Complex sentence: For example, Cullen seems to understand that his actions have caused patients' families deep distress and may have caused patients themselves to suffer, but he appears not to realize that this contradicts his claims of wanting to save patients from further pain and suffering.
Split into simpler sentences: For example, Cullen seems to understand that his actions have caused patients' families deep distress and may have caused patients themselves to suffer. But he appears not to realize that this contradicts his desire to save patients from further pain and suffering.