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Dr. Daniel Grossman @DrDGrossman
, 10 tweets, 4 min read Read on Twitter
I want to take a moment to clarify something about this tweet; the article was about medication abortion, not Plan B. I see this a lot, particularly because there have been efforts to intentionally conflate the two. Medication abortion & emergency contraception are not the same.
Plan B is a brand name for emergency contraception, which is taken up to 72 hours after sex to prevent pregnancy. It will not work if a pregnancy has already been established. It stops or delays ovulation. It does not cause an abortion. More here:
nytimes.com/2012/06/06/hea…
Most emergency contraception is available over-the-counter for those who need it. You can purchase emergency contraception online. In some stores, you still have to ask a pharmacist for it, which is not really over-the-counter, but that's another discussion for another day.
Unlike emergency contraception, medication abortion does end an established pregnancy. It is highly (and unnecessarily) regulated, and is not available over-the-counter in the US. It can be illegal in some states to self-administer medication abortion, even though it's safe.
Medication abortion, which has been around since the 1980s, is extremely safe. rewire.news/article/2018/0…
Recently, we published a study where women in Peru took medication abortion with minimal clinical supervision and there were only 2 who had infection complications. It's safe. washingtonpost.com/news/to-your-h…
We've also published studies showing that administering medication abortion via telemedicine is just as safe as in clinic. But a handful of states have restricted the use of telemedicine for medication abortion, decreasing access for rural communities.
reuters.com/article/us-hea…
But in other countries, medication abortion is available over-the-counter, via telemedicine, and in clinic. Medication abortion is safe, yet unnecessarily restricted here in the US because of politics. theoutline.com/post/4660/let-…
More info:
- @AbortionFunds & @WomenHelpOrg on medication abortion: abortionfunds.org/safe-abortion-…

- Legal implications via the Self-Induced Abortion Legal Team at sialegalteam.org

- Emergency contraception vs. Medication abortion explained by @carafem carafem.org/ec-vs-abortion….
Emergency contraception is not medication abortion.
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During the #KavanaughHearings, Kavanaugh referenced his dissent in a case on the contraception coverage requirement by employers for employees' healthcare. In his testimony, he referred to contraception as "abortion-inducing drugs". This is not medically accurate and is a tactic.
Medically and scientifically, pregnancy begins at implantation. Most contraception works by blocking an egg release or blocking or disabling sperm; sometimes they work to block implantation of a fertilized egg. No contraception works after implantation or causes an abortion.
Medication abortions, or surgical abortions, remove an existing pregnancy. Contraception works before a patient is pregnant. Contraception, Plan B, and IUDs do not cause abortions. There is a huge misinformation campaign to conflate how these things work to undermine access.
Read 13 tweets
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This is a moving story about unsafe abortion in 1968. The public health threat of overturning Roe v. Wade is great, but women will not suffer the physical harms to the same degree they did in the 1960s thanks to medical advancements. Unfortunately, criminalization is.
Self-managed abortion is rarely coat hangers and back alley abortions these days. In my research in Texas, patients are more likely to give themselves an abortion through medication abortion or herbs: liberalarts.utexas.edu/txpep/_files/p…
My research has found medication abortion is safe for patients to use on their own (journals.plos.org/plosone/articl…) or via telemedicine (reuters.com/article/us-hea…), however taking medication abortion on your own is criminalized in many states. This is dangerous for patients.
Read 6 tweets
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Hey @CDCgov, can we work on the framing here? Women, and all who can become pregnant, are not perpetually 'pre-pregnant’. Caring for their health is about more than their ability to become pregnant.
@CDCgov Yes, folate is important for a healthy pregnancy, but it may be irrelevant to those using effective contraception and/or would have an abortion if they became pregnant. There are many who “can” get pregnant, but don’t have sex with cisgender men and aren’t planning pregnancy.
@CDCgov Let’s move away from a strictly heteronormative, cisgender-focused framing of pregnancy, @CDCgov, and recognize that continuing a pregnancy is not always a desired outcome for everyone. We have to listen to our patients and their healthcare needs.
Read 4 tweets

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Okay, so, in this previous thread I unpacked a little of why Peter Parker finds Spider-Gwen impossibly aggravating.

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[thread]

hi friends, i want to take a moment to discuss something i consider serious and important within this community - cancel culture.

i urge you to read the entire thread before reacting and replying, and then i’ll be happy to have a conversation with you.
to start off - a disclaimer:

there are scenarios that have recently happened that sparked my desire to make this thread. but this thread is not related to any of those and is not my response to any recent scenarios.

these are strictly my thoughts on cancel culture as a whole.
so first, what is cancel culture?

cancel culture is essentially the behavior/mentality that whenever a member of this community, reviewers and authors alike, does anything wrong, they deserve to be blackballed, cancelled, and kicked out of the community.
Read 18 tweets
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A major difference bt conservatives & the rest of us is that conservatives, for some reason, prioritize hypothetical violence above actual violence.

E.g. A woman MIGHT be assaulted in a bathroom > forcing #trans ppl to use the wrong bathroom actually IS dangerous for trans ppl
Militarized police are justified and necessary, because cops MIGHT get hurt during an occasionally dangerous job they agreed & are paid to do > people of color actually, currently being killed by cops
A not-yet-baby MIGHT experience SOME primal form of pain for a moment > Rates of death during childbirth are higher when women don't have access to legal abortion
Read 21 tweets
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We really need to talk more about #abortion as an option for women.
It's hard to say this and hard to hear it for many, but just because you discover you are pregnant doesn't mean you must carry that pregnancy to term. Your decision will last the rest of your life--and the rest of the life of any child you decide to carry to term.
#abortion
And no, I am not advocating #abortion.
I'm advocating thinking about parenthood & all it entails.
Because once you have a child, you can't just walk away from that life.
And women/girls are talked into maintaining pregnancies every day.
More discussion would change that.
Read 15 tweets
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1) I'm not sure how to make people remember or care that 15 years ago the United States invaded Iraq, setting off a war that continues to this day, with several hundred thousand Iraqis dead, millions turned into refugees. I covered the invasion for the New York Times Magazine.
2) Though I'm a writer, I shot photos during the invasion as I drove a rented Hyundai SUV from Kuwait into Iraq via Safwan, then up the spine of the country to Nasiriya, Diwaniya, Hilla, Kut and finally Baghdad. Here's the Hyundai on March 19, 2003. It's clean--that will change
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