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The Brutal Reality of Getting an Abortion During a Pandemic


Many states, such as Texas, require women to make two trips to a clinic to access medication abortion. “These restrictions are medically unnecessary all the time, but now put patients and providers at risk unnecessarily through additional and medically unnecessary face-to-face contact,” says Smith. That’s become another claim states are using in their fight to restrict abortions. “It is clear that Texas is using the COVID-19 pandemic as cover to further its goal of prohibiting abortion.”

There are glimmers of hope: federal judges in Alabama and Ohio recently blocked orders banning nonessential medical procedures from limiting abortion access during the coronavirus outbreak. However, these blocks are only temporary, with Ohio’s order lasting until April 13, giving women only a short timeframe to get the access they need. In the case of Texas, federal judges also tried blocking orders limiting abortion, but their efforts had been overturned by an appeals court as of March 31st.

Even for women who can access abortion care during the coronavirus outbreak, the procedure can be expensive. Like many health insurance providers, mine does not cover abortion, which forced me to shell out $550 of my paycheck. I’m privileged to be able to work from home during this time, but millions of women have lost their jobs, making the financial burden of an abortion too much to shoulder.

By many accounts, I faced the “best” possible situation: abortion clinics in my state were still operational, I was able to access a clinic while following social distancing guidelines, there were no mandatory waiting periods that forced me to visit more than once, and I remain employed with a steady stream of income.

Still, I can’t ignore the trauma I faced in order to get an abortion in the middle of a pandemic.

Like many women during the best of times, I had to call gynecologist after gynecologist to find someone who took my health insurance (a form of Medicaid that isn’t accepted by many doctors) and could squeeze me into their schedule as soon as possible. And when I finally found one who would see me, the whole process was put into hyper-speed since no one knew if the federal government would force clinics nationwide to shut down. There was no time to process what was going on. Some nurses seemed to treat me more as a walking germ to be cautiously handled than a patient. One turned to me and said, “I really wouldn’t want to be you right now.”

The comment stung, but in a way she was right: I really didn’t want to be me at that moment.

I wanted to opt for a dilation and curettage procedure, also known as a D&C or “surgical abortion.” But with the future of access to care in the age of COVID-19 so uncertain, the clinic suggested I have a medication abortion so I could have same-day access, rather than taking a risk and scheduling a future appointment for the procedure. I was lucky to even have an option—I was still in the early stages of my pregnancy, so either method was feasible, but I preferred the D&C procedure because the abortion pill can have more side effects and a somewhat lower success rate.

The abortion pill was not easy on my body: I spent days throwing up, heavily bleeding and experiencing “labor-like” cramps, all possible side effects of the medication. At one point I fainted in my bathroom from the pain. This isn’t necessarily common, but in my case, the cramps and nausea proved too much for my body to handle all at once. [Editor’s note: Experience of side effects may vary but if you experience nausea, vomiting or a fever for more than 24 hours, you should call your doctor, according to Planned Parenthood.] The physical complications mixed with the emotional toll and burden of trying to keep my abortion a secret as I quarantined with my family felt like mental torture. I felt so alone, and while I had a small group of friends as close as a click of a button on my phone, I wish I was able to have someone physically hold my hand during this time.

It’s been almost two weeks since I had my abortion, and even with the trauma I’m left to live with, I don’t regret a single step I took. Yes, it was the hardest thing I’ve ever had to go through, and having to navigate this journey while the world—and me—is in a state of valid paranoia made it that much harder. To have gotten the procedure I needed, when so many women cannot, and to be able to sit still and take this time to heal in the comfort of my childhood home is the only silver lining in this situation. After going through all of this, I’m a little more hopeful that everything will, eventually, be okay. Maybe not soon, but one day I’ll be able to fully heal from the trauma of my abortion, and the world will heal from this pandemic.

But for now, all we can do is take it one day—and one Lysol wipe—at a time.

At the author’s request, we’ve omitted her last name to protect her privacy.



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Health

This Powerful Obit Is Going Viral Thanks to It's Brutal Honesty About Opioid Addiction


When Madelyn Linsenmeir, a 30-year-old Vermont mother died on October 7 as a result of an opioid addiction, her parents used their daughter’s obituary as a call to action for increased awareness of the disease that took their daughter’s life, while simultaneously showcasing who Linsenmeir was as a person—both because of and outside of her addiction.

Since being published earlier this week, the obit has gone viral, likely thanks to the fact that her family chronicled the start of her drug abuse, her subsequent addiction, and many attempts to overcome it. But they also honored the other attributes that defined her: the love she had for her son, her incredible singing voice, and how she charmed everyone she met.

“It is impossible to capture a person in an obituary, and especially someone whose adult life was largely defined by drug addiction. To some, Maddie was just a junkie—when they saw her addiction they stopped seeing her. And what a loss for them. Because Maddie was hilarious, and warm, and fearless, and resilient,” the obituary read.

Her parents ended the tribute by speaking directly to those who are struggling, as well as those who don’t understand their struggle: “If you yourself are struggling from addiction, know that every breath is a fresh start. Know that hundreds of thousands of families who have lost someone to this disease are praying and rooting for you. Know that we believe with all our hearts that you can and will make it. It is never too late.”

“If you are reading this with judgment, educate yourself about this disease, because that is what it is. It is not a choice or a weakness. And chances are very good that someone you know is struggling with it, and that person needs and deserves your empathy and support.”

In the wake of its publication, many have taken to Twitter to commend Linsenmeir’s family for their honest and heartbreaking portrayal of their daughter’s life, and the opioid crisis. Ivanka Trump wrote, “Profound admiration for the family members who wrote this raw, beautiful & devastating obituary. A generous act amid their pain & a wake up call to all as we battle, together as a nation, opioid addiction; a crisis of epic proportions. Rest In Peace Maddie.” Another Twitter user shared, “This is the most honest and devastating obituary you will ever read about a person who died from opioid addiction.” And another thanked Linsenmeir’s family, saying, “A beautiful, heart wrenching tribute to a woman who was a beloved daughter and mother, lost to addiction. And what a blessing this family is to educate us as they honor her.”

At least 31 women lose their lives to opioids daily, Glamour reported last year in a special look into the epidemic. And for those like Linsenmeir—who had been able to stop using for short periods of time—it typically takes repeated attempts to become drug-free. In the same report, Glamour spoke to 20 women in recovery for opioids, and almost all said that they relapsed between 10 and 20 times before getting sober. As David Fiellin, M.D., professor of medicine, emergency medicine, and public health at Yale University, put it, “Relapse rates after detox are over 80 percent within a year, and those individuals are also at high risk for overdose.”

Linsenmeir’s family’s fearless decision to publish such an honest account of their daughter’s addiction is another step in the right direction for people to understand this disease that, as of 2017, is the leading cause of death for Americans under age 50, by way of overdose.

If you or someone you know is struggling with opioids, learn more at shatterproof.org and find specific treatment options in your area on the Substance Abuse and Mental Health Services Administration‘s website.

Related Stories:

Women and Opioids: Inside the Deadliest Drug Epidemic in American History





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