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| Grok AI illustration of how the actual site might have looked in 1976 |
Sources aren't clear on whether Miller gave Norma general anesthesia when he did the abortion. It was completed at around 10:00 am. Miller said that Norma walked to the recovery room and seemed to be doing well until she had a seizure. He inserted a breathing tube and began artificial respiration but did not perform CPR.
Norma was declared dead on arrival at R. E. Thomason General Hospital at 10:30 am. An autopsy confirmed that Normal had been, as Miller had said, a healthy woman. Very little unusual was found in her autopsy is that her uterus was enlarged and the interior surface was "coarsely granular and hemorrhagic." There was no perforation of the uterus. For some reason, Norma was wearing a tampon. She had Demerol in her system, but not enough to cause an overdose. According to a Grok review, some likely mechanisms to cause death might have been an amniotic fluid embolism, a sudden reaction to lidocaine, or a cumulative effect of multiple small reactions to the procedure and medications.
During an investigation into Norma's death and the later death of 20-year-old Sylvia Ramos, Miller admitted that he didn't have an actual nurse working at his office, he considered his two assistants -- his wife and his daughter -- well qualified. Miller admitted that neither woman was trained in CPR, but defended them vociferously: "My nurses have worked for me better than three years. They are chosen because they like people, and then are taught to perform our services. We have many emergencies every month, and my nurses do exceptionally well in helping take care of them."
- El Paso Medical Examiner's Autopsy #260-76
- Death certificate
- "Emergency aid enters abortion case," El Paso Herald-Post, May 12, 1977
- "Inquest Conducted Into Deaths Of Two Women After Abortions," El Paso Times, May 12, 1977
- "Only one abortion (letter to the editor)," El Paso Herald-Post, May 18, 1977
- "Abortion Article Said To Be Erroneous," El Paso Times, May 22, 1977
- Open letter by Dr. John B. Miller, El Paso Times, May 23, 1977

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