The gunman who held intensive care unit staff hostage at UPMC Memorial Hospital in Pennsylvania before killing a police officer and injuring five other people Saturday believed that more could have been done to save his wife,

Days before a hostage situation turned deadly, a physician assistant says he spoke to the man who killed a police officer and wounded staff at a Pennsylvania hospital and told him his loved one had died.

Update: A gunman stormed a Pennsylvania hospital’s ICU and took staff hostage before he was killed by police on Saturday. An officer also died in the shootout.