musingsonwomenshealth.com

Reflections on 40 years as a doctor in Women's Health

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  • Digital Naivete

    I suppose it was inevitable; I suppose I should have guessed… When you are charged with consulting on a generation that seeks its information online, there are issues that are only apparent in that venue. And treatment algorithms which don’t take that into consideration are woefully naïve. Doomed to fail. There are smartphone apps for…

    gozzter

    January 11, 2017
    Uncategorized
    apps, BBC news, contraception, digital generation, Julius Caesar, Mayo Clinic, medConfidential, menstrual tracking apps, periodic abstinence, Plato, rhythm method, risk of pregnancy, Shakespeare, smartphone apps, technological exaptation, the Royal College of Obstetricians and Gynaecologists
  • Pleasing Her: sexual evolution?

    I came across an interesting article in the magazine Science a while back. I am always intrigued when a paper tries to place an issue in its ontological context, although I have to confess that the title had something to do with catching my eye. It was a scientific theory from seemingly reputable sources about…

    gozzter

    January 4, 2017
    Uncategorized
    bonding, Cincinnati Children’s Hospital, clitoral stimulation, clitoris, copulation induction, Darwin, evolution, evolutionary perspective, exaptation, female orgasm, foreplay, Gynaecology, Journal of Experimental Zoology, Mihaela Pavlicev, orgasm, ovulation induction, oxytocin, prolactin, Science magazine, spontaneous ovulation
  • How Ethical is Ethical Compromise?

    What to do with a minefield? Once it is there, is it sufficient to avoid it while we investigate and map it –mark it off as terra incognita- or must we act immediately to attempt to remove all mines even if we do not fully understand their distribution or destructive capabilities? Even if we may miss…

    gozzter

    December 28, 2016
    Uncategorized
    argumentum ad temperantium, categories of FGM, CBC News, compromise, Confirmation bias, de minimis, ethical compromise, ethics, fallacy, female genital alteration, female genital mutilation, FGA, FGM, Journal of Medical Ethics, mores, prima facie, primum non nocere., social norms, Truth
  • What did you expect?

    We have become obligate avoiders, dwellers in the middle of the field well away from boundaries –the just-right-baby-bears of the Goldilocks tale. We seek to protect ourselves from edges, no matter how pervasive, how common, how important they may be. It was for a very good reason that the American folk hero, John Wayne, felt…

    gozzter

    December 21, 2016
    Uncategorized
    BBC news, birth, children at the birth, Death, delivery, end of life, gestalt, midwife, obstetrical practice, placenta, women’s health, Youtube
  • Who Wants a Country of Boys?

    We mortals seem to be good at assumptions; they are shortcuts that allow us to function without the requirement of constantly checking the validity of beliefs or items in our environment. Part of it is trust; part of it is process, and yet I don’t want to get into a semantic discussion of the manifold…

    gozzter

    December 14, 2016
    Uncategorized
    assumptions, asylum seekers, BBC news, family reunification, Hamlet, Hanif Bali, male refugees, refugees, secondary sex ratio, sex ratio at birth, sex ratios, Sweden, Swedish parliament, Swedish social system, tertiary sex ratio
  • The Unfallen Yellow Leaf

    ‘Age, with his stealing steps, hath clawed me in his clutch,’ as the gravedigger in Hamlet says. I’m not so sure I agree –he was speaking about a skull, after all- but I have to admit there are times when I do feel old, and shipped ‘into the land as if I had never been…

    gozzter

    December 7, 2016
    Uncategorized
    Age, aged, eyes, faces, Hamlet, John Updike, memories, patients, pregnancy care, Rabbit, recognition, the gravedigger
  • The Custom that dare not speak its name

    The custom that dare not speak its name… Not until recently anyway. Now it seems all the rage to study the practice –expose it, as it were. And while I confess to paraphrasing the famous euphemism used in the trial of Oscar Wilde in 1895, I’m talking about something completely different. I’m talking about… well,…

    gozzter

    November 30, 2016
    Uncategorized
    George Bernard Shaw, grooming, grooming status, JAMA Dermatology, older gynaecologist, perineal care, pubis, shaving the pubic hair, the Guardian, trial of Oscar Wilde, women’s health
  • The Grief that does not Speak

    How weary, stale, flat, and unprofitable seem to me all the uses of this world! Like Hamlet, we all recognize this mood: the black dog lying in the noonday sun, the cloud that even hides the moon. It is the tear that defeats the wavering smile –and yet… And yet, there is often something more…

    gozzter

    November 23, 2016
    Uncategorized
    abuse, Antidepressant medication, depression, doctors, GP, Gynaecology, Hamlet, Khalil Gibran, lens of depression, listening, sadness, Shakespeare, talking, the black dog
  • Biding the Pelting of this Pitiless Storm

    Hubris –the extreme arrogance that was so offensive to the old Greek gods that they reacted with punishment and an exile from grace- is that what this is? I’m not sure anymore… It’s not, perhaps, so obvious as the vaulting ambitions of a Macbeth or the arrogance of a Caesar, nor even the overweening pride…

    gozzter

    November 16, 2016
    Uncategorized
    antibiotic resistance, antibiotics, azithromycin, Caesarian sections, Cassandra, cefazolin, Here be dragons, hubris, Jeremiad, Julius Caesar, NEJM, New England Journal of Medicine, Oedipus Rex, post-op infections, pride, prophylactic antibiotics, Tita and colleagues, unintended consequences
  • The Impossible

    So, Trump has convinced his country that he should lead. I did not think America had drifted so far; I did not realize it was so out of touch with us -and me… It brought to mind a poem I wrote years ago, not ever believing the impossible could come to pass:   The Impossible…

    gozzter

    November 9, 2016
    Uncategorized
    American voters, impossible, President Trump, Trump, words
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