musingsonwomenshealth.com

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

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  • 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
  • Sleeping in the Call Room

    Sometimes in the sounding night, with footsteps rushing past and light-bound shadows flashing orally under the firmly closed door, I awaken, startled, and wonder if I am next. It takes me a moment to clear the fog of that constantly unsettled semi-sleep, and understand that I am not at home. And won’t be for uncountable time.…

    gozzter

    March 4, 2015
    Uncategorized
    call room, Hospital call room, King Lear, Obstetrician on call, on call, outside the door, phone calls
  • Vehicular Obstetrics

    Here I am in New Zealand, land of narrow roads, one lane bridges, and at least for us North Americans, the necessity of switching our cultural allegiance from the right to the left hand side of the road. Personally, my greatest struggle is remembering to get into the car through the correct door. Everything seems…

    gozzter

    February 25, 2015
    Uncategorized
    Canadian Medical Association Journal, Canadian study, car accidents in pregnancy, CMAJ, Driving in Pregnancy, motor vehicle crash, New Zealand, obstetrical advice, pregnancy, pregnancy risks, second trimester, second trimester of pregnancy
  • You Got Me Pregnant!

    Some things seem to go unappreciated don’t they? They’re background noise. Shadows in the moonlight. You might think that this doesn’t apply to medicine, but it does. Much of what we do is taken for granted –or at least taken for expected… appreciated, but for a variety of reasons, not publically acknowledged. And that’s fine…

    gozzter

    February 18, 2015
    Uncategorized
    accouchement, appreciation, forgetting faces, infertility, l’accouchement, Medical School, memory, pasts, restaurant protocols
  • Autism and Obstetrics

    I’m an obstetrician caring for worried mothers. They’re worried about things that might put their developing foetuses at risk for a whole range of issues and ask me for advice. Obviously I’m neither a paediatrician nor a child psychologist, so questions about autism leave me alone in troubled waters. There are so many rumours of…

    gozzter

    February 11, 2015
    Uncategorized
    ASD, autism, Autism Spectrum Disorder, criteria boundaries, DSM-5 criteria, Julius Caesar, neurodevelopmental disorder, pollution, sensitivity, serpent’s egg, Shakespeare, social communication, specificity
  • The Unexpected

    What I like about the unexpected is that you never expect it. It’s a surprise. A gift. And the world is filled with this stuff. Each day at work –I’m a gynaecologist- there are little treasures hidden within appointments, presents in names. Especially the unpronounceable Persian names that unravel when I try to work at…

    gozzter

    February 4, 2015
    Uncategorized
    cross culture, endometriosis, laparoscope, movie star, names, ovarian cyst, Pain, pelvic pain, scars, surprises, unexpected gift
  • Cohabitation?

    Cohabitation is the bête noir of some cultures and the realization of a belle époque for others. Lascivious as it sounds, it doesn’t necessarily exemplify freedom and liberation, though -it is a direct and unsubtle abnegation of long held moral and religious values for many. But why? Why would the decision to share one’s life need…

    gozzter

    January 28, 2015
    Uncategorized
    civil ceremonies, cohabitation, cultural differences, Divorce in Muslim countries, divorce rates, Iran, liberal western perspective, relational ethics, relationship
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