musingsonwomenshealth.com

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

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  • Unquiet Meals

    I suppose Age has blunted me –or at least made me suspicious of fads, curious about recent phenomena that wear the clothes of certainty, vogues that hitchhike on the backs of something else never meant to carry the weight… But one must not be caught rubbing the poor itch of one’s opinion, to paraphrase Shakespeare.…

    gozzter

    February 1, 2017
    Uncategorized
    Age, autoantibodies, BBC news, birth control pill, bloating, celiac disease, contraception, dietician, gluten, gluten apostasy, non-celiac gluten sensitivity, pregnancy, side effects, women’s health
  • The Bicameral Mind

    Time to unwrap the Jeremiad again, I’m afraid; I’m getting tired of this. Really tired. I know it’s an American thing, but stop it will you? Or can you? Every time there’s a bicameral shift it tears the fabric a little more and unravels what I want to believe about your country. Yes, I’m Canadian…

    gozzter

    January 25, 2017
    Uncategorized
    Aesop’s Fables, bicameral system of government, Canada, family planning, federal defunding, gynaecological convention, Heaven, Hell, Jeremiad, mailboxes, opinions, pregnancy termination, USA, women’s rights
  • Scrambled Eggs

    Great! Test tube mothers now, is it? Not enough to eliminate the Fallopian tube, or the on-egg dating site where potential sperm candidates meet, are scrutinized, profiles scanned and competition held for first across the zona (pellucida, that is) … Oh no, now we have to eliminate the entire coffee shop. What is happening out…

    gozzter

    January 18, 2017
    Uncategorized
    BBC news, DNA, Eden, eggs, Miasma Theory, needs, niche product, Phlogiston, procreation, reproduction-lite, sperm, stem cells, unintended consequences, wants, women’s health
  • 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
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