musingsonwomenshealth.com

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

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  • Are Human Rights Contingent?

    Here’s a question: are human rights contingent or emergent? In other words, do they depend on the circumstances and the cultural milieu? Do they depend on the context in which the events in question are imbedded, and maybe even the time-frame –the Epoch? Or, do they exist a priori and exist no matter what the circumstances and so transcend any particular event? An existential…

    gozzter

    April 17, 2014
    Uncategorized
    circumstances, contingent, controversy, culture, emergent, history, Human rights, law, rights, Trinity Western, Trinity Western University
  • A Medical Chinese Curse?

    Change. We are condemned to live in interesting times, as the Chinese Curse purportedly observed -although there seems to be no evidence that there ever was such a curse, nor does anyone appear to have any idea what it means… But I have always assumed that it had to do with change, and our sometime antipathy to it.…

    gozzter

    April 11, 2014
    Uncategorized
    change, Change in Medicine, Chinese curse, curse of change, fomite, hospital infections, hospital uniform, lab coat, paradigm shift, paradigm shifts
  • A Picture is worth…

    Communication -explanation- in Medicine is so important that one might even consider it paramount. Except in circumstances where the patient receives a treatment of which she is unaware because of an accident or the severity of the illness, her understanding of the reasons for the therapy and the side effects it may engender often determines whether or not the…

    gozzter

    April 4, 2014
    Uncategorized
    communication, diagram, explanations, medical diagrams, medical explanations, pictures, women’s issues
  • Pregnancies can be Miracles

    The older I get, the more I wonder at the different Magisteria in which we become entangled. I am using the word in a metaphorical sense to mean sacred domains: sacrosanct issues rarely subject to closer interrogation -things we know because it is how we were raised, how our society apportions its sanctions and which, confirmation biases…

    gozzter

    March 28, 2014
    Uncategorized
    Caesarian hysterectomy, Caesarian section, double uterus., hemorrhage, hysterectomy, Magisteria, Magisterium, metaphorical, miracles, placenta, placenta percreta, placental attachment, pregnancy
  • 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
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