Chantal Tapé

More People Are Having Abortions At Home. Here's Who They Call When They Have Nowhere Else To Turn. Since Roe v. Wade fell, many callers are filled with concern: “If I go to the emergency room, will they call the police?”

I spoke with Dr. April Lockley, medical director of the Miscarriage and Abortion hotline, who has fielded questions from hundreds of people managing their abortions at home.

Since Roe v. Wade fell, many callers are filled with concern: “If I go to the emergency room, will they call the police?”

Doctors are asking for permission? That’s nice to hear, in a way. (I don’t use AI but it’s not standard practice to ask for permission in some places I’ve worked…) Totally agree about the power differential, though.

Oh, I misunderstood. That’s good at least! The one thing I don’t miss about Epic is the chat function…

Especially when my response 99% of the time is either, “Please make an appointment so we can discuss this further” or “I’d be happy to discuss this at your next appointment.” 😱

Some arguments from the abortion debate over when life starts seem strikingly relevant: why should the appearance of a few familiar traits that offer the potential of personhood in the future permit this thing to displace certainly-people right now?

we’re also living through intense anti-science backlash. as a primary doc, i have patients requesting tests that don’t even exist outside of research labs, that have zero evidence to support their clinical usefulness - but chatgpt told them this test is the one “they” don’t want you to know about.

Oh, I 1000% agree about OB care! That should absolutely be the top priority, given how many rural areas are absolute maternity deserts.

I’m not EM, but I think it’s an equity issue. APPs have vastly different training and experience levels vary. For low acuity care, it may be appropriate but you can never predict when high acuity cases will arise. Rural hospitals should be funded so they can recruit and retain physicians.

I fully believe that AI will be used against doctors and patients. Doctors will be expected to use “time saved” to work longer hours. Staff (RNs, MAs, pharm techs) will be laid off. And patients will suffer from AI errors and data privacy issues. Not to mention the environmental costs…

Totally agree. Doctors, especially in primary care, are overwhelmed. We’re being pushed by our employers to see more and more patients in less and less time with ever-increasing demand for documentation and insurance-related paperwork. But AI sure as hell isn’t the fix for that.

But now there’s a decent chance your doctor is using ambient AI to document your medical chart and consulting AI when they’re unsure of your diagnosis… Trust me, medicine is as deeply uncritical of AI as any techbro.

that article was physically painful to read.

We had no way of anticipating how the car would revolutionize the landscape. With it came highways, streets, drunk driving, day trips to the sea, road rage, etc etc. We weren't intentional in how we adopted the car nor how we adopted the EMR. What culture do we intend to create with AI? 10/10

I’m excited to share "Anatomy of a Decision," a new resource that uses the "Narrative Laboratory" of Grey’s Anatomy to teach rigorous Medical Ethics. 🩺📖

Bioethics doesn't have to be sterile. We’re taking the drama of Grey Sloan Memorial and putting it under the philosophical microscope to explore:

agreed!! Zionist propaganda has no place in a movement that claims to be rooted in repro justice.

Never mind the jobs you had, tell me five classes you took in college:

1. Celluloid Jesus (representations of Jesus in film)
2. Shakespeare’s Sexual Politics
3. Dostoevsky
4. Anthropology of Fertility and Reproduction
5. Beginning Dutch

this sounds so cool!

Sorry, but I just don’t believe that creating more medical schools will solve the crisis of primary care. We have to actually address why this job is unsustainable for many practicing docs and unattractive to students and trainees. #fmsky

A doctor who witnessed the shooting submits a sworn declaration in federal litigation to halt ICE surge in MN:

"I did not see him attack the agents or brandish a weapon of any kind."

and

"The victim had at least three bullet wounds in his back."

Read storage.courtlistener.com/recap/gov.us...

every dollar our government spends on “maternity homes” for juicing the #adoption industry’s domestic infant supply is a dollar not spent on giving pregnant women the support they need to keep their own children

This is Minneapolis:

I’m at a major healthcare clinic (just here for a friend) and overheard the front desk staff mention they’ve had 97 missed appointments today.

People aren’t getting medical care bc they’re afraid to leave home.

Graph of monthly COVID-19 cases in pregnancy from April 2021 to December 2022. It shows hospitalization and critical care admission rates with lines for 'Monthly hospitalization rate' and 'Monthly critical care admission rate'. There is a division between the Delta and Omicron variants.

#COVID19 vaccination before or during pregnancy was associated with lower risks of hospitalization, ICU admission, and preterm birth among those infected with SARS-CoV-2 in Canada.

ja.ma/3YC9x4b

Still from the 1975 documentary Grey Gardens, featuring Edith "Little Edie" Bouvier Beale. The specific scene captures her reading while sitting on a cot outdoors, with the subtitle quoting her saying, "Now, where am I? January 10."

❝𝗡𝗼𝘄 𝘄𝗵𝗲𝗿𝗲 𝗮𝗺 𝗜? 𝗝𝗮𝗻𝘂𝗮𝗿𝘆 𝟭𝟬.❞‬
Grey Gardens, 1975

I appreciate your thoughts on this. My current employer uses an ambient AI scribe program for charting, which I refuse to use. It’s astounding to me the absolute lack of any critical thought on AI among doctors. It’s all just breathless wishcasting about how this tech will save us.

donate, if you can! PSA is doing amazing work.

what if you take every "new year, new you" you see this year and

change the meaning from "make yourself smaller because smaller is better, make sure you're never too big"

change the meaning to "fatness is neutral, fatness is good, take fatness off the criteria list for how you eat"

JAMA study: "The Role of Vaccination in Maternal and Perinatal Outcomes Associated With COVID-19 in Pregnancy." Figure 1 shows monthly cases from April 2021-December 2022, tracking hospitalization and critical care rates, with a Delta and Omicron phase. Graph shows hospitalization rates decreasing after Dec 2021.

#COVID19 vaccination before or during pregnancy was associated with lower risks of hospitalization, ICU admission, and preterm birth among those infected with SARS-CoV-2 in Canada.

ja.ma/45gaS4e

“ancient” - like “ancient grains”

Would love to see similar critiques of AI from medicine, yet all I see is absolute nonsense about regaining our “humanity” via the slop machine.

A Sankey diagram from JAMA, published Dec 18, 2025, shows abortion access in Los Angeles managed Medicaid networks. It displays data on insurance listing, telephone reach, acceptance, and abortion provision for LA Care, Health Net, Molina, and Kaiser.

Among OB/GYN practices in LA County managed #Medicaid networks, fewer than 1 in 10 reachable clinics provided abortion care, and most imposed early gestational limits or out-of-pocket costs, contrary to state law.

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