Those insist that legalization of abortion is necessary to keep our daughters safe might want to speak to Lou Ann Herron's father, Mike Gibb, who silently wept in the courtroom as he listened to witnesses describe how his daughter died from a safe-n-legal abortion.

On April 17, 1998, 33-year-old Lou Ann Herron bled to death after a late abortion at the now defunct A-Z Women's Center.

Medical assistant Sylvia Aragon wept on the witness stand as she said that Lou Ann's pregnancy was "too far along" for an abortion. Aragon said that she thought Biskind kept ordering more and more ultrasound scans to try to get one that would document the pregnancy as being early enough for the abortion to be legal. A total of seven ultrasounds were done before an estimate of 23 weeks was obtained the day prior to the abortion. Although Arizona law allows the abortionist to have final judgment about whether or not the fetus is viable, and therefore past the legal limit for abortion, the standard point for viability is believed to be around 24 weeks. The ultrasound Aragon did on April 9 showed a 26-week fetus.

Biskind's attorney suggested, during an intense cross-examination, that what had Aragon weeping was that her ultrasound skills were being called into doubt. Aragon admitted that she was the least-experienced staffer performing ultrasounds at the clinic.

The abortion was performed at 1:30 p.m. Biskind, his lawyer said, noted a small amount of blood on the sheets when he checked on her after the abortion, but that he was not concerned because bleeding is normal after an abortion. Biskind left the clinic at about 3:45 p.m. Stuart-Schadoff had a staffer page Biskind 25 minutes later when Lou Ann's condition worsened. Biskind did not return to the clinic, but told staff to call 911. The 911 call was placed at 4:24 p.m. Phoenix fire captain Biran Tobin was told that Lou Ann's vitals were pulse 100, blood pressure 90/50.

Tobin testified that when he arrived at the clinic, Lou Ann appeared to be dead, although a clinic staffer had said that her vital signs were normal. Nobody at the clinic seemed aware of how grave her condition was, he said, and nobody seemed to be helping her in any way. "It was very difficult for me to believe that they could get the vital signs of a woman who, even as we walked in the door, looked really dead," he said.

When the rescue crew arrived, Tobin testified, Lou Ann was wearing an oxygen mask, but had not been intubated. There was also no IV in place. "I very quickly felt that there wasn't a lot of competent medical care going on at the time," he said.

On cross-examination, Tobin indicated that during the 11 minutes the rescue crew was at the facility, he personally never touched the patient. He could not say if her skin was so cold because it was cold at the facility, or because she was dead.

Prosecutors estimate that by the time paramedics were summoned, Lou Ann had lost 2 to 3 litres of blood.

Biskind's defense is largely based on the idea that Biskind would have not rationally have left the facility had he realized that Lou Ann was in danger of bleeding to death from the hole in her uterus. The defense also holds that Biskind did not order multiple ultrasounds, but that the fetus was 23 weeks.

If the abortion was indeed being done after 24 weeks, Arizona law requires that two physicians be present. Biskind was the only physician attending Lou Ann's abortion. Arizona law also limits abortions after 24 weeks to those that an abortionist can try to justify on the grounds that it was necessary to preserve the health and safety of the mother -- a nonsensical concept, since after 24 weeks a conscientious physician faced with a gravely ill patient will perform an emergency c-section in a hospital operating room; he will not perform a risky late abortion in a freestanding clinic.

There were no health concerns in Lou Ann's case anyway, the prosecution noted. She sought the abortion because she already had two children and was separated from her husband.

The prosecution noted that the clinic charged $1,250 for an abortion between 20 and 24 weeks, and indicated that it was this fee, and not any medical concern for Lou Ann, that led Biskind to proceed with an abortion.

Biskind's attorney also indicated that Biskind informed Lou Ann of the risks of a late abortion before she signed the consent form.

Biskind's co-defendant, Carole Stuart-Schanoff, has a defense based on the idea that as administrator of the facility, she had no role in patients' medical care and therefore was not responsible for what happened in the clinic she was running. Prosecutors point out that Stuart-Schadoff scheduled the abortion, and that she scheduled it despite knowing that there would be no registered nurse attending the recovery room that day. The prosection also noted that Stuart-Schadoff delayed calling 911, choosing to call Biskind first.

Update: Two medical assistants testified that Lou Ann was very frightened about her condition as she lay in recovery. She begged, they said, to know what was wrong with her. Biskind fixed her IV (complaining that there was no qualified nurse on staff to do this), reassured her, and left the building, according to testimony. A doctor who specializes in obstetric ultrasounds also testified that the quality of the scan used to justify Lou Ann's abortion was so poor that it appeared the machine was defective and improperly used. The judge ordered struck from the record the expert's comment that reading an ultrasound properly is "a matter of life and death" for an unborn baby.

Update 2/3/01: Lois Montagno, an RN from the now closed A-Z Women's Center, testified that she told Stuart-Schadoff a week in advance that she would not be able to work past noon on August 17, 1998, the day Stuart-Schadoff scheduled Lou Ann Herron for her fatal abortion. This supports the prosecution's contention that Stuart-Schadoff was responsible for leaving Lou Ann in the care of medical assistants, who would not be qualified to supervise the recovery room.

Montagno also testified that she left a note to remind the supervisor, and told her as she was leaving on the 17th, reminding Stuart-Schadoff to tell Biskind that there would be no RN in the recovery room. Montagno did not tell Biskind she was leaving; she testified that he was in the procedure room at the time and she did not want to interrupt him.

A-Z owner Moshe Hachamovitch testified, news reports say, "reluctantly and under tight security. When questioned about his knowledge of procedures at the facility, and about Lou Ann's death, he responded, "I don't remember." He did, however, indicate that he called Bisking a few weeks after the death to discuss the case, but did not say what, if any, conclusions he reached about how the situation was handled.

Hachamovitch admitted that the clinic did not have a procedures manual, but said that Biskind was "excellent at doing second-trimester abortions." Biskind surrendered his license to practice medicine in Arizona after Lou Ann's death in order to stop an ongoing investigation of the circumstances and his handling of the case.

Hachamovitch indicated that he himself is an expert on late abortions, having performed "hundreds of thousands of them" during his 41 years of practice, going back to pre-Roe days in New York. However, Hachamovitch's license had been suspended in New York for nine months on the grounds of gross negligence, gross incompetence, and innacurate patient records. His license was again suspended in New York last year for practicing fraugulently and failing to maintain adequate records.

A prolifer protesting outside the courthouse during the trial said that Hachamovitch has a poor reputuation, employing inexperienced medical assistants at $7 an hour. The protestors want to see Biskind convicted. "He got his money and was done with her," said Jim Arone of Phoenix.

Update 2/7/01: A former Maricopa County medical examiner testified that the tear in LouAnne's uterus was caused by medical instruments, and not by a fetal body part as the defense suggested. However, even had the injury been caused by a fetal body part, this is an expected complication and would not have excused Biskind from his duty to notice and treat the injury.

Medical assistants had testified that Lou Anne cried out in pain from where she lay in a puddle of blood for three hours after her abortion. Biskind's attorney suggested that the pain may have been due to uterus-constricting drugs and not to her injury causing blood to build up in her body.

The former medical examiner, upon cross-examination, also admitted that the emergency room physician, Dr. John Gallagher, used a fairly unreliable method to estimate that Lou Ann had been dead 10 to 20 minutes before paramedics arrived at the clinic. Gallagher had based his estimate of the time of Lou Ann's death on the dryness of her mucous membranes and her fixed, dilated eyes.

Gallagher testified that, based on his assessment of Lou Ann's condition, she could have been saved had she been brought into surgery promptly.

Gallagher trains paramedics for the Phoenix Fire Department. He said that the records he reviewed clearly indicated that Lou Ann's condition was life threatening as she lay bleeding for three hours after her abortion, and that Biskind sould have recognized the severity of her injuries.

Gallagher testified that the records clearly indicated serious trouble at 1:25 p.m., 16 minutes after Lou Ann had been taken to the recovery room. He said that had he been treating her, he would have ordered more IV fluids and blood immediately, and summoned an ambulance to take her to a hospital where she could be treated in a properly equipped operating room.

Gallagher noted that during her last hours in the recovery room, Lou Ann became combative, anxious and frightened, and that she reported her legs wre going numb. These, he noted, are all clear signs of severe blood loss. Instead of recognizing the danger she was in, Gallagher noted, Biskind instead tried to calm Lou Ann and reassure her that she would be "just fine."

Update 2/8/01: Dr. Sidney Wecsler, an abortion expert testifying for the prosecution, said that the letter Biskind wrote to the medical board describing Lou Ann's death misrepresented both her condition and his treatment of her.

The letter, dated June 1, 1998, said that Boskind checked on Lou Ann at 1:25 p.m., and that "pulse and blood pressure were satisfactory." The medical records, however, show that Lou Ann's blood pressue was low at that time, a symptom of blood loss. Biskind also said in the letter that Lou Ann was alert and talking when he left the clinic at 4:05, which Wecsler said would have been impossible for the moribund patient who was certainly dead by the time paramedics arrived twenty minutes later.

Wechsler said that Biskind surely knew as early as 3:15 p.m. that Lou Ann was not alert, because he ordered a drug to arouse her, which did not work. Biskind's letter makes no mention of administering this drug.

Biskind's defense has been claiming that the assistants at the clinic failed to keep Biskind informed of Lou Ann's deteriorating condition. But Biskind's letter to the medical board claims that he himself checked on her every 30 to 45 minutes.

Update 2/9/01: Wechsler was cross-examined by Biskind's lawyer. The lawyer contends that the assistants could have misjudged how much blood Lou Ann was losing, and that Lou Ann's low blood pressure may have been due to medication and not hemorrhage. Wechsler didn't budge from his initial assessment, that Biskind had plenty of evidence and had no legitimate reason to claim ignorance of Lou Ann's life-threatening condition.

Wechsler said that Biskind should have done a pelvic exam and other tests to determine exactly what was wrong with Lou Ann as she lay, frantic and bleeding, in the recovery room. If nothing else, Wechsler said, the fact that Lou Ann was still in recovery three hours after her abortion, long after other patients were up and about and discharged from the facility, should have alerted Biskind to the fact that something was seriously wrong.

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