Twitch Integration - Duplicate Doctor names and repeating same Doctor Hires

When using Twitch Integration the same Sub name is being used multiple times on the Hiring list.   After hiring said doctor with that sub user.  He reappears again for hiring in the doctors list.  

And subs reappearing as patients while also being a doctor of that same name.  Patients having the same viewer name in the hospital at the same time.

CS Edit: Link to the VOD with the problem occurring.