musingsonwomenshealth.com

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

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  • 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
  • The Solopsist

    I have always been influenced by something Lewis Thomas, the American polymath writer-physician once said at a lecture I attended. He felt he would be better served by a doctor who had read Shakespeare than someone who had merely focussed all of his formative years on learning medicine. His point, I think, was that to…

    gozzter

    January 21, 2015
    Uncategorized
    Aequanimitas, equanimity, etymology, Lewis Thomas, pelvic pain, philosophy, potentiality, reality-based, Sir William Osler, Solopsism
  • The Loneliness of Social Media

    There comes a time when solitude is not enough. When weekends are deserts that must be crossed to get to people on the other side. Where there are eyes that welcome, ears that hear, voices that desire a response. When your own voice is not rusty with disuse and your mind not imprisoned inside a…

    gozzter

    January 14, 2015
    Uncategorized
    clinical depression, dating sites, DSM-5, Loneliness, online dating, online profile, social media, socialization, solitude
  • The Goddess of Small Things

    Every office needs a goddess. Every doctor needs to see one now and then to keep things in perspective. Separate the two Magisteria. I have a goddess –not self-professed to be sure, but in a pinch, self-acknowledged. She comes to see me once a year or so, for reasons that are not at all transparent. It…

    gozzter

    January 7, 2015
    Uncategorized
    bacterial vaginosis, Brigadoon, goddess, infection, Magisteria
  • Are We There Yet?

    There are some things you just have to get right -or else. But, or else what..?  Continuing exposure, even to the most egregious injustices risks dulling the senses; eliciting not indignant shouts but shrugs, excuses not action. Accommodation. There are benefits that accrue to adaptation, of course –if one lives next to a pulp mill,…

    gozzter

    December 31, 2014
    Uncategorized
    accommodation, adaptation, Canadian parliamentarians, China’s new draft law, cultural folkways, cultural relativism, domestic abuse, domestic violence, folkways, Here be dragons, physical abuse, sexual harassment
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