“…Several letters to the editor in response to Guenin's argument, including one by this author, were published in the September, 2004 Mayo Clinic Proceedings . 4 I noted that the real issue is the ontological status of the zygote, since conception is the only reasonable moment of substantial change and all subsequent change (i.e., embryo, fetus, newborn, etc.) consists of growth and development, which is accidental change.…”