You're in the bay. Once you get over to the bed,
we'll give you the story. Everything's going
to happen super fast. Welcome to the emergency
room. Pulse check no pulse Hey guys So just to
kind of give you an update on the labeling of
some of these OB pharmacology drugs, I don't
want it to seem like it's click bait or anything
like that. But I have attached a warning label
to some of the drugs that have caused a significant
amount of controversy in my particular state.
And if I'm only if I'm not mistaken, it's only
methotrexate in methadone Or I think it's method
again, however, you say it Those are the drugs
right now that are to my aware that have caused
a significant amount of controversy in my state,
which is Texas because they are Typically, medications
that are used to electively terminate pregnancy
or abortion just plainly put. In the state of
Texas, it is illegal to have an elected abortion
or elective termination of pregnancy. and where
the issues come in, like even on one of the episodes
that I just uploaded, the OB -ATI one, I think
it was, the hemorrhagic disorders, even the AI
-generated host is well aware of the controversy
that some of these medications cause because
you can have a completely unviable pregnancy
where, you know, But like it's just not going
to work like an ectopic pregnancy You know like
there's no way in hell that that pregnancy can
go to a term because it'll kill the mother You
know because of the fallopian tubes and the arteries
that feed it and everything else like that like
it's just not a viable pregnancy and So you it's
almost like if I'm not mistaken Before I left
the risk management world If I'm not mistaken,
I believe a provider has to have to it's like
a two provider check off for a like an elective
like a elective termination of pregnancy that
you know, what in essence like kill the mother
and the baby. Like so if you're a nurse in one
of these states, Texas or the other states that
are You know that I've made Abortion outlawed
again. This is not a political stance or anything
of the nature It's just a statement of facts
because I'm completely apolitical but If I'm
not mistaken the physician has to get to a second
physician you know for clinically, you know clearing
the pregnancy of termination and then They have
to fill out a form that they have to submit to
the state, you know, explaining the reasonings
why this pregnancy was terminated and XYZ seems
a bit excessive in my opinion, but that's just
kind of the state that I'm in. And, you know,
just got to play by the rules, I guess, until
something different changes. But methadone is
also one of those drugs that came under fire.
And they wanted to do something with oxytocin
as well. But because oxytocin is used, you know,
during PPH, it kind of it kind of got through.
OK. But methadone and methotrexate definitely
became under fire and definitely methotrexate
became highly controlled. Methadone, I'm not
for sure on, but definitely methotrexate. So
If you're in one of those states and you're going
to practice nursing Paramedicine medicine, whatever
you do listening to this podcast Just know from
the nursing standpoint in the hospital The physician
yes can sit there and it missed administer one
high dose of methotrexate or a substantial dose
of meth again to uh, electively terminate the
pregnancy or abort the pregnancy. Um, there is
a way you have to fill out a form. I can't remember
the name of the form, but, uh, the providing
or the attending physician and the, uh, another
physician appear of their peer has to sign off
on it saying that it was medically necessary
for the safety of the mother. Um, and something
like an ectopic pregnancy is real easy to kind
of pinpoint and be like, If you're listening
to this and been in, you know, any sort of medical,
anything, you know, that an ectopic pregnancy
is is not a viable pregnancy. So it's real easy
to point at that and be like you like you. You
can give it for that. You know, it's real easy.
But there are some other gray, gray areas, you
know, like the I can't remember the name of the
disorder right off the top of my head, but it's
like a where the baby doesn't have a brain, a
cephalic or an a cephalic syndrome or some whatever
the hell it's called, where it doesn't have a
brain, you know, in the state of Texas because
it has a heartbeat. You're not allowed to you're
not allowed to terminate it. I think it's called
like the Texas heartbeat law or something like
that. You're not allowed to terminate the pregnancy
even or you might be able to now. A lot of legislation
has changed since the passage of the heartbeat
law. But it's good to know stuff like that, you
know, like an antisyphallic baby is not going
to live, you know, very long outside the womb,
if at all. So, you know, it's just one of those,
you know, gray areas. There's also other disorders
that are not compatible with life that. But because
the baby, you know, has a heartbeat, you're not
allowed to terminate the pregnancy. So it's just
it's just it's a weird kind of gray area. You
know, my whole political stance on all of this
is like, I don't tell lawyers how to practice
law. I don't tell judges how to judge law. So
I don't like it when people who don't practice
nursing or practice medicine tell me how to practice
medicine or practice nursing. That's just my
personal opinion. Whether I believe in abortion
or not is completely beside the point. I just
don't agree with You know people who don't Practice
medicine or practice law or practice medicine
or practice nursing come in and try to tell me
how to do things That's just my personal opinion
because if you're gonna judge me if you're gonna
hold me To a jury of my peers, then I expect
12 nurses And I expect 12 emergency room nurses
to be sitting in the jury judging me than just
12 random ass strangers who don't have a high
school education. And that right there is not
me being, you know, cutthroat or anything like
that. It's just that whenever you go into the
voir dire for jury duty and, you know, the the
prosecution and the defense are going through
and striking jurors. Education is a major is
a major major component of whether the judge
will allow the particular juror to get striked
or not. There is also just kind of like a fact.
Education plays a large part. Veteran status
plays a large part. You know, so stuff like that.
But again, I'm getting sidetracked. But the the
warning tags are not meant to be like click bait.
They are meant to be like, hey, pay attention
to this medication because this medication is
under scrutiny or it is controversial in a state
that has outlawed elective abortions or elective
termination of pregnancy, however you want to
say it. Outside of that, that's the end of my
rant. OK, guys. All right. Bye.