“I knew which were the cases that were probably more likely to yield what we needed”

There’s a lot of talk today about hatred.  About symbols and acts of hatred.  About how we must remove any and all vestiges of hatred to right the wrong that this hatred represents.  About how we must penalize and punish those who engage in acts of hatred and award monetarily those who are victimized by the haters.  About how this hatred is evil and wholly so.

plannedparenthoodWhile that sort of hatred is dominating the attention and focus of talk shows and social media, what follows passes as anything but hatred:

Over a lunch of salmon and wine, Planned Parenthood’s Senior Director of Medical Services, Dr. Deborah Nucatola, chatted about the various ways to keep fetal organs intact for sale after abortions.

I’d say a lot of people want liver.

Nucatola said to a man and woman from The Center for Medical Progress, who were posing as buyers from a fetal tissue procurement company.

And for that reason, most providers will do this case under ultrasound guidance, so they’ll know where they’re putting their forceps. The kind of rate-limiting step of the procedure is the calvarium, the head is basically the biggest part. Most of the other stuff can come out intact. It’s very rare to have a patient that doesn’t have enough dilation to evacuate all the other parts intact.

The actors posing as buyers met with Nucatola over a series of meetings, and recorded their conversation.

In one conversation, Nucatola explains that, in the morning, she looks at her list of patients and decides which organs and other body parts she can harvest from which patients:

I had 8 cases yesterday. And I knew exactly what we needed, and I kinda looked at the list and said okay, this 17-weeker has 8 lams, and this one—so I knew which were the cases that were probably more likely to yield what we needed, and I made my decisions according to that too, so it’s worth having a huddle at the beginning of the day, and that’s what I do.

“Lams” are laminaria, the seaweed sticks inserted into a patient’s body to induce or prepare for an abortion. They absorb moisture and widen, dilating the cervix to aid extraction of a fetus and scraping of the uterus. There is, according to Nucatola, no consensus on what is the proper number of laminaria to use. She says,

As far as medicine goes, this, for a very long time has been a data-free zone. 

Once the patient’s cervix is dilated enough to extract the child’s body, it’s simply a matter of making careful choices of where to apply the grasping, tearing, and crushing tools that bring the child out in as few pieces as possible. It helps to know which organs you are hoping to retrieve, Nucatola explains:

So then you’re just kind of cognizant of where you put your graspers, you try to intentionally go above and below the thorax, so that, you know, we’ve been very good at getting heart, lung, liver, because we know that, so I’m not gonna crush that part, I’m going to basically crush below, I’m gonna crush above, and I’m gonna see if I can get it all intact. And with the calvarium [head], in general, some people will actually try to change the presentation so that it’s not vertex, because when it’s vertex presentation, you never have enough dilation at the beginning of the case, unless you have real, huge amount of dilation to deliver an intact calvarium.

If a buyer is in the market for fetal heads (calvaria), Nucatola explains that a breech delivery makes it easier to retrieve the child’s head whole, so you should try to manipulate the fetus so as to extract his feet first:

So if you do it starting from the breech presentation, there’s dilation that happens as the case goes on, and often, the last, you can evacuate an intact calvarium at the end. So I mean there are certainly steps that can be taken to try to ensure—
Buyer: So they can convert to breach, for example, at the start of the—
Exactly, exactly. Under ultrasound guidance, they can just change the presentation.

The market for fetal parts is still in flux, Nucatola notes, and it makes sense to do your research ahead of time and figure out which specimens are in demand…

There is more, including a revealing video.

It’s all frankly nauseating particularly when one understands that this is all a masquerade, a facade, purposed in having us believe that it’s all about women’s health.

This is hatred of a devastating sort hiding behind the flag of deception, one waving at every Planned Parenthood facility in the land yet invisible to those blinded by a conniving duplicity.

God help this country.

Crossposted at Brutally Honest.

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