musingsonwomenshealth.com

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

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  • The Trigger Warning

    Call me naive, if you will, or maybe even uninformed, but not insensitive. Not indifferent; I am neither.  Unaware, perhaps comes closest. And, until recently, the concept of trigger warning was not one that I thought would have arisen in the day to day world of office gynaecology. But I was wrong. A trigger warning,…

    gozzter

    July 6, 2016
    Uncategorized
    cerclage, colposcopy, empathy, incompetent cervix, LEEP, miscarriage, office gynaecology, pap smear abnormalities, second opinion, sensitivity, surgical complications, Trigger warning, women’s health
  • Fertility options

    Some people would do anything to become pregnant: undergo painful procedures, borrow money, mortgage their homes –anything, it seems, to have a child. While this is certainly understandable –parenthood is perhaps the raison d’être of our genes- it seems a shame that fertility would be something denied to some while granted to others. Arbitrary at first  glance,…

    gozzter

    June 29, 2016
    Uncategorized
    Ascaris lumbricoides, BBC news, fertility, immune system, immune-suppression, infertility, IVF, listening, organ transplantation, parasite, pregnancy, Science journal, worms
  • Scientific Fraud

    Science –whose Latin etymology denotes knowledge- started off as a branch of philosophy and gradually morphed into its present form. Recently, however, it seems to be resting on a progressively unstable foundation with the general public. By its very nature, Science accumulates its knowledge by induction: observations elicit explanations which suggest experiments designed to test…

    gozzter

    June 22, 2016
    Uncategorized
    Canadian Medical Association, certainty, Dr. Andrew Wakefield, fraud, inductive logic, refutability of science, religions, Science, Scientific method, Secretariat of Responsible Conduct of Research, Sisyphus, Susan Zimmerman, vaccinations and autism, Zulfiqar Bhutta
  • Once Upon a Time

    Once upon a time, rumour had it that we were at the top of our game –nothing else came close. Well, maybe chimpanzees, but come on –they don’t even have a decent language, so how would we know? Anyway, we had no real competitors, and –just in case- we wrote the rules and we were…

    gozzter

    June 15, 2016
    Uncategorized
    BBC news, feathers, giant African pouched rats, mammorgrams, Nature, pathologists, pathology, pigeons, Public Health infrastructure, salmon, Tuberculosis, waste treatment, women’s health
  • Zoobstetricoses

      Ever since I was a little knicker I had a dog, or a cat, or both. It was part of growing up –playing with the dog in the park, avoiding the cat’s claws as it grabbed for the piece of wool dangling temptingly in front of it. And then there were the times sitting…

    gozzter

    June 8, 2016
    Uncategorized
    Canadian Medical Association Journal, cat scratch disease, cats, CDC, CMAJ, cryptosporidiosis, dogs, mercury contamination, multi-drug resistant bacteria, pregnancy risks, toxoplasmosis, zoonoses
  • Rethinking Placebos

    Placebo. I love the word; it comes from the Latin verb placere: to please, and in the first person future indicative –placebo– translates as ‘I will please’. Wonderful. I’ve been thinking about it a lot lately, probably since rereading a Dec. 31/14 article in Medscape entitled ‘Should Doctors Use More Placebos?’ http://www.medscape.com/viewarticle/835197 The answer, of…

    gozzter

    April 20, 2016
    Uncategorized
    antiprostaglandin, ASA, autonomy, etymology of placebo, etymology of the word placebo, informed consent, medical ethics, patient autonomy, pharmacological effect, placebo, placebo effect, placebos in gynaecology, temporal placebo
  • The Yang of Yin

    We are, it would seem, a binary species and we live in a binary world where opposites define each other. Think, for example, of up and down –the one depends on the other for its very existence: there is obviously no up without a down with which to contrast it. Good/bad, in/out, light/dark, near/far… even…

    gozzter

    January 27, 2016
    Uncategorized
    BBC news, binary world, complementarity, David Bowie, Gender, gender assignation, gender lability, labels, opposites, sexuality, Shakespeare, The Winter’s Tale, Yin and Yang
  • 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
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