As co-owner of Dallas Medical Ladies Clinic, Karpan was co-defendant in a suit by Ruth Ann S. alleging injury in a 1990 abortion by Norman Tompkins at Dallas Medical Ladies Clinic. Ruth Ann said that Tomkins performed the abortion on August 28. After the abortion, Ruth Ann complained of hemorrhaging, but was told that this was normal and that there was no need to return to the clinic. On November 7, Ruth Ann collapsed at work. She was taken to Richardson Medical Center, where a second procedure was performed to remove necrotic tissue that had been left in her utuerus. (Dallas County District Court Cause No. 18282)

Diana A. said that she went to Aaron Family Planning Clinic in Houston on January 21, 1988, where she was examined and treated by Karpen. Karpan diagnosed several possible problems including a cyst associated with pregnancy, infection in her right tube-ovary, and ectopic pregnancy. Without utilizing available ultrasound equipment to determine the location of fetus, Karpen performed an abortion on January 28. Diana went to Ben Taub Hospital Emergency Room on February 3, and was discharged 12 hours later diagnosed post operative for D&C, given a prescription for pain, and asked to return in 2 weeks. On February 7, Diana suffered a ruptured ectopic pregnancy that had not been diagnosed at Aaron due to improper reading and interpreting lab results which had arrived February 2. (Harris County District Court Case No. 89-003719)

Karpan performed the fatal abortion on 15-year-old Denise Montoya in 1988.

Sixteen-year-old Nicolette C.'s family sued on her behalf after Karpen refused to remove the laminaria after she'd changed her mind about aborting her baby.

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