winning understanding for NFP

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Tuning in late to this discussion, I find that ordinary folks don’t resonate with the practical difference between omitting a good act (abstinence if spacing is desired)- and using a barrier. But they do begin to listen if one (that is, I) speak about the contradiction between the gesture and the reality of contracepted intercourse, of the desire for mutual openness and acceptance. The anti-life argument does not carry much weight with people, true as it is, but the barrier one does. Try it. Hanna Klaus, M.D. From: nfpprofessionals [mailto:nfpprofessionals ] On Behalf Of TrumbleSent: Saturday, July 23, 2011 3:55 PMTo: nfpprofessionals Subject: Re: Frustrations as an NFP-only NP I couldn't agree with you more, Steve! The Catholic world some of us live in would be magnificently different if the clergy (bishop, priests, deacons) would clearly teach the evil/disorder/immorality of contraception, abortifacients, and sterilization publicly (from the pulpit) and individually (especially to the physicians and other prescribers) in thier parishes. Then there would be more NFP-Only providers and a patient population to provide to. Until that happens, the Church is treading water, in my opinion.To: nfpprofessionals From: pedullad@...Date: Thu, 21 Jul 2011 15:55:17 -0400Subject: Re: Frustrations as an NFP-only NP would be an excellent addition to any Catholic program that wanted, not just to offer NFP, but to offer a truly comprehensive women's center without having to be always on the defensive, but rather to go actively on the aggressive. I am very anxious to talk to her actually and to see her resume. As for the limited number of NFP-only practices, you're making an excellent point. There are too few really Catholic centers where Catholic providers can operate with freedom. But why is this the case? Surely one of the reasons for this is too many Catholics remaining in all kinds of ethically and morally compromising situations, as we've heard over and over again. Competent folks like would have far more options than they do now if there were more opportunities, and these opportunities will become more frequent when Catholic providers wake up to their responsibilities. But in order to create these opportunities, besides providing adequate religious and moral formation to our doctors and providers, we will need the providers to have the courage -- no one is saying its easy!! -- to avoid having any responsibility whatsoever for the provision of contraceptives of the providing of contraceptive medical care. Can you imagine any legitimate weight loss clinic that would tolerate a colleague writing prescriptions in their midst for emetic/bulimic drugs for those who felt self control was just not a realistic possibility? Wouldn't this undermine the stance and professional (not to mention moral) credibility of the docs doing the right thing in the same clinic? And how could they even continue to be associated with such a clinic, where their patients were always vulnerable to the seduction next door, much less assume any responsibility for seeing to it that patients who wanted the emetics could go next door to get them? It's just a thought.Sincerely yours, Dominic M. Pedulla MD, FACC, CNFPMC, ABVM, ACPhInterventional Cardiologist, Endovascular Diplomate, Varicose Vein Specialist, Noncontraceptive Family Planning Consultant, Family Planning ResearcherMedical Director, The Oklahoma Vein and Endovascular Center (www.noveinok.com, veininfo@...)Executive Director, The Edith Stein Foundation (www.theedithsteinfoundation.com) (office) (cell) (FAX)pedullad@... “Our fundamental purpose is not to go out and help the poor. For us, this has only been a means. Our purpose is to maintain the Catholic faith within us, and to allow its diffusion to others through the instrument of charity.” Blessed Frederic Ozanam, a 19th century founder of the Society of Saint De Frustrations as an NFP-only NP Hello fellow NFP providers,I’m a relatively new family nurse practitioner (been in practice for a few months now) and need to do a little venting.For a little background, I work in a family practice office and do not prescribe contraceptives. The MD with whom I work has been supportive of my decision from the get-go (he and his partner do prescribe contraceptives). In discussing the office logistics with regard to my decision, we decided that if I was seeing a patient who wanted birth control, one of the MDs would go in after I was finished with my part and provide the contraceptive counseling/prescription. I suggested having our scheduling staff alert patients seeking birth control, Paps, etc that I do not prescribe contraceptives and give them the opportunity to schedule with one of the MDs, but my collaborating MD thought that would be too “confusing” for our schedulers. He also mentioned that I wouldn’t get the opportunity to introduce the option of NFP to these patients, which I thought was a good point.Fast forward a few months. Being the only female provider in our practice, most women coming in for their annual PEs w/ Paps prefer to see me. Unfortunately, most of these women are also seeking birth control. I explain how I do not prescribe contraceptives but promote the use of NFP. I give a couple general statements about what NFP is, and ask if they’re interested in learning more about that option (which is usually no). I then explain how the MD will come in and discuss BC with them after I’ve completed the exam, addressed what I need to address, etc. I also provide information regarding the risks associated w/ BC and take the opportunity to encourage abstinence, particularly, in my teenage patients. Though I feel like I’ve done a little to at least plant some seeds regarding NFP, I exit the encounter feeling frustrated and discouraged; not even so much about the individual encounter itself, but about the dominating contraceptive culture in which we live. It’s such a lonely feeling.I find myself wishing these patients seeking BC weren’t scheduled with me. But on the other hand, I have the great opportunity to witness to these women. Even if my message reaches just one woman, how awesome is that? But considering the time constraints and lack of continuity of care associated with having the MD then go in and see the pt, I wonder if our current system is our best option. I also feel that I am essentially " referring " them for contraceptives, since I'm facilitaing their encoutner with the MD to get their prescription. Soon, there will be occasions where I am the only provider in the office, as well; I don't want to turn a woman away for a service she was expecting, but I don't want to write a script for BC, either. Aghh!There is a light at the end of my tunnel, though. I plan on completing the dual Creighton FCP and Medical Consultant programs this October and next April. I am so excited to teach couples and utilize the concepts of NaproTechnology in my practice. I cannot wait to actually work with patients who practice NFP. If the demand is there, I would love to eventually focus my practice solely in women’s health/Napro. Thank you for taking the time to read this; I know I’ve been a little long-winded. Any words of encouragement, practical suggestions, etc would be greatly appreciated, especially with regard to how the issue of not prescribing contraceptives is handled in your particular offices. I think it’s time for me to reread my copy of “Physician’s Healed” for some extra support, as well JGod bless, Trumble, MSN, ARNP, FNPOrange Park, FL