Dr. Charles Hirsch should be investigated, and his license to practice medicine taken away. I am very sorry Mr. Zadroga that your son's reputation has been slandered by those who care more about the bottom dollar than human life. - Jon

Source: nydailynews.com

Friday, October 26th 2007, 4:00 AM

There is mounting evidence that the city's chief medical examiner libeled the memory of Detective James Zadroga by ruling that the cop's long, arduous service at Ground Zero had nothing to do with his tragic death. Dr. Charles Hirsch appears to have committed a gross injustice that no apology can ever set right.

With the brutal, clinical efficiency of a man accustomed to working with flesh on ice, Hirsch last week summarily notified Zadroga's family that, to a "certainty beyond doubt," something other than breathing the toxic remains of the World Trade Center had turned the cop's lungs to leather. Hirsch didn't say publicly then what that fatal something might be. But now, the doctor has spoken.

Monstrously, Hirsch said yesterday that, in his opinion, Zadroga brought about his own demise by crushing pill medications and taking them intravenously. Writ large, Hirsch blamed the victim and, even worse, left the lingering, disgraceful implication that Zadroga was a drug abuser.

He wasn't. And it is a sorry necessity to have to state those words about a dedicated cop and father of a young child, who worked for 450 hours in the thick of the poisonous cloud, began coughing after two weeks and suffered a steady, irrevocable descent to suffocation at age 34. Zadroga died despite excellent medical care, and his autopsy found that his lungs were filled with substances that hung in the air over The Pile. Among them, carbon, silica, calcium phosphate - found in concrete - talc and cellulose.

The New Jersey medical examiner who autopsied Zadroga concluded the toxins destroyed his lungs. Dr. Michael Baden, a former city chief medical examiner who is now the state police forensic pathologist, reviewed and confirmed the autopsy findings. And now Hirsch says that, beyond all question, he knows better.

All agree that crushing pills and injecting the powder can introduce talc and cellulose into the bloodstream. And all agree the substances can damage the lungs. Adding up those facts, and looking at microscopic slides of Zadroga's tissues, Hirsch says he has proof positive that the fatal injury began with materials in Zadroga's blood.

Baden, who is not being paid by Zadroga's family, emphatically differs with Hirsch: "I don't know what he would have to permit him to make the strong diagnosis he did, and whatever it is, he is wrong." So much for Hirsch's "certainty beyond doubt."

As for substantiating the medical examiner's judgment, his spokeswoman offered explanations that only made Hirsch's conduct more outrageous. She said Hirsch is not questioning that Zadroga became ill at Ground Zero; he has only concluded that injecting crushed pills was the intervening cause of death.

Here, then, is Hirsch's hypothesis for what happened: Zadroga serves his city and country valiantly, becomes agonizingly ill and injects painkillers. This is just a theory, because Zadroga's family says no such injections ever took place. But let's say Hirsch is right.

In that event, the truth is Zadroga - desperately ill, fighting for breath, heavily medicated and often out of touch with reality - tried to ease his own suffering as best he could.

Suffering that befell Zadroga only because he responded to 9/11.

Suffering brought on by inhaling the pulverized remains of the fallen twin towers.

Suffering that caused the death of a New York hero.

Suffering that was cavalierly trashed by a medical examiner whose continued tenure in office must be closely reviewed.