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musingsonwomenshealth.com

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

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  • 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
  • A Gynaecologic Chapel

    I’ve always been fascinated with the Sistine Chapel in Rome –well, in the Vatican City to be more Catholically correct- but perhaps not for all the reasons you might assume. I have to confess –sorry, poor choice of words- I have to admit that I have little interest in the fact that it is in…

    gozzter

    December 24, 2014
    Uncategorized
    Apostolic Palace, chapel, Gynaecology, Michelangelo, Pope Sixtus IV, sanctuary, Sisitne Chapel ceiling, Sistine Chapel, stained glass, stained glass windows, sunbeams, The Creation of Adam
  • The Size of the Dog

    In the hazy light of retrospect I can still see her lying there on the hospital bed scowling at me. She was clutching her baby as if she’d won it in a game in which she’d cheated. In fact, I suppose she had… But I’m getting ahead of myself. Way ahead. I’d first met Mary…

    gozzter

    December 17, 2014
    Uncategorized
    augmentation of labour, Caesarian section, different names for labour, dress rehearsal, estimated fetal weight, labour after a Caesarian section, litigious, midwife-led care, oxytocin, precipitous labour, trial of labour, ultrasounds in pregnancy, vaginal birth
  • Perchance to Dream

    There’s something about complexity that I find intimidating; impressive as it may be, I don’t crave the complicated. I don’t even understand it. Of course, that may be part of its fascination for some: a facet of the instinct that leads to worship of that which is mysterious. Unknowable to the uninitiated. The awe of…

    gozzter

    December 10, 2014
    Uncategorized
    body temperature, complexity, eclampsia, electricity, Embrace, hemorrhage, hypothermia, incubator, inflatable incubator, James Dyson Award, Kangaroo care, low birth weight babies, Mom, phase-change material, pregnancy induced hypertension, premature babies, shivering, simplicity, skin-to-skin contact
  • The Slow Cooker

    Dare I comment on the speculum? It is a very underrated item, when you think about it – I mean, if you think about it… Uhmm, considering its job and everything… Ask any gynaecologist. Like shoes, one size does not fit all. In fact, continuing the analogy, there are many shapes and designs: long ones,…

    gozzter

    December 3, 2014
    Uncategorized
    Crock Pot, First Law of Thermodynamics, hot water, kettle, mechanical engineer, metal speculum, Pap smear, Second Law of Thermodynamics, Slow Cooker, speculum, tap water, temperature, tepidity
  • Menstrual Taboos

    Culture shapes behaviour, attitudes and beliefs -or is it the other way around? The chicken or the egg? This has puzzled me since I was a child wondering why everybody I knew wore jeans but in pictures the people living in, say, India did not. And the members of my family –uncles, aunts, grandparents, cousins- all…

    gozzter

    November 26, 2014
    Uncategorized
    apostate, bodily functions, cultural norms, custom, difference, Femme International, folkways, gender norms, imitation, imitation as an infection, menstrual cups, menstrual health, menstrual taboo, menstruation, mores, sanitary pads, society, taboo, women’s health, Women’s health aids
  • The Begging Bowl

    We all have needs; we are all mendicants at some level. Sometimes subtle: a smile that begs response, a look that hopes for more; sometimes obvious: a verbal request, or even a sign that solicits aid. But sometimes it is more blatant. Glaring. Almost rude. I was once accused of that –of shameless, brazen panhandling. And right…

    gozzter

    November 19, 2014
    Uncategorized
    begging, begging bowl, bribes, Canadian medical system, mendicants, needs, obstetrical office, offering, panhandling, presents, sculpture, statue
  • Breast and Ovarian Cancer Screening

    I am sometimes troubled by the concept of risk. I mean how can we possibly decide whether or not a risk is acceptable? No matter the statistics, if the issue under consideration doesn’t happen, then the risk assumed was acceptable. So far, so good. But of course the converse is also true: no matter how low the risk,…

    gozzter

    November 12, 2014
    Uncategorized
    BRCA gene, BRCA1, BRCA2, breast cancer, cancer, cancer screening, Founder effects, guessing, hereditary breast cancer, lottery, male breast cancer, ovarian cancer, prediction, Proceedings of the National Academy of Sciences, risk, Risk of medicai, Statistics, triple negative breast cancer
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