musingsonwomenshealth.com

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

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  • An Obstetrical Edition

    Miscarriages –early pregnancy losses- have long been the subjects of research. They are unfortunately all too common, and until very recently, we were only aware of those that occurred after a noticeable menstrual delay –the tip of the iceberg, in other words. Some progress has been made in understanding why they occur, of course –random genetic…

    gozzter

    January 20, 2016
    Uncategorized
    BBC news, blastocyst, DNA, Dr. Niakan, Early pregnancy loss, ecosystem, gene editing, genes, genetic modification, human embryo, infertility treatment, IVF, miscarriage, morula, Much Ado About Nothing, Shakespeare, unintended consequences
  • What is it like to be a…?

    I should have known not to answer her question like that. I should have seen the book she was reading; I should have seen how heavy her briefcase was… But I’m getting ahead of myself. I’m a doctor now -an obstetrician/gynaecologist- but in the beginning I wanted to head in an an entirely different direction:…

    gozzter

    January 13, 2016
    Uncategorized
    epiphenomenalism, Hydra, Obstetrics, philosophy, physicalism, reductionism, subjective character of experience, Thomas Nagel, What is it like to be a bat?
  • What the Walrus said.

    The media are at it again, beating the data-drums for scraps of hope. It’s not that we don’t all long for reassurance and want to believe in the steady march of Science; it’s more that we can’t shake the suspicion that if we wish hard enough, stuff happens. For some reason I am reminded of…

    gozzter

    January 6, 2016
    Uncategorized
    BBC article, Ca125, cancer screening, clomid, clomiphene, Lancet, Lewis Carroll, ovarian cancer and clomid, screening for ovarian cancer, Stephen Leacock, surrogate pregnancy, The Walrus and the Carpenter, women’s health
  • A Pink Elephant in the Room?

    You could see her waiting in the wings, peeking around the curtain, anxious for her debut on the public stage. And what a buildup; the opening acts pretty well guaranteed her a receptive audience -one that would assume that anything less than a full symphonic orchestral introduction and a dais at centre stage would be…

    gozzter

    December 30, 2015
    Uncategorized
    acquired generalized hypoactive sexual desire disorder, Canadian Medical Association Journal, Critical Thinking, erectile dysfunction, evidence-based medicine, FDA, female sexual dysfunction, flibanserin, Health Canada, hypoactive sexual desire, pink Viagra, sexual dyspfunction
  • An Unfamiliar Worry (for some)

    I don’t know how the world used to manage with just men at the helm. There are so many things –obvious things- that simply pass by us uncharted. I don’t think its intentional; it’s more likely that those things just do not affect us in the same way. They have different consequences; we assign them…

    gozzter

    December 16, 2015
    Uncategorized
    Amy Peake, BBC news, cultural sensitivity, culture, food and shelter, gender boundaries, Iago, incontinence pads, Lenin, menses, menstrual pads, menstrual stigma, menstrual taboos, Othello, Refugee camps, refugees, resettlement of refugees, sanitary pads, Shakespeare, women’s needs, Zaatari camp in Jordan
  • The Most Unkindest Cut of All

    It was the best of times, it was the worst of times… I’m a surgeon, so for me, the operating room has always been a haven of sorts. It’s one of the few places where I feel safe from interference from out there. Where, for a brief but immeasurable time, there is no outside –no politics, no…

    gozzter

    December 9, 2015
    Uncategorized
    BBC news, Brigadoon, classical music, Confirmation bias, Henry IV, Journal of Anaesthesiology and Clinical Pharmacology, Macbeth, music, Music in the operating room, Shakespeare, surgical distractions, survey, tempo, volume
  • Hurtful Scents

    I realize that to comment on odour is to confront a two edged sword –none of us journeys without a scented trail- but apart from those occasional inadvertent and indelicate smells, the time has probably arrived when we should be wary of artifice. Well, at least in those areas where there is no escape; where…

    gozzter

    November 14, 2015
    Uncategorized
    artificial scents, Canadian hospitals, Canadian Medical Association Journal, comfort zones, deodorants, Human rights, King Lear, odour, personal zones, Shakespeare sonnets, smelly feet
  • The Caesarian Path

    The Caesarian section has a fascinating, if largely apocryphal history. In all likelihood it was probably a procedure of last resort to save the unborn child when its mother was already dead or near death. That the famous Julius Caesar –like Shakespeare’s MacDuff- was ‘from his mother’s womb untimely ripped’ seems unlikely, however appealing the…

    gozzter

    November 11, 2015
    Uncategorized
    BBC news, Brazil, Caesarian section, cognomen, elective repeat Caesarian section, etymology, Julius Caesar, labor, operation, Pliny the Elder, primary elective Caesarian section, Robson Classification System, Samuel Johnson, Seneca, Shakespeare, surgery
  • The Science of Answering

    I suppose in this suspicious age, everything is open to scrutiny. But some things are examined at one’s own risk risk -like turning over a familiar log in the garden only to find unexpected and sinister-looking creatures lurking quietly beneath. This is fine, of course, but it can be hard to know what to do…

    gozzter

    November 7, 2015
    Uncategorized
    answers, change, chemical risks, conspiracy theories, dyspsareunia, Environmental Health Perspectives, estrogen replacement, Hamlet, listening, Macbeth, parabens, Science, suspicion
  • Mind Games

    I have of late been attracted to mind games –not, you understand, the one-upmanship power struggles that are reputed to go on in corporate businesses, nor even the more hurtful kind that used to happen in high school classes, usually initiated by those who sat in the front seats. No, I refer, rather, to the…

    gozzter

    November 5, 2015
    Uncategorized
    ageing brain, BBC news, brain training exercises, Macbeth, mind games, NY Times crosswords, performance anxiety
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