Katrina's death: Medical Board takes pathetic action

Today LiveAction posted a story about an ambulance being called to A Woman's Choice abortion facility in Jacksonville, Florida. The story noted:

There have been previous injuries at this abortion facility; in 2017, another patient had to be taken by ambulance after experiencing seizures they were not equipped to handle. One of the abortionists believed to work there, Deborah Levich, let her medical license lapse in Alabama after claims that she was not checking for viability before committing late-term abortions, falsified medical records, and allowed abortions to take place without a doctor present. Another of the abortionists, Herman Miller, killed a patient after botching an abortion and perforating her uterus.

I followed the link to AbortionDoc's posting of the medical board documents in the case. Clearly, these documents regard the December 6, 1988 death of Katrina P. I already had this write-up based on a 1989 article in the Tampa Bay Times:

Katrina Phalice Poole was conflicted that winter of 1988. She loved her boyfriend, she wanted to have her baby. But the 16-year-old was so young, excelling in English classes at Raines High School in Tampa Bay, Florida. She had told some of her friends about the pregnancy. Some tried to talk her into following her heart and keeping her baby. Others supported her concerns that she was too young.

On December 5, Katrina left school early. Her mother brought her to a Jacksonville doctor's office for her 1:00 abortion appointment and stayed with her through the procedure, then took her straight home. That evening, Katrina kissed her mother goodnight and went to bed. She was dead by morning. During the abortion, the doctor had poked holes in Katrina's uterus and cervix. The bleeding was hidden. Katrina had bled out. 

AbortionDocs thus provided me with not only the name of the doctor and the facility, but details of how Katrina's promising young life was cut so tragically short.

Katrina had a positive pregnancy test on October 31, 1988. On November 4, she went to her family doctor, who confirmed a pregnancy of about 14 or 15 weeks, with a fetal heart rate of 140. No details of the ensuing discussion with the physician are included in the medical board document; it just relays that the doctor referred Katrina to A Woman's Choice, aka A Jacksonville Women's Health Center or Jacksonville Women's Health, because the doctor in question didn't perform second-trimester abortions.

Katrina didn't report to the clinic for a month, which confirms what her friends told reporters about her being conflicted about whether to have her baby or go through with the abortion. On December 5, Katrina entrusted her life to the staff at A Woman's Choice.

A Woman's Choice, aka A Jacksonville Women's Health Center

The clinic records show no evidence that anybody at the clinic took any steps at all to determine how to provide appropriate care for Katrina. There's no evidence of a medical history -- which would have disclosed that Katrina's pregnancy had been estimated at 14 or 15 weeks a full month earlier. Taking a medical history would also have revealed that Katrina had a history of irregular menstrual periods, which would make it even more important to take all possible steps to determine an accurate gestational age. There was no physical examination of any kind noted. There was no ultrasound performed. Dr. Herman Miller simply charged ahead with a routine suction abortion, only suitable for first trimester pregnancies of 12 or fewer weeks.

During the abortion, Miller noted that he had suctioned out far more placental tissue than expected. The medical board noted that Miller failed to take this second opportunity to perform an ultrasound and get a clear idea of what he was doing. Instead he simply kept going, making no notes at all about how he proceeded or any evaluation of the fetal remains other than to estimate that Katrina had actually been 22 weeks pregnant -- far enough along that the baby could potentially have survived if delivered alive. Miller had made no effort to assess the baby's viability.

Dr. Herman Miller Jr.

After completing the abortion, Miller had Katrina remain in recovery for 30 minutes before prescribing Stadal (a synthetic opioid), Phenagen #3 (a drug to prevent nausea and vomiting), Metherzine (a drug to control obstetric bleeding), and "TCN Sumycus" (which I can't find any references for).  He then sent her home. She died some time between 2:00 and 6:30 the following morning. Judging by what the news coverage said, Katrina's family probably went to wake her in the morning and found her dead.

Katrina had already been conflicted about the abortion. Would she even have consented had she known that her baby was at the cusp of viability? A simple ultrasound and a moment of honesty would almost certainly have saved Katrina's life, and perhaps spared the life of her possibly viable unborn baby.

The medical board took disciplinary action against Miller, including limiting his scope to perform second trimester abortions, but let him keep his license in spite of his appalling care of Katrina and the staggering lack of judgement he showed in failing to even examine his patient prior to surgery. I'm not sure how they could trust him to limit himself to first-trimester abortions when he didn't even bother to determine gestational age prior to firing up the suction machine.