Will Ohio Bill Force Doctors To Do The Impossible: Reimplant Ectopic Pregnancies?

Extra-uterine pregnancy
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Is there a doctor in the house? In this case, house means the Ohio Statehouse.

Ohio House Bill 413 includes an “unusual” specification but doesn’t provide an accompanying “how to” manual. David N Hackney MD, Chief of Maternal Fetal Medicine at University Hospitals Cleveland Medical Center, highlighted this specification in the following tweet:

Um, how exactly are you supposed to do what Dr. Hackney highlighted above in yellow, namely “reimplant an ectopic pregnancy into the woman’s uterus”? It seems that physicians would need to know, given that they could face “criminal prosecution, damage in any civil action, or professional disciplinary action,” for failing to make an attempt. State Representatives Candice R. Keller (R-District 53) and Ron Hood (R-District 78) are the co-sponsors of this bill but to my knowledge haven’t offered a tutorial. I have reached out to both of their offices for further comment.

An ectopic pregnancy is when an egg, after it has been fertilized, ends up being implanted and growing somewhere else besides within the cavity of your uterus. This other location is most commonly (over 95% of the time) your fallopian tube, in which case it could also be called a tubal pregnancy. Other possible locations are your ovaries, your cervix, and other parts of your abdomen besides your uterus. This is why an ectopic pregnancy is also known as an extra-uterine pregnancy. The problem is that locations aside from your uterus cannot support a normal pregnancy, because they are not designed to do so.

While an extra-uterine pregnancy won’t be able to survive over the longer-term, the egg can still grow for a while. This growth can subsequently damage surrounding blood vessels, potentially causing massive life-threatening bleeding. Again, that’s because other parts of your body, whether it is your fallopian tubes, your cervix, anywhere in your abdomen outside your uterus, or your ear for that matter, are not designed to support a pregnancy.

Ectopic pregnancies are not super rare occurrences. So any law that says something about ectopic pregnancies could affect a number of different people. A 1995 publication in the Centers for Disease Control and Prevention (CDC) Morbidity and Mortality Weekly Report (MMWR) called ectopic pregnancy “the leading cause of pregnancy-related death during the first trimester,” of pregnancy. A more recent MMWR publication from 2012 stated that “approximately 1%–2% of pregnancies in the United States are ectopic; however, these pregnancies account for 3%–4% of pregnancy-related deaths.”

These risks mean that a medical professional, in other words a doctor and not a politician, Reddit, or Facebook, needs to handle your case if you have an ectopic pregnancy. As the Mayo Clinic website explains: “A fertilized egg can't develop normally outside the uterus. To prevent life-threatening complications, the ectopic tissue needs to be removed. Depending on your symptoms and when the ectopic pregnancy is discovered, this may be done using medication, laparoscopic surgery or abdominal surgery.”

Note that the website said “removed” and not “reimplanted.” If someone has discovered a procedure to reimplant ectopic pregnancies, please let everyone know, because many doctors on social media are wondering how this would even be possible. Actually, if someone has discovered a procedure to reimplant ectopic pregnancies that actually works and is safe and doesn’t kill you, please let everyone know. You can have reimplanted anywhere in your body all sorts of things, like bricks, Silly Putty, and your spleen, as long as you are not concerned about it being helpful and safe.

Some may argue that the bill does include the words, “if applicable,” which then would allow well-meaning doctors to escape “criminal prosecution” and other consequences when they are doing, you know, what they are supposed to be doing scientifically. But then why even suggest something that is not ever going to be applicable? If you are going to include a procedure that is not applicable or even possible, why not start inserting the word “teleport” into various bills and laws? For example, “person must demonstrate that he/she tried to teleport away before the accident occurred, if applicable.” Rule number one with bills before they become laws: make sure that what you propose currently is feasible in this world, on Earth and in this dimension. In other words, check with science first.

Simply mentioning non-existent medical procedures, even if you don’t end up requiring them, can have serious consequences. Danielle Jones, MD, an obstetrician and gynecologist at Baylor Scott & White and assistant professor at Texas A&M University Health Sciences Center, described some of these consequences in a video on her Mama Doctor Jones YouTube channel.

For example, imagine if you’ve survived an ectopic pregnancy, which can be a very traumatic experience, yet later get the impression that you could have somehow had the ectopic pregnancy “reimplanted.” Talk about an unjustified guilt trip. Or what if you have an ectopic pregnancy right now and are led to believe that your doctor is withholding this magical, “reimplantation” procedure? You may then delay getting proper treatment, which could literally kill you. It could also erode the trust between you and your doctor, because what else might your doctor be failing to mention? Does she or he have an Infinity Gauntlet or the ability to control water like Mera from the movie Aquaman? Yes, misinformation can wreak havoc as Dr. Jones mentioned in the following video:

Again an ectopic pregnancy is an extra-uterine pregnancy, not an extraterrestrial pregnancy. Possible stated solutions must be of this world and feasible. If a bill involves a medical issue, it’s origination, drafting and review should heavily involve real medical experts and scientists. Otherwise, the risk is implanting or reimplanting false impressions and hopes among many people, which can be at the very least distracting but also very dangerous. Seems like what needs to be reimplanted is more real science in the legislative process in Ohio.

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Is there a doctor in the house? In this case, house means the Ohio Statehouse.

Ohio House Bill 413 includes an “unusual” specification but doesn’t provide an accompanying “how to” manual. David N Hackney MD, Chief of Maternal Fetal Medicine at University Hospitals Cleveland Medical Center, highlighted this specification in the following tweet:

Um, how exactly are you supposed to do what Dr. Hackney highlighted above in yellow, namely “reimplant an ectopic pregnancy into the woman’s uterus”? It seems that physicians would need to know, given that they could face “criminal prosecution, damage in any civil action, or professional disciplinary action,” for failing to make an attempt. State Representatives Candice R. Keller (R-District 53) and Ron Hood (R-District 78) are the co-sponsors of this bill but to my knowledge haven’t offered a tutorial. I have reached out to both of their offices for further comment.

An ectopic pregnancy is when an egg, after it has been fertilized, ends up being implanted and growing somewhere else besides within the cavity of your uterus. This other location is most commonly (over 95% of the time) your fallopian tube, in which case it could also be called a tubal pregnancy. Other possible locations are your ovaries, your cervix, and other parts of your abdomen besides your uterus. This is why an ectopic pregnancy is also known as an extra-uterine pregnancy. The problem is that locations aside from your uterus cannot support a normal pregnancy, because they are not designed to do so.

While an extra-uterine pregnancy won’t be able to survive over the longer-term, the egg can still grow for a while. This growth can subsequently damage surrounding blood vessels, potentially causing massive life-threatening bleeding. Again, that’s because other parts of your body, whether it is your fallopian tubes, your cervix, anywhere in your abdomen outside your uterus, or your ear for that matter, are not designed to support a pregnancy.

Ectopic pregnancies are not super rare occurrences. So any law that says something about ectopic pregnancies could affect a number of different people. A 1995 publication in the Centers for Disease Control and Prevention (CDC) Morbidity and Mortality Weekly Report (MMWR) called ectopic pregnancy “the leading cause of pregnancy-related death during the first trimester,” of pregnancy. A more recent MMWR publication from 2012 stated that “approximately 1%–2% of pregnancies in the United States are ectopic; however, these pregnancies account for 3%–4% of pregnancy-related deaths.”

These risks mean that a medical professional, in other words a doctor and not a politician, Reddit, or Facebook, needs to handle your case if you have an ectopic pregnancy. As the Mayo Clinic website explains: “A fertilized egg can't develop normally outside the uterus. To prevent life-threatening complications, the ectopic tissue needs to be removed. Depending on your symptoms and when the ectopic pregnancy is discovered, this may be done using medication, laparoscopic surgery or abdominal surgery.”

Note that the website said “removed” and not “reimplanted.” If someone has discovered a procedure to reimplant ectopic pregnancies, please let everyone know, because many doctors on social media are wondering how this would even be possible. Actually, if someone has discovered a procedure to reimplant ectopic pregnancies that actually works and is safe and doesn’t kill you, please let everyone know. You can have reimplanted anywhere in your body all sorts of things, like bricks, Silly Putty, and your spleen, as long as you are not concerned about it being helpful and safe.

Some may argue that the bill does include the words, “if applicable,” which then would allow well-meaning doctors to escape “criminal prosecution” and other consequences when they are doing, you know, what they are supposed to be doing scientifically. But then why even suggest something that is not ever going to be applicable? If you are going to include a procedure that is not applicable or even possible, why not start inserting the word “teleport” into various bills and laws? For example, “person must demonstrate that he/she tried to teleport away before the accident occurred, if applicable.” Rule number one with bills before they become laws: make sure that what you propose currently is feasible in this world, on Earth and in this dimension. In other words, check with science first.

Simply mentioning non-existent medical procedures, even if you don’t end up requiring them, can have serious consequences. Danielle Jones, MD, an obstetrician and gynecologist at Baylor Scott & White and assistant professor at Texas A&M University Health Sciences Center, described some of these consequences in a video on her Mama Doctor Jones YouTube channel.

For example, imagine if you’ve survived an ectopic pregnancy, which can be a very traumatic experience, yet later get the impression that you could have somehow had the ectopic pregnancy “reimplanted.” Talk about an unjustified guilt trip. Or what if you have an ectopic pregnancy right now and are led to believe that your doctor is withholding this magical, “reimplantation” procedure? You may then delay getting proper treatment, which could literally kill you. It could also erode the trust between you and your doctor, because what else might your doctor be failing to mention? Does she or he have an Infinity Gauntlet or the ability to control water like Mera from the movie Aquaman? Yes, misinformation can wreak havoc as Dr. Jones mentioned in the following video:

Again an ectopic pregnancy is an extra-uterine pregnancy, not an extraterrestrial pregnancy. Possible stated solutions must be of this world and feasible. If a bill involves a medical issue, it’s origination, drafting and review should heavily involve real medical experts and scientists. Otherwise, the risk is implanting or reimplanting false impressions and hopes among many people, which can be at the very least distracting but also very dangerous. Seems like what needs to be reimplanted is more real science in the legislative process in Ohio.

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I am a writer, journalist, professor, systems modeler, computational and digital health expert, avocado-eater, and entrepreneur, not always in that order. Currently, I

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