Who is Lila Rose?

Lila Rose, founder and president of Live Action, has made a real difference in the pro life movement. Her undercover videos have given those who are willing to look a glimpse of what lies behind the promotion at Planned Parenthood.

This video tells a bit about Lila herself.

YouTube Preview Image

Muslim War On Christians: It’s Women and Girls First

What kind of “men” kidnap young girls as a means of waging a “holy” war?

The video below is difficult to watch, but then the reality of what is happening to Christians in Egypt and elsewhere is far more difficult.

The practice of kidnapping Christian girls, raping them and forcing them to “convert” to Islam appears to be widespread throughout the Middle East. There’s not much to say about men who do cowardly things like this to women and young girls except that their “manhood” isn’t all that manly.

One of the more disgusting things about this is the silence from feminists. Where is the outrage about this outrage?

On a side note, I repeat Ravi Zacharias’ reaction when he heard Dr. Richard Dawkins’ incitement of his followers concerning people of faith to “mock them; ridicule them; in public; with contempt.” Dr Dawkins and his crowd should book flights to Saudi Arabia, Egypt, etc, and try this there.

They could also do similar experiments with the Hindus of India. I’ve got videos of what can happen.  Or, they might try ridiculing the faux religion of statism that is practiced in the various atheist paradises.

In truth and in fact, the only societies in the world where they have the freedom to behave like this are those that are informed by Christian values. You know: The terrible, horrible Christian morality that says that all human beings matter, no matter their stage of life or level of health, and that every person has certain inherent rights that come from God.

God help us all if the Christian bashers of the world succeed in wiping that morality out of public discourse and civil society.

YouTube Preview Image

From Me to Pope Francis: Remember the Ladies

8151691

“Remember the ladies.”

Abigail Adams to her husband John

Abigail Adams spoke up for women at America’s founding. “Remember the ladies,” she wrote her husband, John Adams. “Be more generous to them than your ancestors. Do not put such unlimited power in the hands of your husbands.”

Women suffrage voters

Unfortunately, John didn’t listen to his wife, such notions being “too radical” for a nation founded on the equality of all men. About a hundred years later, the men of that time didn’t listen to the women who had fought gallantly in the abolitionist cause, either. “It is the black man’s time,” they said, when the fourteenth and fifteenth amendments were drafted. In essence they advised the women who had sacrificed so much to end slavery to, as women are often told, “wait your turn.” Subsequent Supreme Court rulings specifically said that the amendment did not include women.

Adams’ plea to her husband notwithstanding, it took 170 years of marches, speeches, arrests, forced feedings, mob attacks and an entire, separate, Constitutional Amendment to give half the people in this country the simple right to vote.

My grandmother, who was born on the Kansas prairie in 1886, was 34 years old before she had the legal right to vote.

6 Suffragist Picketing 4

Even today, women are bought and sold like chattel. They are sexualized, degraded and trivialized in our media and even by some “civil rights” commenters. Women are raped, beaten, tortured and murdered at high rates all over the world, including right here in the land of the free and the home of the brave.

We accept this as natural and the way things are. Half the people in this country are told to be careful what they drink when they go to parties because it might be drugged and they could end up being gang raped for fun by the men at the party. Half the people of this country are told to go out in pairs at night for their own protection.

We make the sadistic rape and torture of women into our entertainment. How many millions of men support an on-line porn industry that pumps these hideous images of women being used, abused, beaten, raped and reduced to things into their homes so they can be titillated by it?

And yet,

And predictably,

The press buried the Holy Father’s statements about women. After all, gay is soooo much more important.

I’m not going to quote the Holy Father’s comments except to say that he didn’t open any new theological ground. You can hear what he said without any filters from me here.

Personally, I want to see the Church begin to preach and teach that violence against women is a sin with the same vigor that it preaches and teaches that abortion is a sin, and for the same reasons. Whenever any group of people is singled out for violence, abuse and murder, that is a deep social sin. We have laws against killing women, while we have laws allowing the murder of the unborn. But in actual practice we live in a world where violence against women is our entertainment.

<untitled>  11139

I once helped organize a meeting of the various heads of Oklahoma’s denominations in an attempt to get them to acknowledge the seriousness and the evil of violence against women. The response was heartwarming, but, the fire went out after the meeting was over. My personal reason for doing this was simply because I had been sitting in pews for decades and I had never once heard a single sermon or homily in which anyone said that rape is a sin.

All I know is that I’ve worked decades of my life on this one issue, both as a lawmaker and as a private citizen, and it seems that violence against women is worse now than ever.

We’ve had talks on this blog about papal encyclicals we’d like to see. I’ll add my hope to the list. It would mean more than anything to me if the Holy Father would write an encyclical condemning the endemic, worldwide and historic violence against women for the great evil that it is.

Gosnell Was Not Alone

Roe v Wade set the limit for viability at 26 weeks into pregnancy.

That was based on 1973 medicine and judicial imaginings. Today, babies are being saved as early as 21 or 22 weeks into pregnancy. But we still live under the law created by the Supreme Court which set viability at 26 weeks.

After 26 weeks, doctors can still do abortions if they decide the mother’s life or health is at stake. In actual practice, that means that abortionists kill babies right up to the day of birth.

Dr Kermit Gosnell ran an abortion clinic that prosecutors described as “a chamber of horrors.” Dr Gosnell is now in prison. But he was not sent to prison for running a chamber of horrors. He is in prison because a few of the babies he killed lived through the abortion and he killed them afterwards.

The takeaway of the Gosnell verdict for the abortion industry is not to stop killing late-term babies. Based on all the pushback in Texas, it’s also not to provide standard medical care during abortions. Rather, it is to make absolutely, no-doubt-about-it-sure that the baby is dead before it is delivered.

Killing a baby while it’s inside its mother’s body is not a crime. Killing the same baby when it’s separate from its mother is murder.

In today’s tragic world, the right to life is defined by geography.

This Live Action video is of a doctor and counselor discussing an abortion on a woman who is 27 weeks pregnant.

Think about it: Twenty-seven weeks. That is a viable child, even by 1973 standards.

To top if off, they are telling the young women that she will go through labor alone in a hotel room. They even give her instructions about what to do if she delivers the baby while she’s on a toliet.

They blithely assure her that going through labor and delivering alone in a hotel room is safer than giving birth in a hospital under ideal medical conditions.

How does this benefit the woman? In what way is it medically necessary? If there was a medical reason to stop the pregnancy at 27 weeks to save the mother’s life, it would be far safer and better for her to deliver her baby in a hospital with pain-killing medication and to also provide medical care to save the life of her baby.

Should abortion clinics be exempt from the health care requirements of other surgical centers? That is the argument pro abortion people make, and they make it in the name of “women’s health.”

That is not feminism. It is not in the interest of women’s health. This child could and almost certainly would live if it was delivered properly, so it certainly is not in the interest of the baby.

Who and what do late-term abortions serve except the demons of death?

YouTube Preview Image

If you would like to contribute to Life Action and the work they do, go here.

The Hookup Culture and Searching for Love in all the Wrong Places

Mother and daughter

Dr Gregory Popcak, who blogs at Faith On The Couch, wrote a fascinating post discussing the whys of our hook-up culture.

His conclusion?

Babies and young children aren’t getting the love from their parents that they need. Specifically, they don’t get the cuddling, kissing and touching love they need when they’re little and so they spend their young adult lives trying to feed the resulting hunger for affection and touching through endless, mindless, destructive sexual hook-ups.

Dr Popcak theorizes that little boys have historically been deprived of this cuddle time. He says that moms and dads have tended to withdraw physical affection from little boys when they reach toddlerhood in a misguided effort to toughen them up and make men out of them.

Mother and son 3

I think he’s onto something here. I can’t count the number of times someone scolded me when my two or three year old little boy ran to me for comfort over a skinned knee or whatnot. “He’s too attached to you,” they opined. “He’s got to stand on his own two feet.”

I thought they were nuts. Little children need to attach absolutely and deeply to their parents, moms in particular. They need that safe place of momma’s arms and momma’s lap to cuddle, get rocked to sleep and loved. I am not saying that fathers should withhold affection from their little boys and girls. Far from it. Babies need to be doted on by both their parents.

Parents

This makes them feel safe. It insulates them from the world and its craven values, its cruelties and its indifference. That gives them the space to grow up into the people God meant them to be when He created them. 

Dr Popcak says that the reason for the hook-up culture is that little girls are now also being deprived of the cuddling and physical closeness with their parents, I think their mothers in particular, by being shipped off to daycare at young ages.There’s no surprise here. Institutions do not and can not give the kind of nurturing and bonding that young children get from their own parents.

When they reach their teens, they go searching for the cuddling they missed by engaging in repetitive hook-ups. They are searching for love in all the wrong places.

I left a great career in the legislature where I was chair of a powerful committee and flying high to stay home and raise my kids. This thrust our family into one-income poverty for years. It also loaded the whole responsibility for supporting our little clan onto my husband’s shoulders. 

Mother and son 1

My husband and I both paid a price for our decision to provide 24-hour, non-stop Mommy attention to our babies. He had the enormous pressure and oftentimes misery of having to stay on a job no matter what because he was the only one bringing home the bacon. I had to give up the prestige and power of my former position. Our whole family was stripped of all the little things that money can buy. 

We didn’t go hungry, but the kids wore a lot of garage sale clothes, and we used the library instead of buying books. I bought food once a month and made every meal from scratch. There was no eating out, the only movies were at the dollar movie theater and that was once in a while and we sneaked in canned drinks in my purse. (I lived in fear of my youngest blurting out in his baby voice — Mommy, make sure no one sees the Cokes in your purse!)

There is a price for putting your children first and all the things you can buy last. But there is also a pay off. That pay off is: No drugs, no promiscuity, no teen-aged rebellion, no self-destructive kids, no eye-rolling dissing of parents, and adult children who actually like their parents and come to us to talk over their problems with an absolute trust that we will be there for them and that they can tell us anything. 

Father and child 2

Parents are starving their children emotionally in order to buy them things. The payback in terms of messed up kids is enormous.

It is not absolutely necessary for mom to stay home for the kids to turn out ok. I have friends who managed to do the two-income hop step and still raise children who turned out to be loving, non-promiscuous adults who could marry and raise children of their own. 

However, not one of them divorced; mom and dad stayed together. And not one of them put their kids in a daycare. And not one of them engaged in other activities when their babies were little. The ones I know also had strong support, including child care, from their extended family. They worked while family members cared for the kids, and they came home and were a tight little family that absolutely adored and doted on their child. Also, all of them were well-educated people who rode the wave of good jobs that this country used to offer. They all had positions that paid enough that they could support their families without working more than 40 hours/week. 

Father and child

I do not know one family on the lower income rungs who has been successful at both parents working and raising their children. I’m sure they are there, but I do not personally know of one family where this has worked out.

Jobs at the lower end of our society are hard, often humiliating, and do not pay enough to really support a family. The upshot is that when both parents work, they come home exhausted and beaten up. They are not physically capable of providing cuddling, nurturing time with their babies. They are too tired.

Also, the tsunami of divorce and family dissolution has swept over working class families with disastrous results. Live-in boyfriends and parents with revolving beds are more the norm than the exception. 

Rather than create homes for their children, these bed shifters raise their kids in chaotic environments that are isolating, neglectful and oftentimes dangerous. The children have no one they can trust, since their parents are living the lives of perpetual adolescents, and maladjusted adolescents at that. They often end up abused and battered by the various live-ins. 

Family

Ironically, working class parents with their reduced options can only provide the kind of nurturing environment that kids need if they ignore the trends of the culture and get married to one another, stay married and put their kids first.

I believe that it is far more important for lower income mothers to stay home with their children than it is for wealthier mothers who can get easier, more rewarding jobs that leave them with the energy to be a real mom when they get home. However, if they want their children to survive their job intact, the wealthier mothers need to forgo most other activities and really be a loving, cuddling, there mom when they go home. 

I have friends and family who went the other way, and fell into all the cultural traps of putting their kids in daycare, and then ignoring them once they got home. I can tell you from watching them, once you mess up your kids, you can’t undo it later.

It is the misery that only gets more miserable as life spins forward. If you don’t want to raise your own kids right, then get ready to raise your grandkids. Make plans for crying all night about the things your teens and your adult children do to themselves and others. Spruce up your speech for the courtroom custody battles and the parole board. You’re going to need them. 

With children, it’s ignore now, pay forever. 

She Could Have Been Me

I wrote this post over a year ago. In light of questions raised by a reader concerning this post, I’ve decided to republish it today.

YouTube Preview Image

 

She could have been me.

I didn’t get to that thought at first. My first reaction when I saw the Live Action undercover video The War on Baby Girls was anger. I’ve known this was happening, that women were aborting baby girls because they were baby girls, for quite a while.

My sources were nurses and chaplains who work in Oklahoma hospitals. I helped pass a bill which tried, within the straight jacket of Supreme Court rulings on the subject of abortion, to do something about it. The supporters of legal abortion claimed that the bill was unnecessary, that sex-selected abortions don’t happen.

It gets wearying, dealing with the constant barrage of lies that attend politics these days. No one tells the truth; not about their intentions, the legislation, or the objective facts of medical practice. Nothing — and I mean NOTHING — brings out the facile lying more than the fine art and practice of medical misogyny.

So, when I watched that video, my first reaction was anger. It took a few hours for the other reaction to come around. I kept remembering that counselor. She was careful with her words. She never said “abortion,” or “abort.” The word “kill” didn’t cross her lips. She talked about “terminate.”

“If you decide to terminate,” she said.

I replayed her face as she told the girl to avoid telling people that she was planning to abort her baby if the baby was a girl.

Some people might “place judgement,”  she said.

Nothing about the counselor shouted Monster! But what she was doing, what she was saying, what she was aiding, abetting and helping to happen WAS monstrous. How did she, how does anyone, get to this place? The grim logic of abortion and its illogical conclusions doubtless played a part in her actions. If a five month old baby (and that’s what a 20-week fetus is) is not human enough to have a right to life, then what does it matter why we kill her?

But the counselor’s words resonate: “Place judgement” she said. That’s the paralyzing ethos of our times at work. Judging, judgmentalism, are the evils in this upside down world, not the murder of an innocent baby girl.

I would guess that a lot of people look at that counselor with disgust and rage. But I feel sorry for her. I hate having to admit this, but the truth is, she could have been me. There was a time when I wasn’t just pro-choice, I was a stinking fanatic about it. I had seen and experienced first hand the violence, degradation and destruction that is misogyny and, like so many young women of my time, I saw abortion as a way out.

But when you go down that path of using one evil to justify another evil you end up committing even greater evils yourself. If you really aren’t a monster who has no conscience or concern for other people, you look for ways to hide what you are doing from yourself. The greatest lies of our times are the lies we tell ourselves to justify doing things that we know are wrong. What makes it work is that the whole culture conspires with us in the doing of it.

The culture, not just of Planned Parenthood, but of our whole American world, says that you can not, you should not, you must not “judge.”

As with most lies that are effective, this one has truth mixed into it. The desire to play God runs strong in all of us. I think that if we had the power to enact our judgements on one another, none of us would go to heaven. We would all condemn one another to hell.

But using the word “judgement” itself as a condemnation is not only idiotic, it’s destructive. The human brain is designed by Our Maker to observe, compare, think and conclude. These conclusions are just another word for “judgement.” When our culture labels this power to discern and decide an evil; when it shears our thinking brains away from us, we become a culture of co-dependence and mental decay.

It’s as if we’ve all suffered a cultural stroke and the words “this is wrong” have been erased from our minds. Instead of saying the plain facts of things, we go into mental gymnastics, trying to “understand” the most hideous behavior. We create fantasy motives for crimes against humanity which are tissues of lies we tell ourselves. These fantasy interpretations of the plain reality in front of us help us silence the thinking, analyzing parts of our brains. They allow us to avoid the social anathema of being labeled “judgmental.”We find ourselves unable to set standards for behavior for anyone, including ourselves.

That is how a basically kind-hearted person can become a monster.

The great irony is that the flip side of this is no better. If we take the untrammeled power to judge others onto ourselves, we unleash the monsters of condemnation, discrimination and, inevitably, killing of innocents. That’s where the gulags, pogroms, lynchings, rapes and murders come from. On the other hand, if we flee from this into a refusal to “judge,” we unleash the monsters of condemnation, discrimination and, inevitably, killing of innocents. That’s where the attacks on Christians, abortions, euthanasia, and starvation of millions for corporate greed come from.

We can whipsaw our human nature from pole to pole; from legalistic judging to fear of judging that becomes another kind of legalistic judging, and we always end up right back where we started from. We are caught forever in the morass and mess of original sin and we cannot think, moralize or fight our way out of it.

The only thing that can save us is the cross. The only One who can save us is Jesus.

I know. Because He saved me. My first reaction to that video was anger. Then, I indulged in a few minutes of self-righteousness by remembering what I went through trying to help pass a bill to lessen the practice of sex-selected abortion. Finally, I came around to the truth: That counselor could have been me, was me, is me, without Christ.

Human beings become monsters when we take the deciding of right and wrong, good and bad, on ourselves without reference to the One who made us. Nothing we can do, and I mean NOTHING we can do, can save us from this. You can go to church, sing in the choir, read the Bible, but if you do these things on your own power and by your own lights, you can and you will become a monster to somebody. You may not have an abortion. But you’ll do something.

We are not saved by ourselves, of ourselves, or even for ourselves. Our salvation comes through the humiliation of the cross and the only honest way we can approach that cross is with humility.

The only salvation we have is at the foot of the cross.

The counselor in that video could have been me.

When you look around at the sins of the world, which of them could be you?

Congressional Budget Office: 30 Late-Term Abortions Each Day

Unbornbaby20weeks

Unborn, 20 Weeks

According to the Congressional Budget Office, doctors in the United States perform at least 30 late-term abortions each day.

The CBO analysisof HR 1797, the Pain Capable Unborn Child Protection Act said in part:

“Based on data compiled by the Centers for Disease Control and Prevention (CDC), CBO estimates that, each year, about 11,000 abortions take place 20 weeks or more after fertilization.”

Any honest person who has dealt with this issue can tell you that this number is bound to be on the low side. Many doctors do not report late-term abortions. One reason for this is that pro choice people fight any attempt to require reporting with wildly erroneous claims that reporting would put undue hardship on doctors and endanger “women’s health,” as well as “turn back the clock” and “send women to the back alleys again.” They usually manage to work rape and incest victims into this somewhere as well.

This is standard boiler plate stuff that they trot out during any and every discussion of pro life legislation. The incredible thing is that, no matter how many times they do it, or how completely inapplicable it may be to the legislation in question, their true believers always buy it.

So, reporting of late-term abortions is, like every other sort of needed regulation, sparse, inconsistent and compromised by expensive court cases and constant hysterics from the pro abortion lobby.

Despite this, the CDC was able to document that American doctors kill at least 11,000 babies every year whose mothers are in the 5th month or later in their pregnancies. I’ve written before about the simple fact that late-term abortion is never medically necessary. A late-term abortion inevitably puts the woman through a labor and delivery anyway. So, if there is a medical reason to stop the pregnancy to save the mother’s life, doctors should just deliver the baby and try to save both their patients.

Baby21weeks

Baby born at 21 weeks. 

Doctors who do late-term abortions have to very carefully kill the baby by shooting poison into its heart before before they do the procedure. If they don’t, there’s a good chance that the baby will survive the abortion and become a problem. I’m no doctor, but that sure sounds like they are aborting babies that are at least potentially viable by any definition of the word except the hatched-up political science fiction of pro abortion Supreme Court decisions.

All the arguments about the woman having a right to her own body fall apart when we consider late-term abortion. If the baby can survive the birth, then the child’s body becomes the issue, not its mother’s.

We commit at least 11,000 of these killings every year in this country. I am against the death penalty. I have the votes and the scars to prove it. But think for a minute about the outcry if we were doing 11,000 executions each year. There would — and there should — be widespread condemnation and claims of barbarism.

The Congressional Budget Office included this paragraph in their report:

“HR 1790 would result in increased spending for Medicaid. Since a portion of Medicaid is paid for by state governments, CBO estimates that state spending on the program would increase by about $170 million over the 2014-2023 period.”

I’m not going to go off on this because I realize that it’s the job of the CBO to provide this kind of cost analysis on all pieces of legislation. They are not saying, as some people will claim, that the CBO feels this money is more important than the lives of babies. They are simply supplying the information.

Baby 22 weeks

Baby born at 22 weeks. 

The people who make the decision about what is important concerning this legislation are the duly elected members of the United States Senate and the United States House of Representatives, together with the President of the United States. They are free to either disregard this financial analysis or base their entire vote on it. That is their choice.

I will say that $170 million is not very much money over a 9-year span in Medicaid funding. At 11,000 babies killed every year of that time period, we would have 99,000 dead children. That’s almost twice the number of soldiers we lost in Viet Nam. What the report is actually telling us is that the cost is minuscule, while the number of lives lost is huge.

One thing we need to decide as a people is do we want to continue this practice of killing viable babies? I would think that even people who favor legal abortion should be ready to re-consider late-term abortions by now.

It amazes me how angry and indignant people become when they see a photo of a baby murdered in an abortion. You’d think the photos, and not the killing itself, was the problem. I think the reason for all this outrage at the sight of photos is simple: They tell a truth that people don’t want to know.

It would be better by far if we stopped those photos by stopping the killing that they record. Think how simple that would be: No more late-term abortions = No more disturbing photos of murdered late-term babies.

 

Samuel Adams: Once Might be a Mistake. Four Times is a Pattern.

Boston beer company jim koch

Jim Koch, founder and chairman, Samuel Adams Beer

 

Kathy Schiffer wrote a post yesterday that moved Samuel Adams beer from a purveyor of too-politically correct advertising to dedicated Christian basher and misogynist. 

I wrote a couple of days ago about the Samuel Adams beer commercial in which the company aired an ad that conflated their beer with the Declaration of Independence and then paraphrased it to take the words “endowed by their Creator” out of this quote?

Once the not-so-surprising backlash began, Samuel Adams issued the meaningless comment (I wouldn’t call it an apology) that they were just following the guidelines of the beer manufacturer’s association. I assume that Samuel Adams beer is a member of this association and voted on these “guidelines” which hardly makes them binding. The comment is, as I said, meaningless. 

However Kathy moved the discussion to a whole new level by informing her readers of Samuel Adams’ past behavior. She is speaking of Samuel Adams’ company chairman, Jim Koch, when she says (emphasis mine):

It appears that Mr Koch made the usual lame comment when the public got angry. “We are not in control of the program,” he claimed, “and it was never our intent to part of a radio station promotion that cross the line.” In 2002, Boston Beer Company Chairman Jim Koch (pronounced “Cook”) was the so-called Grand Marshall of the “Sex for Sam” stunt, a radio contest on WNEW-FM in Manhattan.  Syndicated radio shock jocks Opie and Anthony staged a contest, challenging couples to engage in sexual activity in risky public places:  in taxis, in ATM vestibules, in the Disney Store and—wait for it!—in St. Patrick’s Cathedral.   Couples earned points (5, 10 or more) for each tryst in a public place.  The couple who succeeded in engaging in sexual intercourse in St. Patrick’s Cathedral were awarded 25 points for their effort.  The only way to earn more points was to engage in coitus at Koch’s feet—for which enterprising exhibitionist couples earned 30 points.

There are a few holes in the denial I put in italics. 

First, as Kathy points out:

Of course, this was the third time Koch’s company sponsored the “Sex for Sam” contest. And while acknowledging that his “presence on the show was a lapse in judgment, a serious mistake,” Koch has avoided describing just what he was doing in Opie and Anthony’s studio.

Along with handing out bottles of Sam Adams to contestants who stopped by the studio to take a break from having sex in cabs, ATM vestibules, and the Disney Store, Koch also served as the contest’s official “celebrity” voyeur. That meant if couples had sex in front of Koch, they were awarded 30 points (by comparison, sex in St. Patrick’s Cathedral was worth 25 points).

According to the audio clips you’ll find below, Koch watched as five couples attempted to obtain those 30 points (only two, um, succeeded). While Koch said he felt embarrassed for the three couples who failed to complete the act before him, he told Opie and Anthony that the competitors were, “awesome, all of ‘em, better teams. The quality gets better every year. (To read the rest go here.)

Second, he was advertising on and participating in the Opie and Anthony Show. Does anybody remember Opie and Anthony? They’re the sorry excuses for men who “interviewed” a “homeless” man and laughed approvingly and joked with him as he described in graphic terms how he wanted to rape and beat then Secretary of State Condoleeza Rice and also how he wanted to rape First Lady Laura Bush to death. I’ve heard a recording of this routine. I am not going to say more about it, because it makes me too angry. 

One ad might mean that the advertiser approved the campaign and was not aware of exactly what each specific ad had in it. Lame comments about following their own manufacturer’s association guidelines are admission that they knew, approved the ad, are not sorry and think we’re all stupid enough to buy their little comment as a reason. 

Stop making excuses

But four times is a pattern, especially when three of those times involved active participation by the company’s founder and chairman. It moves the question from political correctness carried to the point that we are now editing the Declaration of Independence (which is bad enough) to deliberate Christian and Catholic bashing. The kind of thing the company sponsored on Opie and Anthony puts them outside the line, or at least it does with me. The fact that they supported Opie and Anthony …. no words.

I believe that the “comedy” routine about the First Lady and Secretary of State came after Samuel Adams’ beer sponsored the Sex for Sam promotion. But it is in keeping with what the continuous message of the show. Opie and Anthony had one “joke:” degradation of women and overt misogyny. In my opinion, misogyny, including incitment to violence against, and in some cases such as the one concerning the First Lady, murder of women, for laughs was the Opie and Anthony show. 

Frankly, I don’t see how any decent human being would ever advertise on Opie and Anthony, based on their misogyny and support of violence and degradation of women. 

My advice to those who want a clean conscience: Lay your money down for a product that does not support Catholic bashing, Christian bashing, dehumanizing and degrading exhibitionist sex and does not buy advertising on shows that promote the rape, battering and murder of women. 

 

 

 

Texas and Abortion: This is How Pro Choice Created Gosnell

Convicted abortion doctor kermit gosn 001

I’ve written before that Dr Gosnell is the monster that pro choice built.

Dr Gosnell is the recently convicted serial killer/abortionist who operated what some people have described as a “chamber of horrors” in Pennsylvania.

I knew I would catch some flak for saying that, and I did. But I had said it advisedly, based on my experience on both sides of the abortion wars. I knew what I was talking about.

We are seeing the dynamic I referred to acted out once again in Texas; pro choice people are going over the top to fight the regulation of abortion clinics in the name of “women’s health.”

Wendy davis filibuster 660

About a week ago, Senator Wendy Davis of the Texas State Senate engaged in a 13-hour filibuster that resulted in a legislative train wreck for a good piece of pro life legislation. Her actions, along with some filibustering from the Senate gallery, effectively killed a bill that would have required that:

1. Abortion clinics provide the same kind of patient safety as any other ambulatory outpatient surgical center,

2. Doctors who perform abortions in clinics must have hospital privileges at a hospital that is within 30 miles of the clinic,

3. Abortion clinics provide their patients with a phone number which would be answered 24 hours so that they can call for medical follow-up to their abortions,

4. Abortion clinics give women the name and phone number of the emergency facility nearest to her home where she can go for medical care in the case of an emergency after her abortion,

5. Doctors, and not staff, prescribe drugs for a chemical abortion according to FDA guidelines, and that the drugs for chemical abortions may not be dispensed until after the prescribing physician has examined the patient and determined that she is not carrying an ectopic pregnancy.

6. Doctors who perform abortions who prescribe drugs for a chemical abortion also provide follow-up care, including a follow-up examination by the physician to determine that the abortion is complete and a 24 hour phone number in case the woman needs questions answered.

7. Doctors who perform abortions must report adverse affects caused by drugs used in chemical abortions to the FDA according to FDA guidelines.

These are the “outrageous” regulations that pro choice people are demonstrating to stop. In my humble opinion, there is not one thing on this list of requirements that even the most pro choice person would not want for their daughter if she was undergoing an abortion.

Doctors who do abortions — which are a surgery — should have hospital privileges?

Duh.

Abortion clinics — which are outpatient surgical clinics — should comply with the same health and safety regulations that every other outpatient surgical clinic does?

Abortion docs should examine their patients before surgery and follow up with them afterwards? They should report side effects of the drugs they prescribe to the FDA? They should make sure that women they give abortion-causing drugs aren’t carrying an ectopic pregnancy, when giving those drugs to a woman who is carrying an ectopic pregnancy can cause her to bleed to death?

Er

These regulations are exactly what anyone who is interested in “safe, legal” abortions should want. Frankly, I think the pro choice people should thank the pro life legislators who are pushing this bill for cleaning up their dirty little industry.

However, the pro abortionists have pulled out all the stops to kill this bill, including misrepresenting it to their own followers. I doubt very much that the many “pro choice” people in this country who are buying the stuff the abortion industry is putting out about this legislation actually know what the bill contains.

If they did, most of them would favor the legislation. Frankly, anyone who favors “women’s health” should favor this legislation. But they’ve been conditioned for many decades by the constant drum beat of pro abortion extremists to believe any stupid thing those extremists say. There is little actual thinking that goes into the positions they take on abortion.

I would imagine that even most of the legislators who oppose this bill think they are doing it because if they don’t women will be “sent to the back alleys.”

The Texas legislature can not overturn the United States Supreme Court. Roe is not in danger. What is in danger is the lives of the young women who go to clinics that are protected from providing good medical care by abortion zealots who are so caught up in their cause that they don’t have a genuine thought in their heads.

Abortion rally texas

I read this morning that there are plans for celebrities to come to Texas and speak against the bill. The whole thing has turned into a cause celeb, both literally and figuratively. After all, it turns out that many of the clinics in Texas will have to close because they can’t comply with operating like regular outpatient surgical clinics do.

They want, they demand, that they be exempted from providing good medical care to women because if they do have to provide the same level of care that other outpatient surgical clinics provide, it will endanger women’s health.

Does anyone know who’s on first?

Lessee …

What are we making sure of?

That women’s doctors are free to not follow up with them, don’t have to provide the same health and safety for them that they would for any other surgery, don’t need to examine them before doing surgery on them or administering dangerous drugs to them, and … get ready for this now … don’t even have to have hospital privileges at a nearby hospital.

That’s “women’s health,” abortion style.

Remember Dr Gosnell and his chamber of horrors? This kind of folderol is exactly how pro choice built that monster.

They fight against any and all pro life legislation on the grounds that even safety standards “narrow” Roe. They tell poor deluded women that if laws like this one pass, they will be “forced into the back alleys” again.

So what happens to the women?

A lot of them end up suffering harm that would have been prevented by better medical care. I’m not even talking about what happens to the baby here. I am talking solely about women’s health.

I had to have a couple of surgeries last year. I came home the same day after both of them. Neither of them was as risky as poking around in a pregnant uterus.

I can tell you that I wanted a doctor with hospital privileges holding the knife when he went to work on me. I wanted him to examine me beforehand and make sure that he knew what he was doing and that I was a good candidate for the surgery. I wanted health and safety standards dutifully enforced in the place where he did this surgery. I would have been outraged if I had learned that I was on my own after the surgery with no support or follow up if something went wrong.

Nobody anywhere was out demonstrating for the doctor who cut into my foot to be free to practice dirty medicine, not have hospital privileges and dump me after the surgery. Not one person thought it was outrageous or a violation of my rights that my doctor was required to practice competent medicine on me.

But if I had been a woman who was seeking an abortion, they would have been jumping up and down, demonstrating, filibustering, importing celebrities to defend my “right” to incompetent medical practices.

That’s how pro choice built Dr Gosnell and his chamber of horrors. It’s how they endanger women’s lives all over this country.

Look at this carefully and tell me: What’s wrong with this picture?

If It’s Not Prostitution, Take the Money out of It

MH900448636 I knew when I posted The New Prostitution: Surrogate Pregnancy that I would get a flurry of indignant responses and lies from people who buy and sell women’s bodies in this new, medical form of prostitution.

I’ve been to this particular rodeo before. What I encountered then and now is what people who stand up for the human rights of women always encounter: Lying attacks from their exploiters, self-destructive defenses of their own dehumanization by self-hating women, and stories of the “benefits” of the prostitution from their purchasers.

Just for the record, I don’t put pimps’ testimony on this blog. That includes pimp husbands who take money from their wives selling their bodies to medical science and doctors who buy and sell women’s bodies. I also don’t put johns’ excuses for their behavior on this blog. You’re wasting your time, trying to comment here.

My experience with this began when I went through infertility treatment to have my first child. I know a lot of about these drugs they give people. I know about their side effects and how they make you feel. I do not have first-hand knowledge of the irresponsible medical practice of egg harvesting.

My doctor was treating me for a diagnosed medical condition. The dangers and miseries I endured were part of a legitimate treatment for a bodily disfunction. She never over-stimulated my ovaries to try to make as many eggs as she could. She also never lied to me about the risks. She told me everything before we ever started, including the fact that the treatment could kill me.

The doctors who perform egg harvesting in Oklahoma lie about the risks. I know they lie because when I introduced a bill to stop them from paying women to undergo egg harvesting, they lied to other legislators and to the press. One of them said that egg harvesting was no more dangerous than riding in a car, among other flat-out lies.

They also claimed that they had not ever had a single complication. Another lie. One of these docs was part of the infertility clinic I went to. He wasn’t my doctor, but I knew him. While I was undergoing treatment, one of his patients lost an ovary. Call me crazy, but I think that qualifies as a complication.

These doctors are misrepresenting the risks and exploiting young women, endangering their lives, future health and fertility. They are reducing women and children to things to be bought and sold on the marketplace. They are also turning medical practice into an exploitative and dangerous profession that people cannot trust. 

If doctors can subject people to dangerous treatments that the patients have no medical need of in order to make money, if they can lie about the risks and use their professional associations’ political clout to create an environment that allows them to do this with impunity, then how can anyone ever trust their doctor?

We rely on these medical people to tell us the truth. We rely on them to give us treatments that we need because we are sick and need those treatments to get well. We rely on them not to inflict unnecessary medical treatments on us to make money.

These doctors are preying on women. They are buying and selling babies. All the lies in the world won’t change that.

There is one simple solution. Take the money out of the equation. If a woman wants to undergo a surrogate pregnancy for someone out of the goodness of her heart and she knows the risks and freely undertakes them, ok. But do not allow anyone to pay her to do this.  The same should go for egg harvesting. 

There is a reason we have laws that do not allow people to sell their bodily organs. The same laws should to apply to egg donation and surrogate pregnancies.

What I want to do is,

TAKE THIS:

Donor page masthead

 

AND THIS

  • First-time surrogates receive a base payment of $23,000, paid in installments throughout the pregnancy.
  • Additional payments total $4,000 or more, which increases the total compensation to $27,000. These payments include money for maternity clothes, payment for completing the embryo transfer, and a monthly expense allowance beginning when the surrogate signs the contract with the intended parents.
  • Surrogates who carry twins receive an additional $5,000, raising their total to at least $32,000.
  • Women who become surrogates a second time have their base payment increase to $28,000. This means they receive at least $32,000 total, or $37,000 if they carry twins. (see here.)

AND THIS

ConceptualOptions Advertisementgif

OUT OF THE EQUATION. 

Give women and children their human dignity under the law. 

Otherwise, stop lying and call it what it is: The new prostitution.

The story below comes from a young doctor. She gave me permission to use her testimony when I was working to pass a bill to make it illegal to pay for egg harvesting in Oklahoma. I never used it, even though she gave me permission. She was still a student and afraid of what public use might do to her medical career. I didn’t think she understood how vicious and slandering these people really are, and I did not want to harm her in any way. I left her out of that fight.

However, she is in a different place in her career now.  She has offered her story as testimony to the Kansas State Senate and it is published at the Eggsploitation web site.

I reprint it here with permission. From Eggsploitation:

 

Sindy’s Testimony

Testimony by Sindy, M.D., Ph.D. to Kansas State Senate on Senate Bill 509, “Women’s Health and Embryo Monitoring Program Act,” March 2010

My name is Sindy. I have an M.D. and a Ph.D. in Biology with specialization in the field of real-time live imaging of the early immune response. With my strong background in basic science research and publications in top scientific journals such as Nature and Science, I have always been an avid supporter of biological research using live subjects and donated tissue, both animal and human. However, my experiences have taught me that at times, even a scrupulous medical scientist may be tempted to make erroneous assumptions, cut corners, or risk safety in order to save time or achieve success. In my medical and research training I have learned the importance of certain principles whenever attempting a procedure or study. These include: 1) ethics, 2) subject safety, 3) informed consent, and 4) patient autonomy. I am testifying today as a former egg donor on the dangers posed to women by the egg harvesting industry. I believe that all four of the above key principles had been violated in my case. Even though I suffered immediate life-threatening complications from the process, it wasn’t until many more years of medical training that I was able to understand the full scope of how I had been taken advantage of, mislead, and abandoned by the egg harvesting industry. As a medical professional it is still difficult to accept that such abuses are allowed to exist in my profession. Meanwhile, players “behind the scenes” such as the egg donation agency and the egg brokers have left the issues of ethics, health, and safety to the doctors, so that they can concentrate on profit. It is my assessment that the egg donation industry cannot be allowed to continue without regulations aimed at preventing unethical recruitment, substandard practices, and inadequate monitoring of women for the purpose of egg harvesting.

The goal of my testimony is to illuminate the importance of placing regulations on the way that the egg harvesting industry is run — from ethical, legal, and medical standpoints. 1) The health and safety of women must be protected first and foremost in any procedure related to ovum production, and should never be superseded by concerns of profit, costs of screening and monitoring the subject, quantity of eggs produced, quantity of eggs retrieved, or completion of the cycle. 2) Furthermore, like any other industry, the egg harvesting industry must be held accountable for reporting adverse effects and for tracking the long-term health of donors. 3) Ethically, informed consent must be properly obtained, with an admission that more research is needed to illuminate the long-term risks to donors. It is also an ethical responsibility for those who profit from egg harvesting to track the health of donors, including conducting large scale research in order to study risks.

I will now relate my experience. In 2001, while still in the combined MD/PhD program, I signed up for egg donation after seeing a university newspaper advertisement for egg donors. The monetary compensation of $6,500 seemed like a lot to me at the time, as I made barely enough to live on. Though I had a desire to help an infertile couple, money was definitely a major driving factor in my decision. Before I started, I searched the medical literature with a fine-tooth comb to verify that this procedure was indeed as harmless as advertised by the egg donation agency. I did not find any hard evidence in the literature of future infertility and cancers, and it seemed that the risks of other complications were extremely low. However, I was not told that the egg donors were rarely followed after the donation, and that doctors were under no obligation to report adverse events.1 Like many other women egg donors, I was bound by legal contracts to remain anonymous and therefore even if late complications occurred, they would be difficult to report.

At this point I had a normal gynecologic history, including normal age at first menses, regular menstrual cycles, and nothing significant on pelvic ultrasounds. It was assumed that I was healthy enough to undergo the egg harvesting protocol. Then I submitted my photographs, passed my genetic screening as a “quality assurance” for the tissue purchaser, and submitted myself to a psychological screen and IQ test administered by a psychiatrist. Based on these results I was chosen as the egg donor, from whom a “designer offspring” would be created.

The legal contract stated that the creation of these eggs were for the purpose of in vitro fertilization. The recipients of my eggs would retain all rights to my eggs and any subsequent embryos created from my eggs, “including but not limited to the ability to make all decisions regarding disposition of embryos.” The literature given by the egg donation agency outlined the possible risks of ovarian hyperstimulation syndrome (OHSS), as well as some other theoretical risks that they assured me were rare. What I did not realize at this time was that there were other hidden players in the egg industry who could potentially make money off my eggs, and that there were no laws in place to discourage hyperstimulation of many more eggs than reasonably needed for the goal of helping the infertile couple. My contract did not guarantee that third parties would not be involved in the trading or selling of these eggs, though it specifically forbade donations to other infertile couples without the donor’s consent. My eggs could have been a high-value commodity for profiteers who had nothing to do with the infertile couple, and I was not made aware of this possibility in a forthcoming and direct manner.

The below was part of the information provided to the public by the egg donation agency:

Q: How many eggs are removed during the retrieval? A: The average is 10-15 eggs aspirated per cycle, but donors can produce 16 or more eggs.

Q: Can a donor not produce enough eggs in a stimulated cycle? A: Yes, if the doctor cancels the cycle for poor response the donor will be compensated between $650.00 — $750.00.

According to my agency, failure to produce more than 4 eggs qualifies as “not enough eggs”. Four is typically higher than the target for women who are receiving fertility treatment using oral medications. However, note that there is no upper limit for the number of eggs a donor may safely “produce”, indicating that safety of ovum overproduction is being ignored. This illustrates that the drive to produce a higher number of eggs is extremely high, and failure to produce “adequate” eggs is linked with reduced financial compensation for the donor. Needless to say, this concept of “more is better” brings up ethical questions concerning the use of financial compensation for the recruitment of egg donors. This is especially alarming when no standards are in place to prevent an agency from overproducing eggs. The agency also told me that if I had a successful donation and become a proven donor, I may receive more compensation for future cycles, upwards of $8,000 (on paper) to $20,000 (verbally) – more than I would make in a year of intensive lab work. When “successful” production cycles are linked to increased financial compensation and “failures” are linked to a decrease in financial compensation, women will become more likely to tolerate untoward side effects, including those of OHSS, for fear of losing this compensation. This payment structure poses an obvious ethical conflict.

After signing my legal contract I began to administer all the medications as directed by the egg donation agency. These medications arrived by mail. I already knew how to mix and administer the medications but I don’t recall being instructed by medical personnel. At no point did they adjust my dosage. I remember receiving follow-up early on with a local doctor, and more exams after I travelled by plane to Northern California for the harvesting. Imagine my surprise when they told me that I was producing approximately 60 egg follicles! A mature follicle measures ~2 cm in diameter. The normal ovary measures approximately 4 x 2.5 x 1 cm, and is analogous to the testes. Therefore, you can imagine how 30 mature follicles of 2 cm diameter clustered within each gonad must look like and feel. I was concerned, but the doctors and nurses assured me that this was within the reasonable range for a fertile young woman.

A couple of days before the retrieval the nurse emailed me that my blood estrogen (estradiol) levels came back much higher than they had anticipated (~10,000 pg/ml). A woman in her 20s has an average estrogen level of ~150 pg/ml, with a peak of ~400 pg/ml prior to ovulation. In late pregnancy, the levels may rise 100-fold, but this rise normally occurs over a 6 month period. I asked the fertility specialist to consider altering the timing and course of this process. I was concerned because the drugs I received were probably tested on Caucasian women of average weight. I am a thin non-Caucasian woman. Studies have shown genetic differences in liver drug metabolism for ethnic populations; the examples are too many to reference and are beyond the scope of this topic. Despite my concerns, the doctor told me that even though my hormone levels were extremely high, they would not make any adjustments to the protocol because they did not want to risk failure. I continued to follow all their directions, as it stipulated in my legal contract that I “[understood] it [was] imperative” that I “not deviate from [the protocol] unless instructed to do so by the IVF physician.” Therefore, I proceeded to finish my ovarian stimulation, finishing off with a shot of human chorionic gonadotropin (HCG) to help release the eggs for the harvesting. The next morning, I underwent transvaginal needle retrieval of the eggs.

What was unknown after the surgery was that the doctor had punctured an artery during the harvesting. When I woke from the anesthesia I became weak, nauseous, and dizzy. I was scheduled to catch a plane that afternoon, to return home. They told me that I looked good and was ready to go home, even though I had problems maintaining my blood pressure. At this point I refused to leave, because I could not stand without getting dizzy – orthostatic hypotension after an invasive procedure typically raises the suspicion of blood loss. A few hours later they started giving me intravenous fluids because they thought that the anesthesia was causing my low blood pressure. Then I developed pain and difficulty breathing. An ultrasound showed that everything was fine except for fluid in my pelvis, which they said was normal (later, this was documented as “fluid pocket near the right kidney”. During this entire time the doctor and nurse persisted in trying to get me to leave, which would mean hours of traveling by car and plane. The pain in my belly became unbearable and I became convinced that I was bleeding internally; something was irritating and pushing on my diaphragm. When I asked if I could be bleeding internally, they told me that it was unlikely. My blood pressure was even lower at this time, so they gave me medication to raise it. Unfortunately giving pressors in a bleeding patient increases the bleeding rate. At 6pm, after 8 hours of slowly and painfully bleeding out, they FINALLY admitted me to the hospital. To me it seemed like they had done just about everything to get rid of me up until that point. The fertility doctor ordered me to eat something. As soon as I sat up in bed to eat, I developed sudden distress and difficulty breathing. They took my blood pressure and called out “40/20″. At that moment I feared that I was going to die. In my medical records the blood pressure reported was 61/29. At this point they finally began to realize that something was terribly wrong, that I was going into shock from blood loss, so I was taken into the operating room for an emergency exploratory laparotomy to find the source of bleeding. The surgeons flipped through my bowels three times to ensure that no other organs were punctured.

During the harvesting of ~60 eggs, which I assume required 60 passes of the needle through my ovaries, the fertility doctor had punctured a high pressure artery in my right ovary. This tiny bleeder was easily fixed with a touch of electrocautery. I had an emergency blood transfusion to replace the 1.5 liters of blood lost. There is absolutely no reason why they should have waited so long to properly diagnose me, thus turning this into an emergency surgical situation when they could have done a small laparoscopic procedure to diagnose and fix a small bleeding artery. Had I followed their directions and gone home, I would have died. Unfortunately their disregard of the signs of OHSS, low index of clinical suspicion for post surgical complications, and their extremely slow response resulted in a horrific clinical outcome.

After the surgery, I had to be kept on a breathing machine in the intensive care unit (ICU) and treated for acidosis throughout the next day. After I was stabilized enough to move to the regular medical wards, the fertility doctor came to see me. She told me that the bleeding was probably due to a genetic bleeding disorder (i.e. my own fault) and that this has never happened before. Then she proceeded to check me for rare genetic bleeding disorders – nothing. I found the doctor’s reluctance to accept that a simple, clear-cut complication had occurred to be highly disturbing. A few days after I was admitted, the 9/11 attack occurred and all planes were grounded for a week. Despite not being able to walk or tolerate a 10 hour car ride home, the doctor told me I needed to free up medical resources and go home now. She tried to get me to leave by stating that when she had her C-section it only took her 3 days to start walking again. However, she neglected the fact that I had gone into prolonged shock caused by her own negligence, spent time in the ICU, underwent a massive surgical procedure, and had emergency blood transfusions. There were no apologies from beginning to end. I was shocked by this dismissive attitude from a top doctor of a top fertility treatment center, a medical expert who has published many articles on safety evaluation and recommendations for egg harvesting. At the same time, I was afraid to launch any complaints because I was a student in the same hospital system with plans to pursue the same field – Ob/Gyn; years later I decided on another medical specialty for unrelated reasons.

I am thankful to be alive, but I know that it was not because the doctor caught the post surgical complication. It was because I finally took a stand, and refused to go home when I knew that something was wrong. If I had died I would not be here to tell my story. I fear that cases like mine are buried deep by the fertility centers who do not want to lower their reputation. While I was in the hospital the fertility doctor told me that she would write a case report on the complication I had. When I searched the medical literature for all of her publications some years later, I wasn’t surprised to find that there was no such report. I have no way of knowing if this incident even made it into a statistical analysis somewhere in the medical literature. It makes sense that an industry thriving on profits and reputation has little incentive to report adverse events, for fear of driving away potential IVF clients and egg donors.

The $6,500 I was given has long since evaporated into medical treatments for multiple late complications caused by this incident. I developed an infection inside my incision site and required multiple steroid injections into the scar to stop it from growing out of control. I suffered from post traumatic stress for months because of my near-death incident, and was unable to work for two months due to both physical and mental deterioration. When I came off birth control a few years later I discovered that my previously normal menstrual cycles and hormone levels had become irregular. My previously normal ovaries took on a polycystic appearance, with more than 25 small follicles in each ovary. I developed occasional incontinence and pelvic pain likely as a consequence of the emergency surgery causing adhesions (fibrotic bands, analogous to scarring) around my organs.

The worst part of this is my current struggle with infertility, requiring continued exposure to the very same types of fertility drugs that I had already been overexposed to in the past – exposure whose link to cancer has not been adequately studied and may take decades to emerge.1 I may need more surgeries in the future to determine if the emergency surgery that was done had damaged my reproductive organs. I fear that the procedure may have harmed the quality of my eggs, even if the fertility experts are certain (at least theoretically) that quantity of eggs remains unaffected. Because of the high hormonal exposure during my egg donation cycle and multiple anecdotes from other egg donors, the development of early cancer is always in the back of my mind. Though a large study has found no evidence linking IVF to ovarian cancer, there is a generalized, undeniable causal relationship between transient exposure to female hormones and transient risk of rapid-growth gynecologic cancer.2 I believe that is absolutely necessary for egg donors to be followed and studied, especially if they had experienced hyperstimulation during the process. No follow up has ever been offered to me. Nobody from the egg donation agency, fertility clinics, or hospital has contacted me since, except to obtain my insurance information so that they could pass my hospital bill to my own health insurance company.

Summary and Conclusion:

1) Ethical considerations:

Financial compensation for eggs disproportionately targets college women with financial hardships. These women usually have long academic careers ahead of them and have not considered childbearing yet, so any infertility caused by the procedure would cause more psychological and physical damage to these women. Docked pay for failure to produce a target number of eggs and escalating pay scales for subsequent cycles are factors that may encourage underreporting of adverse side effects by the egg donor.

2) Subject safety:

Subject safety is variable, being highly dependent on the individual clinician’s practice. This is why there needs to be standardized safety practices and mandatory reporting of complications. In the article “Assessing the Medical Risks of Human Oocyte Donation for Stem Cell Research: Workshop Report (2007)”, one fertility expert advocated the following:3

By working from such information as a patient’s age, weight, and follicle count… a doctor can begin with an FSH dose based on those factors and then modify it as necessary. We monitor during the course of the stimulation to further decrease the dose if too many follicles are developing or the estradiol levels are too high.

To reduce risk of hyperstimulation, these actions were also recommended:

  • •Modify stimulation protocol
    • ◦Decrease gonadotropin dosage
    • ◦OCP/Lupron/Low dose gonadotropins
  • •Reduce the ovulatory dose of hCG
  • •Delay administration of hCG: “Coast”
  • •Cancellation of cycle eliminates the risk of OHSS
  • •Withhold hCG administration

Basically the safety recommendations for egg donors include determining the initial dosing of these powerful drugs on the weight and age of the patient. If there is any evidence of producing more eggs or hormones than expected during routine monitoring, then the drug dosage should be reduced, the administration of stimulating medications delayed, or the cycle cancelled. None of these recommendations were followed in my case. In fact, it was one of my own egg donation doctors who was consulted and quoted in the above article.

Regarding the risk during surgical retrieval of the eggs, the perceived negligible risk of complications is likely due to incomplete data:2

It is difficult to know, however, exactly how often such complications occur . . . Although excellent statistics are kept on such things as how many viable eggs each procedure produces, the statistics are not so complete on the complications that ensue during and after.

As my case illustrates, this perceived near-zero risk is inherently dangerous because it will not raise red flags when complications do occur, resulting in delayed intervention and a poorer-than-expected outcome. When a complication does occur, the denial of medical responsibility based on statistical rarity is a faulty and circular argument. This denial of responsibility would also prevent egg donors from obtaining monetary compensation for treatment of complications and appropriate follow-up. As my case illustrates, poor management of retrieval complications can be a problem even in the hands of the most experienced clinician.

Lastly, I received no follow up after my procedure. It is the ethical duty of the fertility industry to conduct timely follow-up and research studies in order to promote safety. This is true of any other industry especially pharmaceutical – so why make fertility an exception?

3) Informed consent:

Many are improperly informed about the risks of the egg harvesting process. Verbally I was told that risk was virtually non-existent and that studies have not linked the procedure to cancer and infertility. I should have been told that there were not enough studies or long-term follow up to determine risk.

It should be made abundantly clear if embryos or stem cells may potentially be secondarily sold, traded, or gifted. The amount of profit potentially generated from each transaction and the purpose of each transaction should be transparent to everyone involved, especially the donor. Without this information, the egg donor cannot possibly make an informed decision.

4) Patient autonomy:

I was hyperstimulated with approximately 60 eggs retrieved. During the procedure I expressed concerns about not using weight-based dosing of fertility medication, the excessive number of follicles produced, and skyrocketing estradiol levels. Nothing was done to personalize my procedure based on clinical findings, which is clearly incongruent with the standard of care. After the procedure my concerns about internal bleeding were not adequately acknowledged until I went into shock and had to undergo an emergency laparotomy. In my experience, the pressure to complete a successful cycle became stronger as I became more invested in the process, and thus I progressively lost my right to make decisions regarding my own body.

Final thoughts:

Even the tiniest risk of complication needs to be taken seriously especially when dealing with perfectly healthy young women, who have no need to undergo a potentially life-threatening procedure. Procedures with risk are performed on sick patients with the understanding is that the benefits of the procedure outweigh the risks or the consequences of doing nothing. In egg donation there is no medical benefit, only risk. It represents a conflict of interest when the physician does not perceive the egg donor as a patient for whom they have the responsibility to minimize risk. This aspect must be considered when treating healthy young women with everything to lose.

References:

1. Nature. 2006 Sep 7;443(7107):26. Health effects of egg donation may take decades to emerge.

2. American Journal of Epidemiology Vol. 153, No. 11 : 1079-1084.

3. Assessing the Medical Risks of Human Oocyte Donation for Stem Cell Research: Workshop Report (2007).


CLOSE | X

HIDE | X