WEBVTT 00:00:07.880 --> 00:00:10.759 You're in the bay. Once you get over to the bed, 00:00:10.919 --> 00:00:13.560 we'll give you the story. Everything's going 00:00:13.560 --> 00:00:17.339 to happen super fast. Welcome to the emergency 00:00:17.339 --> 00:00:47.130 room. Pulse check no pulse Hey guys So just to 00:00:47.130 --> 00:00:50.350 kind of give you an update on the labeling of 00:00:50.350 --> 00:00:55.009 some of these OB pharmacology drugs, I don't 00:00:55.009 --> 00:00:58.509 want it to seem like it's click bait or anything 00:00:58.509 --> 00:01:03.329 like that. But I have attached a warning label 00:01:03.329 --> 00:01:09.950 to some of the drugs that have caused a significant 00:01:09.950 --> 00:01:13.109 amount of controversy in my particular state. 00:01:13.450 --> 00:01:17.829 And if I'm only if I'm not mistaken, it's only 00:01:17.829 --> 00:01:22.969 methotrexate in methadone Or I think it's method 00:01:22.969 --> 00:01:27.829 again, however, you say it Those are the drugs 00:01:27.829 --> 00:01:31.230 right now that are to my aware that have caused 00:01:31.230 --> 00:01:36.810 a significant amount of controversy in my state, 00:01:36.829 --> 00:01:43.870 which is Texas because they are Typically, medications 00:01:43.870 --> 00:01:49.489 that are used to electively terminate pregnancy 00:01:49.489 --> 00:01:57.269 or abortion just plainly put. In the state of 00:01:57.269 --> 00:02:01.989 Texas, it is illegal to have an elected abortion 00:02:01.989 --> 00:02:06.579 or elective termination of pregnancy. and where 00:02:06.579 --> 00:02:10.580 the issues come in, like even on one of the episodes 00:02:10.580 --> 00:02:14.340 that I just uploaded, the OB -ATI one, I think 00:02:14.340 --> 00:02:20.680 it was, the hemorrhagic disorders, even the AI 00:02:20.680 --> 00:02:23.979 -generated host is well aware of the controversy 00:02:23.979 --> 00:02:28.819 that some of these medications cause because 00:02:28.819 --> 00:02:33.219 you can have a completely unviable pregnancy 00:02:33.219 --> 00:02:37.199 where, you know, But like it's just not going 00:02:37.199 --> 00:02:40.539 to work like an ectopic pregnancy You know like 00:02:40.539 --> 00:02:43.300 there's no way in hell that that pregnancy can 00:02:43.300 --> 00:02:46.340 go to a term because it'll kill the mother You 00:02:46.340 --> 00:02:48.659 know because of the fallopian tubes and the arteries 00:02:48.659 --> 00:02:50.819 that feed it and everything else like that like 00:02:50.819 --> 00:02:54.780 it's just not a viable pregnancy and So you it's 00:02:54.780 --> 00:02:58.500 almost like if I'm not mistaken Before I left 00:02:58.500 --> 00:03:02.500 the risk management world If I'm not mistaken, 00:03:02.520 --> 00:03:06.439 I believe a provider has to have to it's like 00:03:06.439 --> 00:03:14.099 a two provider check off for a like an elective 00:03:14.099 --> 00:03:18.020 like a elective termination of pregnancy that 00:03:18.020 --> 00:03:21.060 you know, what in essence like kill the mother 00:03:21.060 --> 00:03:25.740 and the baby. Like so if you're a nurse in one 00:03:25.740 --> 00:03:29.159 of these states, Texas or the other states that 00:03:29.159 --> 00:03:33.939 are You know that I've made Abortion outlawed 00:03:33.939 --> 00:03:36.139 again. This is not a political stance or anything 00:03:36.139 --> 00:03:38.580 of the nature It's just a statement of facts 00:03:38.580 --> 00:03:45.699 because I'm completely apolitical but If I'm 00:03:45.699 --> 00:03:49.159 not mistaken the physician has to get to a second 00:03:49.159 --> 00:03:53.460 physician you know for clinically, you know clearing 00:03:53.460 --> 00:03:57.680 the pregnancy of termination and then They have 00:03:57.680 --> 00:04:00.139 to fill out a form that they have to submit to 00:04:00.139 --> 00:04:02.479 the state, you know, explaining the reasonings 00:04:02.479 --> 00:04:06.919 why this pregnancy was terminated and XYZ seems 00:04:06.919 --> 00:04:09.419 a bit excessive in my opinion, but that's just 00:04:09.419 --> 00:04:12.259 kind of the state that I'm in. And, you know, 00:04:12.259 --> 00:04:15.580 just got to play by the rules, I guess, until 00:04:15.580 --> 00:04:21.720 something different changes. But methadone is 00:04:21.720 --> 00:04:24.480 also one of those drugs that came under fire. 00:04:25.569 --> 00:04:28.449 And they wanted to do something with oxytocin 00:04:28.449 --> 00:04:32.129 as well. But because oxytocin is used, you know, 00:04:32.189 --> 00:04:36.930 during PPH, it kind of it kind of got through. 00:04:37.230 --> 00:04:42.449 OK. But methadone and methotrexate definitely 00:04:42.449 --> 00:04:47.149 became under fire and definitely methotrexate 00:04:47.149 --> 00:04:50.790 became highly controlled. Methadone, I'm not 00:04:50.790 --> 00:04:56.240 for sure on, but definitely methotrexate. So 00:04:56.240 --> 00:04:59.779 If you're in one of those states and you're going 00:04:59.779 --> 00:05:03.980 to practice nursing Paramedicine medicine, whatever 00:05:03.980 --> 00:05:09.019 you do listening to this podcast Just know from 00:05:09.019 --> 00:05:13.420 the nursing standpoint in the hospital The physician 00:05:13.420 --> 00:05:17.399 yes can sit there and it missed administer one 00:05:17.399 --> 00:05:22.379 high dose of methotrexate or a substantial dose 00:05:22.379 --> 00:05:26.480 of meth again to uh, electively terminate the 00:05:26.480 --> 00:05:30.139 pregnancy or abort the pregnancy. Um, there is 00:05:30.139 --> 00:05:33.120 a way you have to fill out a form. I can't remember 00:05:33.120 --> 00:05:36.360 the name of the form, but, uh, the providing 00:05:36.360 --> 00:05:39.740 or the attending physician and the, uh, another 00:05:39.740 --> 00:05:44.120 physician appear of their peer has to sign off 00:05:44.120 --> 00:05:46.779 on it saying that it was medically necessary 00:05:46.779 --> 00:05:50.339 for the safety of the mother. Um, and something 00:05:50.339 --> 00:05:52.839 like an ectopic pregnancy is real easy to kind 00:05:52.839 --> 00:05:55.300 of pinpoint and be like, If you're listening 00:05:55.300 --> 00:05:58.079 to this and been in, you know, any sort of medical, 00:05:58.259 --> 00:06:00.480 anything, you know, that an ectopic pregnancy 00:06:00.480 --> 00:06:05.199 is is not a viable pregnancy. So it's real easy 00:06:05.199 --> 00:06:08.319 to point at that and be like you like you. You 00:06:08.319 --> 00:06:10.160 can give it for that. You know, it's real easy. 00:06:10.300 --> 00:06:13.620 But there are some other gray, gray areas, you 00:06:13.620 --> 00:06:20.079 know, like the I can't remember the name of the 00:06:20.079 --> 00:06:22.120 disorder right off the top of my head, but it's 00:06:22.120 --> 00:06:26.519 like a where the baby doesn't have a brain, a 00:06:26.519 --> 00:06:29.660 cephalic or an a cephalic syndrome or some whatever 00:06:29.660 --> 00:06:32.740 the hell it's called, where it doesn't have a 00:06:32.740 --> 00:06:35.519 brain, you know, in the state of Texas because 00:06:35.519 --> 00:06:40.079 it has a heartbeat. You're not allowed to you're 00:06:40.079 --> 00:06:41.819 not allowed to terminate it. I think it's called 00:06:41.819 --> 00:06:43.600 like the Texas heartbeat law or something like 00:06:43.600 --> 00:06:45.399 that. You're not allowed to terminate the pregnancy 00:06:45.399 --> 00:06:49.720 even or you might be able to now. A lot of legislation 00:06:49.720 --> 00:06:51.939 has changed since the passage of the heartbeat 00:06:51.939 --> 00:06:57.680 law. But it's good to know stuff like that, you 00:06:57.680 --> 00:07:00.079 know, like an antisyphallic baby is not going 00:07:00.079 --> 00:07:03.220 to live, you know, very long outside the womb, 00:07:03.819 --> 00:07:08.680 if at all. So, you know, it's just one of those, 00:07:08.680 --> 00:07:12.279 you know, gray areas. There's also other disorders 00:07:12.279 --> 00:07:16.459 that are not compatible with life that. But because 00:07:16.459 --> 00:07:19.279 the baby, you know, has a heartbeat, you're not 00:07:19.279 --> 00:07:25.310 allowed to terminate the pregnancy. So it's just 00:07:25.310 --> 00:07:30.069 it's just it's a weird kind of gray area. You 00:07:30.069 --> 00:07:32.970 know, my whole political stance on all of this 00:07:32.970 --> 00:07:35.470 is like, I don't tell lawyers how to practice 00:07:35.470 --> 00:07:39.290 law. I don't tell judges how to judge law. So 00:07:39.290 --> 00:07:43.029 I don't like it when people who don't practice 00:07:43.029 --> 00:07:45.670 nursing or practice medicine tell me how to practice 00:07:45.670 --> 00:07:49.110 medicine or practice nursing. That's just my 00:07:49.110 --> 00:07:53.500 personal opinion. Whether I believe in abortion 00:07:53.500 --> 00:07:55.620 or not is completely beside the point. I just 00:07:55.620 --> 00:07:59.759 don't agree with You know people who don't Practice 00:07:59.759 --> 00:08:02.240 medicine or practice law or practice medicine 00:08:02.240 --> 00:08:04.560 or practice nursing come in and try to tell me 00:08:04.560 --> 00:08:08.379 how to do things That's just my personal opinion 00:08:08.379 --> 00:08:10.579 because if you're gonna judge me if you're gonna 00:08:10.579 --> 00:08:15.360 hold me To a jury of my peers, then I expect 00:08:15.360 --> 00:08:19.540 12 nurses And I expect 12 emergency room nurses 00:08:19.540 --> 00:08:23.980 to be sitting in the jury judging me than just 00:08:23.980 --> 00:08:26.100 12 random ass strangers who don't have a high 00:08:26.100 --> 00:08:29.040 school education. And that right there is not 00:08:29.040 --> 00:08:35.179 me being, you know, cutthroat or anything like 00:08:35.179 --> 00:08:37.919 that. It's just that whenever you go into the 00:08:37.919 --> 00:08:43.019 voir dire for jury duty and, you know, the the 00:08:43.019 --> 00:08:44.980 prosecution and the defense are going through 00:08:44.980 --> 00:08:48.620 and striking jurors. Education is a major is 00:08:48.620 --> 00:08:51.740 a major major component of whether the judge 00:08:51.740 --> 00:08:54.240 will allow the particular juror to get striked 00:08:54.240 --> 00:08:58.360 or not. There is also just kind of like a fact. 00:08:59.279 --> 00:09:02.159 Education plays a large part. Veteran status 00:09:02.159 --> 00:09:06.879 plays a large part. You know, so stuff like that. 00:09:07.500 --> 00:09:12.000 But again, I'm getting sidetracked. But the the 00:09:12.000 --> 00:09:14.539 warning tags are not meant to be like click bait. 00:09:14.809 --> 00:09:17.950 They are meant to be like, hey, pay attention 00:09:17.950 --> 00:09:22.750 to this medication because this medication is 00:09:22.750 --> 00:09:26.889 under scrutiny or it is controversial in a state 00:09:26.889 --> 00:09:32.889 that has outlawed elective abortions or elective 00:09:32.889 --> 00:09:36.490 termination of pregnancy, however you want to 00:09:36.490 --> 00:09:41.649 say it. Outside of that, that's the end of my 00:09:41.649 --> 00:09:43.750 rant. OK, guys. All right. Bye.