August 7, 1993: Sloppy Care Leads to Death

 A woman identified as "Patient A" was 21 years old when she went to Craig M. Linder at 930 Broadway, North Massapequa, NY on August 5 or 7, 1993, for an abortion. I will call her Aubrey.

This address was Linder's private office. I have been unable to determine if he advertised and named his office as if it was a licensed clinic. 

Linder did not document any physical examination or medical history on Aubrey's chart. He didn't even note the basic vital signs of blood pressure, respiration, and pulse.

Linder administered 30cc of Marcaine to Aubrey. This drug comes with a warning:

• MARCAINE / MARCAINE WITH EPINEPHRINE are to be administered in carefully adjusted dosages by or under the supervision of experienced clinicians who are well versed in the diagnosis and management of dose-related toxicity and other acute emergencies which might arise from the block to be employed.
• Use MARCAINE / MARCAINE WITH EPINEPHRINE only if the following are immediately available: oxygen, cardiopulmonary resuscitative equipment and drugs, and the personnel resources needed for proper management of toxic reactions and related emergencies [see WARNINGS AND PRECAUTIONS (5.2), ADVERSE REACTIONS (6), OVERDOSAGE (10)].

Aubrey immediately went into seizures and cardiac arrest.  In spite of the FDA warning, Linder did not have appropriate emergency care equipment, supplies, staff, or a plan. 

Linder also did not document anything that happened to Aubrey, nor what actions he took to revive her. Medical board disciplinary documents indicate that Aubrey died.

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Source: Consent Order and Statement of Charges, August 1996