musingsonwomenshealth.com

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

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  • Medicine and Ideology

    Some things are more definitive than others –less ambiguous, more predictable. Reliable, in other words. They lend themselves to yes-no answers, right-wrong judgements, good-bad characteristics. And some people prefer to see the world in black and white like this. Uncertainty is uncomfortable for them; they crave cognitive closure in the opinion of Arie Kruglanski, a…

    gozzter

    October 15, 2014
    Uncategorized
    abortion, Arie Kruglanski, Canadian Medical Association Journal, cognitive closure, dogma, Ideology, medicine, politics, pregnancy termination, Relational autonomy, State laws, transition, ultrasound
  • The Crown Jewel

      Ahh, those were the days! The days when naivete reigned. The once-upon-a-times when my practice was young and everyone around me seemed old. They spoke a language I had not anticipated in my training; they seem to have subscribed to different dictionaries, or the words were smudged so they did their best with what…

    gozzter

    October 8, 2014
    Uncategorized
    belly button, belly dance, crown jewels, danse du ventre, endometriosis, incision, language, laparoscopy, lower quadrant pain, medical practice, monthlies, navel, Pain, parts, pelvic pain, vocabulary
  • Critical Thinking and Bullying

    A few weeks ago, a young woman came in to see me to have her first Pap smear. While I was taking a routine sexual history, she admitted she had recently been bullied online. I’m not even sure how the topic came up, but she didn’t seem very upset, so I asked her about it. “The guy was a real…

    gozzter

    October 2, 2014
    Uncategorized
    analysing the message, bullying, Carl Popper, causal chains, Confirmation bias, Critical Thinking, deconstructing, deductive reasoning, distancing oneself, falsifiability, inductive reasoning, judging, logic, magical thinking, Pap smear, questioning, Science, Scientific method, Scientific thinking, self esteem, validity, victimization
  • A Medical Dilemma

    Here’s an outrageous assertion: there are some things that we just cannot control. Worse, sometimes they are undefineable – or at least so vague as to defy placing them on some scale or other. Ranking them in terms of importance either to us, or to others. Naming them for future reference. And if we cannot…

    gozzter

    September 25, 2014
    Uncategorized
    anticoagulation, belly button surgery, blood thinners, fibroids, indications for surgery, laparoscopy, medical decisions, medical dilemma, myomectomy, pulmonary embolism, Revisionism, Things we cannot control, treatment of fibroids, tumor markers, ultrasound
  • The Cleanse

    Sometimes, if I have the chance, I like to review the list of referral letters before I see any patients for the day. It tells me what to expect; how to allocate the time for the consultations; whether any of them might be particularly interesting. Surprises happen. The other day, one letter about a patient caught my attention.…

    gozzter

    September 18, 2014
    Uncategorized
    Chronic yeast infection, Cleanse, Colon Cleanse, Confirmation bias, correlation does not equal causation, fecal microbiome, medical journals, medical treatments, patients, referral letters, Spurious Correlations, toxins
  • Another Advantage of Breast Feeding?

    As Mark Twain observed: What a good thing Adam had- when he said a good thing, he knew nobody had said it before. I don’t know about you, but I am getting tired of the media reporting on studies that contain nothing new and passing them off as fresh and enlightening. Even more upsetting is the fact…

    gozzter

    September 11, 2014
    Uncategorized
    advantages of breast feeding, attitudes to breast feeding, breast feeding studies, depression, Medical information, news, Postpartum depression, relevance of studies, risk of post partum depression
  • Aboriginal Women Deserve a Public Inquiry.

    We Canadians have always been proud of ourselves; we are a democratic society ruled by the will of the people. We vote and the majority governs, represents our interests, and crafts the laws accordingly -or does it? We have a say in what happens in our several levels of government –a voice in what is done to…

    gozzter

    September 4, 2014
    Uncategorized
    Aboriginal women, conversations, cultural safety, dialogue, First Nations women, minority rights, Missing and murdered aboriginal women, Public inquiry, RCMP Task Force, Relational autonomy, Royal Commission on Aboriginal People
  • A Feminist Resurgence?

    Women’s Liberation -that’s what we used to call the women’s movement when I was a teenager. It sounded like a good idea to me, even though I didn’t really know what it was all about. Girls had always seemed to bring out the best in guys, so I was all for it. I still am. But…

    gozzter

    August 28, 2014
    Uncategorized
    Antifeminism, Cats against feminism, discrimination, dogma, evolution of feminism, Feminism, Feminist movement, Gynaecology, male gynaecologists, misogyny, the three waves of feminism, women’s liberation
  • A Patient Named Cindy

    I enjoyed Cindy (not her real name); how could I not? Short, plump, with uncertain hair of indescribable colour that was tossed on her head like a salad begging for dressing, she captured my interest the first time I saw her in the waiting room. She was pretending to look at a magazine, all the while…

    gozzter

    August 21, 2014
    Uncategorized
    cultural safety, doctor, doctor-patient relationship, escort, hooker, infertility, medical office, medical system, novel, obstetrical pedestal, power pyramid, strumpet, trust
  • Can Anyone Laugh?

    Frailty, thy name is woman, Hamlet said, upset about his mother’s behaviour. Perhaps Turkey’s Deputy Prime Minister Bulent Arinc had bad memories of the play. In a recent speech on moral corruption in Turkey, he is quoted as saying that : “Chastity is so important. It is not only a name. It is an ornament…

    gozzter

    August 14, 2014
    Uncategorized
    Bulent Arinc, Haram, Haram and laughter, Henri Bergson, Herodotus, Islamic Jurisprudence, Laughing in public, Laughter, Nietzsche, Philosophy of laughter, Plato, Shakespeare, Theories of laughter, Thomas Hobbes, Turkey, Wikipedia
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