In the fall of 2012, Dr. Roger Brumback may have unwittingly signed his fate.
At the time, Brumback wrote a letter to the Indiana medical licensing board, explaining why former Creighton University pathology resident Dr. Anthony J. Garcia was fired in 2001.
Six months later, Brumback and his wife, Mary, were dead.
Another letter written five years earlier may have sealed the fate of house keeper Shirlee Sherman and 11-year-old Thomas Hunter. The young Hunter's father worked with Brumback at Creighton University's pathology department and had a hand in Garcia's dismissal.
Garcia has been arrested in connection with all four deaths that put Creighton medical personnel and parts of the Omaha community on edge. Officials say the former federal prison doctor was motivated by revenge because he believed his dismissal at Creighton had cast a pall over his medical career.
A slew of documents released Tuesday by the Indiana medical licensing board cast some more light on Garcia's troubled residency woes and gave a possible deadly time-line and motive for the murders.
The documents were related to Garcia's request for a license in Indiana.
Garcia, who once worked as a prison doctor at a federal penitentiary in Terre Haute, Ind., had applied for a license in that state in 2008. As a part of that application process, the board sought information from Creighton and other medical facilities where Garcia had worked.
In a letter to the medical board, Brumback explains that Garcia was fired for “unprofessional behavior toward a fellow resident.” In other documents, the “unprofessional conduct” becomes clear: Garcia allegedly attempted to sabotage a fellow resident by calling the resident's wife while he was taking a high-pressured exam and demanding that he return to work.
The documents also provide another possible motive for the earlier murders of 11-year-old Thomas and Shirlee Sherman.
The two were murdered in March, just a month after the Louisiana State Board of Medical Examiners denied Garcia a license based in large part on his termination from Creighton, according to the documents released by the Indiana medical board.
Police have charged Garcia with the murders.
Overall, the documents indicate that Garcia's troubles as a resident made it difficult for him to be licensed in other states outside of Illinois — the only state that gave Garcia a license.
Garcia was fired three times from three residency programs. At one program, he was fired after he yelled at a radiology technician.
As part of the documents, Garcia attempted to explain why he downplayed the reasons for his dismissals, saying he was fired from Creighton because he called a fellow pathology resident and “told him his vacation was not approved.”
He also indicated he left the University of Illinois in Chicago residency program due to “poor health/migraine headaches.”
The Chicago residency program was the only one of the four residency programs where Garcia appeared to leave on his own volition.
Garcia will make his first court appearance Wednesday.