Archive for Friday, September 16, 2011

Kan. doctor spars with attorney on abortion exams

September 16, 2011, 7:58 a.m. Updated September 16, 2011, 3:01 p.m.

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— A Kansas doctor disputed allegations at a medical board disciplinary hearing Friday that her records contained inadequate information about mental health exams she conducted on young patients she referred to the late Dr. George Tiller's clinic for late-term abortions.

Attorneys for Dr. Ann Kristin Neuhaus also attempted to bolster her case with the State Board of Healing Arts by calling a University of Kansas Medical professor who has worked with her, interviewed her and reviewed her files. The professor said he believes her exams met accepted standards of care.

A complaint before the board accuses Neuhaus of negligence in performing exams for 11 patients aged 10 to 18 who had abortions at Tiller's clinic in Wichita in 2003. Kansas law required Tiller to obtain an independent second opinion before terminating each pregnancy. Neuhaus concluded the patients were suffering from acute anxiety, acute stress or single episodes of major depression.

Board attorneys presented evidence this week that Neuhaus' records contain little specific information about each patient and that she used a computer program, "PsychManager Lite," to produce "generic" reports. But Neuhaus rejected the idea that her records show no basis for her assessments.

"I disagree, and we've been over this ground before," Neuhaus said when questioned about the records for a patient who had an abortion in August 2003. "I think there's plenty of specific information in here."

The professor who testified, Dr. Allen Greiner, said many family practice doctors don't assess patients' functioning in social, school or work settings in examining their mental health, something Neuhaus did for each one. Greiner, also the health officer for Wyandotte County's public health department, worked with Neuhaus there.

"I believe the standard of care was met," Greiner testified.

Greiner's statements contrasted with testimony from Dr. Liza Gold, a clinical psychiatry professor at the Georgetown University Medical Center in Washington, who concluded after reviewing Neuhaus' records that she failed to meet accepted standards of care. Among other things, Gold cited a lack of specific details about each patient that Gold said could help other doctors treating them.

Attorneys for Neuhaus and the board have been presenting their evidence and testimony to a hearing officer, who will recommend to the full board whether Neuhaus should face sanctions. The 15-member board, mostly physicians, has the power to revoke her Kansas license.

Neuhaus doesn't have an active medical practice, but her license does allow her to provide charity care, which she does. She has asked the board to restore her to having a full, active license.

Neuhaus provided second opinions for Tiller from 1999 through 2006, usually in a private room at Tiller's clinic, generally driving there once a week from her home in Nortonville, about 30 miles north of Lawrence. She testified Thursday that Tiller never pressured her to allow abortions to go forward and that her opinions were truly independent.

Tiller was one of a few U.S. physicians performing late-term procedures when a man professing strong anti-abortion views shot him to death in May 2009. The doctor had been acquitted two months earlier of misdemeanor criminal charges that, in relying on Neuhaus for referrals, he wasn't getting the independent second medical opinion as state law required.

State law then restricted abortions starting at the 22nd week of pregnancy, if the fetus was viable. It required that a patient face death or "substantial and irreversible" harm to "a major bodily function," which included her mental health. Legislators tightened the law this year, and it no longer includes the mental health exception.

Board attorney Reese Hays repeatedly questioned Neuhaus about the lack of definitive statements from her in records stating that patients were seeking abortions, or the lack of her signature on documents. Neuhaus noted that her patients' files had cover letters from Tiller's clinic.

"A reasonable person would conclude that a person coming to an abortion clinic is seeking abortion services," she said. "I didn't realize I had to write something only a contract attorney would."

Comments

itwasthedukes 3 years, 7 months ago

Excerpt from the Hippocratic Oath

"I will respect the privacy of my patients, for their problems are not disclosed to me that the world may know. Most especially must I tread with care in matters of life and death. If it is given to me to save a life, all thanks. But it may also be within my power to take a life; this awesome responsibility must be faced with great humbleness and awareness of my own frailty. Above all, I must not play at God."

akt2 3 years, 7 months ago

Ram HIPPA down there throat and let the doctor that provides charity care to continue her work.

kansanjayhawk 3 years, 7 months ago

How about Patient #10 who had her approval date stamped one wk after the abortion was performed? This was very bad practice of medicine and it shows why the law needed to be updated and made more definite. We need to see to it that even abortion doctors in Kansas are not above the law and that they practice at least at the min. standard of care.

Cait McKnelly 3 years, 7 months ago

Just like we needed to see Attorneys General held to the same standards. The man was kicked out of office and had copies of abortion records he obtained as AG sent to his new office in Johnson County. Then when he was kicked out of that office he had those same copies sent to his office n Lynchburg, VA. Tell me, KJH, what use did your "personal friend", Phill Kline, have for those records and isn't his possession of them just a mite illegal? These things are far more disturbing to me than a clerical error!

kansanjayhawk 3 years, 7 months ago

Once again you don't address the issue: Patient #10--you try to redirect--and focus on a completely different issue. I'm not discussing Phill Kline right now we are talking about these abortion documents and this doctor!

Fred Mertz 3 years, 7 months ago

I wonder if the authorities were alerted about the rape of the 10 year girl?

Katara 3 years, 7 months ago

Yes, they were in her home state. She was not from KS.

"Documents produced by lawyer Dan Monnat showed:

The girl came with her mother from another state, carrying a letter from their local prosecutor's office. The letter said the girl needed "an immediate medical procedure that (could) only be done" at Tiller's Women's Health Care Services clinic.

The relative who raped her had already been charged.

Prosecutor Steve Maxwell and investigator Tom Williams would repeat the story of the girl's abortion, and Tiller's supposed failure to report it, to Shawnee County Judge Richard Anderson, court transcripts showed. But that was more than a year after they learned of the prosecution in the girl's home state." http://friendsofsughana.org/content/view/565/37/

This was in the Wichita Eagle but I could only find it on that website for some reason.

deec 3 years, 7 months ago

Interesting article. I'm not a bit surprised the probirthers lied and violated patient confidentiality.

kansanjayhawk 3 years, 7 months ago

The question is why are you not surprised as this so-called doctor rubber stamping abortions for any and all reasons...??

kansanjayhawk 3 years, 7 months ago

read the report...i'm not the one who tells lies...

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