musingsonwomenshealth.com

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

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  • Health Care Provisos

    I think one’s occupation tends to encourage a tightly focussed view of only one lane on the road, and a trust that it and it alone will lead to the intended destination. In my hitherto tunnelled vision, it had always been the Medical Model that dominated -to the exclusion of any rival Magisterium. But as time matures, I have…

    gozzter

    June 14, 2013
    Uncategorized
    allocation of health care resources, doctor’s role in health care provision, health care, Women’s Health issues
  • The Medical Illustrator

    I am an illustrator, a drawer of pictures, if not by aptitude, then by necessity. Many of the concepts I am required to explain beg for diagrams, for pictures, for some sort of visual representation. It is amazing, for example, how many people do not know what a uterus looks like, what’s attached to it,…

    gozzter

    June 7, 2013
    Uncategorized
    medical illustrations, Medical information, medical sensitivity, women’s issues
  • Mother-Baby Units in Prisons

    Mothers keeping their babies while in prison -a great idea? I have to admit that I hadn’t thought much about it until the Media publicized a case being considered by the British Columbia Supreme Court. A mother-baby program was cancelled at a regional institute in 2008 and the contention is that this not only violated an…

    gozzter

    June 1, 2013
    Uncategorized
    Babies with mothers in prison, Baby rights, women and the justice system, Women’s Health issues, women’s rights
  • Patient Ethics.

    Lately, I’ve been thinking a lot about ethics; I’m not sure why, although I suppose it’s a common attribute of age: a way, perhaps, of appraising one’s own affect on the world. I’ve written before about the usual constituents of an ethical assessment: Respect of Autonomy -respect, in other words, for a different opinion; Justice -or…

    gozzter

    May 24, 2013
    Uncategorized
    doctor-patient relationship, medical relationship expectations, patient responsibilities, Transpositional medical ethics
  • Is there ever a correct answer?

    “Doctor, can I still get pregnant?” -a seemingly straightforward question, I suppose: quote her some statistics derived from her age, past history and current medical status. But in reality, it’s probably not a single question she’s asking. In many respects, it’s a philosophical question with many facets to consider; it requires a thoughtful reply. Philosophy, as Michael…

    gozzter

    May 17, 2013
    Uncategorized
    Analysing questions, Can I still get pregnant? Women’s issues, Doctors’ answers, listening, listening as therapy, medicine, philosophy, Women’s Health issues
  • Sex Selection… or Any Selection

    Another day, another march. This time it was the March for Life in Ottawa where the usual Pro-Life rhetoric was rebranded as being against sex-selection abortions. A worthy cause, for sure, and probably more universally palatable than condemning all abortions -whether done for medical, genetic, or even social reasons- as they have in the past. And by aligning themselves with the…

    gozzter

    May 11, 2013
    Uncategorized
    abortion, choice, gendercide, medical ethics, opinion compromise, Sex selection, vexing questions, women’s issues
  • The Objective Doctor

    Is there objectivity in Medicine? Is it even possible? Can there ever be a decision or an opinion that is not contingent and shaped by something not currently obvious? If we engage with someone, are we not also conversing with their past? And are they not interacting with our own shadows? I ask this because I have always wondered…

    gozzter

    May 3, 2013
    Uncategorized
    Alternate therapies, bias in Medicine, medical opinions, Objectivity, women’s health
  • Intimations of Mortality

    It’s never easy to be a doctor -especially an obstetrician. Accouchement is just too unpredictable; babies are just too vulnerable, too fragile. Too many things can go wrong. Quickly. Unexpectedly. Too many people are affected -the doctor included. Most of us travel through our days in the naïve hope that we will somehow escape unscathed; that bad things…

    gozzter

    April 26, 2013
    Uncategorized
    birth complications, expectations of birth, Grief, limitations of Medicine, Medical tragedies, patient expectations, pregnancy complications, Women’s Health issues
  • Memories

    She looked familiar; you have to give me that. And my receptionist nodded and smiled as I picked up the chart from the rack by the waiting room; I knew that nod -obviously I’d seen her before. I’ve seen so many patients over the years, and I don’t remember them all, so I appreciate these little cues from…

    gozzter

    April 19, 2013
    Uncategorized
    celebrities as patients, normalizing patients, Remembering patients, women’s issues
  • The Great Divide

    Is there a Great Divide? Strange, perhaps, that the question has continued to haunt me all these years; but you see, if there is, it matters. As I’ve written about before, we each see the world through our own eyes and bring to that perception our own acculturated expectations, our own history, and yes, our own prejudices.…

    gozzter

    April 12, 2013
    Uncategorized
    Do we mean the same thing? Can we ever understand each other?, doctor/patient communication, doctor/patient relationship, Perception and reality, woman’s issues, women’s health
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