Ectopic pregnancy, methotrexate and pharmacists

[Elf01]

Elf01:

what I think makes the difference - if a tube was going to rupture and kill the mother and no baby was in it the action would be to remove the tube.

usually the baby is in the tube which is causing the tube to rupture………

bokbok

I’m not arguing with that. I think imagining no baby is a good way to figure out the object of a course of treatment though.

 

[Gorgias]

I am comfortable with my position on the gap between Aquinas and present PODE formulations

OK, I’ll bite.

I haven’t seen your discussion of the substance of this gap, just the assertion that it exists. So, let’s take it in good faith that there are people out there who frame up the PDE differently than its classical and normative expression.

(If you wish, this would be a good chance to provide a citation for even one such formulation that you find compelling. Heck, I’d even take a short description of your take on what precisely this gap consists of.)

However, this tack leads to a problem: is the Church compelled to endorse just anyone’s formulation of a theological matter? And, if there are varying formulations out there in the wild, and the Church has a formulation that’s different, do we accept the Church’s, or do we cry out that the Church accept others’? And, if the Church holds to her formulation, do we denigrate her, simply because other folks say different things?

 

[Sophie111]

And, if there are varying formulations out there in the wild, and the Church has a formulation that’s different, do we accept the Church’s, or do we cry out that the Church accept others’? And, if the Church holds to her formulation, do we denigrate her, simply because other folks say different things?

I dont believe the Magisterium, wisely, commits to ha
a clear enunciation in the first place. But surprise me with a quote if you can.

 

[TheLittleLady]

Having had a ruptured ectopic many years before I was Catholic, going to the best hospital in town (a Catholic Hospital), I can assure you there was no arguing while I was dying on the table.

Well, except for an exceptionally rude staff person who was trying to place my IV, sticking me so much there was blood dripping off my fingers telling me to “stop being such a baby” because I was crying.

When an ectopic becomes a urgent life or death issue, that means there has been a rupture. At that point there is no choice but surgery. As the methotrexate is not instant, it would actually put the mom in more danger to wait for it to work.

In my circle of real life people, the ladies who discover tubal pregnancy early are trying to achieve pregnancy/have a history of early miscarriage/etc. so they are monitoring like a hawk, having very early ultrasounds. When the growth hormone levels in their blood draws slow, don’t increase as they should, the physician will begin looking for an ectopic. This is when the lady is asked what way she prefers to proceede, there are more than two options, they are explained and she makes the decision. Yes, she is making the decision that comes along with the loss, but, it is not a case where she is lying on a bed dying while people argue. She will be sent home to make the decision giving her time to speak to her family, friends, pastor, etc.

Heck, I had my first ultrasound the day before my ectopic ruptured and got the “everything looks great!” thumbs up.

A rupture is the most painful thing I have ever experienced. It is so terrible that all you want is for the pain to end and the surgery does that.

 

[ChuckB]

My problem with this is that the surgery reduces the chance of the mother getting pregnant again with only one functioning fallopian tube.

Not to mention the fact that the mother is being subjected to an unnecessary surgery.