Thursday, February 22, 2007

Search: David Gluck

Alerte Desanges had been informed that her fetus was deformed, so she went for an abortion at Choices Women's Medical Center in Queens on September 16, 1994. She was 36 years old and 19 weeks pregnant. The abortion was performed by David Gluck. Staff said that after her abortion, Alerte was "feisty, telling nurses she wanted to go home. Then all of a sudden, she coded, she went into cardiac arrest."

Her blood pressure fell. Staff attempted to revive her, then transported her to a hospital. Her death was tentatively attributed to amniotic fluid embolism by staff.

Desanges' 66-year-old mother, who speaks only French, was described as throwing her hands in the air and sobbing, "What are we going to do? What are we going to do? We can't go back to Haiti." Desanges supported her mother and three daughters working as a caretaker for an elderly woman, and had just bought a small house in Brooklyn.

Gluck's license had been revoked for three years after selling controlled substances to finance his gambling addiction. Gluck had also been Medical Director at C.R.A.S.H. when abortion patient "K.B." died. After K.B.'s death, the health department investigated and found a mystery: K.B.'s chart listed her post-operative condition as "pink, responsive, alert," even though she had gone into full cardio-respiratory arrest by the time indicated on the assessment. They learned that the note had been entered into the chart before the abortion was even performed.

The inspectors noted that CRASH "did not employ proper monitoring equipment or procedures," "had no working EKG machine," and didn't have a cardiac defibrillator. They noted that no one on staff was qualified to perform CPR. No one on staff was qualified to administer anesthesia, and they did not use proper procedures or equipment. Anesthesia was administered "by eye," with no means of accurately measuring the dose. Dosage was estimated to be twice that recommended in the procedure manual.

The operating rooms were found to be ill-lit, and there was no soap or paper towels at the scrub sink. The scrub sinks were stained, the walls and floors dirty, trash was stored in the scrub room. There were red make-up stains on the oxygen masks and nitrous oxide masks, dusty tubing on the suction machines, and blood on the wheels of the operating table.

CRASH had no documentation verifying the credentials or qualifications of medical director Gluck. Gluck had been previously convicted of felony charges related to the sale of 48,000 Diluadid tabets to pay off gambling debts. His license had actually been revoked two months before K.B.'s death, but had been restored by judicial stay.

There was no evidence at the investigation two weeks after K.B.'s death that Gluck had reviewed her chart, or the charts of 18 other patients identified as having suffered complications.

The Choices clinic director said "We are firmly committed to helping people who are skilled medical professionals who have had a fall from grace."

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