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musingsonwomenshealth.com

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

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  • Why do we Know something?

    Knowledge is interesting. But what is it, exactly? What does it mean to say you know something? Plato defined it as being justified true belief, but is it? Take Bertrand Russel’s famous thought experiment: the ‘stopped clock case’, for example. Alice looks at a clock and says it is two o’clock. Well, because the clock…

    gozzter

    July 15, 2015
    Uncategorized
    Bertrand Russel, Creationism, endometrial biopsy, Gettier Problem, irregular menstrual bleeding, Justified true belief, knowledge, Marcel Proust, menopause, Pandora’s box, Plato, the Why Question, ultrasound
  • Risk Perception

    Risk is something we all need to assess from time to time. The problem lies in how we do it. If there are factors we fail to take into account that affect our risk perception then our evaluation may as likely be wildly unrealistic, as appropriate. Emotion tends to skew things in one direction or…

    gozzter

    July 11, 2015
    Uncategorized
    Baye’s theorem, Bell curve, DVT, health, hormone replacement therapy, intuitive, phlebitis, risk, risk averse, risk perception, Statistics
  • The Skirt’s the Thing

    Skirts are back in the news –this time in France… for being too long… You’re kidding! A skirt’s a skirt, right? They’ve been around for thousands of years it would seem, albeit of multiple lengths and designs that accorded with local customs and –perhaps- fashions. The wearers were, of course, were no doubt sometimes tempted…

    gozzter

    July 7, 2015
    Uncategorized
    anti-fashion, Ardennes Academy, BBC, brains, dress codes, fashion, France, French Law, headscarves, hijab, independence, long skirts, Muslims, NIMH, niqab, Patrice Dutot, protest, skirts, Society’s values, teenage brains
  • 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
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