It happened at the Good Shepherd Ambulatory Surgical Center in Longview.
Witnesses say that a man suddenly went berserk, screamed that he wouldn't let them kill his mother, pulled a hunting knife, and began stabbing people.
He managed to stab five people before security was able to bring him down.
A twenty-two year old suspect is under arrest one count of murder and four of aggravated assault with a deadly weapon.
The fatality was a nurse, who protected patients by jumping between them and the man.
One of the other victims is in critical condition, another in good condition, and the other two were treated and released.
Officials are unsure what actually led to the attack.
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