musingsonwomenshealth.com

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

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  • 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
  • Touch

    Several years ago, I noticed a lump in my neck; I was no longer young, and I was terrified. The differential diagnosis was given to me by a colleague I greatly respected, but I had not expected the presentation to be so matter of fact. I don’t know what I had anticipated, but somehow there was a gap between her words and my condition, between…

    gozzter

    January 25, 2013
    Uncategorized
    communication, medical communication, therapeutic touch, Women’s Health issues
  • Gender

    I am a prisoner of my age, a hostage to my generation; I never thought I’d say that, but I suppose none of us do… We are as contemporary as our minds and experience will allow. My own epiphany came, as I recall, when a patient engaged me in a discussion of gender. I had not…

    gozzter

    January 18, 2013
    Uncategorized
    Gender, gender discrimination, gender in medicine, gender neutral language, gender neutrality, gender roles, Societal norms
  • Screening Systems

    Science, or at least the scientific method, can disappoint can’t it? We are informed -assured- that something is correct, the right thing to believe, and then with the passage of time and the arrival of new data must suddenly disavow that ‘Truth’ and start all over again. The comforting feeling that we have at last apprehended the…

    gozzter

    January 11, 2013
    Uncategorized
    medical ethics, medical options, Medical screening, Pap smears, patient expectations, patient information, women’s health
  • Baby Boxes

    Baby Box. The term itself is innocuous enough -cute, even- but the controversy it has engendered is far from benign. The concept is a simple one: instead of abandoning an unwanted baby, it is possible to leave it safely and anonymously in an incubator, often associated with a hospital, and usually inconspicuously accessible via a little door…

    gozzter

    January 4, 2013
    Uncategorized
    Baby Boxes, choice, sensitivity, social policies
  • The Ethics of Counselling

    Primum non nocere -First, do no harm. I remember the phrase was used in one of the first lectures I attended in medical school and it nested -sometimes uncomfortably- in my conscience as the lectures and the years progressed. It would signal me from the back seat in Pharmacology lectures and tug on my sleeve in Physiology labs when…

    gozzter

    December 28, 2012
    Uncategorized
    beneficence and non-maleficence, counselling, hypnosis, medical ethics, primum non nocere.
  • Dermoid

    She was sitting in a black leather chair in the corner by the window holding a magazine in one hand. A small, thin woman in jeans and a black sweat shirt with  short blond hair, she watched the room like a television screen. Even in the confusion of a pregnancy-filled waiting room, she looked oddly at ease, content, smiling at the life…

    gozzter

    December 21, 2012
    Uncategorized
    Dermoid cyst, doctor’s knowledge, ovarian cysts, patient information, women’s health
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