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musingsonwomenshealth.com

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

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  • 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
  • What’s in a name… Cancer?

    Words are important. Quite aside from meaning, each has its own shade, its own temperature. Rose calls forth a mood, an emotion, an expectation that is quite distinct from, say, daisy. Words are little coloured post cards that tell stories and paint pictures; each word elicits a miniature portrait in the brain. Together, they tell stories, individually they hint at…

    gozzter

    November 1, 2013
    Uncategorized
    anachronistic names, cancer, communication, counselling, descriptive medical names, expectations, fear of names, Medical words, pre-cancer, women’s health concerns
  • Tainted Breast Milk

    I have to admit I’m worried. I’m worried that we have so successfully indoctrinated new mothers that their babies will suffer irredeemable hardships if not given breast milk, that they will seek it out whatever the source and wherever the source… My concern is not over the long-since proven benefits of breast milk, nor whether mothers…

    gozzter

    October 25, 2013
    Uncategorized
    Breast milk, breast milk donor banks, breast milk web sites, online breast milk sources, pregnancy expectations, safety of homologous breast milk, women’s health concerns
  • An exploration of Menopause as a Boundary Phenomenon.

    For years now, and especially as I age, I have been compelled by the idea of edges. Boundaries. Something different obtains there, something that differentiates them from whatever they demarcate. They are privileged areas, faerie-tale areas. Think, for example of silhouettes -treetops, say, against an evening sky; they are nothing but edges: intricately crocheted patterns, filaments of black against the dying…

    gozzter

    October 18, 2013
    Uncategorized
    boundary phenomena, menopause, woman’s health
  • A Canadian stem cell bank account?

    There is method in the madness, the desperate rush for ontogeny. Cells huff and puff, some listening for instructions, others heading off in all directions like missionaries to new and just-discovered worlds. It is a busy place, the initial blastocyst turning into a multicelled embryo, as ontogeny recapitulates phylogeny, organs materialize out of apparent chaos, and form…

    gozzter

    October 11, 2013
    Uncategorized
    Canadian cord blood banks, private versus public access to cord blood, Stem cell banks, stem cells, Women’s Health issues
  • Mental Health in prison?

    The degree of civilization in a society can be judged by entering its prisons –Dostoyevsky got that right. But in the years since he wrote it, have we learned anything? Have we learned enough? Prisons may have changed over the years to include more individual rights, more facilities and even more education… But for the most part they still…

    gozzter

    October 3, 2013
    Uncategorized
    mental illness, self-harm in confinement, women in prison
  • Are Secular Values Different?

    I am concerned. I am concerned that how I dress, where I come from, or even what values I hold dear will be held against me. I am concerned that who I am will matter less that how I appear. To paraphrase a recent Ontario ad, I am concerned that what I wear on my head will…

    gozzter

    September 27, 2013
    Uncategorized
    enforced secularism, medical secularism, parochialism, Secular values, societal values
  • The Ageing Gynaecologist: a Paean

    I grow old… I grow old… I shall wear the bottoms of my trousers rolled. Well, maybe not, but I do think that things unfurl differently with age. The world is just that little bit more tinged with memory, red-shifted as it were, softened with colours no longer as bright, but deeply embedded and integral. Constituent. Fundamental. I…

    gozzter

    September 20, 2013
    Uncategorized
    Medical perspectives, the older doctor, wisdom in medicine
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