musingsonwomenshealth.com

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

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  • A Right to Die?

    Death is a word most doctors avoid; it is a defeat. Anathema. It is, in all their texts, in all their studies, blasphemous. Heresy. And my specialty is certainly not immune. In Obstetrics, it is an especial desecration: we are so used to dealing with the opposite that the very word, let alone the concept…

    gozzter

    August 7, 2014
    Uncategorized
    alpha and omega, assisted dying, Bill Moyers interview, Death, Death in Obstetrics, death with dignity, Desmond Tutu, Do not go gentle…, Dylan Thomas, Joseph Campbell, the right to die
  • Non-Invasive Prenatal Testing

    Chromosomally derived anomalies have been with us for millenia –maintaining structural and functional integrity is obviously difficult when you think about it. We humans have 46 chromosomes that must continually divide and reproduce unerring copies of themselves as they issue unique and contextual instructions for cell development or maintenance. The functional components of chromosomes are called genes…

    gozzter

    July 31, 2014
    Uncategorized
    autonomy, base pairs, Chromosomal abnormalities, chromosomes, detection rate, False positives, genes, genetic abnormalities, informed choice, medical ethics, NIPT, Non-Invasive Prenatal Testing, prenatal diagnosis, prenatal screening options, Relational autonomy, Village Idiot
  • A Placental Tale

    Her light brown hair was long and tied in a little pile on the top of her head like a haystack about to topple. Her cheeks were rosy, her eyes were bright, and her face was lit with the jubilation that only the young experience at the start of a journey. She was happy –her whole…

    gozzter

    July 24, 2014
    Uncategorized
    amniotic fluid, filming labour and delivery, First pregnancy, placenta, Placenta’s point of view, Placental contributions, pregnancy, Pregnancy compartments, Stages of pregnancy, Video blog, women’s health
  • Pelvic Exams

    Medicine has been my life, and over the years I have seen my specialty of obstetrics and gynaecology break free of many of the traditions that shackled it to the past. Obstetrics was once a superstition-clad field -a world unto itself; gynaecology was mired in taboo and cultural sensitivities that often precluded open-minded and unbiased research and therapy. To a…

    gozzter

    July 17, 2014
    Uncategorized
    American College of Physicians, American College of Physicians guidelines, evidence-based care, gestational diabetes, obstetrics and gynaecology, Pap smears, patient autonomy, pelvic exam, pregnancy, public opinion, type 2 diabetes, vaccinations
  • The Justice of Justice

    Okay, I’m Canadian; I do not understand the objection to universal health care south of the border. And I certainly don’t know how a society that purports to believe in equal opportunity for all could be so resistant to accepting the inalienable right of every person to access affordable medical treatment, the right to a personal choice…

    gozzter

    July 10, 2014
    Uncategorized
    American Supreme Court decision on contraception, contraception, Declaration of Independence, health care, inalienable rights, Justice, religious beliefs, Supreme Court, universal health care, women’s rights
  • The Asexual

    Well the annual Pride Toronto Festival has come and gone again; we had one here in Vancouver as well, but this year’s Toronto iteration apparently broke all records for attendance, parade, and participation. I have to admit to my own feeling of pride that Society is making such progress in accepting –even welcoming- diversity. Especially, it would seem,…

    gozzter

    July 3, 2014
    Uncategorized
    Asexual, CBC radio interview, Gay marriage, Gender, Gendered washrooms, LGBTQ community, sexual activity, sexual frequency, Sexual orientation, Toronto Pride Festival, Toronto Pride Festival Parade
  • The Linguistic Pregnancy

    What is pregnancy? What’s in a name, for that matter..? Is it true that a rose by any other name would smell as sweet, or is there something in the name itself that alters and affects that to which it refers? Neo-Whorfianism, in other words… For example, the Chinese word for what we in English…

    gozzter

    June 26, 2014
    Uncategorized
    Benjamin Whorf, culture, language, language theory, linguistic, linguists, meaning, name, Neo Whorfianism, pregnancy, semantic drift, transliterations, Whorfianism, words
  • The Mystery of Pain

    Obstetricians and midwives are, at times, unavoidable witnesses to pain; they wade through it, explain it, try to alleviate it, but never experience it because the physical sensation of pain cannot be transferred to anyone else. It is the one constant attendant in the labour room, the uninvited guest that, welcome or not, arrives early…

    gozzter

    June 19, 2014
    Uncategorized
    Elaine Scarry, etymology of the word pain, experience of pain, language of pain, McGill Pain Questionnaire, metaphor, metaphor of pain, midwives, mystery, Nietzsche on pain, obstetricians, Pain, pain has no voice, Physical pain, Shakespeare on pain, Theory of Mind, Virginia Woolf
  • Prostitution Laws

    Okay, I think you’re going to have to help me with this one. Suppose you have a product the courts have decided you are legally entitled to sell, but a new law is enacted making it both illegal to advertise or purchase it… Am I missing something here? In December 2013, the Supreme Court of Canada, in…

    gozzter

    June 12, 2014
    Uncategorized
    Canada, government, New Zealand prostitution law, nordic model, prostitution, prostitution laws, Supreme Court, Supreme Court decisions, Supreme Court of Canada
  • Violence Against Women

    According to a recent meta-analysis by the World Health Organization, one in three women worldwide are subject to intimate partner violence (IPV) http://www.sciencemag.org/content/340/6140/1527.short . And it’s not just a third world problem either, as we Canadians with our often parochial outlook would no doubt like to believe. True, some countries seem to be over-represented: ‘East…

    gozzter

    June 5, 2014
    Uncategorized
    Aboriginal women, British Medical Journal, intimate partner violence, IPV, meta-analysis, screening for domestic violence, Violence, violence against women, WHO, women, World Health Organization
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