DrCNM 🏳️‍🌈Abortion Is Healthcare

@PayamKashiMD @joshmcgoo I’ve had five IUD insertions without meds. I’ve had paracervicals for other reasons and would never choose one. Having an all or nothing approach to pain control isn’t patient-centered care. Everyone is different.

@joshmcgoo Do paracevrical block 100% of the time and our office offers insertion with IVS twice per month. So we can book all of those who want it with IVS. IUD insertion should NEVER be done unmedicated

So IUD insertion is normally just like "take a motrin after"? No nerve block, benzo, nothing?

@UshmaU Also, it does nothing to solve the underlying issue, which is that providers are being asked to make legal decisions (is this patient close enough to dead?) and not clinical decisions (what care should I provide?).

Wow 🤩 This is a great summary of this complex case and why we shouldn’t be celebrating yet.

@drannamvaldez @ravenscimaven +1 for Pact

Now I am 31 I'd like seasoned ladies to comment below, where to get a nasty ol pair of platform slides with arch support, and a big ol well built sunhat, not the cheap straw that sheds all over. And some good ol granny pannies good quality ones that make ya feel grown. thank you

@TheRyanHamilton The same thing happened to me in a Catholic ER in 2004. All of the consequences of Dobbs are known, because we’ve seen them happen in Catholic healthcare for decades. I don’t know why anyone is still surprised.

Maybe I should clarify a few things: My wife was actively bleeding & denied a D&C even after it was determined our baby had no heartbeat. I don't understand why people keep quoting current Texas law, and saying it never could/would happen. IT HAPPENED! Also, a D&C (dilatation and curettage) and an "Abortion" require the SAME PROCEDURE. Not removing the fetus could have resulted in sepsis and/or death. She was sent home on 3 separate occasions. She was prescribed misoprostol which was administered at home, where she bled for 3 days straight, and after I discovered her unconscious in our bathroom had to be rushed to the hospital for life saving care. Our story is TRUE. This is NOT political propaganda. There is no GoFundMe (we will pay our own medical bills, thank you) THE CURRENT ABORTION LAWS IN TEXAS ARE WHY THIS HAPPENED! IT NEVER SHOULD HAVE HAPPENED! We don't wish this nightmare on anyone. Not even the vile people who continue to attack us. I'm going to do my best to MAKE SURE this is not the world my daughter has to grow up in.

@NursePatMacRN I want a bookstore that sells mife and miso on the side

@jdillardwright By this paper’s logic, sexual assault that does not cause physical damage (ie, most SA) is not violence. Neither is IPV until someone is injured. Neither are emotional or financial abuse, or secondary traumas of any kind. Cool story, bro.

@ReproResearcher For ECP, yes. For IUDs used as EC, no problem.

Probably the same for emergency contraception I imagine!

I’ve been on this class of medication for nearly a decade for my diabetes and have been counseled about this the entire time. The pill is not compatible with ozempic/mounjaro/trulicity

@RHAVote As long as Hyde is in place, all of them.

Q: How many states currently restrict abortion? Tell me how you answer this question and I’ll tell you if we have the same goals.

@jtrebach I mean, I have been known to rhapsodize about the beauty of a really good antecube I could probably get from across the room

ER doctor here…i see lots of blood there’s no such thing as vaccine induced thick blood sludge that clogs veins and requires suction (why do I even need to say this) also we don’t tell patients they have “beautiful blood”

@liberalicious @garnethenderson @AngryBlackLady I’m a Catholic. I believe in bodily autonomy *because* of my Catholicism, not in spite of it. Shit, Irish Catholic voters en masse legalized abortion, and we give everyone a pass here if they once learned the Confiteor?

@garnethenderson @AngryBlackLady He’s a catholic. Everyone knows this. Frankly I think it’s *stronger* for a catholic President to say “I think life begins at conception but I also think it’s not my place to legislate my religion.” This is a nuanced view, and most people have nuanced opinions about abortion. 🤷🏽‍♀️

Does Joe Biden know he could shut up newyorker.com/magazine/2024/…

@indigoglow_ I started midwifery school with a nursing infant and a kindergartener. Finished my PhD eight years later. Neither kid knew anything else as normal.

Whoever is getting a PhD and is a PARENT?! Step to the front because you deserve a trophy. I simply cannot imagine 😭😅.

@JimJJewett_ @Fuentes_Liza @andreavbecker Plan B is something all of my patients are offered in advance, so they have it in their home if needed. Why would taking a medication that you have available for just that purpose be more inconvenient or stressful than getting a haircut?

@Fuentes_Liza @andreavbecker This seems to suggest that Plan B and even abortion (where legal) are no more stressful or inconvenient than a haircut. Am I misreading, or are there a large number of people who really feel that way? People who've had a pregnancy scare?

@joy_slaughter @CoolLesbianAunt Transfer of care is a high-risk point for errors and missed care. 8s increase that risk exposure by 50%. Also, full-time 8 nocs is five days a week of being opposite your family’s schedule. There’s no perfect solution.

@iamn0tthe1 Dirty Dancing. I literally monologued the whole thing in study hall in eighth grade. NOBODY PUTS BABY IN A CORNER.

Not even a question. Recite 80% of a movie, and you get $500k. What movie are you picking?

@iamn0tthe1 I am definitely less annoyed by his version since this.

This. I’ve watched this at least 15 times in the past 24 hours and his face, the pure joy of a kid meeting someone they genuinely geek out out on, is precious.

@kgrotke2 @AngryBlackLady And in non-rural areas. Over half the hospital beds in Washington State are Catholic-affiliated, including in the Seattle metropolitan area.

@AngryBlackLady What happened to Watts was just enraging. As an aside, Mercy still operates Allen hospital in Oberlin & ran student health for a year before they got terminated. Catholic health orgs are incr often the only option in rural areas.

@AmyClukey I may have like 27 different iterations in my various carts.

@Kercar_ @NursePatMacRN I mean, violating essentially the entire ANA Code of Ethics is grounds to revoke a license.

@UMassWalker The actual worst. Although I also do not enjoy the dream that I’m back in high school and have to retake math, despite my protests that I have a PhD.

@Fuentes_Liza I couldn’t afford to do a post-doc at NIH standard pay, which was and is about ⅔ less than I could make as a bedside nurse. That continues to have implications for my career. As a parent while in grad school, my commitment to academia was always questioned.