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Nova Scotia joins other provinces in Canada offering free abortion pill

The government of Nova Scotia joins the rest of Canada in offering free abortion pills to women who require it. They will also no longer require a doctor’s referral to book a surgical abortion at the Termination of Pregnancy Unit (TPU), Queen Elizabeth II Health Sciences Centre in Halifax. In the next few months, the Nova Scotia Health Authority will also be setting up a phone line so women can call and make appointments.

Nova Scotia was the only province to require a doctor’s referral for a surgical abortion.

Very slowly, provinces throughout Canada have pledge to publicly fund Mifegymiso, an abortion pill that will terminate pregnancy up to 49 days from the start of a woman’s last menstrual period. Mifegymiso is a combination of two drugs, mifepristone and misoprostol, and is considered an easy and safe alternative to surgery.

A prescription from a doctor will still be required to get Mifegymiso from the pharmacy. The doctor must do an ultrasound to determine if there are any health risks; however, those women will be given “same day and urgent care” access to an ultrasound, meaning they don’t have to wait a few weeks in order to perform the tests.

The drug itself can cost up to $350, making it a significant barrier for women. That’s why universal coverage of the Mifegymiso is such an important development — no longer should women have to wait until they are eight weeks pregnant to get a surgical abortion. They now have much more control over their reproductive rights.

“We’re supporting more choice for women when it comes to their reproductive health,” said Kelly Regan, Minister responsible for the Status of Women, said in a statement. “This will ensure all Nova Scotia women have access to this option.”

The government estimates the cost of covering Mifegymiso will be between $175,000 and $200,000 per year; although women will be encouraged to use private insurance coverage first.

Alberta announced their intention to cover Mifegymiso in July, with Ontario following suit in August.

The last barrier to women’s control over their reproductive rights is free access to birth control.

 

My hysterectomy story — Part 4 in a 4 part blog series

I spent one week in a fog of depression. If anyone else has been through it, you’ll know that being alone after surgery can be defeating.

I had been venting to my ex, who had patiently listened to me whine about feeling alone and wondering why my friends didn’t dote on me as I had expected. There were no cards, no offerings of soup and not even cheap flowers from the corner store. Weren’t people supposed to bring you something when you are sick, I asked.

His answer was simple. “You’re not doing yourself any favours by thinking this. Just be glad that they visited.”

At first I was a little annoyed. Visiting was routine. We went out for lunch on a regular day. How could that make me feel special?

But as the words absorbed in my mind, their strength resonated.  Was I building up disappointment in my own mind?

I had truly expected to be pampered while I was sick. I was looking for acknowledgement that yes, I had lost a part of my body that is the key to all life. Wasn’t I supposed to expect attention?

But then I realized something – I don’t need attention. I never have.

I was losing sight of who I was – the strong, independent woman who relies on no one, but who is strong enough to lend a hand when others need support. And now I had allowed myself to become weak. A victim of a simple procedure that rendered me healthier and yet I was crying about a host of unmet expectations, built by myself. I was drifting through unhappiness created by me.

Suddenly, the fog lifted and I could see myself again. Was I still disappointed? Yes, I will always feel a little twang of sadness when I look back on this situation. A sappy card would have given me that little bit of bliss that I needed.

So now I know better. When someone is ill, or in a state of recovery,  I will show up with a token of thought on my way to visit. Because I have always chosen to live by these words: always treat others the way you want to be treated, even if they don’t.

I’m better now. Still strong and still independent. But wiser.

 

My hysterectomy story

Part 1 | Part 2 | Part 3 | Part 4

My hysterectomy story — Part 3 in a 4 part blog series

I’m a fast healer. Two days after having a laparoscopic partial hysterectomy, I was driving. Walking was possible but I tired easily and I could only walk very slowly.

I had no pain to speak of. I took a prescribed anti-inflammatory but no pain killers. I had some cramping in my stomach and the tiny cuts were a little sore, but I was not in pain.

Four days after the procedure, I went shopping. I bought shoes and two belts that went around my slim waist and hips wonderfully. I felt great.

But I cried a lot. I was lonely. I had lots of well wishes before the surgery. Lots of emails and calls and offers to help if I needed help. And really, these emails and offers got me through the actual procedure so they were not in vain.

After the surgery, I waited. But truthfully, people are busy. Their lives go on and although the offers are given with sincerity, the actions don’t always follow suit.

I longed for a gaggle of girlfriends to come over on their own accord, make me tea and talk about the loss of my uterus. I wanted chat about what I was feeling and have some much needed girl bonding time.  But I suppose having a group of girlfriends show up with Entenmann’s lemon strudel  is simply just part of a script from an old Sex and The City episode and not reality.

I received text messages, and a couple of phone calls with more offers. But I wasn’t sure how I could really call someone and say, “Can you visit me today?”

Few visits eventually came, some sadly with a feeling of obligation in the air….and I played the good hostess. The cancellations were difficult. It made me realize that sometimes it’s better not to tell anyone in advance, so when they don’t make an effort, it’s because they didn’t know. And there are no let-downs.

Ironically, my ex came through for me.  It was a surprise since we hadn’t talked in a while, but he remembered the surgery. He offered the help and he visited, helped me, and fed me.

Tylenol 3 can help with the physical pain. Naproxen, which I actually took, helped with the physical inflammation. A smile from someone who makes you a cup of tea and sits with you while you are at your most vulnerable is the medicine that strengthens your heart…and once the main part of your body is strong, the rest can heal.

My theory is that my body heals itself quickly out of necessity. It knows that I’m an independent person who must rely on herself, so it supports me in that way.  Fast tracks my recovery so I can get up and start living again. And in many ways, this is good.

My ex, well, that was a bonus. Who knew? Why he’s my ex, you ask. Well that’s a story for another day.

 

My hysterectomy story

Part 1 | Part 2 | Part 3 | Part 4

My hysterectomy story — Part 2 in a 4 part blog series

Surgery was a success. Dr. Grace Liu performed a laparoscopic partial hysterectomy at Sunnybrook last Tuesday.

I remember being in the operating room and Dr. Liu chatting with me as she held something over my mouth and nose. Then I vaguely remember waking up and asking, “Did she do it laparoscopically?” and touching my belly. The answer given from who I suspect was a nurse, was “Yes.”

The next memory was of being in bed with a nurse asking me a ton of questions and I finally got annoyed and gave up answering. I remember thinking, Why is she asking me so many questions? I can’t even speak…

Five residents came to visit me and asked me the same question asked by the nurses who looked after me for the 30 hours I was in the hospital. “How is your pain?” I was confused. “I have no pain,” I kept answering.

Truthfully, there was no pain. Discomfort in my stomach area when I moved and some cramping, but nothing I would call pain. Perhaps the years of dealing with extreme cramps that would be considered pain to the average person without my condition had made me immune.

When Dr. Liu came to see me the day after surgery, she looked stunned. “Look at you!” she said. “You have colour in your face!”

I thanked her and she shrugged it off. And I thought to myself – such a skilled surgeon who took out an enormous growth of fibroids from my uterus without having to cut me open. It was a procedure I was told was impossible from other medical sources. Her modesty and wonderful bedside manner made the entire experience almost welcoming – as much as surgery can be.

My recovery was not about physical pain but emotional pain. That’s my next blog.

 

My hysterectomy story

Part 1 | Part 2 | Part 3 | Part 4

 

My hysterectomy story — Part 1 in a 4 part blog series

It’s been a while since I posted. I spent a year and a half working on myself and my career and then I was in a place where I could make a long awaited decision. I have decided to have a partial hysterectomy.

I’m blogging about it because it’s a women’s issue and I wanted to share my experiences with other women who may be in a similar situation.

Fifteen years ago, irregular periods, hot flashes (yes, at 30!) and unbearable cramps led me to a specialist where it was determined that I had fibroids. They’re common, I was told. Just leave them alone and if they grow too large, then I’d eventually have to remove the uterus.

I was young and decided I could live with the symptoms because I wanted to keep the chance of having a child.

But the years passed, and the fibroids grew. I dreaded the week every month. The cramps lessened but the flow increased and for three of the days, I was incoherent. I was exhausted and even the simplest tasks took longer than usual. Last year, I knew it was time to make the decision.

Although I don’t have children and after next week, the option to give birth will be gone forever, I haven’t given up the privilege of becoming a mother.

All of my lives I have believed that being a mother to a child doesn’t necessarily mean giving birth. It means loving and caring and mentoring, helping one to grow. There are many children without a home in this world, and if I’m meant to be a mother, I will adopt.

So next week, I will be in the hands of a skilled surgeon who specializes in non-evasive operations. She will go into my uterus through three tiny incisions in my abdomen where a morcellator will dice up the fibroids so they can be removed through the incisions. There is a 30% chance that this procedure may not work, and only then will she opt for a bikini cut.

Am I scared? Yes.

In about nine days I may be able to blog again and let you know how it goes.

Keep reading….

 

 

My hysterectomy story

Part 1 | Part 2 | Part 3 | Part 4