'I’m ready to become a cold-blooded killer': Surgeon wrote about his plans to kill his patients during string of botched surgeries that left two dead and four paralyzed

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Dr Christopher Duntsch is accused of causing agony to countless patients or worse during the three years he practiced medicine in Dallas
He once wrote to an employee: 'I am ready to leave the love and kindness...and become a cold blooded killer'

Published: 09:47 EST, 23 August 2015 | Updated: 11:50 EST, 23 August 2015

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Sociopath? Dr Christopher Duntsch is accused of inflicting misery on multiple patients - and killing two - over years of intentionally botched surgeries

A Texas neurosurgeon accused of intentionally inflicting agony on countless patients, killing two and leaving four paralyzed over several years of maliciously botched spinal procedures, was denied a reduction of his $600,000 bail at a hearing Friday.

Dr Christopher Duntsch, the so-called 'sociopath surgeon', will remain in a Dallas jail as he awaits his trial thanks in part to a newly revealed email that portrays the 44 year old as nothing less than a bloodthirsty madman, reports the Dallas Morning News.

'I am ready to leave the love and kindness and goodness and patience that I mix with everything else that I am and become a cold blooded killer,' Duntsch wrote to one of his employees.

Duntsch's alleged acts of malice amount to some of the most egregious malpractice Texas has seen.

'You don't see a doctor charged with this,' said Dallas County prosecutor Kevin Brooks, adding that doctors who run afoul of the law usually are accused of insurance or prescription fraud. 'It's fairly rare.'

He compared the severity of the charges against Duntsch with those levied against a Detroit-area cancer doctor sentenced in July to 45 years in prison for collecting millions from insurance companies while poisoning more than 500 patients through needless treatments that harmed their health.

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Horrific: Duntsch operated on the wrong part of a patient's spine, damaged nerves and left one woman with chronic pain and dependent on a wheelchair, according to criminal and civil court records. State records show he left a sponge in another patient following surgery

In indictments filed last month, prosecutors say his hands amounted to a 'deadly weapon' because he used them to improperly insert medical devices and screws into patients meant to alleviate nerve and other pain.

He operated on the wrong part of a patient's spine, damaged nerves and left one woman with chronic pain and dependent on a wheelchair, according to criminal and civil court records. State records show he left a sponge in another patient following surgery.

A resident of Centennial, Colorado, Duntsch was arrested recently when he returned to the Dallas area to visit his two young children.

His attorney, Mario Herrera, said his client has not yet entered a plea but will defend himself against all charges, which include five counts of aggravated assault causing serious bodily injury and one of injury to an elderly person causing serious bodily injury.

'My client has defended himself throughout this process and has been successful in navigating through these waters,' Herrera said.

Kellie Martin died after Duntsch performed a 'routine' spinal surgery, one of two patients prosecutors say died as a direct result of Duntsch's malice. Mary Efurd (right) woke up after surgery barely able to move her legs

Duntsch was issued a license to practice medicine in Texas in 2010, according to the Texas Medical Board. But within two years the board began receiving complaints about him.

The board in June 2013 took the initial step of suspending Duntsch's license to practice in Texas, finding at the time that he was 'unable to practice medicine with reasonable skill and safety due to impairment from drugs or alcohol.' But when the board in December of that year revoked his license altogether, it determined that no evidence existed to support claims that he was under the influence when performing surgery.

In the agreement the board reached with Duntsch to revoke his license, it was determined that he violated standards of care for six patients. Herrera said the agreement does not mean his client admits any wrongdoing alleged in the criminal charges.

Duntsch has had at least three lawsuits filed against him in the last few years. One lawsuit filed in Dallas County contends he misdiagnosed the radiating neck pain one woman suffered and botched her 2012 surgery to the point she suffered a stroke and so much blood loss that she died days later. State records show earlier that year another patient he operated on died when she sustained hemorrhaging that he failed to promptly identify.

'I am very well-pleased that he will remain in jail and that justice will eventually be served for the crimes that he has committed,' said Philip Mayfield, 45, who says he was left paralyzed by Duntsch's misconduct

Medical personnel who assisted Duntsch during a surgery in July 2012 say he appeared distracted and disoriented, according to one lawsuit. At one point he 'broke scrub' and left the operating room. When he returned, Duntsch appeared to have lost his focus and his assistants questioned whether he was under the influence of drugs or alcohol, according to the suit.

Criticism that not enough was done to stop Duntsch sooner has focused on the hospitals where he worked and the Texas Medical Board. A reference letter from one hospital that Duntsch used to secure privileges at another made no mention of accusations against him, The Dallas Morning News has reported.

Meanwhile, Jarrett Schneider, spokesman for the medical board, said in a statement that board investigations can be slowed when hospitals fail to notify the agency of improper conduct. Investigations also can take time because state law requires evidence that a physician is a 'continuing threat,' which is a high threshold of proof, Schneider said.