musingsonwomenshealth.com

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

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  • The Night of the Undead -Condom, that is… (female condom, I mean)

    They’re back! Well, sort of… My somewhat sketchy memories of them -professional, you understand- are that they resembled the plastic bags you get at a supermarket… not female condoms (FC1s). They didn’t look at all like condoms! In fact, I still remember the jokes about needing Walmart greeters on entry and theft alarms on exit -this from the women themselves. No one seemed particularly…

    gozzter

    January 9, 2014
    Uncategorized
    family planning, Female condom, improved condoms, women’s health concerns, Women’s Health issues
  • Teenage Sexuality

    It seems like every time I turn around nowadays, I learn something new about what my colleagues are doing -or not… A recent article published online in JAMA Pediatrics, Dec. 30/13 (abstract: http://archpedi.jamanetwork.com/article.aspx?articleid=1791584 ) suggests that we in the medical profession are not doing enough to disseminate information about sexual health -especially to teenagers. The study was…

    gozzter

    January 3, 2014
    Uncategorized
    gender barriers, generational barriers, medical advice, problems with addressing sexual health, rapport with teenagers, sexual education, sexual health, teenage sexuality
  • A Newborn Baby’s First for the New Year.

    I feel a little like Edward Snowden here but it has to come out sometime. Someone will blow the whistle eventually… There is no first baby of the New year! I know each hospital in every city competes for the honour. And then, at least in Canada, there are the provincial competitions, and even national winners… But it’s…

    gozzter

    December 27, 2013
    Uncategorized
    colostrum, First breast feed, new year’s first competitions, the value of firsts
  • An Obstetrical Christmas

    Christmas means different things to different people: stories surface, myths revive and the more hopeful among us find solace in the often blatant messages of charity and benevolence they radiate. I’m not sure why this time of year tugs so much on the heartstrings, but it does. We expect it; we await it; we demand it……

    gozzter

    December 20, 2013
    Uncategorized
    bridging cultural gaps, Christmas in the hospital, Christmas miracle, redemption
  • A night on call

    I got a thank you card the other day; someone had put it in my mailbox at the hospital.  I suppose it was nothing special, but it touched me: a name I didn’t recognize, an enclosed picture of a beautiful baby, and hand-written with unforgettable penmanship a heartfelt thanks that I had helped the couple in their moment of joy and unexpected…

    gozzter

    December 13, 2013
    Uncategorized
    appreciation, Fetal distress, life on obstetrical call, obstetrical emergencies, Role of an obstetrician, the rewards of obstetrics, Why I’m still an obstetrician
  • Nature versus Princess Nurture

    I’ve often wondered how much of a role acculturation plays in modelling who we are. Am I a gynaecologist because my mother restricted my prairie play-things to a rather effeminate teddy bear named Girl and a doctor’s bag that probably wasn’t? Or did I choose to play with them -as opposed to, say, waving tree…

    gozzter

    December 6, 2013
    Uncategorized
    children’s toys, gender expectations, gender roles, Goldieblox, women’s issues
  • Reflections on the Bell Curve

    We -many of us in the Western world at any rate- live our lives on a Bell Curve, thinking -hoping- we occupy a place near an out-lying position: the 5% area that presumes we are not just normal,  but rather, exceptional… And given the population numbers, there is time spent worrying that we are inadvertently drifting towards the center…

    gozzter

    November 29, 2013
    Uncategorized
    expectations of pain, Medical anxiety, Pain, perception of pain, The Bell Curve in medicine, woman’s health
  • The dangers of perceived wisdom

    The Court of Public Opinion -an interesting phrase to be sure. It implies the judgemental assessment of an action, an idea -an opinion- by society at large. An interpretation, not necessarily impartial or even appropriate. A reaction, really, to something that stands out as different in some way from that Public’s perceived norms. A Culture’s value system is usually encapsulated in what…

    gozzter

    November 22, 2013
    Uncategorized
    doctor/patient communication, medical ethics, patient responsibilities, Societal norms, societal values, women’s health
  • The Concept of Sober Second Thought in Medicine

    Perhaps it is the vain attempt of Age to maintain its relevance in a time of incessant, dizzying innovation, but it seems to me there is something to be said for reflection before action. We have here in Canada, a now much-derided political institution called the Senate whose members are appointed, not elected, and whose purpose is supposedly…

    gozzter

    November 15, 2013
    Uncategorized
    medical opinions, medical treatments, second thoughts, Women’s Health issues
  • Taking arms against a sea of troubles

    A quasi-existential question: what do you do if you are a doctor dealing with a patient you don’t like? More importantly, however, what if you are a patient, forced by necessity or circumstance to see a doctor you don’t like? This is a question that is often framed in terms of racial, socioeconomic or cultural…

    gozzter

    November 8, 2013
    Uncategorized
    doctor trust, doctor/patient communication, doctor/patient relationship, patient trust, rapport in medicine, Women’s Health issues
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