Falls Police have filed new charges against Dr. David Plache, accusing him of sexually abusing another young patient.

Cops also say more charges could be placed against Plache, because more young victims are coming forward.

“Our first victim, his case, opened the door that allowed us to reach out to other victims through the media,” Falls Detective Capt. Ernest Palmer said.

The new case against the pediatric endocrinologist also includes a charge that administrators at Niagara Falls Memorial Medical Center were warned that Plache was molesting children, but took no action.

Plache was arraigned in Falls City Court on Thursday on two counts of first-degree sexual abuse and two counts of endangering the welfare of a child. He was released from custody after posting $5,000 bail and is scheduled to be back in court Nov. 13 for a preliminary hearing.

On Oct. 3, Plache was arrested and charged with eight counts of third-degree sexual abuse and eight counts of endangering the welfare of a child, He is currently free on $8,000 bail in that case and has a City Court hearing on Dec. 20 for his lawyer to argue over evidence and other elements of the police investigation.

While the first set of charges against Plache are misdemeanors, the first-degree sexually abuse charges are felonies and could move the case to Niagara County Court. A county grand jury may also consider the case against Plache.

“We expect this will go to the grand jury,” Palmer said. “At that point, we’ll introduce further testimony from other persons who allege inappropriate conduct by Dr. Plache.”

The new charges are based on information from an 11-year-old boy, who was referred to Plache last November. The boy said he, and a relative, saw Plache at his office at Memorial .

The victim said that Plache, after telling him to pull down his pants, sexually abused him.

“Dr. Plache would start poking around my private parts,” the boy told detectives. “He would not have on gloves and his hands were freezing cold.”

The boy also said Plache refused to stop what he was doing.

“I told him stop it already,” the boy said. “Dr. Plache said to me, ‘Oh stop it. You know you like it.’ ”

The victim said Plache abused him, even as a relative sat in the examining room. The relative told police that she could see that Plache was touching the boy inappropriately.

“I could tell that Dr. Plache was trying position (himself) so that I could not see what he was doing, but I saw what he was doing,” the relative said.

The relative said when the boy asked Plache to stop what he was doing, the doctor turned and said, “This kid would probably relax more if you would leave the room.”

While the relative refused to leave the examining room, she also said she reported her concerns about Plache’s behavior to staff at the medical center.

“On three different times, I reported to the Niagara Falls Memorial Medical Center and spoke to (a staff member),” the relative said. “(I said ) that Dr. Plache was touching and fondling (the victim). I was told that he (Plache) just liked kids and they would take care of it.”

A spokesman for Memorial said the hospital would have “no comment at this point” on the allegation.

“I can say that whenever a complaint is brought about medical treatment, we investigate it fully,” spokesman Patrick Bradley said.

Police say they have referred the charge to state regulators.

“We have notified the State Department of Health about the allegation,” Palmer said.

Plache, 49, who has a home address on Essjay Road in Amherst, leased office space at Memorial, but was in private practice and was not an employee of the hospital. Bradley said Plache remains on a “leave of absence” and is not permitted to see or treat patients at the hospital.

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