David J. Acer

David Johnson Acer was born November 11, 1949, in Cleveland, Ohio, and raised in North Canton. He was the first of four children of Victor and Harriet Acer. He graduated from Hoover High School in 1967, where he participated in wrestling, the German Club, and the school's yearbook staff.^[5]

After graduation, Acer enrolled at Ohio State University, then enrolled in the university's dental school in 1970. Students and professors regarded Acer as a shy but solid individual who rarely missed a class and seldom partook in party antics on campus. He graduated from dental school in March 1974 and was licensed to practice in Ohio for four years, until 1977. Acer then joined the U.S. Air Force, where he held the rank of captain and practiced dentistry while stationed in Germany.^[6]

Acer moved to Jensen, Florida and opened his own dental practice in nearby Stuart in 1981. Many of his patients were referred by CIGNA Dental Health of Florida. The carrier covered hundreds of state employees and Martin County schoolteachers.^[7]

Acer settled in Stuart, which was a twenty-minute commute to his practice. He maintained a brick and stucco ranch home on Alamanda Way, where he kept a pet cocker spaniel and a 20-foot fishing boat. He was described by friends and colleagues as professional, but not very social in large group settings.

When not at the office, Acer enjoyed fishing, tennis, and golf. He was often seen playing tennis at Falkenburg Tennis Club, two days a week.

In 1985, Acer added an associate dentist, Elizabeth Greenhill. Greenhill told the Palm Beach Post^[8] that she had wanted him to autoclave his dental instruments, though he did routinely steam clean them. She told the paper that Acer did not make any extra effort towards the enforcement of universal precautions, despite CIGNA'S procedural manual for dentists covering this very subject, which included the use of masks and gloves while treating patients. Acer used neither, but this was overlooked by CIGNA's dental director, who regularly visited Acer's practice.

Acer believed he had contracted HIV in 1986 through sexual contact, but did not exhibit any symptoms of AIDS.^{[citation needed]} Meanwhile, his practice continued to grow, with him seeing close to 2,000 patients in 1987, clearing about $50,000 that year. That was also the year that Acer began to show visible symptoms of AIDS.^{[citation needed]}

Acer saw Frank Gutierrez, his general practitioner, in September 1987 for treatment of a sore throat. Gutierrez, who knew of Acer's lifestyle habits, warned him to practice safe sex. Acer then saw an oral surgeon who took a biopsy of the roof of his mouth. Rolf Wolfrom diagnosed Acer as having Kaposi's sarcoma, a form of AIDS-related cancer. Acer, realizing that he was dying, confessed that he had likely had 150 different sexual partners in the past decade, and had not used a condom during his last sexual experience two months prior. He began taking AZT and getting treatment at the VA Medical Center for the oral lesions.^[8] When he returned to Gutierrez in November, Acer informed him that he was practicing safe sex only.

In December 1987, Acer treated Kimberly Bergalis for two abscessed molars, and continued to see other patients well into 1988. With symptoms advancing, his work began to get sloppy, prompting other patients to take notice that he was reusing gloves and other disposable components, not sterilizing instruments, and taking shortcuts that put patients' safety in jeopardy. Acer also began showing lesions on his skin, prompting him to wear long sleeves and buttoned collars, regardless of the weather.

By early 1989, Acer's symptoms had worsened, with frequent coughing, blurred vision and more lesions appearing on his skin. By summer, he had missed so much work that he could no longer keep it a secret and told his family of his illness after being hospitalized with pneumonia. Those who inquired about his health were told he had terminal cancer. He then put his practice up for sale, later selling it to Ben Emerson, who kept 20 of Acer's patients and the reception room furniture. Almost everything else was thrown out.

In March 1990, Kim Bergalis was diagnosed with AIDS. Officials from the CDC office in Atlanta investigated Acer after learning of Bergalis' medical history. Acer, by this time, was housebound and receiving care from his parents, who had relocated from Pennsylvania to Florida. He told the CDC that since learning he had AIDS, he wore gloves and masks when treating patients. The CDC concluded on July 27, 1990, that based on epidemiologic and laboratory findings, it was possible that Acer transmitted the HIV virus from himself to Bergalis.^{[citation needed]} Three days before his death, Acer ran an open letter in several newspapers that he had AIDS.^{[citation needed]}