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Gosnell perforated uteruses, bowels and cervixes of countless patients, the grand jury report charged. He left fetal parts inside them, ignored postoperative pain and bleeding and passed venereal diseases from one patient to the next through bloody and dirty instruments, the report said.

Davida Johnson first went to Planned Parenthood in downtown Philadelphia when she got pregnant in 2001. She was 21 and already had a 3-year-old girl at home.

“The picketers out there, they just scared me half to death,” Johnson recalled this week.

Someone sent her to Gosnell, saying abortion protesters wouldn’t be a problem there. She said she paid him $400 cash.

Eyeing what she described as the dazed women in dirty, bloodstained recliners at the clinic, she had a change of heart as the procedure got under way.

“I said, ‘I don’t want to do this,’ and he smacked me. They tied my hands and arms down and gave me more medication,” Johnson, now 30, told The Associated Press.

She experienced gynecological problems a few months later. An examination revealed venereal disease, which she declined to identify. She blames Gosnell, 69, for the lifelong illness and for the four miscarriages she has subsequently suffered.

She learned only this week that prosecutors believe Gosnell frequently delivered babies alive, then severed their spines with scissors and stored the fetal bodies along with staff lunches in refrigerators at the clinic or severed their feet and lined them up in specimen jars, as if part of some unfathomably macabre collection.

“Did he do that to mine? Did he stab him in the neck?” Johnson asked at her North Philadelphia home this week. “Because I was out of it. I don’t know what he did to my baby.”

Johnson never sued over the abortion or ensuing venereal disease, but 46 other parties have, including the family of 22-year-old Semika Shaw, who prosecutors say died of sepsis at the Hospital of the University of Pennsylvania in March 2002, two days after Gosnell perforated her uterus and cervix during an abortion.

Gosnell’s insurer later settled the family’s lawsuit over her death for $900,000 and referred a complaint and settlement to state health officials who oversee the clinic and Gosnell’s medical license. The insurer’s complaint brought no action, prosecutors said, because a Board of Medicine attorney said “the risk was inherent with the procedure.”

In all, state officials failed to inspect the clinic, despite repeated complaints, from 1993 until January 2010, when a federal drug raid investigating heavy painkiller distribution at the clinic shut it down.

Gosnell by then ranked third in the state for the number of prescriptions he wrote for OxyContin, the highly addictive narcotic painkiller. Authorities allege that he left blank prescriptions for such drugs at his office and allowed staff to make them out to the cash-paying patients who streamed in during the day when he wasn’t there.

Johnson’s husband, Bobby, was one of Gosnell’s pain patients. He said he went to Gosnell last year, paying $250 cash, to see the doctor about a debilitating pinched nerve. At the time, he said, he did not know his wife had gone to Gosnell years earlier, before they were married, for an abortion.

Gosnell typically worked from about 8 p.m. until after midnight, arriving only after his pregnant patients were dilated, sedated and ready for the abortion procedure.

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