June 17, 2009 1:03 PM

Murder-Suicide Couple: "We Are At Peace"

(CBS/AP)  In public, ophthalmologist Dr. Philip Gabriele was a "blessing" to patients who counted on him to help them see, an award-winning ballroom dancer and a champion for better eye care.

But for all the glowing testimonials decorating Gabriele's Web site, federal authorities say there were others - including children - on whom the Indiana eye doctor performed unnecessary surgeries, billing the procedures to Medicare, Medicaid and private insurers.

Gabriele was found dead in his Elkhart eye clinic Monday of a self-inflicted gunshot wound to the head, three days after a 15-count indictment accused him and his wife, Marcella, of financial fraud and injuring patients through unnecessary procedures. His wife's body was found nearby, and authorities say she was killed in what looks like a murder-suicide.

"It is clear to us that our good works here have come to an end," the couple wrote in a letter mailed to South Bend television station CBS affiliate WSBT and received Tuesday. "We are at peace with our decision."

Marcella Gabriele's brother, Jon Dawson, told WSBT that after talking with the couple Saturday, he was worried that his sister and her husband might end their lives.

"The happiness was all gone," Dawson said. "The sparkle in their eyes was gone."

In his career and his personal life, Gabriele liked to win. And for years, things appeared to go his way. He opened three successful eye-care practices, winning praise from patients who declared him a "blessing." He and Marcella collected trophies across the country as one of the nation's top amateur ballroom dance couples. He lived in a home in an affluent neighborhood in Granger. A state vision-awareness group, Prevent Blindness Indiana, honored him in 2008 for excellence in medical care.

"They did everything that they could to become the best that they could be," said family friend Susan Manuszak.

Authorities won't discuss the number of patients or amount of money involved in the fraud case. The U.S. Attorney's office and Indiana Attorney General's office declined to comment on the investigation, which led Medicaid fraud investigators, the FBI and police to seize records from the Gabrieles' home and offices in May 2007.

Kristen Kelley, director of the Medical Licensing Board of Indiana, said the state filed a consumer complaint against Philip Gabriele in May 2007 after learning of the search but that no patients had filed formal complaints against Gabriele.

The indictment paints a picture of a physician who harmed some patients for financial gain.

From 2004 to 2009, it said, Philip Gabriele falsely diagnosed cataracts and other eye conditions in patients and then did unnecessary surgeries, including some on children. He then billed the procedures to Medicare, Medicaid and private insurers. In some cases, patients' vision worsened and required additional procedures to improve their sight, the indictment said.

Marcella Gabriele changed patient records afterward to justify the surgeries and make it appear they were "medically necessary and reasonable when they were not," it said. She also altered patients' vision results to support the eye clinic's advertising, which claimed 100 percent of those who had undergone a laser procedure at the clinic "see 20/20 or better after their first procedure," investigators charged.

The picture painted by the indictment is hard to understand for those who knew the couple.

Manuszak, who said she saw the couple five or six times a week, said Philip Gabriele wrote a check to help the local Humane Society when it ran out of food and asked his staff to donate to the group instead of buying Christmas presents for him and his wife.

She said he canceled personal plans to see patients who were in emergency rooms with eye injuries. He replaced her father's cornea, did a cataract procedure on her mother and even performed eye surgery on Manuszak's cat under a veterinarian's supervision.

"There was nothing he wouldn't do for people," she said.

But she believes Gabriele, whose nickname was Doughboy because his laugh sounded like that of the Pillsbury character, and his wife, who loved to cook and collected Betty Boop memorabilia, crumpled under the pressure of the investigation.

Though their home was valued at nearly $800,000, federal prosecutors had frozen their assets, Manuszak said. Their legal fees had topped $2.5 million, she said, and they were finding it difficult to pay their bills. "Everything was mortgaged to the hilt," she said.

She said the couple weren't driven by money. They bought their home at a tax sale and remodeled it themselves, she said, and their three cars were an 11-year-old Lexus that had belonged to Marcella's mother, a Mitsubishi with 200,000 miles on it and a 2000 Honda Civic. Family, friends and their three 8-year-old Persian cats, Lynxy, Chrissy and Hannah, were the most important things to them.

"They weren't fancy-schmancy people. They didn't belong to any country clubs," she said. "They didn't do anything highfalutin."

Dan O'Day, who owns a Mishawaka dance studio where the Gabrieles practiced five or six days a week, said the Gabrieles specialized in the fox trot and the Viennese waltz. They stopped coming after federal agents raided the business, he said.

"They were so well-liked," he said. "But sometimes people you like, you don't know what their lives are all about."

© 2009 CBS Interactive Inc. All Rights Reserved. This material may not be published, broadcast, rewritten, or redistributed. The Associated Press contributed to this report.
Add a Comment See all 26 Comments
by armyoftwelve June 17, 2009 11:34 PM EDT
Our lives aren't ours to take : (
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by lastwyrd77 June 17, 2009 8:21 PM EDT
Sorry I can't type worth heck! It took me 5 minutes to type this!
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by gold_standard June 17, 2009 7:59 PM EDT
"Authorities won't discuss the number of patients or amount of money involved in the fraud case."

"the state filed a consumer complaint against Philip Gabriele in May 2007 after learning of the search but that no patients had filed formal complaints against Gabriele."

No one complained. The state made up their own complaint. The government won't justify its case with facts.

This has all the hallmarks of a politically motivated lynching. Someone very powerful wanted to ruin these people.
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by cwynns June 17, 2009 7:05 PM EDT
I beleive Dr. and Mrs. Gabriele were not guilty. First, as a person with physical disabilities, I recieve Social Security. I also receive Medicare A,B and D, and Indiana Medicaid.

Being personally acquainted with these programs, as medical professionals are, it is just not worth it to defraud government programs for the pittance that they pay doctors to care for people.

This doctor had thriving practices in three locations in this area, which is an area with a high aging and disabled demographic (I said I was physically disabled, not mentally challenged. 15 cases, out of the tens of thousands that this man treated.

That does not make fraud right, if it did occur, but this man and his wife had been tried and convicted before their day in court.

If there was so much fraud and unnecessary surgery going on, where were the lawsuits from patients who suffered the alleged ill-effects at the hands of Dr. Gabriele?

This is a great 60 Minutes piece waiting to happen!
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by cruxsade June 17, 2009 6:55 PM EDT
Unfortunately you did not live to see you incarcerated in prison.
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by debinok1 June 17, 2009 6:50 PM EDT
Innocent until proven guilty, yet they froze their assets. $2.5 million in legal fees. And now they are both gone, the truth of whether they were guilty or innocent will never come out. I wonder who this guy pissed off, because something about this smells fishy.
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by cwynns June 17, 2009 7:08 PM EDT
You got that right!!!

There's talk that this probe and indictment is the result of some sort of jealousy, and it's reported in the local paper (South Bend Tribune) that the assistant US Attorney on the case leaked info to people not invovled in the case
by Brandywine33 June 17, 2009 6:03 PM EDT
Well they may have written a note beforehand saying they were at peace with their decision, but it's questionable as to whether they are at peace at all now in the afterlife. They committed a murder-suicide because they got caught at what they were doing, scamming people and money out of money and lots of it. They were falsifying some reports about how successful they were, all the while not caring about the harm they may have been causing to people. So their claim as to being at peace? That remains to be seen.
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by Brandywine33 June 17, 2009 6:05 PM EDT
I meant to say that they were scamming people and the government out of money and lots of it.
by John_Merritt June 17, 2009 5:06 PM EDT
One thing about MD's is that they are pretty smart people, wouldn't you say. If they knew they were innocent, they would have fought the charges. However, the government probably had a very good case against them, and they knew it. Alas, both are dead because they liked their freedom and it is kind of hard to cheat and steal in prison. As good as cons they might have been, they would be amateurs in amongst their new roommates. The shame about our misdeeds usually catches up with us. I am sorry for anybody that loses or takes their own life, but it is becoming way too prevalent today. The stressors of life are taking an unusual toll on many, and that is sad.
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by lileoj June 17, 2009 5:04 PM EDT
This also happened in DC with a Dr. Greer, also an opthalmologist who was convicted and sentenced on the same charges. Billing for unnessary procedures and performing surgery when no surgery was needed. He also had tax fraud in his charges. BUT at least he didnt kill himself and wife like a COWARD!!!!!!!!!!!!!!
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by TheMasses0003 June 17, 2009 3:44 PM EDT
Eye Doctor Sent Suicide Note Before Killing Himself And Wife
---------------------------------
Wait a minute.
How can he kill himseld AND THEN kill his wife.
That's outstanding dedication!
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