Phoebe Cohen (Mongolia) | Guest Writer for Huffington Post
RPCV in the news —
Phoebe Cohen (Mongolia 2005-07) has walked many paths in life including living in the Gobi Desert as a Peace Corps Volunteer and working as a paramedic in several states. Cohen’s work has been featured in Graphic Medicine, Mutha Magazine, and BorderX. She regularly posts on her website Merry Misandrist. Cohen is a part-time cartoonist, writer and nursing student. She has been known to go up to five hours without coffee.
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As a paramedic, I treated women who had illegal abortions. Here’s a dangerous truth JD Vance isn’t going to like.”The nurse and Exchange a glance. We know the probable reason why our patient stuck part of a vacuum cleaner up into her vagina.”
It’s 2015. I’m working as an inter-facility paramedic. Currently, I’m standing in a small rural clinic in a large conservative state. I’m receiving a report from an RN about a woman who we are preparing to transport to a Level 1 trauma center.
When the EMT and I arrived earlier, the nurse had greeted us briskly.
“Female patient with a uterine prolapse,” she said. “We think the uterine wall has been perforated.”
I wince internally. My EMT, a 19-year-old guy who only just got certified last month, looks a little puzzled. I explain to him that a uterine prolapse means that the uterus has descended into the vagina. It’s pretty common, especially for older women. Far less common is the fact that my patient’s uterus has also apparently been torn.
“Oh wow,” the EMT standing next to me gives a sort of laugh/cringe reaction. “I’ve never heard of THAT sexual kink before.”
The nurse and I exchange a glance. We’re both middle-aged women. We know the probable reason why our patient stuck part of a vacuum cleaner up into her vagina, but we’re not saying anything.
If you were pregnant and scared and alone and living in an underserved rural area, you may have had to resort to desperate measures to end an unwanted pregnancy.
Even as early as 2013, long before the Dobbs decision that overturned Roe v. Wade, The Atlantic described an “open air bazaar” in McAllen, Texas, where poor women could purchase Cytotec, a stomach ulcer drug that can induce miscarriage.
“Yes, well, she’s bleeding internally,” the RN said. “That’s why she needs to go now.”
“Lights and sirens,” I told the EMT as he adjusted straps on the stretcher. He nodded solemnly but his eyes were shining. Going lights and sirens is still a rare treat for the younger EMTs.
I was glad he was excited. I just wanted the patient taken to the surgical center as soon as possible. I was keeping my eyes plastered to the portable monitor keeping track of her vital signs. Her vital signs showed her kissing the outer edge of hemorrhagic shock and I didn’t want her to destabilize further. I took another blood pressure reading, apologizing to the patient for the arm discomfort. Her pressure was slightly lower than it had been earlier, making me even more anxious.
“BEHAVE yourself!” I told the monitor silently, as if it was the machine’s fault that my patient had a pelvic bleed.
The trauma team was ready when we arrived at the larger hospital’s surgical center. They were gowned, booted and masked. To my relief they wasted no time transferring our patient onto a hospital stretcher and wheeling her into surgery. I talked to the nurse, typed out my own report and told the dispatch that we were available again.
Before Roe v. Wade was passed, the Guttmacher Institute estimates “the number of illegal abortions in the 1950s and 1960s ranged from 200,000 to 1.2 million per year,” and that hundreds of women died each year from botched procedures. The true numbers will never be known because the procedures (and often disastrous consequences) were swept under the rug and never officially reported. As it will in a post-Roe world, this affected poor and otherwise marginalized women disproportionately.
I have transported women who are mentally ill, women with substance abuse issues and women who are houseless to the labor-and-delivery units of hospitals. I transported one girl, no older than 16, from a McDonald’s (where she was working) to the hospital for preterm contractions.
Being pregnant is also dangerous. I have transported women whose babies were in breech position and required lights and sirens to the nearest high-risk obstetrical surgeon. I have transported women at risk for intractable seizures due to preeclampsia. I have transported one woman with uncontrolled bleeding and possible miscarriage because her husband had beaten her.
Recently, a 2021 interview resurfaced in which GOP nominee for vice president JD Vance lamented that “a bunch of childless cat ladies who are miserable at their own lives and the choices that they’ve made” want to ruin the country. The trope was echoed earlier this year by football player Harrison Butker, who delivered a commencement speech at Benedictine College where he castigated feminism as telling “diabolical lies,” speculating that the female graduates were likely more excited about “your marriage and the children you will bring into this world” than “successful careers.” Currently the low birth rates of millennials and Gen Z is a cause of concern among the far right. “Pronatalism” is the byword among influential right-wing voices like Elon Musk.
Well written and timely article. Kudos to Phoebe for the good work and contributions she’s making for the well-being of the country.
A necessary essay! Every one of us should read it and be reminded again and again what is at stake in this election.
Thank you.
Incredible experiences and well described. Riding shotgun with Phoebe for a week should be mandatory for all political candidates of all persuasions.
Also, Replying to Kay Dixon as well as George Brose: There is no legal power which could force political candidates or officials to “ride shotgun” for a week. There is also the question of EMTs who must treat emergency patients. protect patients medical privacy, and perhaps don’t want “visitors!
Well spoken. Thank you for reporting your incredible experience. Agree with the previous responses… ride shotgun with you for one week, then the candidates can evaluate their positions.
The key is:
-how do we arm the Texas legislators who are pro-choice with this information
-how do we get this information ℹ️ n front of thr Texas legislators who are antiabortion?
Terrific narrative which needs a wide audience
Thanks to John Coyne for publishing it
It is so important to document the tragic experiences that women have when reproductive rights are not protected or not available. If such accounts, even as powerfully written as Phoebe Cohen’s, could change hearts, then abortion would have been universally legal and available, long ago.
Women are not specifically mentioned in the US Constitution except for the 19th Amendment. Therefore, women have the same civil rights as men. Men don’t need abortion and so there is no civil right to abortion. The Supreme Court has ruled that the abortion decision is to be determined by the states. Women and men in many states are bypassing the state lelgislatures to put aboution rights on the ballots for the upcoming state elections. I think that is the only way to solve the problem.
National; laws banning abortion or restoring Roe would not pass Consitutional muster, I think. The answer is in changing state constitutions.