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Is this a tree?

Is this a tree?

I would not call this a tree. I would call it a cone. It contains seeds. It is not a tree.

A pregnancy is called an embryo until 8 weeks after conception and then a fetus until birth. It is not a baby, any more than a seed is a tree. Here is a link to a picture of the embryo developing:

https://en.wikipedia.org/wiki/Human_embryonic_development#/media/File:HumanEmbryogenesis.svg

It’s a bit difficult to call the embryo a baby.

After 8 weeks (10 weeks from the last menstrual period) the developing pregnancy is called a fetus. It cannot survive outside the womb. A term pregnancy is 37 weeks, and the due date is at 40 weeks. The earliest survival, certainly not natural, is around 24 weeks. This takes heavy intervention and technology, a premature infant on a ventilator for months. There is risk of damage to the eyes from high oxygen and risk of spontaneous brain bleed and cerebral palsy, because the newborn can weigh half a pound. Once born, the fetus is termed a baby.

This is important from a medical standpoint and pounded into us as physicians. WHY? Because in a trauma situation, the life of the mother comes first. In Obstetrics and Family Medicine, the life of the mother comes first. In Oncology, the life of the mother comes first. My sister was diagnosed with stage IIIB ductal breast cancer at age 41. She was engaged and it turned out that she was pregnant. She wrote this essay on her blog, Butterfly Soup:

The hardest loss of breast cancer.

She had an abortion and chose chemotherapy, because it was her or the fetus. If she had chemotherapy pregnant, at that time she was told that it would probably kill the fetus or cause terrible birth defects. If she held off on chemotherapy for seven months, her oncologist thought she would die. She had a very very aggressive cancer and she already had a daughter who needed her.

She lived until age 49, with multiple rounds of chemotherapy, radiation, gamma knife radiation, whole brain radiation. And she lived until her daughter was 13. Without the abortion, her physicians thought she would have died when her daughter was 7.

My ethics in medicine are that patients have autonomy. I would NOT have wanted my sister to choose to refuse chemo and try to bring a baby to term while dying of breast cancer. However, it was HER CHOICE, not mine. It was private and no one else’s business and how dare people make moral judgements about another person’s medical choices. I give my patients CHOICES. They can choose not to treat cancer and go into hospice. They can choose surgery or refuse it. They can choose to treat opioid addiction or refuse. They may die of a heroin overdose and I grieve. I try to convince them to go to treatment and I give them nalaxone to try to reverse overdoses. I refuse a medication or treatment that I think will harm my patients, but my patients have autonomy and choices. That extends to women and pregnancy as well.

It is NOT a baby in the womb, however emotionally attached people are to this image. It is an embryo first and then a fetus. And in a car wreck, the woman comes first and the fetus second.

For the Ragtag Daily Prompt: explain.

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sand pattern

I took this photograph yesterday on East Beach in glorious sun.

I left the house to hike at 5:30 am. I didn’t hear about Roe v Wade being overturned until later in the day. I am grieving and will fight for women’s right to determine their own health. Each sperm is alive and each egg too. Don’t tell me they should all be saved, because then we would all starve. Life doesn’t start at conception. I think that some men wanting to control women starts with conception. They certainly don’t want their sperm controlled.

In the photograph are great blue heron tracks. I saw at least three great blue herons. At least four eagles, sitting in the tops of trees along the cliffs enjoying the sun.

The beach changes daily. We go to North Beach and one day it is long stretches of sand and the next it is covered with rocks of all sizes. We have been hiking so regularly that it is really clear that the beach changes as much as human moods! Every tide is different.

Here are chalcedony nodules found yesterday. We still call them agates, but since we are getting fussier and want the clear ones, they are more correctly called chalcedony nodules.

The beach changes like US politics. The water rushes in like a new administration, removes small and large boulders and rushes out again. A new Supreme Court Judge, a new person in this appointed position or that, change, change, change, a new pattern. I am grieving about Roe v Wade, but contributing to the fight for women’s rights and for women’s health. I wish that as a country we were less dramatic and nicer and did not need to have an enemy to shout at all the time.

Maybe that change is coming, but slowly. We might learn from social media and from all sorts of lessons. I have some hope.

Meanwhile I’d rather be with the great blue herons and the eagles.

For the Ragtag Daily Prompt: patterns.

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soft foot and arms too

Tenderfoot reminds me of my sister and our family’s summer visits to Lake Matinenda. We lived in tents. My grandparents and aunts and uncles and cousins were all in cabins.

We were always the last to head home. We usually mislaid our flipflops, towels, t-shirts and flashlights, so we head down the path in the dark. When I was little I have cuts every summer in the arch of my foot. I learn to walk in the dark on the path with the foot curled and lightly, so that if there is something sharp I can change weight to the other foot. If there are two sharps in a row, usually rocks, I get cut anyhow, but less often. I still love to take my shoes off on the paths there.

I would go this summer except for the oxygen. We did not bring in electricity. I do not quite feel up to acquiring a solar panel/battery combination that is adequate this year. It’s also the heavy lifting. We drink the lake water and bring it up in buckets. We do filter it, but carrying the buckets. It just does not seem like a brilliant idea alone with my lungs still challenged.

Anyhow, here is another soft footed and soft armed creature. This is taken at the Baltimore Aquarium a few years ago.

For the Ragtag Daily Prompt: tenderfoot.

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hunger

It is hard to write about hunger

I am always hungry
I am always afraid
I always long for love

How can I always be hungry?
The hunger is partly for food
and partly for love

They are tied together
“You have food insecurity,”
A friend says

I want to argue and do
but I also know that he is right
I am always worried about food

My daughter has it too
she admits that even as she finishes a meal
she wants to know that there is food for the next meal

A friend tell me about running out of food
hiking in Alaska. He is ok with it.
My daughter and I agree we will never camp with him.

My mother says that pregnant
she is hungry the entire time
fantasizes about a banana split and chocolate syrup

After the baby is born
“I did not want the banana split!”
she says and laughs

Maybe it is the baby who is hungry
inside the womb, the fetus that is hungry
“The doctor yells if I gain any weight.” laughs my mother.

Hunger and love intertwined.
I don’t see my mother for nine months after birth
because she is ill.

I curl around my daughter ferociously
I want to protect her from any harm
I eat when I am hungry and feed her food and love

____________________

The photograph is me and my mother. She is getting over tuberculosis and is still very thin. I think that my grandparents took the photograph. I took the photograph of the photograph.

For the Ragtag Daily Prompt: hunger.