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At five p.m. on February 4, 1996, a Northampton, Massachusetts, Veterans Affairs Medical Center nursing assistant looked up and saw nurse Kristen Gilbert standing by the entrance to patient Angelo Vella's room.
Gilbert was drawing a syringe, but it was unclear what she was filling the syringe with, because it appeared as though she was trying to hide what she was doing.
After the syringe was full, Gilbert entered Vella's room.
Seconds later, Vella's heart monitor alarm went off.
"Ow, it hurts . . . it burns!" Vella yelled.
When the other nurses heard Vella scream, one raced into the veteran's room and rushed to his bedside, while the others in the vicinity looked on. Gilbert, frozen in her tracks, just stood there in some sort of daze.
Vella's heart rate began to race uncontrollably--as much as 300 beats per minute. But he remained conscious.
"Mr. Vella?" a nurse asked. "Mr. Vella?"
"She did it!" Vella lashed out, pointing at Gilbert. "It started when she flushed my line . . ."
A moment later there was a flatline . . . and then . . . Vella's pulse stopped.
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