Friday, July 01, 2016

SCOTUS - the high cost of keeping abortion available.


The SCOTUS this week ruled that when it comes to abortion, availability is more important than safety. What their ruling truly says is that women have a constitutional right to have an abortion, but  that abortion doesn't have to be

  • safe
  • clean
  • professional
and in fact, any laws that attempt to make abortion submit to safety regulations (level of safety has yet to be determined ) can be deemed unconstitutional if the abortion provider wants to take legal action. SCOTUS essentially made the back alley abortion constitutional and this time, with the cheers and support of the pro-abortion, pro-"choice" crowd.  

I saw lots of young women outside the court this week cheering this ruling.  Did they know that they were cheering against things like:

There shall be an organized nursing service under the direction of a qualified registered nurse (RN).  staffed to assure that the nursing needs of all patients are met.
The responsible individual for nursing services shall be a qualified registered nurse (RN) whose responsibility and authority for nursing service shall be clearly defined and includes supervision of both personnel performance and patient care.
There shall be an adequate number of RNs on duty
 Facilities that provide moderate sedation/analgesia are required to have the following additional staff:    (A) a second individual on duty on the premises who is trained and currently certified in basic cardiac life support until all patients have been discharged from the facility; and    (B) an individual trained and currently certified in advanced cardiac life support and, if surgery is performed on pediatric patients, pediatric advanced life support shall be available until all patients have been discharged from the post anesthesia care unit.
include the following in patients' medical records:  (1) patient identification;  (2) allergies and untoward reactions to drugs recorded in a prominent and uniform location;(a) Patients shall be treated with respect, consideration, and dignity.(b) Patients shall be provided appropriate privacy.(c) Patient records shall be treated confidentially and, except when authorized by law, patients shall be given the opportunity to approve or refuse their release.

Those were all parts of the ambulatory care law in Texas that the plaintiff in this case, Women's Health found to be burdensome?   Why? Because hiring trained staff and providing proper medical records and treating patients as individuals instead of herding through like cattle is time consuming and costly! And now abortion providers are unshackled from those restrictions.

And pro-abortion folks and young women who don't know any better, support it.

My son, Calvin,  has been a professional EMS worker for five years and a paramedic for three.  He had a lot of issues with the mandates that clinics have to have wide hallways and adequately sized rooms.  Remember, abortion entails putting a cutting instrument inside of the human body and includes risks of bleeding.

Calvin writes:

So can a mandate be made for the size of a hospital room, how about a ER room? Yes and there have been. In regards to the Texas women protection law that the Supreme Court shot down the other week required abortion clinics to have a standard size room.

Speaking from a EMT Paramedics view, the more space the better. It's hard enough to bring in 2 gear bags at 50 lbs apiece plus a cardiac monitor at 60 lbs and all that along with a stretcher that is 6.5 feet long 4.5 ft high and 2.5 ft wide. Pushing all of this into a small clinic for emergencies can be an obstacle in and of its self. There have been times where I have had to walk a critically ill patient to the stretcher because the stretcher just can't be taken any closer.

In the situation of abortion clinics, generally they don't call 911 till the patient has become "hemodynamical  unstable". This happens due to internal bleeding caused by the procedure. (Low blood pressure)

On several occasions patients have needed to be placed on a tarp to be carried from a room to the stretcher. If the patients were to stand and try to walk they could and have had a loss of consciousness.

Allowing for larger clinic room in case of medical emergencies also allows for better and safer treatment. EMS had a female patient in her 20s in a abortion clinic who had a loss of consciousness in one of the back rooms. This room was so small that the a patient and maybe two individuals could stand near. The hallways were also smaller than normal. After the woman was found to be in cardiac arrest, 911 was called.  The EMS crew had to drag the patient into the lobby of the facility so that the EMS crew and four fire fighters could have enough room to perform resuscitation efforts. In this case after 600 chest compressions and 2 defibrillations, the patient had a good outcome.
Is requiring larger rooms unconstitutional I don't think so.

So good job SCOTUS.  Thanks to your almighty wisdom, young women can be dragged out of rooms, down narrow hallways, and resuscitated in lobbies or parking lots all over the country to keep them alive.

But at least you kept their constitutional right to an abortion available.  Good job.

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John via Flickr licensed cc

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Wednesday, June 29, 2016

Wordless Wednesday

Summer girls

Wordless Wednsday



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Continuity of Care - not a constitutional right according to SCOTUS


Again, I draw from my own life experiences.

In 1999 I was in labor with my fifth child. This was to be my third home birth and once again, I was blessed to have a doctor with an MD credential to attend the birth. Things were going well until the doctor went to check my dilation and discovered that my daughter's umbilical cord was coming through the cervix and we would have to transport to the hospital for an emergency cesarean section. 


Homebirth is alegal in Ohio - not illegal, but not exactly a ringing endorsement either. And while there are a few midwives who are quite active in the area, it was very rare to have a doctor to attend a homebirth. The paramedics transported me to the hospital and my doctor drove behind the ambulance. Once we got there, my doctor was treated pretty much like my husband - pushed off to the side and disregarded unless the hospital establishment wanted or needed anything. Actually, I think he was probably treated worse than my husband because at least they needed Mr. Pete to sign papers as next of kin, since I was going under general anesthesia. I had hired a trained medical professional to attend me, and they didn't consult him or his records - which is probably why at least 10 different people asked about my allergies to medications and why we lost extra time in starting the procedure.  My daughter was born with an APGAR of 1.


*****

So I guess my message is to the women of Texas, whose state was in the news this week because of the unwise and highly political decision of the Supreme Court.    One of the "burdensome" parts of the law they just struck down was the requirement that doctors who perform abortions have admitting privileges at local hospitals so that if an emergency happens that requires a medical transport, the woman can have CONTINUITY OF CARE, from the doctor who actually knows WHAT HAPPENED and can speak to it in medical terms with the other medical professionals treating the women!  This type of transfer of care can be critical to the health of the woman, her survival, and even her ability to get pregnant again in the future if she wants to.


The exact wording of the bill was:

“[a] physician performing or inducing an abortion . . . must, on the date the abortion is performed or induced, have active admitting privileges at a hospital located not further than 30 miles from the location at which the abortion is performed or induced.” Tex. Health & Safety Code Ann. §171.0031(a) (West Cum. Supp. 2015).

30 miles is about a half hour drive, give or take. If a woman is in respiratory or cardiac distress, or bleeding out, those 30 minutes are going to critical (and I can't help but think it - sometimes fatal). It seems to me that if Texas was really trying to be practical, it would have required abortion facilities have to be within may 15 miles of a nearby hospital. 30 miles seems almost ridiculous.

Nonetheless, within a 30 mile radius, a woman could have been assured that even after the surgery, if she had complications, she could go to the hospital for treatment and the hospital could consult with the physician that performed the abortion and receive her vital medical information. The doctor could also share this information without breaking HIPPA laws!

I think having privileges at the hospital would also make the abortionist and his patient feel as if they are more a part of the norms of the medical community instead of doing something outside of it. It seems to me that it would also keep doctors who perform abortions more accountable for safe practices.

Pro-choice women continue to celebrate the continued support of the high court in keeping abortion accessible. I remain baffled as to how this is any kind of a victory for women and  I certainly hope that in practice, they would demand a higher standard for their own personal medical care.
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Monday, June 27, 2016

SCOTUS - keeping abortion legal at all costs.


I have had a number of outpatient medical procedures.

  • A big lipoma was removed from my left forearm under "twilight" anesthesia.
  • A molar was removed under an awesome and effective local anesthesia.
  • A colonoscopy done under the same "twilight" anesthesia
  • Multiple laser treatments of my toenails last year to clear up onychomycosis. 
Every one of those procedures was done as an outpatient. All of them were either in a clinic or doctor's office. All of those facilities had strict regulations governing everything from the doctor who performed the procedure, to the credentials of the person administering the anesthesia, to the access to emergency medical care should something go wrong during the procedure. Even my podiatrist had to have extensive training and follow state laws when it came to operating a laser machine on my toenails. 
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And what I got out of all of that was an assurance that the medical provider knew his or her stuff!! That they could handle the procedure I was hiring them to do, and that if there were any problems (bleeding, infection, or an unexpected systemic problem such as drop in blood pressure, cardiac or pulmonary arrest) that they could handle it either their in the facility or with a smooth transfer to a local hospital. 

I have also been a pregnant woman 7 times. I know how vulnerable it feels to be flat on my back, with my legs splayed open, with someone looking at my genitalia, vagina and cervix. It's nerve wracking and annoying at best. But there was also an element of unease and fear as these professionals manipulated and managed my sex organs and my reproductive capabilities. At the very least I had the assurance that the people I allowed to treat me during pregnancy and for gynecological exams were qualified, and that there was back up for emergencies... just in case. 

Today the Supreme Court of the United States (SCOTUS) ruled that letting a doctor (I'm assuming you still have to be a doctor to do an abortion in Texas) open up a woman's womb and put a cutting instrument into it to remove a baby doesn't require the same amount of skill or regulation that is required for other outpatient procedures!

Infection?  Don't worry about it!!  It's more important to evacuate the contents of pregnancy.

Bleeding? Let  them know when you've gone through a whole package of pads - in a day. 

Cardiac arrest? pulmonary arrest?  Those paramedics are just going to have to make do with those narrow hallways.  Maybe they EMT guys and the abortion receptionist can do a fireman carry to get the coding woman into the ambulance - assuming they are required to call an ambulance because ... you know - that might put some women off from their constitutional right to an abortion. 


Ruth Bader Ginsburg wrote:
So long as this Court adheres to Roe v. Wade and Planned Parenthood of Southeastern Pa. v. Casey,” she wrote, “Targeted Regulation of Abortion Providers laws like H.B. 2 that ‘do little or nothing for health, but rather strew impediments to abortion,’ cannot survive judicial inspection.” 

If you ever needed a reason to NOT vote for Hilary Clinton - this would be it.  If she gets into office, she will appoint pro-abortion judges who will do everything in their power to make sure that a woman has access to abortion.  That abortion doesn't have to medically safe, clean, or professional.  It just has to be available.

And that should make women all over the country angry and scared - but they won't be because young women today have been so programmed to believe that they should be able to have an abortion, that they don't demand that their abortionist follow the same rigorous guidelines as the guy who did their last tattoo!!

 And maybe that's because young women today, coming of age in the era of The Affordable Care Act don't know how to be treated. They don't know what it's like to be treated with respect and care in a medical facility. They think they're lucky just to get seen. And in this day and age, they probably are. They don't know that a doctor should be able to follow their care and treatment EVEN if they have to be transferred to the hospital for some unforeseen emergency.

Today we saw the continued denegration of women, by female judges on the SCOTUS who are old enough to be mothers and grandmothers (or in Bader's case, great-grandmother). We saw the men of the court on the majority side fail to step up and protect the health and well being of women all over the country - but they saved abortion!

Those applauding the decision today will say that the SCOTUS helped to keep abortions out of the back allies of America.

I say, I don't think that even matters much any more. According to SCOTUS, as long as it's available you can do an abortion anywhere - why should the back allies get left out?



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Friday, June 24, 2016

7-Quick Takes

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Join the other Quicktakers at This Ain't the Lyceum.


1.  This is the summer of "hurry up and wait!"  My sister and I are in the process of selling the last piece of property that my father owned. Our buyer has gotten approval for a  USDA loan which apparently stands for "Unusually Slow, Delays Anticipated."  We have been waiting to close this sale since the end of March, and we are now not expecting to close until the end of July - maybe.  There's nothing wrong apparently.  This is just how it is when you go through the government system.

2.  We are also waiting to hear about Noah's NCAA eligibility.  Although he is a "certified amateur," his academics are pending - whatever that means.

I know another mommy blogger who is in the same predicament with her child who wants to play volley ball for a small school in the south.

I'm trying to figure out how the world would be negatively impacted if two homeschooled kids ran cross country in Ohio or played volley ball in the south.  Would that really be such a bad thing that?  I guess I could understand the virtual anal exam if we were talking about marquee sports like basketball or football - or if our kids were Olympic level athletes - but they're not.  So why all of the scrutiny?  How about we just let college students be college students?

3.  And lastly, Mr. Pete's business sent a premium payment out for our health insurance late. They sent him a letter that we were suspended, but they cashed the check so Mr. Pete and his partner thought everything was good. In fact, they cashed three more checks.

We didn't know there was a problem until a medical bill for Noah from back in May came back to us unpaid.  When I followed up on it, I discovered that we were in fact, uninsured.  Mr. Pete called and apparently the section of the insurance company that deals with the check cashing and billing, is not connected to the part that decides whether or not you are still eligible for coverage. Meanwhile the money they took is setting in an account somewhere for them to decide whether or not we are customers?

This. is. crazy.

4.  Speaking of Olympic level athletes, Lebron came back to Akron last night and there was a huge celebration for him.  The day before there was a huge celebration for him and the team in Cleveland. I am of the age where I would rather watch the great coverage on t.v. than try to fight for a view amidst the crowds!

A friend of mine took her two teenage sons to Cleveland to watch the parade and couldn't see a thing. She said it gave her a new empathy for Zacchaeus!



5.  Time to fess up - I didn't see the end of the game. I  was staying with my girlfriend in the hospital, helping her with her baby while she recovered from an auto accident. Anyway, we had the game on but we were lost in a good discussion!  When I looked up, I saw everyone hugging LeBron. So I said to my friend, "The Cavs must have won!  Everyone is hugging him!"

"Unless they're consoling him?" replied my friend from her hospital bed.

So we quickly turned up the sound to get the whole story.

Meanwhile, Mr. Pete had taken the girls to see Finding Dory. When they came out of the movie theater, the whole street was lit up with cars honking their horns and shouting! It was like an impromptu street festival.

Rumor has it that our pastor even let loose the bells in the bell tower!  It literally was a once-in-a-lifetime event after all!!

6.  Yesterday was Izzy's 17th birthday.  She wanted it simple.

  • Lunch with mom and dad at a restaurant.
  • Family dinner
  • Simple cake (which she made and decorated - because she likes to bake and decorate!)
  • And this for a birthday present. 

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7.  Speaking of the Olympics, My friend Ike heard us talking about Rosie running with the guys and hoping to make it to states someday in high school. "States?"  he said, "Rosie should run in the Olympics!"
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I like his enthusiasm.  We'll see how enthusiastic Rosie is about it in a few weeks when the Olympic coverage starts live from Brazil!


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Thursday, June 23, 2016

Nativity of John the Baptist

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Today we celebrate the birthday of John the Baptist!

The church only celebrates three birthdays- Jesus, Mary (September 8) and today John the Baptist! According to St.  Augustine, John the Baptist was baptized in his mother's womb, and so was also born without original sin.

As a representative of the past, he is born of aged parents; as herald of the new, he is declared to be a prophet while still in his mother’s womb. For when yet unborn, he leapt in his mother’s womb at the arrival of blessed Mary. In that womb he had already been designated a prophet, even before he was born; it was revealed that he was to be Christ’s precursor, before they ever saw one another. These are divine happenings, going beyond the limits of our human fraility. Eventually he is born, he receives his name, his father’s tongue is loosened. See how these events reflect reality


It was the firm belief among the faithful that John was freed from original sin at the moment when his mother met the Blessed Virgin (Luke 1, 45). Saint Augustine mentioned this belief as a general tradition in the ancient Church. In any case, it is certain that he was "filled with the Holy Spirit even from his mother's womb" (Luke 1, 15) and, therefore, born without original sin. Accordingly, the Church celebrates his natural birth by a festival of his "nativity," assigned exactly six months before the nativity of Christ, since John was six months older than the Lord. As soon as the Feast of Christmas was established on December 25 (in the fifth century) the date of the Baptist's birth was assigned to June 24.

Another interesting observation is that Jesus's birthday is right after the winter solstice when the days are getting longer. John the Baptist is born right after the summer solstice and days will start to shorten. Bringing to mind the bible verse John 3:30: 30 "He must become greater; I must become less.”

Ideas for celebration:
Bon fires are traditional in Ireland on the feast of John the Baptist.

For The Year and Our Children:

Since his birthday comes in the middle of summer, it is an ancient custom to celebrate it that night with a great bonfire. Granny Newland remembers such bonfires in Ireland, from which coals were always taken to lay in each of a man's fields. The significance of the bonfire was taken from Zachary's canticle, where he sang out in praise of John that he would "enlighten them that sat in darkness." A cook-out is inevitable with a bonfire; and although it's hard to think of any use for grasshoppers on the menu (which is too bad when they are so plentiful), a comb of honey would be fitting. There is an interesting connection between the bonfire and St. John as the last of the prophets of the Old Law. To celebrate the end of the Old Law, people used to burn in the bonfires all the things they had been trying to get rid of (carted off to the dump) all year. This is an idea for people who are short of fuel for bonfires.




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Izzy at 17

It's hard to imagine what my life would have been like without this girl in it. This past year she has continued to bloom and grow so much. She is still quiet, reserved and respectful, but to engage her in conversation is to discover that she really has strong ideas and opinions.  The phrase, "still waters run deep" certainly applies to this one.
Easter 2016

Miss C comes over four times a week, and Izzy does most of her caregiving. They have become very close.
Izzy and Charlie- tv time.

But life is more than school work and babysitting. Izzy enjoys going to parties and dances too!

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She picked this dress out by herself at the thrift store.  It was a $10 dress and she was so proud of herself for finding such a bargain - and then rocking it with her own hair, makeup and accessories.

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May 2016 276 izzy

Izzy is stuck in the family between two runners - but she loves to play soccer on the homeschool league!

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Izzy and her brother almost always get along.They have each other's back.

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A scene from our 20 th year of homeschooling.

She gets along well with Rosie too - most of the time!  The three girls spend a lot of time playing and laughing together.

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sisters-in-law and in love.
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Her skills as an artist continue to grow!

Izzy art Winter 2016

In many mediums!
May 2016, izzy art 009

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And she got to learn some new things this year too - like setting up her father's booth at a music show.
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and selling her own jewelry.
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may 2015, soccer, dance 033Ican't wait to see how her senior year adventure turns out!  She continues to dazzle me!



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