ONCE A HERO

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Just wait for the trial, says Najarian, who believes he will be vindicated. In the meantime, his downfall has already produced heavy casualties. Transplant patients have lost a good drug, the University of Minnesota has lost millions of dollars in annual income, and the field of transplant surgery has lost a charismatic leader.

One larger lesson is that medical-school departments should not be allowed to operate as independent fiefdoms with little external oversight. At the University of Minnesota, at least, the lax administrative system that let Najarian get in such serious trouble is belatedly undergoing a radical overhaul-in hopes that none of the school's other stars will fall so far so fast.

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