch graft surgeries from the mid 80's my heart goes out to you. Your case is different however in terms of the sheer number of grafts by a well respected surgeon with a lot of experience. He definitely should have picked up on the LLP. I don't know what his policy is on unhappy customers as you were definitely not a candidate at the time. For what it's worth you could look at surgeons like Dr Bisanga and Dr Sethi on their thoughts moving forward. Fifty per cent of my transplant is beard so you may not be out of the game yet. However if their is a way to shave, etc, then this may be the better option. Sadly every single surgeon has had a bad result and that's again why I continue to state that surgery should be a last resort. Feel free to DM.

[Al - Moderator]

17 hours ago, WreckedOne said:

Scheduled another procedure (with the surgeon I saw live) for February next year (he checked and no signs of LPP are visible now) to transplant remaining 1000 grafts to improve if possible at least a little bit. The plan is to laser off his hairline, and move my hairline less agressively so that it can look more natural. I don’t really have hope I will be able to grow hair looking normally, as it will still likely be too little density to be able to cover it normally. But at least then I will know I did everything I could, and if I can’t achieve normal look, will just keep clipping or shaving it until the rest of my life.

 

Instead of lasering off the low hairline, you may be better off FUEing the grafts out so that you can transplant them further back. This will get you a few more useable grafts. There has been several cases posted on these forums of this being done and the scarring seems so minimal that it's not even noticeable.

 

 

Edited October 1, 2023 by BeHappy

[RTC]

I am sorry to hear this man

The sad truth is that you may just have to remove the grafts and shave everyday... not to be pessimistic, but just want to be realistic

[WreckedOne]

16 hours ago, RTC said:

I am sorry to hear this man

The sad truth is that you may just have to remove the grafts and shave everyday... not to be pessimistic, but just want to be realistic

It's what I'm doing currently, and it's ok without removing grafts, together with micropigmentation it looks better than completely bold. As mentioned, I'm aware that the 3rd operation with low number of grafts might not give satisfying results, and then I will just continue clipping my hair every few days like I'm doing now. I'm in fine with that at this point. Can't get worse (I hope).

I noticed you went to dr. Mwamba for repair, who seems did a good job on you.

Did he FUE your previous front row out and transplanted them further back without visible scars? @BeHappy mentioned that there are few cases where doctors did that successfully without scars.

How happy are you with the results now?

I might go for a live consultation with him. He recommended me surgery back in March, mentioning 2000-3000 grafts from hair and beard. But it's questionable whether I have that much.

Edited October 2, 2023 by WreckedOne

[jjalay]

Really sorry for your results man. Have you talked to Umar after the results of the second hairtransplant? What was his opinion on this? I think a refund after such disastrous result and after spending so much money is absolutely reasonable.

[WreckedOne]

On 10/1/2023 at 1:16 PM, BeHappy said:

 

Instead of lasering off the low hairline, you may be better off FUEing the grafts out so that you can transplant them further back. This will get you a few more useable grafts. There has been several cases posted on these forums of this being done and the scarring seems so minimal that it's not even noticeable.

 

 

Thanks! Have links on those cases by any chance?

I'm considering having one more live consultation with one of the following doctors:

• Kaan Pekiner (Neo Head Clinic). Assistant Alex. Was in contact with him previously. Was willing to do live consultation.
• Patrick Mwamba - read this on Reddit though: "Dr. Patrick Mwamba [Brussels] $$$ - Recently had a string of poor yield results. Seems that another doctor named Dr Ali is doing some of the incisions, which should be done by the doctor you selected. DO YOUR HOMEWORK"
• Ozgur (HLC Ankara). Problem is you can't pick him, clinic assigns you a doctor.
• Keser
• Ozlem Bicer
• Christian Bisanga
• Dogan Turan

Apparently Pekiner, Keser and Ozgur do a do manual extraction, stick and place implantation.
Also read this somewhere "As he learnt with the Dr. Keser and practised at the HLC, Dr. Pekiner performs a fully manual FUE with a specific punch for the extractions (diameter from 0.6 to 0.9 mm depending on the case) and a specific thin needle for incisions and grafts. The doctor performs incisions and grafts with the “stick and place” technique. This means that the graft is grafted into the skin immediately after the incision is done. This way there will be less bleeding and the recipient area does not have time to shrink, so the incision will be the smallest possible.
The doctor personally cures every phase of the transplant (extraction, incision, grafting). Assistants, nurses and technicians only solve the secondary tasks, such as the collecting and the reorganisation of the extracted grafts or the management of the Petri dishes."

 

[jjalay]

1 hour ago, WreckedOne said:

Thanks! Have links on those cases by any chance?

I'm considering having one more live consultation with one of the following doctors:

• Kaan Pekiner (Neo Head Clinic). Assistant Alex. Was in contact with him previously. Was willing to do live consultation.
• Patrick Mwamba - read this on Reddit though: "Dr. Patrick Mwamba [Brussels] $$$ - Recently had a string of poor yield results. Seems that another doctor named Dr Ali is doing some of the incisions, which should be done by the doctor you selected. DO YOUR HOMEWORK"
• Ozgur (HLC Ankara). Problem is you can't pick him, clinic assigns you a doctor.
• Keser
• Ozlem Bicer
• Christian Bisanga
• Dogan Turan

Apparently Pekiner, Keser and Ozgur do a do manual extraction, stick and place implantation.
Also read this somewhere "As he learnt with the Dr. Keser and practised at the HLC, Dr. Pekiner performs a fully manual FUE with a specific punch for the extractions (diameter from 0.6 to 0.9 mm depending on the case) and a specific thin needle for incisions and grafts. The doctor performs incisions and grafts with the “stick and place” technique. This means that the graft is grafted into the skin immediately after the incision is done. This way there will be less bleeding and the recipient area does not have time to shrink, so the incision will be the smallest possible.
The doctor personally cures every phase of the transplant (extraction, incision, grafting). Assistants, nurses and technicians only solve the secondary tasks, such as the collecting and the reorganisation of the extracted grafts or the management of the Petri dishes."

 

I dont think you are a candidate for another hairtransplant. The best thing that you can do right now is either shave your head or do smp with a really good specialist and maintain the shaved look. Milen lardi in Italy is a good option for smp.

Edited October 2, 2023 by jjalay

[Rawkerboi]

This is quite depressing to read but thank you for sharing your journey it's quite a bravery to share such a journey that too in detailed.

My small suggestion, why don't you consult with Dr. Pradeep Sethi? He is expert in NW-6 and repair cases, just have a consultation with him and seek his opinion. 

[AB2000]

On 10/1/2023 at 3:35 AM, Gatsby said:

He definitely should have picked up on the LLP. I don't know what his policy is on unhappy customers as you were definitely not a candidate at the time. For what it's worth you could look at surgeons like Dr Bisanga and Dr Sethi on their thoughts moving forward. Fifty per cent of my transplant is beard so you may not be out of the game yet.

At the time of my last surgery there in 2020 the clinic was not screening patients ahead for LPP, or alopecia scarring.  This autoimmune disease acts in a way that the inflammation leads to sub dermal scars which will kill off hairs in a non male hair loss pattern.  From reading the forum over the years it does not appear at all common for HT candidates to pre-emptively get tested before going for surgery.  One of the reasons might be that LPP is rare in men.  It usually happens to women, so many doctors would not be looking at it as a cause for hair loss in the guys asking for service.  It would be interesting to know if LPP is picking up in men in recent times.

When I did an in person follow up for photos in 2022, Dr. Umar said he had begun screening new patients for it.  Too late for the OP, but a good practice for other doctors to start following.  He took two biopsies when I was there and it was found in me as well.  When I've done hair transplantation I've found that my scalp remains red for months, as it appears it did for WreckedOne as well in his follow up photos above (eg. 11 months post op first procedure).  All this time spent in inflammation causes a lower yield.  Prior to my visit in 2022 I had done some hair dying with a Just For Men product, and by the time I went there I could notice some low level stinging in my scalp.  I believe this is what triggered my LPP outbreak at that particular time.  I've probably had it in the months after each of my surgeries earlier, as well.

My treatment was to go on oral antibiotics for half a year, apply a prescription ointment onto my scalp, and yes, I've used Umar's Gashee products - scalp oil and the botanical supplement capsules.

Umar's point during out conversation is that LPP might be the cause of why some hair transplants don't work out when they should, based on proper procedure and skill set.  I think WreckedOne risks the same thing happening with whoever he does further repair work with.  Autoimmune diseases do not go away and he brings it to the next surgeon.  If he wants to succeed he: 1) needs to verify the LPP is dormant with a dermatologist who specializes in scalp conditions and 2) have a follow up plan for post surgery where he is on the meds to get the surgery triggered LPP to stop much sooner.

[Al - Moderator]

20 hours ago, WreckedOne said:

Thanks! Have links on those cases by any chance?

 

The one case I always think of when it comes to removing grafts from a bad hairline is Davy (link below).

 

 

[Al - Moderator]

 

Here are a couple additional hairline FUE removals.

 

 

 

 

[stephcurry30]

OP, did Dr. Umar offer any type of refund for your wasted grafts and failed transplants?

[Melvin- Admin]

On 10/2/2023 at 6:35 AM, WreckedOne said:

Thanks! Have links on those cases by any chance?

I'm considering having one more live consultation with one of the following doctors:

• Kaan Pekiner (Neo Head Clinic). Assistant Alex. Was in contact with him previously. Was willing to do live consultation.
• Patrick Mwamba - read this on Reddit though: "Dr. Patrick Mwamba [Brussels] $$$ - Recently had a string of poor yield results. Seems that another doctor named Dr Ali is doing some of the incisions, which should be done by the doctor you selected. DO YOUR HOMEWORK"
• Ozgur (HLC Ankara). Problem is you can't pick him, clinic assigns you a doctor.
• Keser
• Ozlem Bicer
• Christian Bisanga
• Dogan Turan

Apparently Pekiner, Keser and Ozgur do a do manual extraction, stick and place implantation.
Also read this somewhere "As he learnt with the Dr. Keser and practised at the HLC, Dr. Pekiner performs a fully manual FUE with a specific punch for the extractions (diameter from 0.6 to 0.9 mm depending on the case) and a specific thin needle for incisions and grafts. The doctor performs incisions and grafts with the “stick and place” technique. This means that the graft is grafted into the skin immediately after the incision is done. This way there will be less bleeding and the recipient area does not have time to shrink, so the incision will be the smallest possible.
The doctor personally cures every phase of the transplant (extraction, incision, grafting). Assistants, nurses and technicians only solve the secondary tasks, such as the collecting and the reorganisation of the extracted grafts or the management of the Petri dishes."

 

I’m really sorry about your situation. Regarding Mwamba, my advice is research him here yourself. Anyone can say anything on Reddit. But researching yourself is critical. 
 

Have you spoken to Dr. Umar about your situation? Has he offered any support? I don’t mind reaching out to him on your behalf.

[RobertoDeNiro]

On 10/1/2023 at 1:16 PM, BeHappy said:

 

Instead of lasering off the low hairline, you may be better off FUEing the grafts out so that you can transplant them further back. This will get you a few more useable grafts. There has been several cases posted on these forums of this being done and the scarring seems so minimal that it's not even noticeable.

 

 

Sorry to hear your story. Trying to find a solution I would try what @BeHappy is suggesting. 

[mr_peanutbutter]

where there any signs/visual clues of lpp?

 

“Went for a live consultation with one surgeon where he confirmed that I have maybe 1000 grafts left. Without knowing at which doctor I went previously, he pointed many mistakes Umar made and said he was way too agressive, that he should have seen LPP immediately if there was one, and suspecting that he didn’t see it because there was no LPP before him, and that his aggressive approach with 7600 grafts over 4 days could have resulted in LPP in the first place, also that my hairline was done too low, unnatural, etc. And I agree with everything he said, as I was suspecting all of this. After he gave his opinion, only then I told him my 2 procedures were with Dr. Sanusi Umar, and he was shocked just looking at me for a few moments without saying word. He never saw his patients, but he knew him, and thought that he is top surgeon. He told me honestly that he thought at beginning that I went to cheap Turkish clinics, one of those surgeons that agriculture in the morning and surgery in the afternoon.“

[mr_peanutbutter]

i dont see any visual signs of lpp…maybe it it would have only be visible with a biopsy? 

 

 

it would be interesting to get opinions of surgeons on the matter…

 

@DrMunibAhmad @Dr. Felipe Pittella

@Eugenix

 

[Cory]

On 9/30/2023 at 8:14 PM, WreckedOne said:

he wanted me to test for it. But he didn’t say I can test in Europe (he said he doesn’t trust doctors here)

Did you actually test this in Europe as well? To confirm or deny his claims? 

Scarring due to the surgery doesn't always mean scarring alopecia. So if a damaged follicle is being examined, it could look like something it's not.
Did you have blood tests to see if you have a high level of anti-immune cells?

Just curious..

[Rasputin]

Do you mind sharing your donor and what's left of your beard ?

Although there is nowhere near the 11.000 grafts on your recipient, it seems that few touch ups could lead to big improvements, based on your 4th pic

(7 months after 2nd procedure)

 

Edited October 5, 2023 by Rasputin

[WreckedOne]

On 10/3/2023 at 1:39 PM, stephcurry30 said:

OP, did Dr. Umar offer any type of refund for your wasted grafts and failed transplants?

He didn't. Shortly after opening this topic here, and based on some of your comments, I sent him an email strongly expressing my dissatisfaction, together with new set of photos and asked for refund. He never replied.

 

On 10/3/2023 at 7:54 PM, Melvin- Admin said:

I’m really sorry about your situation. Regarding Mwamba, my advice is research him here yourself. Anyone can say anything on Reddit. But researching yourself is critical. 
 

Have you spoken to Dr. Umar about your situation? Has he offered any support? I don’t mind reaching out to him on your behalf.

As mentioned above, he didn't reply to my last email where I asked for refund. Feel free, but I don't see what he could do at this point, outside giving a refund - which would be a small satisfaction, and closure on that side. Might be good that he is aware that this case and quality of his work is being publicly discussed, so that he is more careful before ruining somebody else.

 

On 10/3/2023 at 12:19 PM, BeHappy said:

 

The one case I always think of when it comes to removing grafts from a bad hairline is Davy (link below).

 

 

Thanks a lot, these suggestions are helpful. Will contact some of those clinics.

 

On 10/4/2023 at 2:27 PM, mr_peanutbutter said:

where there any signs/visual clues of lpp?

 

“Went for a live consultation with one surgeon where he confirmed that I have maybe 1000 grafts left. Without knowing at which doctor I went previously, he pointed many mistakes Umar made and said he was way too agressive, that he should have seen LPP immediately if there was one, and suspecting that he didn’t see it because there was no LPP before him, and that his aggressive approach with 7600 grafts over 4 days could have resulted in LPP in the first place, also that my hairline was done too low, unnatural, etc. And I agree with everything he said, as I was suspecting all of this. After he gave his opinion, only then I told him my 2 procedures were with Dr. Sanusi Umar, and he was shocked just looking at me for a few moments without saying word. He never saw his patients, but he knew him, and thought that he is top surgeon. He told me honestly that he thought at beginning that I went to cheap Turkish clinics, one of those surgeons that agriculture in the morning and surgery in the afternoon.“

I can't know, but other surgeons said that if there were an LPP he should have seen it immediately. It's difficult not to see it if you know what you are doing. This made me believe that in fact LPP was caused by his aggressive transplant approach.

 

On 10/4/2023 at 3:40 PM, Cory said:

Did you actually test this in Europe as well? To confirm or deny his claims? 

Scarring due to the surgery doesn't always mean scarring alopecia. So if a damaged follicle is being examined, it could look like something it's not.
Did you have blood tests to see if you have a high level of anti-immune cells?

Just curious..

I haven't, but I've done it in independent US health facility, so I don't doubt that at the time of testing there was LPP.

Edited November 2, 2023 by WreckedOne

[WreckedOne]

On 10/3/2023 at 12:19 PM, BeHappy said:

 

The one case I always think of when it comes to removing grafts from a bad hairline is Davy (link below).

 

 

Thanks a lot, these suggestions are helpful. Will contact some of those clinics.

[WreckedOne]

Read this case from 2013 now:

While somewhat different, it's also very similar, I could feel what that other patient of Umar felt. Terrible. I'm sorry I didn't see this before. Would have never picked up Umar.