musingsonwomenshealth.com

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

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  • 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
  • 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
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