Leah,
I think some of the ladies are receiving it off label. After all the standard of care guidelines . . . are just guidelines.
I think some doctors invoke Parlay . . .
Elizabeth: Wait! You have to take me to shore. According to the Code of the Order of the Brethren...
Barbossa: First, your return to shore was not part of our negotiations nor our agreement so I must do nothing. And secondly, you must be a pirate for the pirate's code to apply and you're not.
And thirdly, the code is more what you'd call "guidelines" than actual rules. Welcome aboard the Black Pearl, Miss Turner!