Tara Rule says her doctor in upstate New York was “determined to protect a hypothetical fetus" instead of helping her treat debilitating pain.
Tara Rule says her doctor in upstate New York was “determined to protect a hypothetical fetus" instead of helping her treat debilitating pain.
This sort of thing has been common practice since long before Dobbs. And it is usually motivated by the doctor’s fear of getting sued over birth defects, especially if there is an alternative prescription that is not known to be associated with birth defects. And there almost always is an alternative.
Yup. Common practive with anti-epileptics - some have worse implications for babies than others which is why those said others are used first.
I just noticed this in the article:
Nearly all hospitals have long required pregnancy tests for some things, like getting a CT scan (which involves radiation exposure). And if the test is positive, the doctor is supposed to consider alternatives.
You cut the quote off, that’s just part of what was said. That quote in full doesn’t just talk about a pregnancy test, but that on top of and as well as sterilisation, before being allowed to take a necessary drug.
Exactly. It’s not a “where do we draw the line” thing here, the line is already drawn as you allude to. It’s not just CT scans as well, some actual medications need pregnancy tests or at least active contraception use. Roaccutane, methotrexate and other DMARDs etc - everything in medicine is a risk vs reward thing and I’m sure many patient would prefer not to be on a drug that messes up their fetus whether they’re planning to keep it or not in the case they get pregnant. You’d rather just avoid the risk of that situation occuring altogether.
What birth defects would there be in this case?
I don’t know, because the medication in question hasn’t been identified.
But in general, if a medication causes any birth defects (or, more often, miscarriages) in lab animals then it won’t be used at the equivalent dose in pregnant patients. It would be unethical to try to find out what it does to a human fetus.
So the woman was pregnant?
I don’t think so. But if a med is not to be used in pregnant patients, then it’s only used as a last resort for patients who could become pregnant while taking it.
Again, this is not about religious beliefs, it’s standard CYA for health care providers.
In the case of valproate, there are even European regulations against using it in women during childbearing years.
From the text in the original post, I assume she was not.
She’s not pregnant, but doctors try to avoid long-term prescription of teratogenic drugs to patients who might become pregnant while taking them.
Which is super not ok. You get that, right?
No, I don’t get that. If a drug might result in birth defects, it should only be used as a last resort. And that’s not just me or some random NY docs saying it, it’s the WHO and European Medicines Agency
Do you see the problematic thinking in that line of thinking, though? You are saying a woman can’t be trusted to use a medication if it might cause a birth defect. She can’t be trusted not to fall pregnant, she can’t be trusted to think for herself. She can’t be trusted to keep up with birth control. She can’t be trusted when she says she doesn’t want kids ever. What the first consideration is for, is the *possible child, foremost. Not the person, the actual patient. And you’re quoting American healthcare?
It is okay if there is a non teratogenic alternative that treats the targeted disease. Why risk teratogenicity when you can altogether avoid it?
You are assuming a few things, you’re assuming she hasn’t tried anything else and jumped straight to the deep end. And you’re assuming that it’s ok to say to one group of people they’re incapable of mitigating risks for themselves, and need that to be decided for them. Taking away their autonomy entirely. She’s been to many doctors. She’s tried everything already. This causes people to feel suicidal because of the levels of pain on a frequent basis. And she’s told she just has to live with the pain, her pain is inconsequential in comparison to an imaginary non existent person.