musingsonwomenshealth.com

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

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  • The Empathy of Age

    I am intrigued by the concept of empathy. Variously defined as caring, psychological identification, or even sharing another person’s feelings, it is nevertheless a quality incumbent upon those of us in the health profession in whatever capacity. Empathy is a word that has, in some minds, become synonymous with other altruistic traits such as sympathy,…

    gozzter

    July 3, 2015
    Uncategorized
    Age, art of listening, BBC news, compassion, deductive reasoning, empathy, hot flushes, inductive reasoning, Krishnamurti, learning empathy, radical listening, reiteration, St. Thomas Aquinas, substitution of words, sympathy, words
  • When Silence is Golden

    Silence is golden; it can also be difficult. Many of us find it uncomfortable -awkward if it continues for too long. In communication, silence is a benefit that diminishes with time, a value that becomes a penalty. A schism that is counterproductive. We all want to be heard; we all need to be recognized, and…

    gozzter

    June 30, 2015
    Uncategorized
    anger, attending, communication, doctor, equanimity, GP, listening, lump, silence, walk-in clinic
  • Speak up, eh?

    In the often dull Gestalt of Canadian politics, it is sometimes difficult to distinguish background from foreground, but every so often a light goes on and shadows spring to life. Shadows we would fain deny, yet dare not, to paraphrase Macbeth as he waits for battle. It is, perhaps, an apt example given that it…

    gozzter

    June 23, 2015
    Uncategorized
    biologically wired, Canadian military, Canadian politics, center for accountability, elocution, External review on sexual misconduct and sexual harassment in the Canadian Armed Forces, General Tom Lawson, Julius Caesar, Justice Marie Deschamps, Marie Deschamps, sexual harassment, sexual misconduct, Shakespeare, SunTzu, Supreme Court Justice
  • Kegel Exercises in Pregnancy

    Okay, okay, I was wrong! It happens. Sometimes the brain gets in the way of scientific studies –prejudges them. Alters them in little ways so they do not conflict with its own opinions. Or, worse still, is influenced by a confirmation bias that precludes even the perusal of any information that makes it uncomfortable. The…

    gozzter

    June 16, 2015
    Uncategorized
    Confirmation bias, Dr. Kegel, generalizations, George Bernard Shaw, inductive reasoning, Kari Bo, Kegel exercises, knowledge, levator ani muscles, Mark Twain, Norwegian School of Sports Sciences, pelvic floor muscles, probabililistic forecasting, pubococcygeus muscle, urinary incontinence, vaginal canal
  • The Manopause

    The menopause can be a mysterious time, although the mechanism is easily enough defined: the cessation of menses because of the lack of estrogen production by the ovary. The concept may be simple, but the ramifications and folklore that surround it less so. It has always worn its myths like a hood, obscuring the face…

    gozzter

    June 9, 2015
    Uncategorized
    Aequanimitas, estrogen, hormones, hysterectomy, irritability, Manopause, memory, menopause, ovarian function, ovaries, total hysterectomy
  • To Have, or not to Have

    There are two worlds out there, two Magisteria. Two contrasting inclinations that pass each other on the street without a wave. Strangers who sometimes know each other well. They sit, unwittingly close to each other, in the waiting room of my office. They chat and smile obligingly, trusting that their ignorance of the other is…

    gozzter

    June 2, 2015
    Uncategorized
    acceptance, autonomy, Bell curve, Beneficence, decision to have a baby, Hamlet, Magisteria, Non-Maleficence, outliers, paedophobe, political correctness, pregnancy, regression to the mean, Selfish Shallow and Self-absorbed, societal apologue, tradition, tyranny of the Norm, Weltanschauung
  • PTSD in Gynaecology?

    Post Traumatic Stress Disorder (or PTSD) is an anxiety disorder caused by being exposed to a traumatic or frightening event. It has been described in various guises since antiquity: http://www.bbc.com/news/health-30957719, but although we have traditionally ascribed it to military veterans, it is by no means confined to those who have been in the midst of…

    gozzter

    May 30, 2015
    Uncategorized
    chlamydia, Diagnostic criteria for PTSD, DSM-5, laparoscopy, pelvic pain, PID, PTSD, PTSD in antiquity, sexually transmitted diseases, social media, STI
  • Resistant Organisms

    I’m not sure that patients are any smarter than they used to be, but they certainly come pre-loaded with more facts. Sometimes these are relevant, often they are contextually unrelated to the reason for their visit. Contiguous, perhaps, yet only distantly attached –second cousins once-removed. Sometimes they seem to be variations on a word, a…

    gozzter

    May 26, 2015
    Uncategorized
    Candida albicans, diagnosis, drug resistance, facts, flora, Google, immune system, knowledge, lactobacilli, lichen sclerosis, superbugs, superyeast, vaginal flora, vaginal yeast infection, weeds, yeast
  • The Polarization Bias

    Okay, I have to admit to living an unbeknownst lie –unbeknownst to me, at any rate. Sometimes it is easy to coast, to accept help where it is offered and feel almost foolishly grateful for suggestions that foster the dependence. Advice is seductive, guidance addictive. But more importantly, it is insidious. Critical thinking -critical analysis-…

    gozzter

    May 15, 2015
    Uncategorized
    allegiance, Amazon, BBC, Bias, books, Confirmation bias, Critical Thinking, Facebook, Huffington Post, infomercials, Much Ado About Nothing, news, opinions, polarization
  • The Medical Student

    She was not old for a medical student I suppose, although her face spoke of experience far beyond her years. But how do you measure age in a profession that cherishes the wisdom and equanimity that so often accompany Time’s passage? No, she was not old, but nor did she possess the naïveté that so…

    gozzter

    May 13, 2015
    Uncategorized
    autonomy, choice, communication, contraception, counselling, cultural differences, cultural safety, doctor trust, doctor-patient relationship, doctor/patient communication, doctors, dogma, Gynaecology, Medical student
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