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Abortion Doctor thingy

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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    go_away wrote: »
    Jeez, really sorry that happened to you. It's not uncommon though, a lot of women wait for the appointments, get refused for whatever reason, and then have to wait again. While I believe that abortion should be as early as possible and as late as necessary, I don't think it's necessary for a woman to be ping-ponged from GPs to hospitals then to clinics if she is refused, making the pregnancy advance as the weeks go by. 2nd trimester abortions have enough stigma as it is.

    Yeah it was awful - I tried appealing to her better nature (her being a woman I thought she may have been more understanding)but to no avail. But at the end of the day I was a silly 18 yr old that was denying what was happening to my body for weeks and weeks thus going to the doctors so late. I actually went to my docs when I was 13 weeks.
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    go_away wrote: »
    I wouldn't mind there being a system where you could know if the GP in your practice wouldn't refer you, that way they wouldn't have to deal with anyone coming to them, and the woman doesn't have to be exposed to any additional stress.
    I don't think it's an unfair thing to ask. I would also like to see public records of those pharmacies that refuse to give advice on contraception or sell contraceptives. It would certainly save a lot of grief and time to those seeking emergency contraception advice.
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    Fuck off, you're having a laugh. Do you really want your GP doing any procedure? Of course not so let's get this into perspective. Not all doctors should/could carry out all procedures.

    1. There are specialist units which carry out terminations. As a doctors, if you work there, then you shouldn't opt out. But realistically, who would work there if they didn't want to be involved?

    2. Terminations are not life threatening so, of course, doctors should be able to opt out.

    absolutely!
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    I'll make this very clear - people don't have a right to call you a prick saz - but I suggest you stop calling users of this site murderers if you don't want people to find your posts agressive and insulting and react in turn.

    People have been banned for repeatedly insulting the users of this board who have had abortions as murderers.
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    VinylVicky wrote: »
    The lady said she wouldn't give consent as she thought I was too far gone (15 weeks) and she didn't agree with it being so late on. She gave me details of the BPAS though but I had to wait 'til I was 19 - 20 weeks to have it done. Having it done quite so late on was rather upsetting but no fault other than my own I guess.

    I find this slightly odd. What actually is the latest you can have an abortion? Is it 20 weeks or 22?
    Personally I think the system is pretty good in that a Doctor can opt out, but has to make sure that there is another Doctor who can take over and give medical advice

    So you think that if a doctor is against abortion, they should refer you to someone who would be alright doing it? If that's what you're trying to say, then yeah, I do agree with you.
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    Thanks, since when did I pass any judgement on the person, I'm just saying that personally I couldn’t live with myself for carrying an abortion out, I can empathise with their situation and pass them on to someone who would be better equipped to helping them. Just because I'm against one medical procedure doesn’t mean I'm not capable of assisting in many other ways (and with A* in all my sciences I'm quite capable thanks) - a GP wouldn’t be dealing with abortions on that regular basis anyway

    Well, when you use language like 'I don't want to commit murder' and 'and do not believe in murdering innocent children' it doesn't really show your dispassionate colours through in dealing with a situation like that, even if it's just on a public message board and not in front of patients. If you believe it's murder, then you believe that the 1 in 3 women in the UK who have abortions are murderers, and that is passing judgement, whether you believe it or not.

    They don't need anyone thinking that of them, let alone someone who is thinking about being a healthcare professional. While GPs don't perform them themselves, they're the first port of call for many women facing an unwanted pregnancy. While it's unrelated, having good grades doesn't make anyone a good doctor, as you'll know, it's so much more than that, like putting your feelings aside and putting the patient first. If you're intelligent enough to get A* grades, then you should be intellectually honest enough with yourself to see the difference in terminating a pregnancy, and ending the life of a born person, or at least brush up on the legal terms.

    I take great offense that someone would think I'm committing murder by suctioning an embryo, vs battering a born, senitent 5 year old child to death. They're not the same thing. It detracts from debate, makes the antis look more irrational than they already to (IMO anyway) and paints a picture of people who perform abortions as blood-loving sadists. One of the reasons I'll perform abortions is because I refuse to allow any of my patients to do what 19 million women already have to do - and that is try and end the pregnancy themselves. 70,000 women die a year as a result. It's not so wrong that I don't want women to die, just as you don't want foetuses to be aborted, but it's one of the other, and for me - as a woman and a feminist - the woman trumps every single time.
    it's not judgemental, I just wouldn’t personally carry out the procedure, I'd be fine with sorting any details out for the procedure and then just refer them to a clinic or another GP to carry the op out.

    As I said before, your remarks state otherwise, even if they're done privately in your own thoughts rather than the public domain. If I never have an abortion in my lifetime, I'd change doctors in a flash if I knew that's how they though, even if they were willing to refer me to someone else. It's the whole, hate the sin, love the sinner thing, and I dunno, it doesn't sit very comfortably with me.

    I don't think anyone here is questioning your future abilities as a doctor, you obviously have an idea of what the GMC expects in terms of referrals etc, but in your career, you'll see a multitude of things that you'll disagree with, and it's up to you to use your skills and judgement to do what is best for the patient, and not always for you.
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    xsazx wrote: »
    28 weeks as long as in the opinion of 2 doctors one of the following apply
    - risk to the childs life if the pregnancy continues
    - severe risk of the child being born physically/mentally handicapped
    - risk to the mothers life if the pregnancy continues
    - risk to any existing children (i.e. low income couldnt support another child)
    (think theyre still correct from RE last year)

    You sure it's that late? I was always told it was early to possibly mid 20s.

    I do remember being told those reasons though.
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    Sofie wrote: »
    I find this slightly odd. What actually is the latest you can have an abortion? Is it 20 weeks or 22?
    .

    24. (It was 28 weeks until the Abortion Act was updated, in 1991 I think) Well, at Marie Stopes it's 23 weeks and 4 days, at BPAS I think it's still 23+6. If it's a case of severe foetal abnormality or to save the woman's life, then it's legal until birth.

    The procedures change slightly after 14 weeks (where a woman would have to take medication to soften the cervix), and after 19 weeks (where sticks of dilapan are inserted into the cervix to dilate it to about 3cm).
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    Sofie wrote: »
    I find this slightly odd. What actually is the latest you can have an abortion? Is it 20 weeks or 22?


    Why odd? I don't mean this to be rude but did you think I was lying or perhaps there was something wrong with the baby?
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    VinylVicky wrote: »
    Why odd? I don't mean this to be rude but did you think I was lying or perhaps there was something wrong with the baby?

    No. It was nothing to do with you or anything being wrong with the baby. It's what the doctor said to you about how being 15 weeks is 'too late'.
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    When a doctor is 'clocked in' so to speak, does he/her have a right to moral and religious objections? Especially if someone's life is in jeapordy?

    I don't know, I don't like the idea of opt-out just because I think a doctor (like a PC) when they're clocked in aren't the same as a private individual with respect to their right to object on moral grounds etc. because they have a higher responsibility that they should acknowledge when they sign up - the patient.

    By all means if the opportunity for another doctor to do it comes up then great, but they should still be prepared to do it if needs must.
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    xsazx wrote: »
    28 weeks as long as in the opinion of 2 doctors one of the following apply
    - risk to the childs life if the pregnancy continues
    - severe risk of the child being born physically/mentally handicapped
    - risk to the mothers life if the pregnancy continues
    - risk to any existing children (i.e. low income couldnt support another child)
    (think theyre still correct from RE last year)

    Bloody hell, that doesn't seem right. Surely if someone can't support their child, then they should be entitled to benefits so they can (although I'm sure some bastards would even want to deny them that).
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    ShyBoy wrote: »
    When a doctor is 'clocked in' so to speak, does he/her have a right to moral and religious objections? Especially if someone's life is in jeapordy?

    Yes, thin about discrimination legislation here.

    Remember, most people with such extreme religious views would not put themself in those positions in the first place - where their clinical and moral paths cross. however there are some areas where it cannot be avoided - anaethetics for example, theatre nursing is another. In those cases there are other people who cover termination lists.

    Also worth pointing out, again, that there is increasing usage of organisations like Marie Stopes who specialise in this service. Partly because they can actually offer a better all round service than any NHS provider because they are geared up to specifically offer the full service - NHS trust tend to see counselling etc as an add on IME.

    For the record, I placed our local contract with marie Stopes a long time ago and have never regretted it. Besides, it also frees theatre space for those cases which *need* to be in a hospital...
    they should still be prepared to do it if needs must.

    You have to consider what circumstances you are talking about there. You can only really mean life threat for mother in which case the doctor has a duty to put her life first anyway, as I understand things.
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    nitpicking but, isn't it statistically true that termination has a lower mortality rate than labour, making abortions less of a life threat to the mother than continuing a pregnancy?
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    Amazing what conclusions you can come to with statistics. How often is the abortion based on the threat to the mother?
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    Also worth pointing out, again, that there is increasing usage of organisations like Marie Stopes who specialise in this service. Partly because they can actually offer a better all round service than any NHS provider because they are geared up to specifically offer the full service - NHS trust tend to see counselling etc as an add on IME.

    Someone who phoned into The Wright Stuff the other day said that they got 20 minutes with a counciller beforehand, where they didn't actually discuss the decision itself, and that was it. The she went through with it and regretted it.
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    Amazing what conclusions you can come to with statistics. How often is the abortion based on the threat to the mother?

    I don't know. Yes, statistics can be and are manipulated.
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    Bloody hell, that doesn't seem right. Surely if someone can't support their child, then they should be entitled to benefits so they can (although I'm sure some bastards would even want to deny them that).

    Which is what I thought. I'm sure I was told about the risk to her other children, but thought that was more to do with the children's health not finances. (as in, if the mother has a terminally ill child and feels that she couldn't look after another child if she had one)
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    Aladdin wrote: »
    I don't think it's an unfair thing to ask. I would also like to see public records of those pharmacies that refuse to give advice on contraception or sell contraceptives. It would certainly save a lot of grief and time to those seeking emergency contraception advice.

    You may not be able to get that, but certainly for the pharmacies around here you can find out which ones will, which is pretty much the same and probably more useful because the website gives you a list of where you can go, as opposed to where you can't and you have to think of other places.
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    Sofie wrote: »
    No. It was nothing to do with you or anything being wrong with the baby. It's what the doctor said to you about how being 15 weeks is 'too late'.
    From the way the conversation went - it was her own personal belief that she thought it was too late on
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    It's quite scary that in a sense, laws set up to protect women and female teenagers can be circumvented by a simple veto by the practictioning doctor or pharmacist - based on their moral or religious views rather than their professional medical opinion. That's where I see the problem.
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    xsazx wrote: »
    Most probably is, I'm just recalling the facts and situations we were given as examples last year when 1/4 of our exam was on abortion, will have a proper look later

    Does that mean you failed that question then? :p
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    ShyBoy wrote: »
    It's quite scary that in a sense, laws set up to protect women and female teenagers can be circumvented by a simple veto by the practictioning doctor or pharmacist - based on their moral or religious views rather than their professional medical opinion. That's where I see the problem.

    I can see an argument for moral or relgious reasons for not wanting to carry out the procedure (providing an alternative is available), but it's when you get doctors abusing this because they don't want to mention to their friends that part of their job involves doing abortions. I think the main problem in that instance is that there are far too many people that have a fairly archaic view of abortion and the reasons that a woman might choose to have one (this idea of using it as contraception, for example). These are the people that put the social pressure on doctors not to be seen to do abortions, in the same way that they judge women who choose to have an abortion. If these attitudes change, then the only doctors that choose not to carry out abortions are the ones that do so as a personal choice, rather than because they're afraid of what others might think.
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    ShyBoy wrote: »
    It's quite scary that in a sense, laws set up to protect women and female teenagers can be circumvented by a simple veto by the practictioning doctor or pharmacist - based on their moral or religious views rather than their professional medical opinion. That's where I see the problem.
    I'm deeply uncomfortable with this too and it doesn't extend just to doctors and abortions but other professions and other issues.

    The crux of the matter is that religious beliefs should not have special dispensation over any other beliefs when interacting with others at a professional level. Though that's perhaps another debate...
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    Aladdin wrote: »
    The crux of the matter is that religious beliefs should not have special dispensation over any other beliefs when interacting with others at a professional level. Though that's perhaps another debate...

    No they shouldn't (remember the whole abortion clinic crap - let's not go there again), but they don't in this case.
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    Let alone the issue of abortion counselling, where anecodotal evidence suggests NHS offered counselling isn't always quickly available, and isn't properly followed up with people who've had abortions - often leading to people ending up recieveing abortion counselling from services with particular agendas.
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    Aww, that was never a cool subject to get an A* in when I was at school. I got a B and got the piss taken out of me. Hehe.
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    Former MemberFormer Member Posts: 1,876,323 The Mix Honorary Guru
    ShyBoy, they don't have the power to veto, they *must* refer, and I would far rather that that was the case rather than they were forced into doing something they were not comfortable.

    At least if people have the chance to opt out of providing these services then there is some hope that the ones who do will provide reasonably unbiased advice and be somewhat less judgemental than someone who finds the whole idea abhorrent as however hard they tried to be professional there would be a massive conflict in their minds.

    It's very similar to medical professionals referring other cases they are not comfortable doing, for whatever reason, be it lack of understanding or professional expertise.
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