Jump to content

ChiGoose

Community Member
  • Posts

    4,337
  • Joined

  • Last visited

Posts posted by ChiGoose

  1. Confusion post-Roe spurs delays, denials for some lifesaving pregnancy care

    Miscarriages, ectopic pregnancies and other common complications are now scrutinized, jeopardizing maternal health

    (source)

     

    A woman with a life-threatening ectopic pregnancy sought emergency care at the University of Michigan Hospital after a doctor in her home state worried that the presence of a fetal heartbeat meant treating her might run afoul of new restrictions on abortion.

     

    At one Kansas City, Mo., hospital, administrators temporarily required “pharmacist approval” before dispensing medications used to stop postpartum hemorrhages, because they can also be also used for abortions.

     

    And in Wisconsin, a woman bled for more than 10 days from an incomplete miscarriage after emergency room staff would not remove the fetal tissue amid a confusing legal landscape that has roiled obstetric care.

     

    In the three weeks of turmoil since the Supreme Court overturned the constitutional right to abortion, many physicians and patients have been navigating a new reality in which the standard of care for incomplete miscarriages, ectopic pregnancies and other common complications is being scrutinized, delayed — even denied — jeopardizing maternal health, according to the accounts of doctors in multiple states where new laws have gone into effect.

     

    While state abortion bans typically carve out exceptions when a woman’s life is endangered, the laws can be murky, prompting some obstetricians to consult lawyers and hospital ethics committees on decisions around routine care.

     

    ...

     

    The need to intervene in a pregnancy with the same medication or surgical procedure used in elective abortions is not unusual.

    As many as 30 percent of pregnancies end in miscarriage, the spontaneous demise of a fetus, commonly because of chromosomal abnormalities. The methods of managing a miscarriage are the same as for abortion, using a combination of drugs — mifepristone and misoprostol — or a brief surgery known as dilation and curettage, or D&C, to dilate the cervix and scrape tissue from the uterus.

     

    Left untreated, some miscarriages resolve naturally; others lead to complications such as infection or profuse bleeding.

    It’s important for people to realize early pregnancy failure is common,” said Rashmi Kudesia, a fertility specialist in Houston.

    Doctors in Texas — where since last September abortion has been illegal after the detection of fetal cardiac activity, around six weeks of pregnancy — report that pharmacists have begun questioning patients about miscarriage medications, suspecting they may be used instead for abortions.

     

    ...

     

    Carley Zeal, an OB/GYN in southern Wisconsin and a fellow with Physicians for Reproductive Health, said she recently treated a woman at risk of infection after a miscarriage. Zeal said providers at another hospital had wrestled with what services they could perform — with an 1849 law banning almost all abortions back in effect — and ultimately refused to remove the fetal tissue from the patient’s uterus.

     

    “It really delayed her care,” Zeal said. “I saw her a week and a half later with an ongoing miscarriage and bleeding, increasing the risk of severe bleeding as well as infections.”

     

    ...

     

    Zeal said another physician in her practice contacted her the week after the Supreme Court decision as she treated a patient with a ruptured ectopic pregnancy. “She knew exactly what she had to do because [the woman] was bleeding and was clearly going to die if nothing was done,” Zeal said. “But she wasn’t sure what she needed to document to be sure she wouldn’t be charged with a felony.

     

    ...

     

    It turned my attention away from the bedside of the critical-care patient toward documentation,” Wistrom said.

     

    ...

     

    Many state laws with new restrictions on abortion make exceptions for ectopics, but uncertainties can arise if a fetus implants on Caesarean scar tissue on the uterus wall or if it cannot be located.

     

    Patricia Nahn, another OB/GYN in Zeal’s practice, said she recently had a patient displaying signs of an ectopic pregnancy, including abdominal pain. But because this was not a clear-cut case in which an ultrasound showed the fetus developing outside the uterus, Nahn faced the potential of terminating a fetus that was in the uterus and violating Wisconsin’s abortion ban.

     

    Instead of prescribing medication to terminate the pregnancy in the safest manner, as she would have done before last month’s ruling, Nahn said, she was forced to perform a riskier invasive surgical procedure to confirm the location of the ectopic pregnancy before ending it.

     

    If you had just waited and done nothing because you were afraid, she could have died,” Nahn said.

     

    ...

     

     

    New abortion bans oversimplify the reality of obstetric care, physicians say, placing a binary on what is a continuous spectrum of increasing risk. Pregnancy puts huge stress on a patient’s body, sometimes exacerbating existing health problems such as diabetes or hypertension until they become life threatening.

     

     

    ...

     

    Delaying treatment for an ectopic pregnancy is so dangerous it would amount to malpractice, said Pamela Parker, an OB/GYN in Texas’s Rio Grande Valley, who has decided to practice in Arizona because of Texas’s restrictions and the overturning of Roe.

     

    ...

     

    Indiana lawmakers are considering new restrictions on abortion in a special session in late July. At least one legislator has floated a total ban with no exceptions to save the patient’s life. 

     

    ...

     

    Although Ohio’s abortion ban makes an exception to save a patient’s life, Winchester considered a pregnant woman she treated last year who had a malignant tumor on her cervix that threatened her life, but not imminently. The woman had two children in high school who begged her to terminate the pregnancy and get treatment for the cancer.

     

    “They wanted her to see them graduate,” said Winchester, who performed an abortion on the woman. “That’s something I don’t know if I would be allowed to do here in Ohio anymore.”

     

    ...

     

    Other women are planning ahead in an effort to avoid situations where they may be denied abortions.

     

    Kelly Walters, 37, who developed preeclampsia in two of her four pregnancies, said she was so rattled by the abortion ban in Missouri, where she lives, that she is now preparing to have a hysterectomy.

     

    “I was told I absolutely can’t get pregnant again,” said Walters, who has residual damage from strokes caused by the preeclampsia.

    “I don’t think I could survive it.”

  2. 7 hours ago, Boatdrinks said:

    Many things are not explicitly mentioned in the Constitution, but that doesn’t mean they are easily banned or made illegal. It also does not create the political will of the people needed to do so. That a few extremists may exist on the fringes of our two major political parties doesn’t make such far fetched laws imminent. 


    One of those extremists is a sitting Supreme Court Justice. 

  3. 1 hour ago, SoCal Deek said:

    And yet another ‘institution’ of our once proud government is getting thrown under the bus by the drumbeat of ‘progress’…or should I say all in the never ending thirst to get Trump. The secret service has one job to do and unlike the congressional political class, they appear do it really well, regardless of which party the President is from. They’ll even take a bullet to protect the President. Will you? Will the members of the so called select committee? 


    I don’t think this is a Trump thing. The Secret Service has had issues for a while. 
     

    Here’s an article about their failures during the Obama administration: https://www.theatlantic.com/politics/archive/2015/03/secret-service-disaster-timeline/387643/

  4. 35 minutes ago, Boatdrinks said:

    Obviously every single issue shouldn’t be left to the states. Contraception and interracial marriage are not particularly controversial and there is no reasonable argument for them to be illegal. Those examples don’t hold much water when there is virtually zero political will behind banning them. They aren’t “ issues” on anyones radar. 


    The right to contraceptives was established in Connecticut v. Griswold, a case founded on the grounds to similar privacy rights as Roe v. Wade.

     

    In his concurrence in Dobbs, Justice Thomas called for overturning Griswold. The main thrust of Dobbs is that abortion doesn’t appear in the text of the Constitution, but neither does contraceptive. Some GOP candidates are already running on a platform to ban access to contraceptives: https://www.rollingstone.com/politics/politics-news/michigan-gop-extremist-candidate-ban-contraception-1356393/amp/

     

    As for interracial marriage, it too was established partly on privacy grounds in Loving v. Virginia, but you should note that the right to interracial marriage is also not in the text of the constitution. Oddly, while Thomas mentioned overturning privacy cases like Griswold, Obergefell, and Lawrence, he somehow forgot the fourth case in that line: Loving. 
     

    That being said, it appears that Loving may be on the radar for some people: https://www.businessinsider.com/republican-senator-mike-braun-questions-whether-the-supreme-court-should-have-legalized-interracial-marriage-2022-3?amp

     

    I’m not going to make predictions on whether or not these cases will be overturned, but to say that they are settled is ignoring the current environment on the far Right. 

  5. 7 minutes ago, BillStime said:

    Tells you everything you need to know

     


    Inside job for sure, right DR?

     

     


    I’d like to see a serious investigation into this but it’s also important that a Secret Service Agent left the protection detail to take a political position and then returned to the agency and, I believe, is currently running their training.

     

    Feels like not everything is on the up-and-up there. Very interested in what the IG has to say (and the IG has already stated that the Secret Service has not been cooperative in the investigation).

    • Like (+1) 1
  6. 17 minutes ago, All_Pro_Bills said:

    But that's not the same bill and 15 weeks is not a ban.  Its in line with what almost every other western nation has in effect.  

     

    Many of the laws in Europe have exceptions so large you can drive a truck through, such as the woman's mental health.

     

    Ohio doesn't even have an exception for minors who are raped.

  7. 23 minutes ago, leh-nerd skin-erd said:

    Come on, Irv is killing this with his casual irreverence.  It's Friday, summer time, and as the song says:

     

    And it's two bare feet on the dashboard
    Young love and an old Ford
    Cheap shades and a tattoo
    And a Yoo-Hoo (Yoo-Hoo) bottle on the floorboard

     

    Admittedly there will be no bare feet on my dashboard (the foot is the Chernobyl of bacterial proliferation and with the possibility of air bag deployment always imminent, both feet for the occupant of the passenger seat should be firmly on the floor while the car is moving), I have a 22 Jeep, my love dates back to 1983, shades make me sleepy, I got no ink, and haven't had fake-choco Yoo-Hoo (Yoo-Hoo) in years.  Still, it's summer!

     

     

     

     

    Fair enough. We should have a "summer thread" with lighthearted posts about what everyone's up to during the summer.

    • Like (+1) 1
  8. 1 hour ago, All_Pro_Bills said:

    The core problem is the Colorado River system does not have the capacity to support 40 million humans along with the surrounding environment.  So eventually either somebody identifies another source of water to restore a balance with nature or people move out.   


    Or they keep their heads in the sand and do nothing while the problem gets worse. 

  9. 56 minutes ago, dpberr said:

    Newsome and Pritzker are DOA in the 2024 election.  California and Illinois are failed states.  Newsome is a phony who will melt under pressure.  America isn't voting for 57- year old Pritzker's obesity after eight years of elderly Presidents.  

     

    Dems do need to run a governor, as America sees what two senators can do in the White House, but someone like Beshear, Edwards or Cooper to stand any chance.  


    I don’t know much about California, but since Pritzker took over in Illinois, we have had multiple credit ratings upgrades (after the last governor intentionally took us down to one above junk), dramatically reduced the bill backlog and have rebuilt the rainy day fund.

     

    Things are actually going quite well in the state. 

  10. 7 hours ago, Boatdrinks said:

    So all is hunky dory in Illinois ; due at least in part to their exceptionally forward thinking government. You don’t seem like you’re fixin’ to move to Kansas anytime soon. So what’s the problem? A polarizing issue has been left to the people (i.e the states ) to decide. This is our system of government as designed by the founders of our great Nation. What is acceptable behavior in Illinois may not be in Missouri. Our Democratic Republic allows for this. 


    For one, I don’t think every single issue should be left up to the states. Should the right to contraceptives be left to the states? Should we let the states decide if they want to allow interracial marriage?

     

    If I was offered a great job opportunity in Ohio, the state where my wife and I went to school and still have friends, it would be a really difficult decision because moving to Ohio would mean losing access to important healthcare.

     

    Secondly, the whole “leave it up to the states” argument falls a little flat when the GOP is openly advocating for a nationwide ban through Congress. Ultimately, it likely won’t be left to the states one way or the other.

  11. 1 hour ago, Doc said:

    It was probably because they were personal and private about matters that they believed were within the scope of their personal privacy.


    Government employees often have a separate phone for their work. I know a couple employees of the state who have a work-issued phone because everything they do for work is subject to FOIA. 
     

    I do not know if the secret service has the same policy, but if cops and other state government employees have this, it wouldn’t surprise me if the secret service did too. 
     

    However, I think the best course of action is to remain skeptical and keep an eye out for updates of an investigation into this.

    • Agree 1
  12. 40 minutes ago, leh-nerd skin-erd said:

    Ah, so no, Ricky ######o.  
     

    I have no idea why Chi Goose suggested it was a bad look.  Maybe he believes there’s critical evidence about Trump’s behavior that day.  Maybe he thinks the texts would provide clarity on the actions of other players.  Maybe he thinks the deleted texts represent evidence of criminal activity by the agent(s) who sent them.  Maybe he wanted to know if they ordered Chik-Fil-A, or strippers for a buddy’s bachelor party.   Or, maybe he thinks everybody every time should not delete texts when advised not to.  
     

    He didn’t say. 
     

    That’s why I asked him.  I know what I thought, and now you do too, because you asked me what I thought, and I explained it to you. 
     

    Cool lady wink. 
     

     


    Sorry I’m just seeing this, was on dinner and clean up duty.

     

    I think it’s a bad look for any government employee phone to have data deleted after an IG asks for it to be preserved.

     

    Generally, I would expect that there is a procedure to identify such devices and prevent them from undergoing regular data wipes.

     

    As far as I can tell, that leaves three likely potential scenarios:

     

    1. There was no procedure to prevent devices from being wiped after an IG asks them to be preserved.

    2. There is a procedure but it failed in this instance for some reason.

    3. The data was intentionally deleted to prevent the IG from uncovering facts.

     

    I think all of those are a bad look for an agency as serious as the Secret Service.

     

    I am not going to do the PPP thing and break out my jump to conclusions mat, but if I had to guess, I think Occam’s and Hanlon’s Razors would make me more inclined to lean towards option 2.

     

    In any case, this should be investigated to get to the bottom of it. 

    • Like (+1) 1
  13. Per The Intercept:

     

    THE SECRET SERVICE erased text messages from January 5 and January 6, 2021, according to a letter given to the January 6 committee and reviewed by The Intercept. The letter was originally sent by the Department of Homeland Security Office of Inspector General to the House and Senate homeland security committees. Though the Secret Service maintains that the text messages were lost as a result of a “device-replacement program,” the letter says the erasure took place shortly after oversight officials requested the agency’s electronic communications.

     

    ...

     

    The Department of Homeland Security — the Secret Service’s parent agency — is subject to oversight from the DHS Office of Inspector General, which had requested records of electronic communications from the Secret Service between January 5 and January 6, 2021, before being informed that they had been erased. It is unclear from the letter whether all of the messages were deleted or just some.

     

    Not a great look.

     

  14. 2 hours ago, SoCal Deek said:

    I’m actually a LEED accredited professional. (Look it up) There are any number of things we ‘should have’. The challenge is viability of these should have ideas. 

     

    My understanding is that a lot of the solutions around things like recycling simply aren't profitable, limiting their scale. Though, I will certainly defer to someone with LEED accreditation. 

×
×
  • Create New...