Can you believe that it's a new year?! We're in a new decade, in fact. Wow.

Isn't it amazing how much can happen in one year? For example, I blogged 27 times. Impressive, right? That's more than twice per month, people.

*waits several moments for applause*

*gives up waiting*

So, what's in store for this year? Really, only God knows what will happen in the coming months, but I trust that this year will be filled with blessings for all of my readers. (I feel like I can finally talk as if I have readers since I now have reached a whopping twelve followers....)

Yesterday I posted my last paper from last semester. My apologies for any formatting issues...Microsoft Word and Blogger don't get along very well. In fact, I spent at least an hour editing the html of that post so that it would look readable. There are still some problems with the footnotes, but let me assure you that they are correctly formatted in the actual document (proper spacing and all!).

Anyhow, it is the argumentative research paper that I wrote for my Research and Writing class. Yes, the "dangerous" paper that I wrote about a while back. And while we are on that subject, I must announce to a particular reader (*cough*Erika*cough*) that I STILL HAVE THAT SCAR!!! Just FYI. ((See, it wasn't exaggerated.))

In that post I mentioned my nightmare wherein I had worried that I had ended my paper with the word with. That's why it was rather humorous when my professor commented that my last sentence was good. If only she knew...

So, now I finally have my class grades and cumulative GPA. I am satisfied but not thrilled (Yep, I wanted that elusive 4.0.) But God is good! He is so faithful and it was only by His grace and the encouragement of friends and family that I got through the first few rough days of college and had the stamina to finish.

You see, I did something that I would never recommend anyone try: from the time that I was accepted at PHC to the day that classes started, I focused on anything but college. Finishing high school wore me out and my summer was busy while I worked a full-time job. My last day of work was Friday, my friend's graduation party (in our yard) was Sunday, and college started on Monday. So, that Monday morning, I logged onto the student portal and started trying to navigate my classes for the first time.

Incredibly. Bad. Idea.

That is why my first week of college was one of the worst weeks in my life. I learned that I did not have all my books, and I was just scrambling to keep up. In fact, the entire semester I was barely on track due to my stupidity and carelessness at the beginning.

Why am I saying all of this? Because I have determined to do better this time. College officially starts next Wednesday (or Thursday, depending on who I ask) but I have already started getting ready. I hope to be completely organized, have all of my books (I have many of them, but a few are still in the mail), finish the preliminaries (PKATs, etc), and have started the reading before the first day of class.

I think what I've just written is very much along the same lines as something my good friend just posted. She wrote,

I must not hold back when God is clearing the path for me. I need to be watching for the opportunities He puts before me, and when He says 'go', I need to throw myself into it instead of asking "are You sure?"

(Can you believe I just quoted you on my blog, bestie? You're famous now!)

Anyhow, what she said rings so true to me. I think it is so important that we seize the opportunities that God has given us. My acceptance at PHC was, I feel, an open door that God gave me to increase in knowledge and broaden my horizons. Rather than continually questioning what I will do with a degree and where God wants me to be in the future, I ought to focus on making the most of this amazing opportunity.

Moving on...

Break has been wonderful. I'm afraid that I took the catching-up-on-sleep-thing to an absolute extreme. I am definitely not going into details (though I'm sure Erika would be happy to satisfy your curiosity...please don't ask her!!). Let me just say that I think I've slept enough now that I could be up for the next week....

Besides sleeping excessively, I've been hanging out with family (sleigh rides, Christmas caroling, sledding, making snow angels), spending time with friends (especially one friend who will be leaving soon for several months...sniff, sniff!), playing piano (I've started playing piano with the congregation now...what an experience!) and overall just loving life.

Oh yes, I should mention the one adverse affect that college has had on me: wisdom teeth. At least, I think they are starting to come in (which means I need to get them all out right away before they ruin 4 1/2 years of orthodontic work) and my mom said that since college is making me so smart, it only makes sense that my wisdom teeth would come in.... Very funny.

Yep, break was fantastic, but...Spring semester, here I come!

Carpe diem, folks!!

Around the world, a debate is raging over the ethical and moral implications of scientific breakthroughs in the field of assisted reproductive technologies. At the center of the controversy is an organism so small that it can fit on the end of a pin: the frozen human embryo. [1] Suspended indefinitely in a place where time has stopped—frozen in vials in fertility clinics—hundreds of thousands of human embryos await implantation in a mother’s womb.[2] With storage space running low, many fertility clinics are left wondering what should be done with unclaimed and unwanted embryos. Discarding seems to be the easiest option, but some ethicists and scientists argue that destroying embryos is not morally acceptable because it takes the life of a human being.

The frozen human embryos in question are created using in vitro fertilization (IVF). IVF is a process that allows infertile couples to conceive. In a study on reproductive technologies, Jacques Cohen and Robert Lee Hotz write, “These new technologies usually are aimed at women who cannot carry their own child and at those numerous couples—an estimated 2.4 million married couples in the United States (U.S. Congress 1988:3)—who are infertile and cannot conceive unaided.”[3]

In the IVF process, eggs are harvested from the female which are then fertilized in a Petri dish. After five to six days of growth, having formed six cells, the embryos are in the blastocyst stage, and are ready to be implanted in the mother’s womb. Because the success rate for IVF is low, many embryos are created at once and some are cryogenically preserved, or frozen, for later use.[4] According to Andrea Bonnicksen, “During a woman’s initial IVF cycle, three or four of the embryos created are transferred to her uterus, while the rest are frozen for storage, to be thawed and transferred at a later date.”[5] If the first batch of implanted embryos is not successful, the frozen embryos are used.

Cryopreservation of human embryos is possible because the freezing temperature literally slows down time and stops the development of the embryo until it is thawed for use. Dr. Jerome Lejeune, a geneticist renowned for his discovery of the cause of Down’s syndrome,[6] explains: “But in the fundamental sense what we are doing by lowering down the temperature is stopping not totally but very deeply the movements of the atoms and molecule so…we have more or less arrested the flux of the time.”[7] Because the growth of human embryos is halted, they can be left frozen for an indefinite period of time.

The issue arises when the embryos go unclaimed, and clinics are left with the dilemma of determining their fate. The clinics mail out letters, asking the parents to determine an outcome for their embryos. In a study about the rationales behind opting to either donate or discard embryos, Sheryl de Lacey writes that the decisions are “extremely difficult and morally challenging.”[8]

The two options available for unwanted frozen human embryos are either donation (to another couple or to research) or discarding. According to researcher Sheryl de Lacey:

Once a woman and her partner have determined that further treatment is no longer possible or desirable, the decision about the fate of the frozen embryos typically involves selecting between options that commonly include discarding embryos, donating embryos to another couple (either anonymously or to a known recipient), or donating to research. [9]

A study of current trends in Australia shows that a significant number of couples do choose to discard their unwanted embryos: “In essence, 64.7% of the patients applied for an extension or used the embryos themselves in the 6 months between the reminder and the expiry date. Only 5.9% patients overall opted to donate embryos to others and the decision was not influenced by pregnancy. This compared with 18.8% of patients who chose to discard their embryos.”[10]

But is it morally acceptable to discard human embryos? The answer depends on one’s view of life. To a person who believes that life begins at conception, the embryo is a human life. Lejeune states unequivocally that the embryo is a human being: “But as a geneticist you ask me whether this human being is a human, and I would tell you that because he is a being and being human, he is a human being.”[11] Reproductive rights supporter Cheryl Meyer follows the implications of the belief that human life begins at conception: “If the embryo represents human life, this could become an insurmountable problem to medical research on, or even performance of, the IVF procedure. Theoretically, physicians could no longer conduct research using embryos or discard embryos, because to do so could be considered murder.”[12]

However, in a 1979 report by the Department of Health, Education, and Welfare that supported IVF and embryo transfer, the Ethics Advisory Board concluded that “the human embryo is entitled to profound respect; but this respect does not necessarily encompass the full legal and moral rights attributed to persons.”[13] Scott B. Rae and Paul M. Cox from the Center for Bioethics and Human Dignity disagree:

Embryos are persons, deserving of full human rights. They are not potential persons, a concept that itself is problematic. Either one is a person, or one is not a person. What one normally means by this imprecise use of that term is that the embryo (and fetus also) is a person with the potential to become a full-grown adult. It is better to say that the embryo is a “person with potential.”[14]

Those who consider destruction of human embryos to be morally acceptable often use the term pre-embryo rather than embryo. However, Lejeune considers the term a “meaningless neologism,” stating that “before the embryo there are only the egg and the sperm, and, inasmuch as no one of them has achieved fertilization, no new being exists. There is, therefore, no pre-embryo, since by definition the embryo is the youngest form of being.” [15]

The fact that the frozen embryo has the potential to lead a normal life is another consideration when determining whether it is acceptable to discard frozen human embryos. According to a study in Human Reproduction, there is no noticeable increase in defects in children born from frozen embryos compared to children conceived naturally:

A study of 91 children born after transfer of cryopreserved embryos and 83 children born after natural conception (Sutcliff et. al., 1995), showed no increase in the incidence of malformations, either minor or major. Nor was there any difference in later psycho-motor development between the two groups, as assessed using Griffiths’ quotient (Griffiths, 1976) (Table XII).[16]

If Lejeune is correct that destroying frozen embryos takes the life of a living human being, and if it is true that the embryo has the potential to lead a normal life, what should be done in the case of unwanted frozen embryos? Donating the embryos to another couple is an alternative to discarding that preserves the life of the embryo, but statistics show that the option is not preferred.[17] A shortcoming to the adoption solution is that donating an embryo is a complex emotional decision, one that many couples are not prepared to make. Rae and Cox state, “Even though donation does not involve discarding the leftover embryos, and is more ethically acceptable, it is very difficult to accept emotionally for many couples.”[18]

Ethicists Rae and Cox propose another possible solution to the unwanted frozen embryo dilemma. They write that the number of embryos that can be created at one time should be limited, for if the doctor limited the creation of embryos to the number that could be implanted at one time, cryopreservation would become unnecessary and difficult decisions about the fate of excess embryos would not have to be made. Rae and Cox write,

The most prudent course for couples to follow and for their physicians to encourage in these procedures is to avoid having leftover embryos as best they can….A couple can inform the clinic of their views concerning when personhood begins, and tell the clinic they do not want any leftover embryos after they are finished doing business there.…The number of eggs to be fertilized depends on the number of embryos the couple wants implanted. [19]

Limiting the number of embryos created to the amount that could be implanted at one time would dispel the need to cryogenically preserve embryos, but the solution would require effort and time to implement.

Clearly, the debate over the fate of unwanted frozen human embryos is not one that will find an easy solution. The issue is complex, with many moral and ethical implications. Donating to willing couples and limiting the number of created embryos are both viable alternatives to discarding which recognize the human life and potential in the embryo. The implications of a decision on the fate of the embryos are far-ranging and will affect thousands of frozen human embryos, so it is important that all options be considered carefully. An understanding of the sacredness of human life will be necessary as scientific research moves forward and new discoveries with moral implications are made in the field of reproductive technologies.

Bibliography

Bonnicksen, Andrea. “Embryo Freezing: Ethical Issues in the Clinical Setting.” The Hastings Center Report, 1988.

Brinsden, Peter R., ed. A Textbook of In Vitro Fertilization and Assisted Reproduction: The Bourn Hall Guide to Clinical and Laboratory Practice. New York: The Parthenon Publishing Group Inc., 1999.

Cohen, Jacques and Robert Lee Hotz. “Toward Policies Regarding Assisted Reproductive Technologies.” In Emerging Issues in Biomedical Policy 1, ed. Robert H. Blank and Andrea Bonnicksen, 225-237. New York: Columbia University Press, 1992. http://www.netlibrary.com.ezproxy.phc.edu/Reader/ (accessed September 25, 2009).

Darlington, Neroli and Phillip Matson. “The Fate of Cryopreserved Human Embryos Approaching their Legal Limit of Storage within a West Australian In-Vitro Fertilization Clinic.” Human Reproduction 14, no. 9 (1999): 2343-2344, http://cli.gs/6LmWgY (accessed September 25, 2009).

de Lacey, Sheryl. “Decisions for the fate of frozen embryos: Fresh insights into patients' thinking and their rationales for donating or discarding embryos.” Human Reproduction 22, no. 6 (June 2007): 1751-1758, http://cli.gs/6H3m2b/ (accessed September 25, 2009).

Department of Health, Education, and Welfare Ethics Advisory Board. Report and Conclusions: HEW Support of Research Involving Human In Vitro Fertilization and Embryo Transfer. 1979. http://www.bioethics.gov/reports/past_commissions/HEW_IVF_report.pdf (accessed October 27, 2009).

Lejeune, Jerome. The Concentration Can: When Does Human Life Begin? An Eminent Geneticist Testifies. San Francisco: Ignatius Press, 1992.

Ludwig, M., S.Al-Hasani, R.Felberbaum and K.Diedrich. “New aspects of cryopreservation of oocytes and embryos in assisted reproduction and future perspectives.” Human Reproduction 14 (1999): 162-185, http://cli.gs/ZgnrvZ (accessed September 25, 2009).

Meyer, Cheryl L. The Wandering Uterus: Politics and the Reproductive Rights of Women. New York: New York University Press, 1997.

Rae, Scott B. and Paul M. Cox. Bioethics: A Christian Approach in a Pluralistic Age. Grand Rapids, MI: William B. Eerdmans Publishing Company, 1999.

[1] Peter R. Brinsden, ed., A Textbook of In Vitro Fertilization and Assisted Reproduction: The Bourn Hall Guide to Clinical and Laboratory Practice (New York: The Parthenon Publishing Group Inc., 1999), 105.

abstract (accessed October 18, 2009).

[3] Jacques Cohen and Robert Lee Hotz, “Toward Policies Regarding Assisted Reproductive Technologies,” in Emerging Issues in Biomedical Policy 1, ed. Robert H. Blank and Andrea Bonnicksen (New York: Columbia University Press, 1992), 225.

[4] Ibid, 232.

[5] Andrea L. Bonnicksen, “Embryo Freezing: Ethical Issues in the Clinical Setting.” The Hastings Center Report (1988): 26.

[6] Jerome Lejeune, The Concentration Can: When Does Human Life Begin? An Eminent Geneticist Testifies (San Francisco: Ignatius Press, 1992), 22.

[7] Ibid., 36.

[8] Sheryl de Lacey, “Decisions for the Fate of Frozen Embryos: Fresh Insights into Patients’ Thinking and their Rationales for Donating or Discarding Embryos,” Human Reproduction 22, no. 6 (2007), 1751, http://cli.gs/6H3m2b/ (accessed October 4, 2009).

[9] Ibid.

[10] Neroli Darlington and Phillip Matson, “The Fate of Cryopreserved Embryos Approaching their Legal Limit of Storage within a West Australian In-vitro Fertilization Clinic,” Human Reproduction 14 no.9 (1999): 2343.

[11] Jerome Lejeune, The Concentration Can: When Does Human Life Begin? An Eminent Geneticist Testifies (San Francisco: Ignatius Press, 1992), 72.

[12] Cheryl L. Meyer, The Wandering Uterus: Politics and the Reproductive Rights of Women (New York: New York University Press, 1997), 64.

[13] Department of Health, Education, and Welfare, Ethics Advisory Board, Report and Conclusions: HEW Support of Research Involving Human In Vitro Fertilization and Embryo Transfer, 1979, http://www.bioethics.gov/ reports/past_commissions/HEW_IVF_report.pdf (accessed October 27, 2009), 101.

[14] Scott B. Rae and Paul M. Cox, Bioethics: A Christian Approach in a Pluralistic Age, (Grand Rapids, MI: William B. Eerdmans Publishing Company, 1999), 183.

[15] Jerome Lejeune, The Concentration Can: When Does Human Life Begin? An Eminent Geneticist Testifies (San Francisco: Ignatius Press, 1992), 11.

[16] Ludwig, M., S.Al-Hasani, R.Felberbaum and K.Diedrich. “New aspects of cryopreservation of oocytes and embryos in assisted reproduction and future perspectives.” Human Reproduction 14 (1999): 162-185, http://cli.gs/ZgnrvZ (accessed September 25, 2009).

[17] Neroli Darlington and Phillip Matson, “The Fate of Cryopreserved Embryos Approaching their Legal Limit of Storage within a West Australian In-vitro Fertilization Clinic,” Human Reproduction 14 no.9 (1999): 2343.

[18] Scott B. Rae and Paul M. Cox, Bioethics: A Christian Approach in a Pluralistic Age, (Grand Rapids, MI: William B. Eerdmans Publishing Company, 1999), 185.

[19] Ibid.

Monday, January 18, 2010

Wondering...

Thursday, January 7, 2010

2010, really?

Is it Morally Acceptable to Discard Unwanted Frozen Human Embryos?