musingsonwomenshealth.com

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

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  • Please and Thank you

    Please and thank you –isn’t that what we were all taught? Perhaps it was my prairie upbringing, but it seemed the norm when I was growing up. There was no asking why –no need to, in fact- we all just did it. Indeed its absence was noticed and noticeable –like maybe wearing a suit without…

    gozzter

    May 5, 2015
    Uncategorized
    computer, folkways, mores, politeness, prairie upbringing, saying please, saying thank you, ultrasound
  • The Tail and the Dog: Cause and Effect in Medicine

    Does the tail ever wag the dog? Is an issue ever so compelling that cause and effect are reversed? Or at least suspended..? Sorry, I wonder about such things. I remember reading a book many years ago by the British philospher A.J. Ayer called The Problem of Knowledge. In it he discusses a religious sect…

    gozzter

    April 8, 2015
    Uncategorized
    benign nevus, cancer, cancer as religion, cancer of the cervix, Cause and Effect, Faulty syllogism, HPV, lymph node, menopause, mole, Tail wagging the dog, The Problem of Knowledge
  • Nudging Childhood Obesity

    When I was a kid, obesity was not the norm. Admittedly, this was a long time ago, and no doubt I only remember brief and highly selective snippets of the time –modified, no doubt, to serve whatever demands are required in the present. But in these unexpurgated, sketches, I have memories of labeling the occasional…

    gozzter

    April 2, 2015
    Uncategorized
    BBC, behaviour, Canadian Task Force on Preventive Health, CBC, childhood obesity, Dr. Brian Goldman, Erasmus, fat, folkways, Forbes, habits, mores, mythos, Nudge Theory, nudging, obesity, obesity as a norm, positive reinforcement, White coat black art
  • Menstruation and Sports

    Okay, time to cross the line again. I’ve written about this before (see Menstrual Taboos  https://musingsonwomenshealth.wordpress.com/2014/11/26/menstrual-taboos/ ) but the issue keeps popping up. In the recent 2015 Australian Open, the top ranking female tennis player in Britain, Heather Watson, suffered a first round defeat. In the subsequent interview, as she was being grilled about what might…

    gozzter

    April 1, 2015
    Uncategorized
    Australian Open, Girl things, Heather Watson, Karen Houppert, menstrual cycles, menstrual physiology, menstrual taboos, menstruation, menstruation and sports, Plato’s allegory of the Cave
  • Blushing in the Office

    Girls blush, sometimes, because they are alive, Half wishing they were dead to save the shame. I’ve always liked those lines from Elizabeth Barrett Browning’s Aurora Leigh;  I have no idea how I came across them, because I have never read the work –nor likely ever would. I even had to look them up to…

    gozzter

    March 25, 2015
    Uncategorized
    Aurora Leigh, blushing, Elizabeth Barett Browning, embarrassment, Gynaecology, male doctor
  • The Peanut Trap

    You know, there are times when the cart should precede the horse and not follow blindly behind it along the same old paths. We are too often seduced by the roads that others have made simply because we know where they go and what we might reasonably expect to encounter along the way. The problem,…

    gozzter

    March 22, 2015
    Uncategorized
    American Academy of Pediatrics, anaphylaxis, childhood allergy, Dr.Du Toit, Jewish children, Mark Twain, New England Journal of Medicine, Peanut allergy, peanut-based [roducts, the cart and the horse, the LEAP study
  • Depression and Inflammation

    The practice of obstetrics and gynaecology is normally a kaleidoscope of colours –from the pale red blush of an embarrassed face, the bright green flash of twinkling eyes, to the panoply of skin colours proudly arrayed like just-washed clothes in the waiting room. There is no rank to the colours, no special prize for the…

    gozzter

    March 18, 2015
    Uncategorized
    cardiovascular disease, cardiovascular diseases, cholesterol, depression, depression and inflammation, Helicopbacter pylori, inflammation, Lao Tzu, mental illness, plaques, postpartum depressionm, psychiatry, sickness behaviour, stomach ulcers
  • Trust

    Like time, trust is a difficult concept –easy enough to conceptualize, perhaps, but hard to define. To categorize. To understand. It is slippery, and slides through the fingers like water. As St. Thomas Aquinas said of time, you know what it is until someone asks you to be more specific. It is something, however, that…

    gozzter

    March 15, 2015
    Uncategorized
    Confirmation bias, doctor rating systems, endometrial biopsy, fibroids, medicine, postmenopausal bleeding, relationships, sickness, St. Thomas Aquinas, Time, trust, ultrasound
  • The Tampon Tax

    I have to admit that I am sometimes puzzled. Not, you understand, to suggest that I am omniscient at other times, but merely that I, too, am apt to get lost in the various back alleys of our government. They seldom come with maps; they are not meant for untroubled navigation. In fact, I suspect…

    gozzter

    March 13, 2015
    Uncategorized
    bureaucracy, Canadian government, democracy, government taxation, GST, majority rule, menstruation, multicultural needs, opinions, tampon tax, tampons, taxes, value-added tax
  • Elder Gynaecology

    I love old people. Sounds a bit patronizing I suppose but I’m becoming one of them, so I have vested interests. And anyway, even the most reticent among them have had a unique, personal view of history. A well tested perspective of Time and its evolutionary ravages. They have grown an almost uncanny ability to…

    gozzter

    March 11, 2015
    Uncategorized
    biopsy, elderly patient, endometrial biopsy, family doctor, Kmart, medical charts, memory, menopause, old people, post menopausal bleeding, tabula rasa
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