Sunday, March 18, 2012

Doctor Nicola Riley Essay of being caught performing a legal abortion, a female medical procedure, in Maryland and how that has changed her life

November 1, 2011

Karl G. Perry (USB 2570)
Assistant Attorney General
Mark L. Shurtleff (USB 4666)
Utah Attorney General
Commercial Enforcement Division
160 East 300 South, 5th Floor
P.O. Box 140872
Salt Lake City, UT 84114-0872
Attorneys for Division of Occupational & Professional Licensing
To Messrs. Perry and Shurtleff:

I would like to thank the Utah Board of Medicine for the opportunity to put into words
what I have learned over the past year about myself, how inaccurate reporting on professional
applications affected my license and my medical practice.

As everyone now knows, twenty years ago, while serving in the military, I was convicted
of a felony. The actions that led to the felony conviction caused me a profound sense of shame
that I still carry with me today. My behavior at the time was uncharacteristic of anything I had
done before, or since. I embarrassed my family, my country and myself.

When I was discharged from Ft. Leavenworth Military barracks in 1992, I did everything
possible to put the past behind me. I did not want my terrible mistake to define who I was. In
retrospect, I understand that I was in denial of what I had done. I rarely discussed my criminal
actions with my family and had chosen to tell only a few very close friends. I never reviewed
my discharge papers. I could not face doing so. My denial was so all encompassing that it
never even occurred to me to obtain another set of discharge papers after I lost the originals.
I also never tried to have my record expunged. When I was asked to answer questions about
my past, I did everything possible to continue to minimalize what I had done. I did so not to
defraud anyone, but because I did not want to confront my own past. It was and remains terribly
painful. But it is my past, not my present.

Each less than perfect act that I have ever done has been laid bare before the public. My
patients have questioned me extensively about my past. I answer them as openly and honestly
as I can. I know now that I must not flinch away from the past. I have no secrets to withhold.
For the first time, a patient under my care suffered a medical complication and I have had to live
with that knowledge and these subsequent repercussions.

Despite the newspaper reports, internet stories and local news, I still have family, friends,
patients and other doctors who support me. Although my practice is a shadow of what it once
was, every week there are patients that make the decision to trust me again. I feel blessed and
humbled by their trust in me. Their faith in me must be repaid by giving them the best and most
ethical treatment that I can. I pledge that to them.

Finally what I have lost professionally is profound based on the unfortunate events of the
last year and the Utah DOPL sanctions:

1 A summary suspension of my Maryland medical license;
2 The surrender of my Wyoming license since I did not have the financial means to
defend myself in multiple legal venues;
3 Revocation of my American Board of Family Medicine certification, with
subsequent job position termination due to revocation of board certification;
4 Loss of my hospital privileges at Alta View l and St. Mark’s hospitals in Utah;
5 Termination of participation in several major insurance panels, with subsequent
loss of longstanding patients;
6 A malpractice claim and termination of insurance coverage;
7 An agreement with DOPL to cease performing termination procedures; and,
8 A  public reprimand by DOPL, a $10,000 fine and this essay.

Although I am essentially unemployable in Salt Lake City and my income is
approximately sixty percent of what it once was and I am struggling to keep my home and
provide for my family; the most difficult obstacles I face are those that involve rebuilding the
trust of my family, patients and colleagues.

Thank you.


Nicola Riley, MD
SMP Family Medicine & Homecare, PC

Friday, March 16, 2012

Arizona is a Toxic Place to more than just Women

The toxic work environment of Arizona many times parallels and reflects a very harsh natural environment. The toxic work environment of not wanting to pay minimum age, let alone health care benefits, to employees is reflected in many of these anti-female, anti-immigrant legislative bills sponsored by low paying women’s jobs of $24,000 per year as with these female state legislators.

That women get low wages is a fact of life in America.  That many times, and from my own experience of having lived and worked in Arizona, it is the female spouse who is the primary bread winner in many Arizona households.  That and being the primary providers of Health Care coverage as well for the family.

The Arizona state legislature is far from a part time enterprise but for the time involved and the wages paid, I often wonder when I hear of anti-female laws passed or proposed by Kimberly Yee or Debbie Lesko, what is their real day job to supplement the minimum wage and per diem paid by the state to pass these draconian laws against women.

Being an anemic economic entity whereby big corporations come and go from Arizona as soon as tax breaks disappear is only part of the reason for these corporations leaving.  Cronyism is quite rampant in a thin economy.  Right to work is a means to eliminate union competition to get your son or brother in law on the payroll of whatever company happens to pull into Phoenix and Tucson for an average of two years.

That corporations see wages as less than half of what they are paying elsewhere and executives see the golf courses and the game is on.  Half the wages and one third the productivity from the average Arizona worker becomes rapidly evident and the company leaves town when the tax break runs out.  Some stay for whatever reasons, mostly poor management, or tax losses.  

The productivity issue is I think related to education issues and the inability of the state to maintain modern training or staying, building long term economic growth other than handouts from Washington that are rapidly divvied up by the McCain/Kyl Country Club crowd.

So, when I hear that a female employer or her husband holding the primary health plan has to ask permission to get Birth Control, the only thing I thought was that competition is tough and females needing Birth Control can be eliminated from the payroll in favor of your sister-in-law to get that job who is past child bearing years or a son who gets his healthcare on his spouse’s dime. 

Things are tough in Arizona.  It is more than the coyotes that eat their young there. 

Tuesday, March 13, 2012

Sunday, March 11, 2012

Joan Baez - Michael

In the time spent in the foggy dew 
With the raven and the dove 
Barefoot she walked the winter streets 
In search of her own true love 

For she was Mary Hamilton 
And lover of John Riley 
And the maid of constant sorrow 
And the mother of the doomed Geordie 

One day by the banks of the river 
Midst tears and gossamer 
Sweet Michael rowed his boat ashore 
And came to rescue her 

And fill thee up my loving cup 
Fast and to the brim 
How many fair and tender maids 
Could love as she could then? 

For he was likened to Pretty Boy Floyd 
And also John Riley 
And a rake and rambling railroad boy 
And the Silkie of the Sule Skerry 

And there in the arms of Michael 
In their stolen hour 
Loud rang the bells of Rhymney 
From the ancient church bell tower 

And there in the night with Michael 
While he lay fast asleep 
She put her head to the window pane 
And in the fullness of love did weep 

And fill thee up my loving cup 
Fast and to the brim 
How many fair and tender maids 
Will love as she did then? 

You've heard of the House of the Rising Sun 
And what careless love can do 
You've heard of the wildwood flower 
That fades in the morning dew 

And of the ship that circles three times round 
And sinks beneath the sea 
You've heard of Barbary Allen 
And now you've heard of me 

So fill thee up my loving cup 
Fast and to the brim 
How many fair and tender maids 
Will ever love again 


Friday, March 9, 2012

Santorum’s Coming Crusade Against IRAN – Onward Christian Soldiers!

If you were worried there wouldn’t be a 2012 candidate touting the pro-Crusades platform, then today is your lucky day!
“The idea that the Crusades and the fight of Christendom against Islam is somehow an aggression on our part is absolutely anti-historical,” former Sen. Rick Santorum (R-PA) told a South Carolina audience yesterday. “And that is what the perception is by the American left who hates Christendom.”…
Referring to the “American left,” Santorum observed: “They hate Western civilization at the core. That’s the problem.” Santorum also suggested that American involvement in the Middle East is part of our “core American values.”
“What I’m talking about is onward American soldiers,” Santorum continued. “What we’re talking about are core American values. ‘All men are created equal’ — that’s a Christian value, but it’s an American value.”


Decadence vs. Vitality in America - Allistair Cooke

Wednesday, March 7, 2012

Murder Charges Dropped – Dr. Nicola Riley Utah – Thoughts from a Transgender Patient - “Dexter”

Doctor Riley of Utah, the abortion murder charges against her, got dropped almost in a middle of the night scenario and were first reported in a local Maryland news site.  The prosecution could not find any reputable expert witnesses to testify at their pro-life political election year witch trial.

I do not want to say anything further on that.

I was however touched by a blog of one of Dr. Riley’s transgender patients named “Dexter” whose words I cannot equal except in the joy that she is free to go on doing her much needed work.

My pharmacy is now charging around $85 for a generic (Watson) 10ml 200mg/ml testosterone cypionate. Up from $58. They said there’s a shortage or something… 

Anyway, I felt pretty nervous about bringing this prescription in due to the sudden arrest of my doctor, Nicola Riley, on December 28th. I’ve wanted to blog about this for a while, but haven’t been able to until now. During my last appointment with her just a week before her arrest, she forewarned me, “I’m involved in a trial and I’m not sure how it is going to go. So, just in case, I’m writing your prescription out for as long as I can.” Now that she’d been arrested, I wasn’t sure if the pharmacy would accept the prescription or not. Fortunately, they did.

She had been arrested under Maryland’s 2005 fetal homicide law, in connection to a 2010 abortion she’d performed there while working under a doctor named Steven Brigham. She was deemed a “monster” by the local media and various online sources. However, a few weeks later a more sympathetic article came out about her in the Salt Lake Tribune that included interviews with a couple of her transgender patients.

According to this article, she had accepted a job from Brigham. He would start abortions in New Jersey and Riley would finish them in Maryland where state law allowed later-term abortions (i.e. after 25 weeks). After working there for two weeks, one of her patients experienced a problem during the procedure. Riley immediately rushed her to the ER, where it turned out that the patient’s uterus had been punctured. This is a known risk of abortion and was Riley’s first complication in five years of performing abortions. She lost her license in Maryland, due to “endangering” this patient and for working with an unlicensed doctor for two weeks. The anti-abortion group Operation Rescue was, of course, involved in that investigation and deemed her license loss “a victory for the pro-life movement”.

The same group had spearheaded the witch hunt in Utah, where Dr. Riley was one of three doctors who would perform abortions in the entire state. I remember about a year ago when a local Fox news report ran with the headline, Do you know who your doctor really is?. It was, of course, all ominous and about Nicola Riley.
It’s been a huge knot in my stomach since this has all happened. To see my genuinely passionate doctor raked through the mud who has dedicated her life to providing services to women in need and marginalized communities. Especially when, like many other doctors, she could have easily chosen to turn her back due to the risks. My friend, Dominique Storni, summed it up well when she said of Dr. Riley:

“She is a woman who cares about humanity. The bulk of her practice was helping marginalized populations — people with no jobs, lower income, racial minorities, gender minorities,”

Practically every trans person I know has been a patient of Dr. Riley’s at some point. I can’t say this for any other physician - especially when every doctor I’d gone to before her had been ludicrously trans-ignorant. Something that’s not a problem for most cisgender women, a pap smear, is traumatic for me as a trans person. I had avoided ever getting one. When physicians tried, they would become confused and frustrated. Eventually, they would get angry at me and just give up. Some went as far as to tell me that I didn’t need pap smears - ever, just to save themselves the trouble of dealing with me.

When I saw Dr.Riley, I did my best to avoid anything to do with a pap smear. She was not fooled. She knew what was going on and deftly countered all of my diversions and excuses. She cornered me into getting a pap smear right there and then. Knowing how traumatic this was for me, she took extraordinary measures to make it as comfortable and non-traumatic as possible. What is normally a quick procedure took her three hours. While I’m not going to assume that she hasn’t made any mistakes just because my experience with her has been so positive, I am certainly not going to accept every allegation as fact.

I’ve been stunned by how the pro-life propaganda against her has been uncritically regurgitated by the media and by many people who should know better. Even some pro-choice people are soaking this up like a sponge. A procedure went wrong. This happens all of the time in hospitals. When a patient checks in for a surgical procedure they’re required to fill out a number of forms acknowledging the risk involved (e.g. injury or death). Every surgeon in every hospital is not a murderer because they require patients to sign these forms. They know procedures can and do go wrong.

What would have happened if there had been complications with my top surgery? I was warned in advance that there was a real risk of complication - even the possibility of death. My top surgery took place in a clinic. If something had gone wrong, the plan was to take me to the E.R., unconscious. This is exactly what happened in the case of Dr. Riley. Does this imply that all surgeries done in clinics, outside of a hospital, are shady, back alley operations? And that every doctor who performs surgery in clinics outside of a hospital must have their license to practice revoked? Of course not. 

I feel so sad for her. Because she goes out on a limb for those who need her the most, she’s being witch hunted and even some people she has helped are going right along with it. Death threats, harassed, chased out, and now - being tried as a murderer under an entirely bogus and very strategic anti-choice “fetal death” law. At the very least, she deserves the presumption of innocence.  We have an obligation to stand up for her and look at these allegations with responsible skepticism. Think hard about whether the allegations make sense or not, whether there are possible explanations - or if they might be entirely false. 


Thursday, March 1, 2012

St. Mark's Episcopal Church - Frankford - Philadelphia

A city on a hill structure in Philly, 4442 (King's Highway) Frankford Avenue, old town of Frankford.


circa 1907

circa 1910


Philadelphia & Reading R.R. Station Frankford


Sunday, February 26, 2012

Doctor Nicola Riley of Utah – Legal Defense Fund

Doctor Nicola Riley of Utah has set up a website seeking support and donations for her defense and expert witness expenses.
As you may well know, Dr. Riley has been indicted for Murder in Maryland as a licensed doctor and in the performance of the female medical procedure of abortion.
What is this case about? 
In August of 2010, Dr. Riley provided a lawful and consensual second trimester pregnancy termination in a county in Maryland. She is now the subject of a prosecution for an alleged fetal homicide that the authorities claim was viable at 20 weeks. 
On December 28, 2011, eighteen police officers and federal marshals, came to Dr. Riley’s home (her family and minors present), with guns drawn and arrested her for murder. She was held without bail for twenty three days. The Maryland State’s Attorney used a 2005 fetal homicide law which had previously been used to prosecute defendants who attacked pregnant women and caused the demise of their fetuses for murder. Prior to Dr. Riley’s indictment, no doctor had ever been charged with murder for performing an abortion. In fact Maryland law provides doctors and patients with immunity for performing/consenting to this lawful medical procedure. 
If this case is successful, although the law guarantees a women’s right to a safe legal abortion, there will be no doctors to perform them. What doctor would risk being prosecuted for murder to perform a legal abortion? 
Dr. Riley has denied any criminal liability and through counsel is contesting the overreaching of both the Maryland statute and the prosecution that threatens Dr. Riley, as well as the many women who seek lawful, competent advice and services. To do so may require the assistance of experts to assist Dr. Riley and her defense counsel.
ELKTON, MD. — A judge has set a trial date of June 27 for a Utah abortion doctor charged with murder for the death of a fetus during a 2010 procedure in Maryland. 
Dr. Nicola Riley is charged under a Maryland law that allows prosecutors to pursue murder charges in the death of a viable fetus. Her former colleague, Dr. Steven Brigham of Voorhees, has been charged in the deaths of five fetuses. 
The law had not previously been used against abortion doctors, and attorneys for both doctors have argued that they are immune from prosecution. But Cecil County prosecutors have indicated they believe any killing of a viable fetus is homicide. 
Riley’s trial is scheduled to last through mid-July. Brigham is scheduled for trial starting on June 6.
Other Ways to Help
Please contact your local branch of the following organizations and ask them to support the defense of Dr. Riley.

Planned Parenthood 



The National Abortion Federation  

Thank you.

Rick Santorum, Fashionista in his Wife Beater Sweater

I think we have a closeted fasionista headed to the White House. 

He takes the typical wife beater athletic shirt in cotton and transforms it into a wife beater sweater in wool.  How cool!

Lucky Mrs. Santorum.


just because man invented God, does not mean that God does not exist

Clowns.  Proof that God exists?

Or is it merely the silly energy of it all that is the answer?


Saturday, February 25, 2012

Dolan and Lori - Bergen and McCarthy? - Anybody see the lips move?

Charlie and Edgar?

It was horrible your Eminence 

TOo horrible.  That big black secular putty tat came into my store and...

- And?

And demanded I sell him a Ham Sandwich!.

- Oh the Horror!

Yes.  I deserve the red gown now.  I have now truly walked in the foot steps of the Martyrs!


Tuesday, February 21, 2012

Nutjob Rick Santorum Defines Strategies of Satan at the Ave Maria University

Ave Maria University, centerpiece of the gated pure white Catholic town of Ave Maria in Naples Florida, in 2008, was ground zero in Rick Santorum’s holy war, catholic sharia jihad, against Satan.

No porn on cable in Ave Maria, or condoms or contraceptives at the pharmacy, and no chocolate ice cream served. Only Vanilla! The town that Domino’s Pizza built.

Santorum was using the devil-tinged language after explaining Obama's position on abortion.  He quoted Bishop Samuel Aquila of Fargo, North Dakota, who said at the time, “Catholics who support so-called ‘abortion rights’ support a false right, promote a culture of death and are guarded by the father of lies."
"This is not a political war at all, this is not a culture war at all, this is a spiritual war," Santorum said, according to a recording of the speech on the university's website. "And the father of lies has his sights on what you think the father of lies, Satan, would have his sights on.  A good, decent, powerful, influential country, the United States of America."
The speech gained a new life this week when it surfaced on the website Right Wing Watch and was then picked up by the Drudge Report and a host of media outlets.
"If you were Satan, who would you attack?" the former U.S. senator asked the students.  "There's no one else to go after other than the United States, and that's been the case, for now, almost 200 years."
Santorum went on to explain how he thought the devil had attacked the United States in several areas: its foundations, academia, the Protestant Church and government.
Satan had relatively little success attacking the founders and the foundation of the country, said Santorum, who is a practicing Catholic.  But time, like an acid, wore away America's great institutions, "using those great vices of pride, vanity and sensuality as the root to attack all of the strong plants that has so deeply rooted in the American tradition," he said.
Santorum said Satan was first, and most successfully, attacked academia.  Once academia fell to pride and its own truths, he said, the Protestant Church fell next in the United States.
"We look at the shape of mainline Protestantism in this country, and it is in shambles, it is gone from the world of Christianity as I see it," he said.

Bishop “Ham Sandwich” Lori – Makes no F*cking Sense – Jon Stewart

Bishop Lori’s Kosher Deli Parable before Congress, comparing birth control to unclean Jewish food, did not hit the mark with Jon Stewart. 4:40 to 6:30 on video.