Sloppy Care and a Fatal Mistake

Sloppy Care Costs High-Risk Patient her Life

Alexandra Nunez

Alexandra Nunez was a 37-year-old single mom from New Jersey. On January 25, 2010, she told her family that she was going to a doctor's office in Newark for a procedure to remove a cyst. Instead she went to A1 Medicine in Jackson Heights, Queens for an abortion. She was 16 or 17 weeks pregnant. The abortion was performed at 3:30 p.m. By the end of the day, Alexandra was at Elmhurst Hospital Center, dead from hemorrhage.

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."

Eventually the medical board concluded that the doctor responsible for Alexandra's death was Robert F. Hosty. He had no hospital affiliation and hadn't taken any continuing medical education training since 2004.

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.

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. 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.

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.

A Quack Relocates to Chicago and Carnage Ensues

On January 25, 1891, 23-year-old Minnie Deering died at Schaeffer's Hotel in Chicago, evidently due to the effects of carbolic acid mistakenly administered to her by a saloon keeper named Joseph Hoffman. Hoffman reportedly had been involved with Minnie for about four months prior to her death. Hoffman had checked into the hotel about a week before Minnie's death, saying that his wife would be coming from the country to visit him. She arrived on January 18. She was reported to be sickly and stayed in her room, having her meals delivered to her there.

On January 23, Hoffman brought in Dr. Dietrich to treat Minnie for a fever. Dietrich prescribed an oral medication and an alcohol and carbolic acid solution to be externally applied. He returned the following day to find Minnie's condition improved. About an hour later, Hoffman summoned Dr. Detrich and reported that he'd mixed up the medications and given Minnie the carbolic acid orally by mistake.

Dr. Lucy Hagenow

When Dr. Dietrich arrived, he found another doctor, W. P. Goodsmith already there. They pumped Minnie's stomach and administered counter measures to no avail. Some reports indicate that the County Physician, Dr. Hektoen, had been called in to attend to Minnie. Whoever the doctors were, they made other efforts to save her, but she died at 12:30 p.m.

"At the coroner's inquest it was shown that Miss Deering had visited Dr. Hagenow for relief from her woes, and that she was suffering from a criminal operation when the acid was administered."

The coroner's jury concluded that ultimately Minnie had died because of a criminal abortion since it had started the chain of events that led to Minnie's death. However, they did not conclusively determine that Hagenow herself had perpetrated it. They ordered her held to a grand jury pending further investigation.

Hagenow, who had already been implicated of the abortion deaths of Louise Derchow, Annie Dorris, Abbia Richards, and Emma Dep in San Francisco, would go on to be linked to over a dozen Chicago abortion deaths: Sophia Kuhn , Emily Anderson , Hannah Carlson , Marie Hecht , May Putnam, Lola Madison , Annie Horvatich , Lottie Lowy, Nina H. Pierce, Jean Cohen, Bridget Masterson, Elizabeth Welter ,and Mary Moorehead.