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Despite Deaths, D.C. License Upheld

In August, the medical board received a new complaint about Kioko from Northeast Washington resident Thakerya Drayton, 21, who was referred to Kioko's clinic when she sought an abortion in 2001.

"I didn't know anything about him," she said in an interview.

D.C. resident Thakerya Drayton filed a complaint against Kioko with the D.C. medical board in August after profuse bleeding following an "incomplete abortion." (Juana Arias -- The Washington Post)

SUNDAY: Doctors with substance abuse problems are allowed to keep practicing, often despite relapses, and medical boards rarely revoke licenses.
Physicians Practice Despite Abuse
Some Doctors Sent to Rehab

MONDAY: A physician in Maryland or Virginia is twice as likely to be punished as a doctor in the District, where the medical board's record of serious disciplinary action has been among the lowest in the country.
D.C. Board Rarely Punishes Doctors
Despite Deaths, D.C. License Upheld
Graphic: Medical Discipline

TUESDAY: Doctors who are disciplined often restart their careers by moving to a another state, despite a federal system meant to prevent physicians from hiding troubled pasts.

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Many state medical boards allow you to search for your doctors' standing and medical compliance history.

Washington Post staff writer Cheryl Thompson discussed her "Special Treatment" series.
Audio: The Post's Thompson

After the procedure, she said, Kioko sent her to the recovery room for about an hour. "I knew something wasn't right because of the pain," she recalled.

When she got home, she was "bleeding out of control," she said. After a few days, she told her mother, who called an ambulance that took her to Howard University Hospital.

Hospital records state that Drayton suffered an "incomplete abortion."

Kioko said an incomplete abortion is considered a surgical complication and shouldn't warrant a complaint to the medical board.

"I know the medical board will respond if they think there's a serious deviation in standard of care," he said.

The medical board sent Kioko a letter in September with a copy of Drayton's complaint and added that he was not obligated to respond. He said he remembers her handwritten complaint.

"Her letter was so poorly written, I couldn't understand what she was complaining about," he said.

Kioko said he responded to Drayton's complaint in December but heard nothing from the board until he contacted it March 17 after being questioned by The Washington Post about the complaint.

James R. Granger Jr., the board's executive director, told him that the case was closed, Kioko said.

Drayton said that six days later, she received a letter from Granger stating that the case was closed with no action to be taken against Kioko. The board found no evidence of a violation of city law "that would warrant disciplinary action," Granger said in an interview. It was the first time Drayton had heard from the board since filing the complaint six months ago.

"I thought we would have a meeting with the board and Dr. Kioko," she said. But the board, she added, was "no help."

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