Her 19-year-old daughter, Daisy Davila, told the New York Daily News, "I'm upset because I never got a chance to say goodbye. She didn't want anyone to go with her. I made dinner and lunch ,,, hoping she would come back."
Because of Alexandra's obstetric history, which included two c-sections, and the location of the placenta, Hosty should have known that it was unsafe to proceed with an abortion in an outpatient setting. Catastrophic complications are to be predicted, and the doctor must be certain that there is an adequate supply of blood for a possible transfusion, and a fully equipped operating room nearby in case an emergency hysterectomy is needed.
As a prudent physician would have suspected, the placenta had implanted deeply into the area of Alexandra's uterus that had been scarred by the prior surgery.
After the abortion, Alexandra began to bleed uncontrollably. Rather than seek the cause of the bleeding, Hosty administered medications, then stood by and did nothing while a nurse anesthetist intubated Alexandra and began providing oxygen. Nobody summoned an ambulance until over 45 minutes after blood began pouring out of Alexandra's body.
Paramedics arrived to find Alexandra still on the procedure table in stirrups, cold and gray and for all appearances already dead. Blood was still draining from her body into a pool on the floor. The only monitoring instrument in place was a pulse oximeter. The nurse anesthetist was administering oxygen, and because she was the only one who seemed to know what was going on, the emergency responders assumed that she was the physician. Nobody else was assisting the patient in any way.
The paramedics began a futile attempt to resuscitate Alexandra, but she was pronounced dead at the hospital.
A1 was an ambulatory surgical facility doing abortions and plastic surgery. They employed Hosty even though he had already allowed a gynecological patient to die by triggering massive bleeding then utterly failing to provide any effective lifesaving care.