Once released from jail, the doctor is caught cheating on his wife, Deborah. The couple separate for a brief period, but reconcile a few months later. In May 1999, Deborah becomes ill with severe flu-like symptoms. When Deborah is admitted to the doctor, her husband suggests to doctor that her gallbladder be removed.

A test on Deborah’s red blood cells showed signs of poisoning. Further tests revealed that Deborah had been ingesting nearly lethal amounts of arsenic. Scientists tested Deborah’s hair follicles to determine how long she had been ingesting the poison.

But, who would want to poison Deborah Pignataro?

The first theory suggested that Sarah Smith, Dr. Pignataro’s patient, family may have had something to do with Deborah’s poisoning. Maybe as revenge. But, the problem with that theory was that Sarah Smith’s family moved many states away from the Pignataro family.

Police started to ask Deborah what she ate before falling ill. The only thing Deborah remembers eating right before getting sick, was soup. Soup served by her loving husband, Dr. Anthony Pignataro.

A forensic test revealed Deborah had consumed over 29,000 milligrams of arsenic.

The police suspected that Deborah’s husband, former Dr. Anthony Pignataro, was intentionally poisoning his wife with arsenic. And they believe he was using soup, the only food that sounded good while feeling sick, to do it.