1 00:00:01,502 --> 00:00:06,215 ♪ ♪ 2 00:00:06,215 --> 00:00:07,591 VAN ZELLER: We've been, you know, waiting 3 00:00:07,591 --> 00:00:09,801 for this moment for so long. 4 00:00:09,801 --> 00:00:12,387 I start getting anxious beforehand. 5 00:00:12,387 --> 00:00:16,058 VOICE (over computer): Welcome. Please take your ticket. Please drive inside. 6 00:00:18,060 --> 00:00:20,354 VAN ZELLER: So I don't know a lot about this person. 7 00:00:20,354 --> 00:00:23,398 I just know that he's willing to talk. 8 00:00:26,401 --> 00:00:29,363 I've reported on black market surgeries overseas. 9 00:00:32,491 --> 00:00:34,993 VAN ZELLER: But now, a series of suspicious deaths. 10 00:00:41,041 --> 00:00:43,543 VAN ZELLER: Have led me home to America. 11 00:00:43,543 --> 00:00:46,213 Where young women are checking in for plastic surgery and 12 00:00:46,213 --> 00:00:48,924 never checking out. 13 00:00:48,924 --> 00:00:50,634 REPORTER (over TV): A family is heartbroken. 14 00:00:50,634 --> 00:00:52,261 REPORTER (over TV): Is conducting a death investigation. 15 00:00:52,261 --> 00:00:54,054 REPORTER (over TV): Another tragedy out of South Florida. 16 00:00:55,472 --> 00:00:56,848 REPORTER (over TV): Patient REPORTER (over TV): Range in age from 29 to 35. 17 00:00:56,848 --> 00:00:57,975 REPORTER (over TV): 31‐year‐old Latesha Bynum. 18 00:00:57,975 --> 00:00:59,101 REPORTER (over TV): Is in London. 19 00:00:59,101 --> 00:01:00,269 REPORTER (over TV): Kelly Mayhew. 20 00:01:00,269 --> 00:01:01,353 REPORTE (over TV): Danea Plasencia. 21 00:01:01,353 --> 00:01:02,854 REPORTER (over TV): Ria Valeria. 22 00:01:02,854 --> 00:01:04,773 REPORTER (over TV): Died after undergoing the same procedure. 23 00:01:05,899 --> 00:01:11,989 VAN ZELLER: I followed a trail of money, sex, and blood. 24 00:01:11,989 --> 00:01:15,701 From the strip clubs of Atlanta 25 00:01:16,243 --> 00:01:19,079 to a strip mall clinic in Miami. 26 00:01:19,079 --> 00:01:22,040 And to these people whose claims of greed‐driven 27 00:01:22,040 --> 00:01:25,877 managers and dangerous practices could destroy 28 00:01:25,877 --> 00:01:28,505 an entire industry. 29 00:01:30,716 --> 00:01:33,844 Why hasn't anyone come out and spoken, like you? 30 00:01:47,232 --> 00:01:53,488 ♪ ♪ 31 00:01:59,578 --> 00:02:01,330 VAN ZELLER: I'll just follow you. 32 00:02:01,330 --> 00:02:04,750 NIKKI: About to have my bubble scene with my man. 33 00:02:06,668 --> 00:02:09,212 VAN ZELLER: My journey to understand why so many young 34 00:02:09,212 --> 00:02:13,634 women are dying starts here on the set of a music video. 35 00:02:13,967 --> 00:02:14,843 ♪ Cold bitch ♪ 36 00:02:14,843 --> 00:02:15,844 ♪ And I'm from the 317 ♪ 37 00:02:15,844 --> 00:02:16,887 ♪ Tall bitch ♪ 38 00:02:16,887 --> 00:02:17,888 ♪ Kick her ass with a size 11 ♪ 39 00:02:17,888 --> 00:02:19,389 ♪ No hoe shit ♪ ♪ 40 00:02:19,389 --> 00:02:19,973 VAN ZELLER: So this is just a little part of the video. 41 00:02:19,973 --> 00:02:21,141 NIKKI: Yeah. 42 00:02:21,141 --> 00:02:22,267 VAN ZELLER: And this one is called? The song? 43 00:02:25,771 --> 00:02:28,190 VAN ZELLER: Nikki Sweets is an up‐and‐coming hip hop artist 44 00:02:28,190 --> 00:02:32,486 looking to leverage her social media following into global stardom. 45 00:02:34,237 --> 00:02:36,573 NIKKI: The image that people wanna see on TV 46 00:02:36,573 --> 00:02:39,117 is the curvaceous woman. 47 00:02:39,117 --> 00:02:43,080 The more curvaceous you are, the more attractive you are to 48 00:02:43,080 --> 00:02:45,415 the crowd that you're selling to. 49 00:02:46,750 --> 00:02:49,544 Like Nikki Minaj has the fattest ass and she's like the 50 00:02:49,544 --> 00:02:51,755 biggest female artist. 51 00:02:51,755 --> 00:02:53,674 VAN ZELLER: Ten years ago, Nikki didn't have the money 52 00:02:53,674 --> 00:02:55,634 for plastic surgery. 53 00:02:55,634 --> 00:02:59,179 So she paid a stranger for black market injections. 54 00:02:59,805 --> 00:03:02,182 NIKKI: To get my ass done was only like $700. 55 00:03:02,182 --> 00:03:03,433 VAN ZELLER: Wow. 56 00:03:03,433 --> 00:03:04,976 NIKKI: One of the worst experiences of my life. 57 00:03:04,976 --> 00:03:07,479 It was very painful, because I was up the whole time. 58 00:03:07,479 --> 00:03:09,690 There was no numbing, it was just, "Lay down. 59 00:03:09,690 --> 00:03:12,025 I'm going to stick these needles and I'mma fill you up." 60 00:03:12,025 --> 00:03:12,984 And. 61 00:03:12,984 --> 00:03:13,777 VAN ZELLER: What was it? What was. 62 00:03:13,777 --> 00:03:15,153 NIKKI: It was silicone. 63 00:03:15,153 --> 00:03:18,281 It was silicone injected into my ass at that time. 64 00:03:18,281 --> 00:03:19,825 Results were just like that. 65 00:03:19,825 --> 00:03:20,909 VAN ZELLER: Really? NIKKI: Yeah. 66 00:03:20,909 --> 00:03:22,411 VAN ZELLER: Like the moment you left. 67 00:03:22,411 --> 00:03:23,453 NIKKI: The moment it happened I looked in the mirror and 68 00:03:23,453 --> 00:03:24,621 my ass was bigger. 69 00:03:24,621 --> 00:03:26,331 VAN ZELLER: Wow. 70 00:03:26,331 --> 00:03:27,332 Did you know what you were getting yourself into at the time? 71 00:03:27,332 --> 00:03:28,458 Did you know what it was going... 72 00:03:28,458 --> 00:03:30,210 NIKKI: No. VAN ZELLER: To feel like or. 73 00:03:30,210 --> 00:03:31,878 NIKKI: I mean, people talk, there was so many girls that did it. 74 00:03:33,463 --> 00:03:36,341 Years later I kept hearing about girls dying from it. 75 00:03:36,341 --> 00:03:37,634 Infections and stuff. 76 00:03:37,634 --> 00:03:40,053 To this day, I still get scared, 77 00:03:40,053 --> 00:03:41,805 like, am I going to be next? 78 00:03:41,805 --> 00:03:44,474 You know, like, is something going to happen to me next? 79 00:03:44,474 --> 00:03:45,934 VAN ZELLER: Like any black market, 80 00:03:45,934 --> 00:03:49,396 the trade in these illegal injections is driven by demand. 81 00:03:49,813 --> 00:03:51,982 And just like in drugs or guns, 82 00:03:51,982 --> 00:03:55,819 the transactions you hear about are the ones that go wrong. 83 00:03:56,236 --> 00:03:58,697 REPORTER (over TV): 35‐year‐old Wakesha Reid died. 84 00:03:58,697 --> 00:04:00,615 ANCHOR (over TV): She died afte a silicone beauty injection. 85 00:04:00,615 --> 00:04:02,617 REPORTER (over TV): Kelly Mayhe died after a procedure in this. 86 00:04:02,617 --> 00:04:04,369 REPORTER (over TV): 31‐year‐old Latesha Bynum suffered 87 00:04:04,369 --> 00:04:07,706 severe complications after buttock enhancement injection. 88 00:04:09,082 --> 00:04:12,335 VAN ZELLER: Behind every one of these fatalities is a pumper, 89 00:04:12,335 --> 00:04:15,839 a shadowy figure illegally injecting women with 90 00:04:15,839 --> 00:04:19,760 anything from medical silicone to furniture polish. 91 00:04:22,012 --> 00:04:24,014 How many people do you think will be here tonight? 92 00:04:24,014 --> 00:04:25,724 D'NISHA: Every section is sold. 93 00:04:25,724 --> 00:04:26,892 VAN ZELLER: Really? D'NISHA: Yes. 94 00:04:26,892 --> 00:04:28,018 VAN ZELLER: It's sold‐out? D'NISHA: Yes. 95 00:04:28,018 --> 00:04:29,561 VAN ZELLER: And to find a pumper, 96 00:04:29,561 --> 00:04:32,522 I thought I'd start by seeking out women who rely on curves 97 00:04:32,522 --> 00:04:34,649 to make a living. 98 00:04:34,649 --> 00:04:36,276 How long have you been waitressing here for? 99 00:04:36,276 --> 00:04:37,986 D'NISHA: Since we opened two years ago. 100 00:04:37,986 --> 00:04:39,362 VAN ZELLER: So it's gonna be a big night? 101 00:04:39,362 --> 00:04:40,655 D'NISHA: Huge. 102 00:04:40,655 --> 00:04:42,824 VAN ZELLER: My guide, D'nisha Kidwell, 103 00:04:42,824 --> 00:04:44,951 has offered to take me on her rounds, 104 00:04:44,951 --> 00:04:48,205 as she selects the dancers who will work the floor tonight. 105 00:04:49,581 --> 00:04:50,957 D'NISHA: This is the dressing room. 106 00:04:50,957 --> 00:04:53,877 VAN ZELLER: Whoa, it's packed already. 107 00:04:53,877 --> 00:04:55,712 Oh, wow. Hi. 108 00:04:55,712 --> 00:04:56,880 DANCER: Hi. 109 00:04:56,880 --> 00:04:58,089 VAN ZELLER: How are you? DANCER: How are you? 110 00:04:58,089 --> 00:05:00,383 VAN ZELLER: Hi. How are you? Hi everyone. 111 00:05:00,383 --> 00:05:01,927 DANCER: Hi. VAN ZELLER: Hi. 112 00:05:01,927 --> 00:05:03,386 DANCER: So cute. 113 00:05:03,386 --> 00:05:04,513 D'NISHA: So these are the outfits that they gave us. 114 00:05:04,513 --> 00:05:05,889 If they don't come with an outfit, 115 00:05:05,889 --> 00:05:08,225 they have the option of buying one here from her. 116 00:05:08,225 --> 00:05:09,893 They just make sure that they're... 117 00:05:09,893 --> 00:05:11,102 VAN ZELLER: And it's. 118 00:05:11,102 --> 00:05:12,187 D'NISHA: Well taken care of for the night. 119 00:05:12,187 --> 00:05:13,396 VAN ZELLER: For sale? D'NISHA: Yes. 120 00:05:13,396 --> 00:05:14,147 VAN ZELLER: They can buy their stuff here? 121 00:05:14,147 --> 00:05:15,482 D'NISHA: Yes. Yes. 122 00:05:15,482 --> 00:05:17,943 VAN ZELLER: Competition to work here is fierce. 123 00:05:17,943 --> 00:05:20,028 Before any of these dancers are hired, 124 00:05:20,028 --> 00:05:21,988 they have to pass a body check. 125 00:05:25,951 --> 00:05:27,828 VAN ZELLER: Those women selected will pay the club up 126 00:05:27,828 --> 00:05:32,082 to $400 to dance here, just for a single night. 127 00:05:32,624 --> 00:05:35,627 D'NISHA: Okay, turn around. 128 00:05:36,837 --> 00:05:39,840 All the way. Okay. 129 00:05:40,549 --> 00:05:42,217 VAN ZELLER: Dancers jump through these hoops because 130 00:05:42,217 --> 00:05:44,511 the upside is enormous. 131 00:05:45,095 --> 00:05:51,768 ♪ I know you want me, stand beside me ♪ 132 00:05:52,269 --> 00:05:53,228 VAN ZELLER: Attention. 133 00:05:53,228 --> 00:05:54,521 ♪ To make ♪ 134 00:05:54,521 --> 00:05:55,480 VAN ZELLER: Opportunity. 135 00:05:55,480 --> 00:05:56,773 ♪ Yourself ♪ 136 00:05:56,773 --> 00:05:57,816 VAN ZELLER: And a share. 137 00:05:57,816 --> 00:05:59,025 ♪ Feel ♪ 138 00:05:59,025 --> 00:06:00,026 VAN ZELLER: Of this. 139 00:06:00,026 --> 00:06:03,029 ♪ Like you're mine ♪ ♪ 140 00:06:09,286 --> 00:06:11,705 ♪ ♪ 141 00:06:11,705 --> 00:06:15,834 VAN ZELLER: On a good night, a dancer can clear up to $10,000. 142 00:06:19,087 --> 00:06:22,173 All of which can make both legal cosmetic surgery and 143 00:06:22,173 --> 00:06:25,051 illegal procedures like getting pumped seem like 144 00:06:25,051 --> 00:06:27,345 a good idea. 145 00:06:27,345 --> 00:06:30,181 All these women have big boobs and big butts, right? 146 00:06:30,181 --> 00:06:32,392 MAN: They're taking in their waist or they're spreading out 147 00:06:32,392 --> 00:06:35,395 their hips and really getting those big butts. 148 00:06:35,395 --> 00:06:36,897 VAN ZELLER: How many women that work here do you think 149 00:06:36,897 --> 00:06:40,567 have had plastic surgery or some sort of body modifications? 150 00:06:40,567 --> 00:06:42,277 MAN: It's, it's in the 90% probably. 151 00:06:42,277 --> 00:06:43,987 MAN 2: Yeah. VAN ZELLER: 90%? MAN: Yeah. 152 00:06:43,987 --> 00:06:45,280 It's, basically you just walking into the, 153 00:06:45,280 --> 00:06:47,949 what you see on TV, pretty much. 154 00:06:48,325 --> 00:06:52,621 VAN ZELLER: And what you see on TV and social media is this. 155 00:06:52,621 --> 00:06:55,165 Celebrities and influencers with the kind of curves that 156 00:06:55,165 --> 00:06:58,710 are inspiring a generation of young women to buy the look 157 00:06:58,710 --> 00:07:01,046 with cosmetic surgery. 158 00:07:02,380 --> 00:07:07,010 In reality, changing the shape of women's bodies is not a new trend. 159 00:07:07,761 --> 00:07:11,681 Back in the 1890s, Austrian doctors first performed 160 00:07:11,681 --> 00:07:15,685 breast augmentations using injections of melted wax. 161 00:07:16,519 --> 00:07:19,481 And through the 1940s, Japanese sex workers were 162 00:07:19,481 --> 00:07:22,651 pumped with industrial silicone to increase their 163 00:07:22,651 --> 00:07:25,528 earning power with American GIs. 164 00:07:26,112 --> 00:07:30,867 In both cases, the risks taken by women proved disastrous. 165 00:07:31,493 --> 00:07:33,536 WOMAN: (bleep). 166 00:07:33,536 --> 00:07:35,997 (screaming). 167 00:07:35,997 --> 00:07:37,499 D'NISHA: They like that. 168 00:07:37,499 --> 00:07:39,042 VAN ZELLER: Are you happy with how your body looks now? 169 00:07:39,042 --> 00:07:41,461 D'NISHA: I am, but I'm going to get a tune up and I'm going 170 00:07:41,461 --> 00:07:43,630 to get some things readjusted. 171 00:07:43,630 --> 00:07:46,174 VAN ZELLER: Yeah, I mean, you look beautiful. I don't think you need anything done. 172 00:07:46,174 --> 00:07:48,802 D'NISHA: Thank you. Thank you. But I just, I just, it's just me. 173 00:07:48,802 --> 00:07:50,053 VAN ZELLER: Uh‐huh. 174 00:07:50,053 --> 00:07:51,054 D'NISHA: So, for me, if I look in the mirror, 175 00:07:51,054 --> 00:07:52,222 I wanna feel confident. 176 00:07:52,222 --> 00:07:54,432 So that makes, that helps me out. 177 00:07:54,432 --> 00:07:56,810 And I feel like if my confidence level is up here, 178 00:07:56,810 --> 00:07:58,311 my money is up here. 179 00:07:58,311 --> 00:07:59,396 VAN ZELLER: Have you heard of women getting, 180 00:07:59,396 --> 00:08:00,605 uh, butt injections? 181 00:08:00,605 --> 00:08:01,981 D'NISHA: Yes. 182 00:08:02,941 --> 00:08:05,068 VAN ZELLER: Did you ever do that? 183 00:08:05,068 --> 00:08:06,695 D'NISHA: No comment. 184 00:08:06,695 --> 00:08:08,238 VAN ZELLER: Is that something that when women, 185 00:08:08,238 --> 00:08:10,156 if they get butt inject, butt injections, 186 00:08:10,156 --> 00:08:11,533 they usually don't wanna talk about it? 187 00:08:11,533 --> 00:08:12,867 D'NISHA: Um, yes. 188 00:08:12,867 --> 00:08:14,911 Um, a lot of people don't wanna talk about that. 189 00:08:14,911 --> 00:08:16,162 VAN ZELLER: Because it's not legal? 190 00:08:16,162 --> 00:08:17,997 D'NISHA: Right. 191 00:08:18,998 --> 00:08:20,834 VAN ZELLER: Um, do you know anyone who gives shots? 192 00:08:20,834 --> 00:08:23,086 D'NISHA: Gives them? No. 193 00:08:23,086 --> 00:08:24,546 VAN ZELLER: I mean, we would love to interview somebody who 194 00:08:24,546 --> 00:08:27,841 gives shots and we wouldn't show their face and we 195 00:08:27,841 --> 00:08:29,718 wouldn't disclose their identity. 196 00:08:29,718 --> 00:08:31,886 And we would just like to talk to them. 197 00:08:31,886 --> 00:08:33,304 D'NISHA: Like, if I knew who does them, 198 00:08:33,304 --> 00:08:35,473 I couldn't tell you who it is. 199 00:08:36,683 --> 00:08:38,184 VAN ZELLER: None of the women at the club would connect us 200 00:08:38,184 --> 00:08:39,561 to a pumper. 201 00:08:39,561 --> 00:08:41,730 And that's not a surprise. 202 00:08:41,730 --> 00:08:45,275 In this community, pumpers are underworld figures who carry 203 00:08:45,275 --> 00:08:48,570 status, cash, and guns. 204 00:08:49,362 --> 00:08:50,947 SHEENA: I know a pumper. 205 00:08:50,947 --> 00:08:53,825 They came in and they had guns and they made sure they put 206 00:08:53,825 --> 00:08:56,494 the guns right there so we can see them. 207 00:08:56,786 --> 00:08:59,789 VAN ZELLER: There's a wall of fear out there. 208 00:08:59,789 --> 00:09:02,709 And I'm hoping insiders and former clients will help me 209 00:09:02,709 --> 00:09:04,836 break through it. 210 00:09:04,836 --> 00:09:06,254 Is she still injecting? 211 00:09:06,254 --> 00:09:07,839 VANCIE (over computer): Yes, she is. 212 00:09:07,839 --> 00:09:09,257 VAN ZELLER: Do you think that considering the fact that what 213 00:09:09,257 --> 00:09:11,009 she's doing is illegal, she will talk to us? 214 00:09:11,009 --> 00:09:13,762 VANCIE (over computer): I know that a lot of them won't. 215 00:09:13,762 --> 00:09:16,431 VAN ZELLER: All I need is the right introduction. 216 00:09:16,723 --> 00:09:20,310 How would you even go about here in Atlanta to look for a pumper? 217 00:09:20,310 --> 00:09:22,687 MARCELLA: There's no benefit interviewing with you. 218 00:09:22,687 --> 00:09:24,064 There's absolutely no benefit. 219 00:09:24,064 --> 00:09:25,732 It's not even worth it for them. 220 00:09:25,732 --> 00:09:27,025 VAN ZELLER: How much money do you think they're making? 221 00:09:27,025 --> 00:09:28,693 SHEENA: Oh, my goodness (bleep) told me she made 222 00:09:28,693 --> 00:09:30,111 $1 million one year. 223 00:09:30,111 --> 00:09:32,238 VAN ZELLER: No way. 224 00:09:33,073 --> 00:09:35,075 So there's one very famous pumper here in Atlanta. 225 00:09:35,075 --> 00:09:36,242 SHEENA: Yes. 226 00:09:36,242 --> 00:09:37,744 VAN ZELLER: That we keep hearing about. 227 00:09:37,744 --> 00:09:39,454 And I was wondering if you think there's any way that we 228 00:09:39,454 --> 00:09:40,914 could connect with her? 229 00:09:40,914 --> 00:09:42,373 SHEENA (over phone): I really think it's gonna be, 230 00:09:42,373 --> 00:09:44,125 it's gonna be difficult. 231 00:09:44,876 --> 00:09:46,419 VAN ZELLER: As any journalist will tell you, 232 00:09:46,419 --> 00:09:49,714 the harder you work, the luckier you get. 233 00:09:49,714 --> 00:09:52,050 And after scouring this city for pumpers, 234 00:09:52,050 --> 00:09:54,344 I finally find a lead. 235 00:09:54,344 --> 00:09:58,056 So Jenny, we got your number here in Atlanta from somebody 236 00:09:58,056 --> 00:10:00,266 who said you've been injected before? 237 00:10:00,266 --> 00:10:02,143 JENNY (over phone): Yeah, yeah, I have. 238 00:10:02,143 --> 00:10:04,479 VAN ZELLER: And we've been looking for somebody that will talk to us. 239 00:10:04,479 --> 00:10:06,189 JENNY (over phone): Oh, you wanna talk to an injector? 240 00:10:06,189 --> 00:10:08,191 VAN ZELLER: An injector that would talk to us. 241 00:10:08,191 --> 00:10:10,068 JENNY (over phone): Yeah, I know someone. 242 00:10:20,203 --> 00:10:22,122 JENNY (over phone): You know what I mean? 243 00:10:22,122 --> 00:10:24,124 VAN ZELLER: Yeah. I mean, Jenny, it would be great if you could reach out 244 00:10:24,124 --> 00:10:25,625 to her and see if we could talk. 245 00:10:25,625 --> 00:10:27,252 You can tell her we're just really interested in hearing 246 00:10:27,252 --> 00:10:30,130 her side of the story, why she does what she does. 247 00:10:35,176 --> 00:10:38,680 VAN ZELLER: So, wait, so, is it common that people sell 248 00:10:38,680 --> 00:10:40,348 injectors' phone numbers? 249 00:10:40,348 --> 00:10:41,724 JENNY (over phone): It is common. 250 00:10:41,724 --> 00:10:43,309 VAN ZELLER: Uh‐hmm. Yeah. 251 00:10:43,309 --> 00:10:45,979 That's complicated because we don't pay for interviews. 252 00:10:45,979 --> 00:10:48,940 JENNY (over phone): Okay. I have to get back to you. 253 00:10:48,940 --> 00:10:50,775 I have to ask her if she's okay with that first and then 254 00:10:50,775 --> 00:10:52,110 I'll let you know. 255 00:10:52,110 --> 00:10:54,320 VAN ZELLER: Okay. 256 00:10:59,742 --> 00:11:02,036 (phone ringing). 257 00:11:02,036 --> 00:11:06,249 When Jenny texts me back, the news is even better than I'd hoped for. 258 00:11:06,791 --> 00:11:10,003 So supposedly she's here already, 259 00:11:10,003 --> 00:11:13,256 just have to figure out exactly where. 260 00:11:14,549 --> 00:11:18,428 Her contact, a legendary Atlanta pumper named Ms. T 261 00:11:18,428 --> 00:11:20,430 has agreed to a meeting. 262 00:11:20,430 --> 00:11:23,516 Hey, yeah, so we are here already. 263 00:11:23,516 --> 00:11:25,476 But I'm not sure where you are. 264 00:11:27,562 --> 00:11:30,106 Do you see me? 265 00:11:30,440 --> 00:11:32,734 Okay, is that you right here? 266 00:11:32,734 --> 00:11:34,527 Yeah, okay, I see. 267 00:11:34,527 --> 00:11:36,571 Yeah, okay, we'll follow you. 268 00:11:36,905 --> 00:11:39,657 Ms. T is on her way to inject a client. 269 00:11:39,657 --> 00:11:42,702 And she's invited us to witness a motel room procedure 270 00:11:42,702 --> 00:11:45,538 that could land her 10 years in jail. 271 00:11:45,955 --> 00:11:46,831 MS T: How you feel? 272 00:11:46,831 --> 00:11:48,583 AMBER: I'm okay. 273 00:11:48,583 --> 00:11:51,211 VAN ZELLER: Because when things go wrong in this business, people die. 274 00:11:51,586 --> 00:11:53,171 MS T: You ready? 275 00:12:02,847 --> 00:12:07,435 ♪ ♪ 276 00:12:07,685 --> 00:12:10,188 VAN ZELLER: This is it. We have someone. 277 00:12:10,188 --> 00:12:12,857 Just make sure you don't put the cameras on the car, you know? 278 00:12:12,857 --> 00:12:15,777 We don't wanna make her nervous. 279 00:12:16,527 --> 00:12:20,198 Ms. T has led us to a motel on the outskirts of Atlanta. 280 00:12:20,740 --> 00:12:23,159 She has set conditions for filming. 281 00:12:23,159 --> 00:12:24,702 She wants us to conceal her voice, 282 00:12:24,702 --> 00:12:27,789 her identity, and her location. 283 00:12:29,457 --> 00:12:33,503 At exactly 11pm, we are to meet her in room 306. 284 00:12:39,884 --> 00:12:45,098 ♪ ♪ 285 00:12:51,145 --> 00:12:53,147 MS T: Take your body closer to me this way. 286 00:12:53,147 --> 00:12:55,275 Yeah, just like this. This is fine. 287 00:12:57,068 --> 00:13:00,196 VAN ZELLER: Ms. T has no formal medical training. 288 00:13:00,196 --> 00:13:03,408 What she's doing is dangerous, sometimes lethal. 289 00:13:08,329 --> 00:13:11,249 VAN ZELLER: And can create health effects that linger for years. 290 00:13:12,000 --> 00:13:13,543 How many times have you done this before? 291 00:13:16,379 --> 00:13:18,256 VAN ZELLER: Amber is transgender and these 292 00:13:18,256 --> 00:13:21,384 injections will be a final step in claiming a body she 293 00:13:21,384 --> 00:13:24,095 has been looking for her entire life. 294 00:13:24,095 --> 00:13:25,513 But you are aware of the risks? 295 00:13:56,961 --> 00:14:03,259 ♪ ♪ 296 00:14:03,634 --> 00:14:07,013 VAN ZELLER: Oh, my God. Looks painful. 297 00:14:08,097 --> 00:14:11,184 Ms. T tells me that she only uses medical‐grade silicone 298 00:14:11,184 --> 00:14:14,854 supplied to her illegally by an actual doctor. 299 00:14:16,230 --> 00:14:19,358 But in this underworld, a pumper's integrity is the only 300 00:14:19,358 --> 00:14:23,780 thing determining the quality and content of the material 301 00:14:23,780 --> 00:14:25,823 being pushed into the body. 302 00:14:32,121 --> 00:14:33,581 So what's that? 303 00:14:46,719 --> 00:14:48,429 VAN ZELLER: So that's it? MS T: Yeah. 304 00:14:48,429 --> 00:14:49,889 VAN ZELLER: Wait, and now you just get dressed and you leave? 305 00:14:49,889 --> 00:14:51,390 AMBER: Yeah. VAN ZELLER: Hmm. 306 00:14:51,390 --> 00:14:53,893 So the whole thing took about 15 minutes? 307 00:14:53,893 --> 00:14:55,770 MS T: Yeah. 308 00:14:56,479 --> 00:14:57,939 VAN ZELLER: What would you say to people who would judge you 309 00:14:57,939 --> 00:15:00,775 and say, "She's doing this crazy procedure and it's so 310 00:15:00,775 --> 00:15:04,195 dangerous and people are dying and she must be really stupid 311 00:15:04,195 --> 00:15:05,404 to be doing this"? 312 00:15:05,404 --> 00:15:07,573 AMBER: Well, I know I'm not stupid and so 313 00:15:07,573 --> 00:15:10,868 I'd just tell those people to kiss my ass. 314 00:15:12,120 --> 00:15:15,498 I shoulda used this body during the summertime. 315 00:15:15,498 --> 00:15:18,334 Now I will have to wait to show it off again. 316 00:15:22,004 --> 00:15:24,966 VAN ZELLER: Did you ever think that you'd be working in the underground? 317 00:15:24,966 --> 00:15:27,051 MS T: Not in my wildest dreams. 318 00:15:47,613 --> 00:15:48,990 VAN ZELLER: Do you think that had an influence on you 319 00:15:48,990 --> 00:15:50,700 wanting to do cosmetic procedures on other people? 320 00:15:50,700 --> 00:15:52,535 MS T: Yes. VAN ZELLER: Uh‐hmm. 321 00:15:52,535 --> 00:15:54,203 How many people do you think you've injected? 322 00:15:54,203 --> 00:15:56,664 MS T: Oh, wow, I can't even, hundreds, hundreds. 323 00:15:56,664 --> 00:15:58,457 VAN ZELLER: What's the most amount of people you ever did 324 00:15:58,457 --> 00:15:59,959 in one day or one night? 325 00:15:59,959 --> 00:16:01,210 MS T: About 40. 326 00:16:01,210 --> 00:16:03,462 VAN ZELLER: 40 people? MS T: Uh‐hmm. 327 00:16:03,462 --> 00:16:05,965 VAN ZELLER: In, in one night? MS T: Yes. 328 00:16:05,965 --> 00:16:07,550 VAN ZELLER: How much do you charge? 329 00:16:07,550 --> 00:16:08,759 MS T: $1,000. 330 00:16:08,759 --> 00:16:10,094 VAN ZELLER: So you made $40,000 that one day? 331 00:16:12,180 --> 00:16:13,222 VAN ZELLER: So it's super easy money. 332 00:16:13,222 --> 00:16:14,265 MS T: Yeah. 333 00:16:14,265 --> 00:16:15,558 VAN ZELLER: But really risky too. 334 00:16:15,558 --> 00:16:18,728 MS T: Very risky. It's very, very risky. Yes. 335 00:16:23,691 --> 00:16:24,817 VAN ZELLER: So what changed in you? 336 00:16:29,447 --> 00:16:30,489 VAN ZELLER: And this was somebody that you were going 337 00:16:30,489 --> 00:16:32,491 to inject and then they robbed you? 338 00:16:32,491 --> 00:16:34,952 MS T: Uh‐hmm. Tied me up, beat me with a gun. 339 00:16:36,871 --> 00:16:38,456 VAN ZELLER: Because you were carrying so much cash, 340 00:16:38,456 --> 00:16:40,833 did you ever carry a gun with you? 341 00:16:43,419 --> 00:16:44,420 VAN ZELLER: Okay. 342 00:16:48,799 --> 00:16:50,426 VAN ZELLER: Knowing all the risks involved and knowing how 343 00:16:50,426 --> 00:16:52,011 there are people who have died, 344 00:16:52,011 --> 00:16:54,889 have you ever had any problems with anyone you've injected? 345 00:17:01,187 --> 00:17:02,897 VAN ZELLER: I don't doubt Ms. T, 346 00:17:02,897 --> 00:17:05,775 but it's not like there are records kept of the negative 347 00:17:05,775 --> 00:17:09,403 effects, which can show up years later. 348 00:17:09,737 --> 00:17:11,864 TIMOTHY: Very good. 349 00:17:12,323 --> 00:17:15,326 VAN ZELLER: You could call it the flipside of silicone pumping 350 00:17:15,326 --> 00:17:19,247 or just another day at the office for Dr. Timothy Katzen. 351 00:17:19,997 --> 00:17:23,125 TIMOTHY: This patient had a series of three sessions of 352 00:17:23,125 --> 00:17:27,797 injections, consisting of about 20 injections per side, 353 00:17:27,797 --> 00:17:30,800 starting about ten years ago. 354 00:17:31,259 --> 00:17:32,802 VAN ZELLER: Up to seven times a week, 355 00:17:32,802 --> 00:17:36,847 he tackles a job so dangerous that most plastic surgeons 356 00:17:36,847 --> 00:17:38,641 refuse to do it, 357 00:17:38,641 --> 00:17:41,852 removing the silicone from black market injections. 358 00:17:43,396 --> 00:17:46,315 For patients who had been seeking a cheap beauty fix, 359 00:17:46,315 --> 00:17:49,318 this is where the dream comes to die. 360 00:17:50,236 --> 00:17:53,322 A warning, this is about to get very graphic. 361 00:17:55,533 --> 00:17:58,953 TIMOTHY: See all the stuff? That's all silicone. 362 00:17:58,953 --> 00:18:02,707 Sometimes the silicone injectable will migrate. 363 00:18:03,040 --> 00:18:05,209 If it goes into your heart, you can have a heart attack. 364 00:18:05,209 --> 00:18:07,670 If it goes into your brain, you could have a stroke. 365 00:18:07,670 --> 00:18:11,382 All the silicone is just right at the surface, 366 00:18:11,382 --> 00:18:13,718 trying to leak out. 367 00:18:20,141 --> 00:18:21,475 VAN ZELLER: Despite the dangers, 368 00:18:21,475 --> 00:18:24,520 every night, pumpers are out there pumping, 369 00:18:24,520 --> 00:18:28,524 selling curves that are pushed to us on social media. 370 00:18:35,615 --> 00:18:39,452 I'm not immune to these pressures either. 371 00:18:40,995 --> 00:18:43,998 Over the past couple of years, I've paid a doctor to inject 372 00:18:43,998 --> 00:18:48,252 acids and toxins into my face to make me look younger. 373 00:18:50,171 --> 00:18:53,758 Botox, a procedure that happens to be perfectly legal. 374 00:18:54,925 --> 00:18:57,637 The methods and products could not be more different. 375 00:18:57,637 --> 00:19:00,348 But the motivations are the same. 376 00:19:01,515 --> 00:19:05,478 After all, who doesn't want to look more attractive 377 00:19:05,478 --> 00:19:08,397 or feel more confident? 378 00:19:08,689 --> 00:19:12,985 The demand for plastic surgery cuts across all demographic lines. 379 00:19:12,985 --> 00:19:16,155 But all too often, the outcomes and risks of those 380 00:19:16,155 --> 00:19:20,534 procedures depend on how much the patient is able to pay. 381 00:19:21,911 --> 00:19:25,289 In one corner of America, the pressure for a perfect body 382 00:19:25,289 --> 00:19:29,126 has become so great that it's launched an entire 383 00:19:29,126 --> 00:19:32,171 medical tourism industry. 384 00:19:34,674 --> 00:19:37,968 Welcome to Miami. 385 00:19:39,845 --> 00:19:43,683 The new home of cheap plastic surgery and to a string of 386 00:19:43,683 --> 00:19:46,310 suspicious deaths. 387 00:20:04,954 --> 00:20:09,750 ♪ ♪ 388 00:20:09,750 --> 00:20:13,045 VAN ZELLER: Until recently, the high cost of plastic surgery 389 00:20:13,045 --> 00:20:15,297 meant that the only option for some patients 390 00:20:15,297 --> 00:20:19,385 seeking exaggerated curves were underground procedures, 391 00:20:19,385 --> 00:20:22,555 like the silicone shots I witnessed in Atlanta. 392 00:20:26,642 --> 00:20:29,103 So this is where we've heard there's a couple of these 393 00:20:29,103 --> 00:20:33,357 surgery centers, which is sort of strange because you usually 394 00:20:33,357 --> 00:20:36,694 associate, you know, plastic surgery to luxury. 395 00:20:38,028 --> 00:20:40,698 Today, in strip malls on the west side of Miami, 396 00:20:40,698 --> 00:20:43,743 a new breed of legal outpatient clinics has 397 00:20:43,743 --> 00:20:48,164 emerged, offering layaway plans and rock‐bottom prices. 398 00:20:49,290 --> 00:20:50,833 There's a car arriving. 399 00:20:50,833 --> 00:20:53,294 Well, there's a couple of people waiting outside. 400 00:20:54,962 --> 00:20:57,465 Many, if not most of the clients you see coming in and 401 00:20:57,465 --> 00:21:00,176 out of these clinics, seem to be coming straight from the 402 00:21:00,176 --> 00:21:02,845 airport, with suitcases in tow. 403 00:21:03,679 --> 00:21:06,432 So it's been 10 minutes since I've been sitting here, 404 00:21:06,432 --> 00:21:08,684 seeing a bunch of women just go in and out. 405 00:21:08,684 --> 00:21:11,187 I mean, it had been described to us like a factory and 406 00:21:11,187 --> 00:21:13,397 that's what it feels like right now. 407 00:21:13,856 --> 00:21:16,192 Along with breast enhancements and tummy tucks, 408 00:21:16,192 --> 00:21:18,986 these centers offer a procedure that can provide 409 00:21:18,986 --> 00:21:22,323 even more dramatic results than silicone pumping. 410 00:21:22,323 --> 00:21:25,576 It's the fastest‐growing cosmetic surgery in America, 411 00:21:25,576 --> 00:21:27,995 the Brazilian butt lift. 412 00:21:35,211 --> 00:21:38,464 ♪ ♪ 413 00:21:38,464 --> 00:21:40,382 The BBL sounds simple. 414 00:21:40,382 --> 00:21:42,510 Suck out the fat from your stomach and thighs where you 415 00:21:42,510 --> 00:21:45,638 don't want it, and inject it into your hips and butt, 416 00:21:45,638 --> 00:21:47,556 where you do. 417 00:21:47,556 --> 00:21:49,683 DR OKORO: This is done side. These are done. 418 00:21:49,683 --> 00:21:50,851 VAN ZELLER: Wow, what a difference. 419 00:21:50,851 --> 00:21:51,977 DR OKORO: We don't wanna make it too big. 420 00:21:51,977 --> 00:21:54,772 We wanna make it like, look classy. 421 00:21:56,816 --> 00:21:59,026 VAN ZELLER: In reality, it's the most dangerous operation 422 00:21:59,026 --> 00:22:01,529 in cosmetic surgery. 423 00:22:01,529 --> 00:22:04,490 Like silicone, if fat is injected in the wrong place, 424 00:22:04,490 --> 00:22:07,117 it can kill the patient almost instantly. 425 00:22:08,160 --> 00:22:10,996 Dr. Stanley Okoro, a board‐certified plastic surgeon 426 00:22:10,996 --> 00:22:15,000 in Atlanta, trained 12 years to avoid these pitfalls. 427 00:22:15,668 --> 00:22:20,506 But the doctors in Miami's bargain clinics are often far less qualified. 428 00:22:21,298 --> 00:22:23,008 DR OKORO: In the United States of America, 429 00:22:23,008 --> 00:22:27,847 any medical doctor can do plastic surgery. 430 00:22:27,847 --> 00:22:29,807 VAN ZELLER: So a pediatrician could do plastic surgery. 431 00:22:29,807 --> 00:22:30,933 DR OKORO: That's correct. 432 00:22:30,933 --> 00:22:33,185 A pediatrician can do cosmetic surgery. 433 00:22:33,185 --> 00:22:35,104 VAN ZELLER: And these doctors that aren't plastic surgeons, 434 00:22:35,104 --> 00:22:37,565 how much training are they getting before they operate? 435 00:22:37,565 --> 00:22:40,901 DR OKORO: There are all kinds of weekend courses that these 436 00:22:40,901 --> 00:22:43,571 doctors can take on, in a hotel. 437 00:22:43,571 --> 00:22:45,447 It's like a cookbook. 438 00:22:45,447 --> 00:22:49,285 The problem is, if you get into a problem and it's not in the cookbook. 439 00:22:49,285 --> 00:22:50,828 VAN ZELLER: What do you do then? Yeah. 440 00:22:50,828 --> 00:22:52,121 DR OKORO: He call 911. 441 00:22:52,121 --> 00:22:53,497 VAN ZELLER: Right. 442 00:22:53,497 --> 00:22:54,832 REPORTER (over TV): An investigation is just beginning 443 00:22:54,832 --> 00:22:56,834 after a woman died following plastic surgery. 444 00:22:56,834 --> 00:22:58,752 REPORTER (over TV): Heather Meadows died during a Brazilian butt lift. 445 00:22:58,752 --> 00:23:00,254 REPORTER (over V): Danea Plasencia died after 446 00:23:00,254 --> 00:23:01,922 undergoing a Brazilian butt lift. 447 00:23:01,922 --> 00:23:03,382 REPORTER (over TV): She's one of more than a dozen women who 448 00:23:03,382 --> 00:23:06,552 died after undergoing the same procedure in South Florida. 449 00:23:15,644 --> 00:23:17,313 VAN ZELLER: Hi. How are you? 450 00:23:17,313 --> 00:23:19,356 CAROLINA: How are you? VAN ZELLER: Good. 451 00:23:19,356 --> 00:23:20,524 I'm Mariana. So nice to meet you. 452 00:23:20,524 --> 00:23:21,775 CAROLINA: Carolina. Nice to meet you. 453 00:23:21,775 --> 00:23:22,651 VAN ZELLER: Thank you so much for having me. 454 00:23:22,651 --> 00:23:23,402 CAROLINA: My grandma, Mariana. 455 00:23:23,402 --> 00:23:24,737 (speaking Spanish). 456 00:23:24,737 --> 00:23:25,571 VAN ZELLER: Oh, yes, you're called Mariana also. 457 00:23:29,783 --> 00:23:31,160 MARIANA: Mariana. VAN ZELLER: Oh. 458 00:23:31,160 --> 00:23:34,788 In 2016, Carolina Flores' sister, Maria Christian, 459 00:23:34,788 --> 00:23:37,583 saved up for a tummy tuck to hide the 460 00:23:37,583 --> 00:23:40,586 stretch marks from giving birth to her second child. 461 00:24:12,993 --> 00:24:15,579 VAN ZELLER: What clinic? What center did she go to? 462 00:24:15,579 --> 00:24:18,499 CAROLINA: Vanity. Before, I believe they were called Encore. 463 00:24:32,972 --> 00:24:34,556 VAN ZELLER: Shortly after leaving, 464 00:24:34,556 --> 00:24:36,225 I received an email from Carolina, 465 00:24:36,225 --> 00:24:39,895 which contained this police report of her sister's death. 466 00:24:41,563 --> 00:24:43,816 It says that when EMS arrived at the clinic, 467 00:24:43,816 --> 00:24:47,486 they were denied access for at least five minutes. 468 00:24:47,861 --> 00:24:49,613 Why? 469 00:24:49,613 --> 00:24:51,365 What could possibly be more important than letting 470 00:24:51,365 --> 00:24:53,909 paramedics into that building? 471 00:24:55,494 --> 00:24:58,080 Okay, so you see that one? 472 00:24:59,164 --> 00:25:01,792 I'm gonna try and go inside to see if I can get a consultation. 473 00:25:14,221 --> 00:25:17,599 JEROME: Here we are in Miami in a typical strip mall. 474 00:25:17,599 --> 00:25:19,309 VAN ZELLER: Right. 475 00:25:19,309 --> 00:25:21,395 And not where you'd expect a medical facility to be at, right? 476 00:25:21,395 --> 00:25:22,896 JEROME: Absolutely. 477 00:25:22,896 --> 00:25:24,982 VAN ZELLER: These strip mall surgery centers in Miami are 478 00:25:24,982 --> 00:25:27,359 promising beauty on the cheap. 479 00:25:30,946 --> 00:25:34,324 But I want to know why their patients are dying in alarming numbers. 480 00:25:39,705 --> 00:25:41,457 When did this all start, these clinics? 481 00:25:41,457 --> 00:25:45,210 JEROME: They started exploding in numbers ten years ago and 482 00:25:45,210 --> 00:25:48,005 it's just gotten bigger and bigger and bigger. 483 00:25:48,505 --> 00:25:50,174 VAN ZELLER: To hit the ground running, 484 00:25:50,174 --> 00:25:53,844 I'm piggybacking on the investigations of three people, 485 00:25:53,844 --> 00:25:57,097 medical malpractice lawyer Andres Beregovich, 486 00:25:57,097 --> 00:26:00,601 who has launched a number of lawsuits against these clinics. 487 00:26:01,310 --> 00:26:04,855 Jerome Hill, a former cop and former investigator for the 488 00:26:04,855 --> 00:26:07,316 Florida Department of Health. 489 00:26:07,816 --> 00:26:10,944 And Florida State Senator Anitere Flores who has passed 490 00:26:10,944 --> 00:26:14,281 a bill requiring stricter regulations. 491 00:26:14,740 --> 00:26:18,077 ANITERE: This is something that has become a national problem. 492 00:26:18,660 --> 00:26:20,954 VAN ZELLER: They're giving me a crash course in a cottage industry 493 00:26:20,954 --> 00:26:24,625 that appears to be operating at the margins of the law. 494 00:26:26,251 --> 00:26:27,377 What's the clientele? 495 00:26:27,377 --> 00:26:28,754 Who are the people coming to these centers? 496 00:26:28,754 --> 00:26:30,339 ANITERE: These are people from across the country. 497 00:26:30,339 --> 00:26:31,715 VAN ZELLER: Uh‐hmm. 498 00:26:31,715 --> 00:26:34,968 ANITERE: That are being, I would say, preyed upon. 499 00:26:36,095 --> 00:26:37,971 We'll have hospital executives that'll tell us, 500 00:26:37,971 --> 00:26:39,431 "Oh, yeah. 501 00:26:39,431 --> 00:26:40,933 You know we have a couple patients a week that come in 502 00:26:40,933 --> 00:26:42,518 from that plastic surgery place, 503 00:26:42,518 --> 00:26:44,853 but we can't do anything about it." 504 00:26:46,063 --> 00:26:48,816 JEROME: We're gonna go in here and see a particular 505 00:26:48,816 --> 00:26:52,236 problematic surgery center that has given the state, 506 00:26:52,236 --> 00:26:55,405 and more importantly, the citizens of Florida some 507 00:26:55,405 --> 00:26:56,990 consternation and. 508 00:26:56,990 --> 00:26:57,866 VAN ZELLER: That one over there? 509 00:26:57,866 --> 00:26:58,826 JEROME: Yeah. 510 00:26:58,826 --> 00:27:00,327 VAN ZELLER: Jolie? JEROME: Yes. 511 00:27:00,327 --> 00:27:03,455 VAN ZELLER: Jolie, the clinic formerly known as Vanity, 512 00:27:03,455 --> 00:27:06,208 where Maria Christian died. 513 00:27:06,583 --> 00:27:09,294 After the incident, the clinic issued a statement claiming 514 00:27:09,294 --> 00:27:12,089 they followed standard procedures. 515 00:27:12,089 --> 00:27:14,758 But a pending malpractice lawsuit against Vanity and 516 00:27:14,758 --> 00:27:18,262 Maria's doctor alleges otherwise. 517 00:27:18,262 --> 00:27:21,849 And Maria's death is not a stand‐alone incident. 518 00:27:22,391 --> 00:27:25,143 So how many deaths have happened here? 519 00:27:25,143 --> 00:27:29,273 JEROME: Jolie Center and their affiliate has had eight deaths right now. 520 00:27:29,273 --> 00:27:30,482 VAN ZELLER: Just in six years? 521 00:27:30,482 --> 00:27:32,025 JEROME: That's just astronomical. 522 00:27:32,025 --> 00:27:33,610 VAN ZELLER: That's right. 523 00:27:33,610 --> 00:27:37,865 Eight deaths between 2013 and 2018 have been linked to this 524 00:27:37,865 --> 00:27:41,410 clinic, which operated first as Encore , 525 00:27:41,410 --> 00:27:44,329 then as Vanity , and now as Jolie . 526 00:27:45,414 --> 00:27:48,166 Local media reports that nearly a dozen other women 527 00:27:48,166 --> 00:27:50,919 have also suffered serious injuries. 528 00:27:52,880 --> 00:27:54,381 ANDRES: When there's too much heat, 529 00:27:54,381 --> 00:27:59,344 they just close, then reopen, same location. It's crazy. 530 00:28:00,137 --> 00:28:03,515 VAN ZELLER: A 2019 exposé by The Naples Daily News and 531 00:28:03,515 --> 00:28:06,894 USA Today had this to say about the deaths, 532 00:28:06,894 --> 00:28:10,063 name changes, and the clinic's de facto owner, 533 00:28:10,063 --> 00:28:12,399 Ismael Labrador. 534 00:28:13,025 --> 00:28:16,278 "Seven of the women who died were working‐class Hispanics 535 00:28:16,278 --> 00:28:19,364 and African‐Americans, groups targeted by the clinics' 536 00:28:19,364 --> 00:28:21,408 advertising campaigns. 537 00:28:21,408 --> 00:28:23,869 While deaths and injuries mounted, 538 00:28:23,869 --> 00:28:28,040 the names of the clinics were changed three times since 2016. 539 00:28:28,498 --> 00:28:31,501 But one person has remained at the center, 540 00:28:31,501 --> 00:28:34,004 Dr. Ismael Labrador. 541 00:28:34,546 --> 00:28:36,840 To get a sense of how Labrador operates, 542 00:28:36,840 --> 00:28:40,135 we conducted a records request from the state's Department of Health. 543 00:28:40,135 --> 00:28:42,346 What we learned is that although the clinic changed 544 00:28:42,346 --> 00:28:45,599 names over the years, from Vanidades , to Encore , 545 00:28:45,599 --> 00:28:49,853 to Vanity , to Eres , to Jolie Plastic Surgery , 546 00:28:49,853 --> 00:28:53,941 many of the surgeons and some of the staff stayed the same. 547 00:28:54,399 --> 00:28:57,319 Even the human resources rep who registered the staff and 548 00:28:57,319 --> 00:28:59,905 the surgeons with the Department of Health remained 549 00:28:59,905 --> 00:29:03,659 the same, though her email address changed frequently 550 00:29:03,659 --> 00:29:05,994 over the years. 551 00:29:05,994 --> 00:29:08,747 And Labrador is not the only clinic operator who has 552 00:29:08,747 --> 00:29:10,540 come under scrutiny. 553 00:29:10,540 --> 00:29:13,752 USA Today reported that at least 13 women have died at 554 00:29:13,752 --> 00:29:17,089 four other Florida plastic surgery centers. 555 00:29:19,633 --> 00:29:22,844 How difficult do you think it is to find somebody sort of 556 00:29:22,844 --> 00:29:24,972 working inside these clinics to talk to us, 557 00:29:24,972 --> 00:29:27,474 about how, what the reality is inside? 558 00:29:27,474 --> 00:29:30,268 JEROME: I think you're gonna find it very difficult. 559 00:29:31,687 --> 00:29:33,730 VAN ZELLER: A toxic stew was brewing here, 560 00:29:33,730 --> 00:29:36,775 with lax regulations, dangerous practices, 561 00:29:36,775 --> 00:29:39,736 and untold millions to be made. 562 00:29:39,987 --> 00:29:44,491 The more I learn, the less I'm surprised by the growing list of fatalities. 563 00:29:53,792 --> 00:29:56,461 Okay, so you see that one? 564 00:29:58,296 --> 00:30:01,049 I wanna try and go inside and see if I can get a consultation. 565 00:30:03,218 --> 00:30:05,679 Unfortunately, we're not allowed to go in with cameras. 566 00:30:05,679 --> 00:30:08,098 It's against the law in Florida. 567 00:30:09,516 --> 00:30:13,562 According to USA Today and Naples Daily News investigation 568 00:30:13,562 --> 00:30:16,481 the Florida Health Department has investigated at least 569 00:30:16,481 --> 00:30:20,652 six deaths and serious injuries at Labrador's clinics, 570 00:30:21,403 --> 00:30:24,823 many of which were avoidable and the result of mistakes. 571 00:30:26,074 --> 00:30:29,494 In four of the BBL fatalities at Labrador clinics. 572 00:30:29,494 --> 00:30:34,416 USA Today reported that doctors injected fat in the wrong place, 573 00:30:34,416 --> 00:30:37,377 killing their patients within minutes. 574 00:30:38,045 --> 00:30:40,005 We tried to reach the Florida Department of Health for 575 00:30:40,005 --> 00:30:43,675 a comment and yet, after months of emails, 576 00:30:43,675 --> 00:30:46,303 calls, and many unanswered voicemails, 577 00:30:46,303 --> 00:30:50,557 they said they were unable to comment because of confidentiality. 578 00:30:51,141 --> 00:30:54,144 So perhaps it's not surprising that little has been done 579 00:30:54,144 --> 00:30:57,064 despite the fatalities. 580 00:31:02,319 --> 00:31:06,114 So they actually said that everything is done over the phone. 581 00:31:07,491 --> 00:31:08,867 RECEPTIONIST (over phone): Hi, hello? 582 00:31:08,867 --> 00:31:10,285 VAN ZELLER: Good. How are you doing? 583 00:31:10,285 --> 00:31:11,870 RECEPTIONIST (over phone): Very well, yourself? 584 00:31:11,870 --> 00:31:14,414 VAN ZELLER: Good. I have a few questions for you about BBLs. 585 00:31:14,414 --> 00:31:15,832 Do you mind if I record this? 586 00:31:15,832 --> 00:31:17,667 RECEPTIONIST (over phone): Yeah, go ahead. 587 00:31:17,667 --> 00:31:19,586 So which doctor are you looking into? 588 00:31:19,586 --> 00:31:22,964 VAN ZELLER: Who does the cheapest procedure there, the cheapest BBL? 589 00:31:22,964 --> 00:31:24,716 RECEPTIONIST (over phone): The cheapest right now it's 590 00:31:24,716 --> 00:31:28,470 Dr. (bleep) and (bleep) both at 3,500. 591 00:31:28,470 --> 00:31:30,597 VAN ZELLER: I'm not really sure. 592 00:31:30,597 --> 00:31:32,808 I've heard good things about Dr. (bleep) 593 00:31:32,808 --> 00:31:36,186 RECEPTIONIST (over phone): Yeah He's one of the leading doctors here as far as demand goes. 594 00:31:36,186 --> 00:31:39,731 Dr. (bleep) has his BBLs right now at 5,700. 595 00:31:39,731 --> 00:31:41,441 VAN ZELLER: 5,700. 596 00:31:41,441 --> 00:31:44,444 And how many procedures does Dr. (bleep) do on average a day? 597 00:31:44,444 --> 00:31:46,363 Just so I get an, a sense of his experience. 598 00:31:46,363 --> 00:31:47,531 RECEPTIONIST (over phone): On average a day? 599 00:31:47,531 --> 00:31:49,199 Roughly, I think about six to eight. 600 00:31:49,199 --> 00:31:52,369 VAN ZELLER: Wow, that's a lot. 601 00:31:53,078 --> 00:31:54,746 RECEPTIONIST (over phone): Yup. 602 00:31:54,746 --> 00:31:56,873 That's, that's the limit for procedures in a day for a doctor. 603 00:31:56,873 --> 00:31:58,792 VAN ZELLER: Wow. Okay. Sounds good. 604 00:31:58,792 --> 00:32:02,879 Actually, if they're talking about six to eight BBLS a day, 605 00:32:02,879 --> 00:32:05,632 it sounds anything but good. 606 00:32:06,049 --> 00:32:09,261 I checked with a handful of experts including Dr. Okoro, 607 00:32:09,261 --> 00:32:12,222 the board‐certified plastic surgeon in Atlanta, 608 00:32:12,222 --> 00:32:16,726 who all say that three to four BBLS is the maximum number a 609 00:32:16,726 --> 00:32:19,855 plastic surgeon could safely do in one day. 610 00:32:19,855 --> 00:32:24,192 So how could anyone handle a caseload double the size? 611 00:32:25,402 --> 00:32:28,405 Other sources we spoke with said it wasn't unusual for 612 00:32:28,405 --> 00:32:32,784 surgeons at Jolie or previously at Encore and Vanity , 613 00:32:32,784 --> 00:32:36,496 to schedule as many as 10 BBLS a day. 614 00:32:37,956 --> 00:32:41,793 Finally, we actually got somebody willing to talk to us. 615 00:32:42,210 --> 00:32:45,297 A search for former employees leads me to Gena Hitchens who 616 00:32:45,297 --> 00:32:48,341 worked at Jolie as a surgical coordinator. 617 00:32:49,968 --> 00:32:53,054 She's promised to meet me, though she's warned us, 618 00:32:53,054 --> 00:32:55,724 that she still works in the industry, 619 00:32:55,724 --> 00:32:59,394 and needs to choose her words carefully. 620 00:33:00,353 --> 00:33:02,522 Have you ever been there in one of these cases where 621 00:33:02,522 --> 00:33:04,608 things went terribly wrong? 622 00:33:18,914 --> 00:33:21,541 ♪ ♪ 623 00:33:21,541 --> 00:33:23,335 ♪ Bottles and models ♪ 624 00:33:23,335 --> 00:33:25,253 ♪ Lil' mama look fit ♪ 625 00:33:25,253 --> 00:33:26,880 ♪ I'mma hit like a throttle ♪ 626 00:33:26,880 --> 00:33:28,840 ♪ She make it drop like a switch ♪ 627 00:33:28,840 --> 00:33:30,675 ♪ I won't see her tomorrow ♪♪ 628 00:33:30,675 --> 00:33:33,345 VAN ZELLER: So Gena, tell me how you first heard about these clinics. 629 00:33:33,345 --> 00:33:36,473 GENA: I started working at Jolie Plastic Surgery . 630 00:33:36,473 --> 00:33:38,225 VAN ZELLER: Uh‐hmm. 631 00:33:38,225 --> 00:33:41,061 GENA: And that was my first step into the plastic surgery world. 632 00:33:41,061 --> 00:33:42,395 VAN ZELLER: How many clinics have you worked at? 633 00:33:42,395 --> 00:33:43,980 GENA: Four. 634 00:33:43,980 --> 00:33:45,982 VAN ZELLER: Have you ever been there in one of these cases 635 00:33:45,982 --> 00:33:48,693 where things went terribly wrong? 636 00:33:49,569 --> 00:33:50,987 GENA: Umm... 637 00:33:50,987 --> 00:33:52,864 Yes, but I can't talk about it. 638 00:33:52,864 --> 00:33:56,451 VAN ZELLER: More than once? GENA: No. 639 00:33:56,743 --> 00:33:58,370 VAN ZELLER: Was it a death? 640 00:33:58,370 --> 00:34:00,622 GENA: I'm not able to speak about it. 641 00:34:00,622 --> 00:34:02,457 VAN ZELLER: Is a doctor actually capable of performing 642 00:34:02,457 --> 00:34:04,793 eight procedures in a day? 643 00:34:04,793 --> 00:34:07,128 GENA: I think once you start getting into the high numbers 644 00:34:07,128 --> 00:34:09,965 is when you start looking for problems. 645 00:34:09,965 --> 00:34:12,050 Or problems start looking for you. 646 00:34:12,050 --> 00:34:14,761 VAN ZELLER: So why are they doing so many procedures a day? 647 00:34:17,681 --> 00:34:19,057 GENA: Yeah. 648 00:34:19,057 --> 00:34:21,309 I don't know that that's a question I wanna answer. 649 00:34:21,309 --> 00:34:23,228 VAN ZELLER: But do you think a doctor is capable of operating 650 00:34:23,228 --> 00:34:26,564 and doing eight BBLs a day? 651 00:34:26,564 --> 00:34:28,441 GENA: They do it. 652 00:34:28,441 --> 00:34:30,902 VAN ZELLER: How long does a BBL take? 653 00:34:30,902 --> 00:34:35,198 GENA: The average BBL would probably be three and a half 654 00:34:35,198 --> 00:34:37,701 to four hours. 655 00:34:38,034 --> 00:34:41,121 VAN ZELLER: Of course, a surgeon wouldn't need to be in 656 00:34:41,121 --> 00:34:43,123 the room the entire time. 657 00:34:43,123 --> 00:34:46,751 But from our research, the two main procedures in a BBL, 658 00:34:46,751 --> 00:34:51,339 liposuction and fat transfer take between two and three hours. 659 00:34:52,215 --> 00:34:56,177 So a surgeon doing eight BBLS in a day would be facing 660 00:34:56,177 --> 00:34:59,723 16 to 24 hours of surgery. 661 00:35:00,473 --> 00:35:02,892 I guess the math then just doesn't add up. 662 00:35:02,892 --> 00:35:05,186 So it's impossible for a doctor to be performing eight of 663 00:35:05,186 --> 00:35:06,479 these a day. 664 00:35:06,479 --> 00:35:09,524 GENA: Nothing is impossible. 665 00:35:19,284 --> 00:35:20,327 VAN ZELLER: So pretty. It's like... 666 00:35:20,327 --> 00:35:22,245 ANDRES: It's like a little oasis. 667 00:35:22,245 --> 00:35:24,706 VAN ZELLER: With business booming at these clinics, 668 00:35:24,706 --> 00:35:27,584 lawyer Andres Beregovich who's launched a number of cases 669 00:35:27,584 --> 00:35:30,962 against these clinics, wants to give me a sense of just how much 670 00:35:30,962 --> 00:35:34,132 money these clinic owners are making. 671 00:35:34,132 --> 00:35:37,719 Look at that. Guy on a horse. 672 00:35:38,637 --> 00:35:40,972 I'm most interested in one man in particular, 673 00:35:40,972 --> 00:35:44,893 Dr. Ismael Labrador, the reported owner and operator of 674 00:35:44,893 --> 00:35:48,063 Jolie and other cosmetic surgery centers. 675 00:35:48,647 --> 00:35:50,106 What is this? 676 00:35:50,106 --> 00:35:53,443 ANDRES: These are stables, part of an equestrian center 677 00:35:53,443 --> 00:35:57,822 owned by Ismael Labrador and his wife. 678 00:35:58,907 --> 00:36:02,786 It just goes to show you the significance of the money 679 00:36:02,786 --> 00:36:05,538 that's generated by these surgery centers. 680 00:36:05,538 --> 00:36:08,416 They're cash cows. 681 00:36:08,792 --> 00:36:11,503 VAN ZELLER: In 2007, Dr. Labrador was arrested on 682 00:36:11,503 --> 00:36:15,298 felony charges for allowing unlicensed workers to perform 683 00:36:15,298 --> 00:36:17,592 medical procedures. 684 00:36:17,592 --> 00:36:19,719 The felony charges were dropped after he entered a 685 00:36:19,719 --> 00:36:23,515 court diversion program and he went on to start a string of 686 00:36:23,515 --> 00:36:26,851 discount plastic surgery centers. 687 00:36:27,727 --> 00:36:31,564 Here he is, in a 2018 deposition for a case where 688 00:36:31,564 --> 00:36:35,568 a woman was injured during a procedure at one of his clinics, 689 00:36:35,568 --> 00:36:38,113 a lawsuit that has since been settled. 690 00:36:38,363 --> 00:36:40,490 INTERVIEWER: Specifically, what administrative tasks did 691 00:36:40,490 --> 00:36:42,158 you have control over? 692 00:36:42,158 --> 00:36:44,411 (speaking Spanish). 693 00:36:44,411 --> 00:36:46,329 TRANSLATOR: The hours, the salary. 694 00:36:46,329 --> 00:36:49,999 (speaking Spanish). 695 00:36:49,999 --> 00:36:52,377 TRANSLATOR: The employees' qualifications. 696 00:36:52,377 --> 00:36:53,837 VAN ZELLER: In past written statements, 697 00:36:53,837 --> 00:36:56,256 Labrador has said doctors, not clinic owners, 698 00:36:56,256 --> 00:36:59,801 are responsible for patient care and that all the doctors 699 00:36:59,801 --> 00:37:04,013 he's hired have met the requirements of the state licensing board. 700 00:37:04,597 --> 00:37:07,434 He's also claimed that the frequent name changes at his 701 00:37:07,434 --> 00:37:10,395 clinics were made for marketing purposes, 702 00:37:10,395 --> 00:37:13,314 not to avoid legal responsibility. 703 00:37:13,565 --> 00:37:15,567 We reached out to him for comment. 704 00:37:15,567 --> 00:37:18,695 He denied being the owner of Jolie and responded with a 705 00:37:18,695 --> 00:37:23,366 request for $25,000 to sit for an interview, 706 00:37:23,783 --> 00:37:27,203 and that's when we found a new source. 707 00:37:28,246 --> 00:37:29,998 So I don't know a lot about this person, 708 00:37:29,998 --> 00:37:32,333 I just know that he's willing to talk. 709 00:37:32,333 --> 00:37:35,378 He's very, very nervous and anxious and super worried 710 00:37:35,378 --> 00:37:37,714 about not revealing his identity. 711 00:37:37,714 --> 00:37:41,217 I'm hoping he'll be able to help me unravel the inner 712 00:37:41,217 --> 00:37:44,012 workings of these discount surgery clinics. 713 00:37:44,012 --> 00:37:48,016 VOICE (over computer): Welcome. Please take your ticket. Please drive inside. 714 00:37:58,276 --> 00:38:01,279 VAN ZELLER: I think he's here. I think that's him. 715 00:38:01,279 --> 00:38:03,865 Yeah, it's definitely him. 716 00:38:14,667 --> 00:38:17,545 So, thanks for meeting us. 717 00:38:17,545 --> 00:38:19,798 To protect the identity of Juan Carlos, 718 00:38:19,798 --> 00:38:21,925 there's little I can say about him, 719 00:38:21,925 --> 00:38:25,094 other than he has spent time working at Jolie and a number 720 00:38:25,094 --> 00:38:28,139 of other clinics, which we have verified. 721 00:38:28,848 --> 00:38:30,725 We've been trying for months and months and months to try 722 00:38:30,725 --> 00:38:32,185 to get somebody to talk to us. 723 00:38:32,185 --> 00:38:33,478 So I really appreciate this. 724 00:38:35,814 --> 00:38:37,482 VAN ZELLER: Reluctantly, but you accepted. 725 00:38:37,482 --> 00:38:39,067 Why did you accept? 726 00:38:55,959 --> 00:39:01,756 ♪ ♪ 727 00:39:04,342 --> 00:39:06,511 VAN ZELLER: What exactly happens in these places? 728 00:39:19,607 --> 00:39:23,027 VAN ZELLER: Ten to 12 patients per day, per doctor, per surgeon? 729 00:39:25,280 --> 00:39:26,990 VAN ZELLER: As a surgical coordinator, 730 00:39:26,990 --> 00:39:29,409 Juan Carlos was in charge of scheduling these surgeries for 731 00:39:29,409 --> 00:39:31,661 a handful of doctors. 732 00:39:32,036 --> 00:39:34,581 Although he worked in the admin offices upstairs, 733 00:39:34,581 --> 00:39:38,042 he said he made daily trips to the operating rooms downstairs. 734 00:39:38,501 --> 00:39:41,421 And routinely saw surgeons running multiple operating 735 00:39:41,421 --> 00:39:44,299 rooms at the same time. 736 00:39:44,299 --> 00:39:47,010 That meant that they weren't on hand for the entirety of 737 00:39:47,010 --> 00:39:49,262 the procedures. 738 00:39:49,262 --> 00:39:52,724 If that's true, then logically it must mean that the 739 00:39:52,724 --> 00:39:56,311 operating room assistants, called surgical techs, 740 00:39:56,311 --> 00:39:59,480 are doing at least part of these procedures. 741 00:40:00,690 --> 00:40:03,484 Juan Carlos brought videos he claims to have captured on his 742 00:40:03,484 --> 00:40:06,362 phone that seem to show just that. 743 00:40:06,988 --> 00:40:10,033 Due to patient privacy, Juan Carlos would not allow us to 744 00:40:10,033 --> 00:40:11,910 share the footage. 745 00:40:11,910 --> 00:40:15,371 Though we can't independently confirm the authenticity of the videos, 746 00:40:15,371 --> 00:40:20,043 in one of them, the staff uniforms clearly say Jolie . 747 00:40:20,668 --> 00:40:22,420 Oh, what's happening here? 748 00:40:24,797 --> 00:40:26,007 VAN ZELLER: And then what happens if something, 749 00:40:26,007 --> 00:40:27,842 you know, if one of the surgeries gets, 750 00:40:27,842 --> 00:40:30,094 you know, complicated? 751 00:40:32,347 --> 00:40:33,681 VAN ZELLER: And considering the amount of deaths, 752 00:40:33,681 --> 00:40:37,185 why hasn't anyone come out and spoken, like you? 753 00:40:44,776 --> 00:40:47,362 VAN ZELLER: But you've felt some sort of guilt, right? 754 00:40:47,362 --> 00:40:49,781 Or else you wouldn't be here now. 755 00:40:50,198 --> 00:40:51,908 Or remorse or. 756 00:41:02,001 --> 00:41:05,380 VAN ZELLER: Nobody gives a (bleep) about you, patients. 757 00:41:05,922 --> 00:41:07,548 The deeper I dug into this world, 758 00:41:07,548 --> 00:41:10,218 nothing felt more honest than that statement. 759 00:41:11,636 --> 00:41:14,180 I presented Jolie's de facto owner, 760 00:41:14,180 --> 00:41:17,684 Ismael Labrador, with Juan Carlos' claims. 761 00:41:17,684 --> 00:41:20,728 Through his lawyer, he denied that surgical techs are 762 00:41:20,728 --> 00:41:24,816 performing the surgeries and has threatened legal action. 763 00:41:25,775 --> 00:41:29,696 It took me six months to track down a former employee willing 764 00:41:29,696 --> 00:41:32,115 to speak on camera. 765 00:41:32,115 --> 00:41:34,993 KAYLA (over computer): I mean, there's a lot of people that know about it 766 00:41:34,993 --> 00:41:37,787 and are afraid to speak and I'm not one of them. 767 00:41:37,787 --> 00:41:40,790 They can come find me for all I care. 768 00:41:41,040 --> 00:41:43,001 VAN ZELLER: Kayla worked as a medical assistant at 769 00:41:43,001 --> 00:41:46,504 Labrador's clinic when it was called Vanity and Encore , 770 00:41:46,504 --> 00:41:49,382 but before it was named Jolie . 771 00:41:49,382 --> 00:41:50,425 How long were you there for? 772 00:41:50,425 --> 00:41:51,843 KAYLA (over computer): Two years. 773 00:41:51,843 --> 00:41:53,845 VAN ZELLER: What kind of patients did you guys see there? 774 00:41:53,845 --> 00:41:56,639 KAYLA (over computer): We would have patients from everywhere that would come in. 775 00:41:56,639 --> 00:41:58,683 Obviously because of this affordable pricing, 776 00:41:58,683 --> 00:42:00,727 they were coming out of the state, 777 00:42:00,727 --> 00:42:02,729 coming from another country. 778 00:42:02,729 --> 00:42:03,688 Yeah. 779 00:42:03,688 --> 00:42:06,482 It was a variety of patients. 780 00:42:06,482 --> 00:42:09,027 VAN ZELLER: And once those patients went in for surgery, 781 00:42:09,027 --> 00:42:12,155 what Kayla describes fits a similar pattern of behavior 782 00:42:12,155 --> 00:42:15,700 that we heard from Juan Carlos as well as multiple others who 783 00:42:15,700 --> 00:42:19,787 worked at Labrador's clinics and spoke to us off the record. 784 00:42:20,621 --> 00:42:23,332 Doctors running multiple operating rooms, 785 00:42:23,332 --> 00:42:27,503 and not being present for portions of risky operations. 786 00:42:28,421 --> 00:42:31,215 KAYLA: There's more than one operating room for sure. 787 00:42:31,215 --> 00:42:34,635 There were multiple surgeries happening at once. 788 00:42:34,886 --> 00:42:37,972 We had at least five to six operating rooms. 789 00:42:39,057 --> 00:42:41,225 VAN ZELLER: Florida law requires that anyone assisting 790 00:42:41,225 --> 00:42:46,481 or participating in any surgical procedure must have, quote, 791 00:42:46,481 --> 00:42:50,151 "Direct and immediate supervision of a licensed physician." 792 00:42:50,151 --> 00:42:53,071 So would a surgeon overseeing multiple operating rooms 793 00:42:53,071 --> 00:42:56,532 qualify as direct and immediate supervision? 794 00:42:57,158 --> 00:42:59,619 I called former Department of Health inspector, 795 00:42:59,619 --> 00:43:03,122 Jerome Hill to ask him this very question. 796 00:43:03,122 --> 00:43:05,833 He believes the current law gives these clinics 797 00:43:05,833 --> 00:43:07,919 too much wiggle room. 798 00:43:07,919 --> 00:43:10,963 JEROME (over phone): Given the fact that you can have some typ 799 00:43:10,963 --> 00:43:16,385 of medical procedure in one room and the supervision is 800 00:43:16,385 --> 00:43:22,016 in another room two doors down, it is a stretch, 801 00:43:22,016 --> 00:43:24,227 it is the latitude that they give, 802 00:43:24,227 --> 00:43:29,107 the medical doctors here in Florida that it is so gross it 803 00:43:29,107 --> 00:43:34,278 leaves an opening for malpractice by these doctors. 804 00:43:34,278 --> 00:43:38,199 And it puts, more importantly, the citizens of Florida in jeopardy. 805 00:43:40,076 --> 00:43:42,537 VAN ZELLER: Three board‐certified doctors we 806 00:43:42,537 --> 00:43:45,581 spoke with all agree that from a medical perspective, 807 00:43:45,581 --> 00:43:49,418 a surgeon must be in the room the entire procedure in order 808 00:43:49,418 --> 00:43:51,629 to ensure a patient's safety. 809 00:43:51,629 --> 00:43:54,966 Anything less than that, especially with a procedure 810 00:43:54,966 --> 00:43:59,345 like a BBL is unusual and undoubtedly dangerous. 811 00:44:00,805 --> 00:44:03,307 The picture of this industry painted by the many people we 812 00:44:03,307 --> 00:44:05,476 spoke with is grim. 813 00:44:05,476 --> 00:44:09,355 Which means that unless regulators step in or society 814 00:44:09,355 --> 00:44:13,025 stops pressuring women to chase those perfect curves, 815 00:44:13,025 --> 00:44:16,612 these tragedies are likely to continue. 816 00:44:21,576 --> 00:44:23,327 VAN ZELLER: I mean, it's not even about the patient's life 817 00:44:23,327 --> 00:44:24,453 anymore, right? 818 00:44:32,128 --> 00:44:38,926 ♪ ♪ 819 00:44:52,356 --> 00:44:57,695 ♪ ♪ 820 00:44:58,237 --> 00:44:59,572 Captioned by Cotter Media Group.