musingsonwomenshealth.com

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

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  • Medical Ethics 1

    Ethics in Medicine should be fairly obvious, don’t you think? Primum non nocere – variably translated as something like: ‘Most importantly, do no harm’- pretty well sums it up. And yet even that can be difficult.. Although there have been several formulations of various ethical tenets throughout the years, there seem to be four main principles involved:…

    gozzter

    April 5, 2013
    Uncategorized
    Justice, medical ethics, medical treatment of the poor, resource allocation, Women’s Health issues
  • Opinions

    I am sometimes bewildered; I live in an ever-changing sample of opinions -often at odds with my own. In many circumstances I would welcome, even encourage this potpourri, but usually the people holding these often colourful bouquets have come to me for answers, not more flowers. But what is it that differentiates an answer from…

    gozzter

    March 29, 2013
    Uncategorized
    doctor-patient relationships, internet diagnoses, medical opinions, opinions, self diagnosis, women’s health, women’s issues
  • Medical Mysteries

    I’ve always known that there is more to Medicine than Agape, more than a wish to provide succour, more than a desire -a need– to help, to solve, to heal. It provides, for example, an opportunity to learn about others, extend one’s boundaries, explore and experience the Theory of Mind, not to mention the wisdom that accrues to practicing…

    gozzter

    March 22, 2013
    Uncategorized
    medical mysteries, Problem solving, role of clues in medical diagnosis, women’s issues
  • Cause: an Effect?

    The real world: that’s where we are all supposed to live. The place where everything has a readily identifiable cause and everything makes sense -or would, if we were to delve sufficiently deeply. It’s a place where the absence of answers suggests inadequate investigation. I’d love to live there -in that particular world- but I suspect we all live in different…

    gozzter

    March 15, 2013
    Uncategorized
    gender bias in medicine, medical opinions, menstrual changes, Perspectives in health, women’s health
  • In Praise of Painted Toenails

    I went to a celebration last night, an acclamation of an event so unique and yet so common as to defy -almost- the need to single it out and frame it in the usual infinite regress of hyperbole it inevitably invokes: a birth. I have to admit that I enjoy birth, although as an obstetrician my perspective is necessarily more…

    gozzter

    March 9, 2013
    Uncategorized
    Celebration of Life, Delivery of a baby, medical perspective, the rewards of obstetrics, women’s issues
  • HPV

    Cancer of the uterine cervix is a sexually transmitted disease; it is the second most common cancer of women in the world and it is spread sexually. Who would have guessed? The clues were there all along, of course: it was more common in sex workers, and women who had become sexually active at an…

    gozzter

    March 1, 2013
    Uncategorized
    cancer of the cervix, cervical dysplasia, changes in screening procedures, counselling, HPV, HPV vaccine, Medical screening, Pap smears, sexually transmitted infections
  • Meanings

    Can we ever understand each other? Know what is being asked of us? It’s not just a medical problem; it’s universal, I suspect. And it’s one that entails far more than simply comprehending the meaning of a word in both its denotative (definitional) as well as its connotative (secondary, or evocative) usage. It involves apprehending -truly appreciating…

    gozzter

    February 22, 2013
    Uncategorized
    communication, doctor/patient relationship, listening, Meaningful encounters, medical communication, patient communication, relationship, understanding, wellness, women’s health, women’s issues, words
  • The Guardian

    To anyone watching from a distance, they were both very much in love. Hands entwined, bodies linked at hip and shoulder, they clung to each other like moss to a tree. Her eyes sought his for sustenance, energy, approval; their movement along the corridor and into the office was sinuous and choreographed. Synchronized swimming came to…

    gozzter

    February 16, 2013
    Uncategorized
    endometriosis, Gynaecology, Pain, partnership, pelvic pain, sexual issues, women’s health, women’s issues
  • The Humility of Age

    There is a humility that accompanies age, shuffles along beside it, tugs on its sleeve to attract attention. Or is it insecurity? Or maybe resignation? It’s a gradual thing -for me at least- and it surfaces mainly after a busy and sleepless night on call when the stark, brutal demons of decisions made, or actions taken, stalk the leaf-bare branches…

    gozzter

    February 8, 2013
    Uncategorized
    alternate solutions, Doubt, medical humility, medical opinion, on-call medicine, self-recrimination
  • Harm Reduction

    I have always been suspicious of zero-tolerance; it implies intolerance as much as anything else. A thousand people crossing a bridge, are a thousand people crossing a thousand bridges… We are simply not all the same, nor are our worlds, our needs, our perspectives. And even if some issue could be proven beyond a reasonable doubt, there would…

    gozzter

    February 1, 2013
    Uncategorized
    alcohol in pregnancy, harm reduction, medical rapport, trust
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