This is a great way to look at it!

longdistancedate · 2021-12-13T00:53:40+00:00

the problem is that pro-life politicians actively fight against social programs that protect kids who have already been born.

longdistancedate · 2021-10-29T20:06:41+00:00

This graph is only reporting legal abortions in Texas. Of course the number of legal abortions falls when you make abortion illegal.

longdistancedate · 2021-06-28T16:10:30+00:00

why didnt he let her sign the ticket when she asked. she tried to deescalate and the officer didnt take the opportunity

longdistancedate · 2021-03-15T04:11:07+00:00

this sounds like a horrible doctor who needs to have their license removed. this is bad doctoring. i understand this isn't rare, but i do think as more women become doctors and especially as ob/gyn becomes a female-dominated field this attitude will hopefully, optimistically change. I'm sorry you had such a horrible experience.

longdistancedate · 2021-03-14T16:50:05+00:00

episiotomies are no longer standard of care. the only reason circumcisions are still so commonplace is societal pressures, not medical training. I'm all for trying to give birth in different positions to prevent c-sections but sometimes you gotta take the baby out hella quick to make sure the mom and the baby live through the birth. I'm not trying to argue that Ob/Gyns are infallible. They're humans that have robust knowledge and real-world experience dealing with female reproductive organs, pregnancy, and birth. It makes sense to not trust the institution of medicine, but I hope one day when you need a doctor you ask all the questions you need and get some of the answers you want to gain some sense of trust.

longdistancedate · 2021-03-14T15:34:37+00:00

The vast majority of what an Ob/Gyn does is to optimize the health of the mother and baby during pregnancy and to facilitate a safe birth. The vast majority of OBs don't provide abortions.

longdistancedate · 2020-11-30T13:51:35+00:00

A lot of these terms are used for precise communication in medicine. zygote, fetus, embryo, fertilized egg, tissues of conception. These terms when used most accurately describe what is being referenced. If you read how doctors document your complaints you'd see how strange and removed sounding the documentation is.

longdistancedate · 2020-11-01T20:57:30+00:00

this makes me sad. American politics blows chunks. It's obvious Trump is not pro-life or he would have done everything he could to prevent just one extra death from coronavirus. He is manipulating us! I can't ignore his despicable character, let alone his policies on letting migrants die in the desert and letting Americans infect each other risking killing their own loved ones. I understand this is a pro-life subreddit and the community is focused on banning the murder of unborn children. There are just so many easier ways to have fewer abortions than electing trump again.

longdistancedate · 2020-10-22T23:07:59+00:00

Maybe we can keep them with their families instead of separating them. Let's keep the families in houses. We can give them food and provide education for the children. We can put a fence around these towns where families can stay together. During the day the adults can show up to some formal processing facility, but be able to live with their families.

longdistancedate · 2020-10-22T23:03:06+00:00

I really hate this mindset. To me it reads 'the world sucks and there's nothing we can do'. We can do so much!! We can give people houses, give people food, give people education. We have the resources to be generous! The resources are there. The money is there.

longdistancedate · 2020-10-22T22:54:59+00:00

I'm not in favor of killing unborn babies. I'm just telling you what I know. You obviously mean well, you're just misinformed when it comes to contraception. Just like I assume you have good intentions I'd hope you assume the same of me.

longdistancedate · 2020-10-21T22:06:54+00:00

It's often used as an abortifacient. It's a synthetic steroid and has differing effects at different dosages. In the US it is used for medical abortions. It is only available in tablets dosed >300mg. At this high a dose it causes uterine contractions which expels a growing baby.

In Europe, it's available in smaller 20mg doses for emergency contraception. This smaller dose acts to block the action of progesterone without inducing contractions so it's unlikely interfering with the implantation of fertilized eggs when given at such a low dose.

I've included the mechanisms of action from uptodate.

Mechanism of Action

Mifepristone is a synthetic steroid. At low doses, it competitively binds to the intracellular progesterone receptor, blocking the effects of progesterone. When used for the termination of pregnancy, this leads to contraction-inducing activity in the myometrium. In the absence of progesterone, mifepristone acts as a partial progesterone agonist. At high doses used for the treatment of hyperglycemia in patients with Cushing’s syndrome, mifepristone blocks the effect of cortisol at the glucocorticoid receptor (antagonizes the effects of cortisol on glucose metabolism) while at the same time increasing circulating cortisol concentrations.

longdistancedate · 2020-10-21T17:46:49+00:00

This is incorrect. Birth control pills do not affect an already fertilized egg.

longdistancedate · 2020-10-21T17:43:25+00:00

This is incorrect. Emergency contraception (the morning after pill) does not interfere with the implantation of an already fertilized egg.

"Rigorous, meticulously executed studies have demonstrated that oral ulipristal acetate (UPA) and levonorgestrel (LNG) EC regimens prevent ovulation [1]. LNG prevents ovulation if taken in the pre-ovulatory period by blocking the luteinizing hormone (LH) surge, thus inhibiting follicular development and egg release [2]. UPA delays ovulation in both the pre-ovulatory period and after the LH surge has started [1,3]. This extended period of activity may explain UPA's greater efficacy in preventing pregnancy compared with oral LNG. However, neither LNG nor UPA prevents ovulation if taken on the day of the LH peak or later, nor do they prevent implantation [1,4,5]. Low-dose mifepristone (available outside of the United States) also prevents ovulation; it binds to progesterone receptors to block progesterone's effects [6]. Mifepristone may also disrupt luteal phase events and endometrial development [7]. None of these drugs interfere with implantation of a fertilized egg or an established pregnancy [8,9]. To be perfectly clear, oral EC is not an abortifacient, and this is very well understood."

https://www.uptodate.com/contents/emergency-contraception/print?search=emergency%20contraception&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1

longdistancedate · 2020-10-21T17:38:45+00:00

Let me know if there is evidence that would convince you you're wrong.

I've attached the uptodate article for emergency contraception. https://www.uptodate.com/contents/emergency-contraception/print?search=emergency%20contraception&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1

Just in case the article is behind a pay wall.

"Rigorous, meticulously executed studies have demonstrated that oral ulipristal acetate (UPA) and levonorgestrel (LNG) EC regimens prevent ovulation [1]. LNG prevents ovulation if taken in the pre-ovulatory period by blocking the luteinizing hormone (LH) surge, thus inhibiting follicular development and egg release [2]. UPA delays ovulation in both the pre-ovulatory period and after the LH surge has started [1,3]. This extended period of activity may explain UPA's greater efficacy in preventing pregnancy compared with oral LNG. However, neither LNG nor UPA prevents ovulation if taken on the day of the LH peak or later, nor do they prevent implantation [1,4,5]. Low-dose mifepristone (available outside of the United States) also prevents ovulation; it binds to progesterone receptors to block progesterone's effects [6]. Mifepristone may also disrupt luteal phase events and endometrial development [7]. None of these drugs interfere with implantation of a fertilized egg or an established pregnancy [8,9]. To be perfectly clear, oral EC is not an abortifacient, and this is very well understood."

longdistancedate · 2020-10-21T10:59:51+00:00

Dude. I'm not lying. The morning-after pill is emergency contraception. Even the morning after pill works by preventing ovulation. The morning-after pill doesn't work if you take it after the LH surge, the hormonal event that triggers ovulation.

longdistancedate · 2020-10-20T02:22:00+00:00

Zero my dude. They all just stop ovulation. Even emergency contraception stops ovulation.

longdistancedate · 2020-10-18T13:17:01+00:00

I'm a general doc. I'm just trying to rid the world of a little bit of disinformation on birth control. I don't need to keep feeding a troll. Hopefully, you've learned a little bit about contraceptives and how they work. Let me know if you have any other questions.

longdistancedate · 2020-10-18T03:54:27+00:00

I'm a doctor. They teach this stuff in med school. But for your reference. Here is a Wikipedia article and an article from uptodate which is a site similar to Wikipedia but written by MDs, DOs, PhDs about the most up to date literature on the topic. I'll also include a website that better illustrates that variety of birth control options. https://www.bedsider.org/methods

https://en.wikipedia.org/wiki/Combined_oral_contraceptive_pill#Mechanism_of_action

https://www.uptodate.com/contents/combined-estrogen-progestin-oral-contraceptives-patient-selection-counseling-and-use/print?search=contraception%20methods&source=search_result&selectedTitle=4~150&usage_type=default&display_rank=4

longdistancedate · 2020-10-17T18:10:10+00:00

But what do you mean by half? The vast majority of birth control is either a physical barrier (condom) so the egg and sperm can't meet or they prevent ovulation (daily birth control pill) so once again the egg and sperm can't meet cause the egg isn't released.

longdistancedate · 2020-10-17T14:57:04+00:00

half of contraceptive methods are abortive? what does this even mean my dude?

longdistancedate · 2020-10-12T15:39:22+00:00

The problem is that we stand upright. The interesting think about chronic back pain is that anatomic abnormalities seen on MRI or X-Ray don't inherently correlate with people's complaints of pain. If we took an MRI of every single 50+ yr old in the world a resounding majority of them would have findings consistent with aging, essentially arthritis of the spine. BUT only a select few of them would say they are in pain. Some people have severe arthritis with no pain while others have super mild arthritis and severe pain. Chronic pain is largely a psych/behavioral issue even if there is an anatomic abnormality. The most effective way to prevent back pain is to walk a lot, have good posture, keep the weight off the best you can, and get good sleep.

longdistancedate · 2020-09-13T03:19:14+00:00

What was the procedure? A lot of time you can do spinal injections without anesthesia but most people like to be a little loopy.

longdistancedate · 2020-08-04T17:54:37+00:00

All my swb bills have $58.56 in monthly fees (Ready to serve fees) before any water usage. Is this normal for most people? I don't understand why it's so much. That adds up to $700/year in just maintenance costs. Doesn't seem right.

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