musingsonwomenshealth.com

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

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  • 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
  • Have Hypnosis, May Travel…

    “You want me to do what?” Janet’s smile never waivered; it broadened if anything. “Hypnotize my friend.” I rolled my eyes in a maudlin attempt to emphasize my frustration at her answer. “But your friend is a male, Janet…” She blinked slowly –her version of an eye-roll, no doubt. “Given that you are as well,…

    gozzter

    November 5, 2014
    Uncategorized
    foreign politics, hyperemesis gravidarum, hypnosis, medical hypnosis, obstetricians, political assassinations, politics, teaching hypnosis
  • Uterine Transplants

    I just knew it was going to happen; I could feel it in the air: a live and healthy baby delivered from a transplanted uterus. It was the womb’s turn. After all, people have been trying to transplant stuff since anatomy began. Unfortunately, before the concepts of physiology, infection and immune rejection were appreciated, they…

    gozzter

    October 29, 2014
    Uncategorized
    azathioprine, Cassandra, corticosteroids, cryopreserved embryo, Dr. Christian Barnard, Dr. Mats Brannstrom, immunosuppressants, medical ethics, pregnancy, tacrolimus, Uterine transplants
  • FHR: Fetal Heart Rap

    When I was a child, I was fascinated with noise. Well, perhaps sounds would better describe what interested me. What were they –I mean really? And what happened to them after I heard them? When I was finished listening and if there was nobody else around to use them, what occurred then? Sounds told us stuff –information-…

    gozzter

    October 22, 2014
    Uncategorized
    Fetal heart rate, FHR, heart sounds, information, library, music, Noise, Rap, recording sound, Sound, Sound Bites, sound library
  • 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
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