musingsonwomenshealth.com

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

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  • A test for Alzheimer’s Disease…

    Now here’s a scientific and epidemiologic conundrum: Suppose you develop a test that will give you advance warning of a fatal disease you can neither treat nor prevent. But that foreknowledge might allow an understanding of the really early aspects of the disease -while it was still asymptomatic- that could eventually lead to a treatment. Especially if…

    gozzter

    March 20, 2014
    Uncategorized
    Alzheimer’s disease, conundrum, Dementia, disease, guidelines, screening, screening criteria, test, treatable, treatment, WHO screening parameters
  • Diet in Pregnancy

    There was a time when the prevailing dietary wisdom was simple: food contained calories, weight was a function of caloric imbalance. If you used less calories than you took in you gained weight, and vice versa. It was intuitively appealing and it still is; anybody with even an elementary grasp of mathematics understands. But it is becoming increasingly…

    gozzter

    March 14, 2014
    Uncategorized
    diet, dietary wisdom, food, food choices, health, pregnancy, prematurity
  • Once Upon a Time…

    You learn new things every day; sometimes, learning about learning is one of them. I am learning about babies. As an obstetrician, I deal with them every day -or, more accurately, them as developing organisms- from shortly after conception until birth. Then, as the mother’s needs change -and the baby’s- I kind of lose track…

    gozzter

    March 7, 2014
    Uncategorized
    infant development as a story, infant vocabulary, talking to babies, toddlers’ development, women’s health
  • Just Right Baby Bear?

    There is a problem in the modern world, I think: we honestly believe there is an answer to any question we ask if we pursue it with enough effort. It leads to unrealistic expectations and a suspicion that there should be no need to compromise -or if we do, a sense of disappointment that it…

    gozzter

    February 27, 2014
    Uncategorized
    foetal well-being, Medications in pregnancy, pregnancy health, risk of medications, risk-benefit ratios in pregnancy, safety in pregnancy, women’s health
  • Plus ca Change?

    You know if you wait long enough, what was old becomes new again. Old fashions become retro and are seriously nouveau. I don’t wear ties or cuffed pants, but I’m sure if I hunted around in the closet I could find something that would make a teenager’s eyes water. Theories are sometimes like that, although…

    gozzter

    February 21, 2014
    Uncategorized
    judgement in labour, Length of labours, length of second stage of labours, Women’s Health issues
  • Science and Simulacra

    One of the problems with Science for many people is that it keeps changing its mind. We are in an era when to say that an idea is scientifically proven is to imply that something profound has been uncovered: a truth has been revealed that is forever irrefutable. It is a time of global angst, when religions…

    gozzter

    February 14, 2014
    Uncategorized
    philosophy of science, reality, Science and reality, scientific theories
  • Homo Alarmus

    I have had alarm fatigue for quite some time now – years probably.  It’s something that kind of sneaks up on you from behind.  Silently. Like  a shadow in the moonlight, you’re not aware you have it until someone points it out. Tells you that it is interfering with seeing things already obscure. It is difficult…

    gozzter

    February 7, 2014
    Uncategorized
    alarm fatigue, alarms in health care, alarms in life, Safety in health care
  • Ad-monishments

    I have a confession to make -and I almost feel like it should be done behind a curtain in a soft, contrite whisper to someone who promises not to tell… It’s not something of which I am particularly proud, nor is it something that might not resolve itself over time -I honestly hope it does- but for…

    gozzter

    January 29, 2014
    Uncategorized
    Alternative treatments, Offensive health ads, Women’s health aids, women’s health concerns
  • Affairs of State?

    What is it about les affaires d’amour that seem to capture our interest? Wave for our attention?  I am reassured by the activity in the world’s blogs -not to mention its press- that I was not alone in noticing the recent fuss around the alleged affair of the president of France. Adam Gopnik’s piece in the BBC…

    gozzter

    January 24, 2014
    Uncategorized
    privacy in public life, right to privacy, Sexual affairs, Societal norms, Women’s Health issues
  • The Wandering Womb

    The science that brought you heart transplants, kidney transplants, and even lung transplants, is at it again -with a vengeance. Well, maybe I shouldn’t word it that strongly -I’m sure the folks that thought this one up assumed they were doing some good. And maybe they are… I mean, Science is good, right? I’ve always believed that…

    gozzter

    January 17, 2014
    Uncategorized
    alternatives to adoption, organ transplantation, pregnancy requirements, uterine surgeries, Uterine transplants, Women’s Health issues
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