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Erin Hawley Wants ER Doctors Like Me to Do What, Now?
Listening to oral arguments on Tuesday in the Supreme Court’s medication abortion case as an emergency room physician who has seen my share of miscarriage management, it was hard to escape a feeling of rage and disequilibrium. Were these abortion opponents really saying what I thought they were saying about how to handle emergency room patients presenting with miscarriages?
First: Pregnancy-related complaints are a leading cause of visits to emergency departments around the country. On almost every one of my emergency department shifts, I care for a patient who is having vaginal bleeding while pregnant or being evaluated for a possible ectopic pregnancy. Unfortunately, patients who are bleeding and pregnant will often learn in my emergency department that their pregnancy has ended, and we will sit and discuss their options, often in consultation with my obstetrics colleagues.
They may need supportive medication or a procedure to help them complete the miscarriage that started before they walked into my emergency department. The care we offer to patients who are miscarrying is consistent, and hopefully offered with compassion. It has no relationship to any action the patient might have taken prior to their time in my emergency department.
This is why I was infuriated when I heard the argument Erin Hawley, the attorney for the respondents in FDA v. Alliance for Hippocratic Medicine, made during Tuesday’s oral arguments. I am not generally in the practice of listening to Supreme Court oral arguments. But given my experience and expertise in women’s reproductive health care, specifically in the care of pregnant patients in emergency........
© Slate
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