Saturday, 7 February 2009

Botched Abortion in the States

From "The Buffalo News"

The Board of Medicine has revoked the license of a Florida doctor accused of medical malpractice in a botched abortion case in which a live baby was delivered, but ended up dead in a cardboard box.

The board on Friday found Dr. Pierre Jean-Jacque Renelique in violation of Florida statutes by committing medical malpractice, delegating responsibility to unlicensed personnel, and failing to keep an accurate medical record. Renelique and his attorney declined to comment after the hearing.

The Department of Health said Renelique was scheduled to perform an abortion on a teenager who was 23 weeks pregnant in 2006. Sycloria Williams had been given drugs in advance to dilate her cervix.

According to the complaint, she gave birth at a Hialeah clinic after waiting hours for Renelique to arrive. The complaint said one of the clinic owners put the baby in a bag that was thrown away.

Police found the infant's decomposing remains a week later.

A medical examiner determined the cause of death was extreme prematurity, the complaint states.

At Friday's hearing, Renelique told the board of his life-long quest to be a doctor. He said there are generations of physicians in his family, and that he decided to follow the same path after seeing his father treat patients.

Renelique described saving a woman's life during the second year of his medical residency in Haiti. He later left his home country to work and train in the United States. It was never his intention to do abortions, he said.

"That was not part of my goals when I came to Florida," he said. "But I had to do it to survive."

During the board's questioning, Dr. Elizabeth D. Tucker, an obstetrician-gynecologist from Pensacola, asked Renelique about three different types of medical forceps. Renelique replied that he possessed each of the instruments.

After each question, Tucker also held up a metal instrument, different from the one she had named and inquired about. One of the tools was a metal rod with an arrow attached at the tip.

Tucker asked Renelique if he had that. He replied that he did.

"For the record, these are from my antique collection," she said later. "We don't use these in terminations."

Renelique's attorney, Joseph Harrison, later requested that his client view the instruments more closely, which the board allowed. Renelique said he had never seen or used the spear in his life.

Renelique said he had advised the patient to come in early as a precaution, and that when he was en route to the clinic, he was called to tend to another patient having an emergency.

He said the clinic staff members didn't tell him about the delivery when he arrived.

Harrison said Renelique expected the board to uphold the current restriction on his license, which prohibits him from performing abortions unless another physician is present. The Department of Health recommended that his license be suspended. But the board decided to revoke it instead which means he will not be able to practice medicine in Florida.

No criminal charges have been filed in the case, but the state attorney's office is investigating.

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