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EXPERIENCE OF A MALE OB & GYN IN A MUSLIM CULTURE IN PAKISTAN.

As part of my post retirement ob & gyn activities, I spent two years in the early nineties, working at the Aga Kahn Medical School in Karachi, Pakistan. That is a most modern facility with excellent staff and resources and great medical students. One can imagine that the majority of obstetricians and gynecologists in a muslim country, like Pakistan, are female and that male ob & gyn might encounter some difficulties It was my distinct impression that often it is not the woman herself who objects to being examined and treated by a male, but rather the husband. An anecdote of a real situation which I encountered will illustrate this. One day I was sitting in my office next to the labor and delivery suite as one of the more junior female residents came running into my office, quite excited. “Doctor Le Maire, could you please come quickly? One of the laboring patients has some very major drop in the baby’s heartbeat. I am worried but cannot reach her private doctor and the doctor on call is in the operating room.” I ran over to the delivery suite with the resident and into the patient’s room. She was obviously in much discomfort and her husband was at her side. One of the first things an obstetrician may do when a woman in labor shows signs of some problem with the undelivered baby as evidenced by a drop in the baby’s heart rate, is to examine the woman vaginally. In doing so, the he or she can determine if the baby can be quickly delivered or if there is a reason for the drop in the baby’s heart rate, such as a loop of the umbilical cord being compressed by the head, in which case an immediate C- Section might be necessary. So I immediately put on a pair of sterile gloves and got ready to examine the woman. She herself was perfectly ready to let me do this, but her husband stopped me and told me that he objected to his wife being examined by a male. This was even in the face of a serious situation with potential for harm to his unborn baby. There was no time to be lost trying to reach one of the female attendings, so I did the next best thing and told the very junior resident to take the patient into the operating room and examine her there and let me know the findings, while I was getting the operating room organized to do a C-Section, if called for. The strange thing is that the husband would have let me do a C- Section on his wife, but not a vaginal exam. As it turned out, by the time the patient ended up in the operating room, her private doctor had been located and was in attendance. The outcome was good and a healthy baby was delivered soon after. However the situation could have been quite different and catastrophic. Even stranger to me was that the woman’s husband was not a lay person but actually a chief resident in anesthesiology in the same hospital, with whom I had worked together in the operating room on a number of occasions. I would never have thought that an educated person and a medically educated person at that, would jeopardize the well being of his unborn child and wife, based on cultural and religious beliefs. Later on in the year this same anesthesiology resident came to ask me for a letter of recommendation as he wanted to apply for a specialized fellowship in the USA. I hope that the reader can understand why I politely (perhaps not so politely) refused. Those interested can read more about my experiences in an e book, entitled "Crosscultural Doctoring. On and Off the Beaten Path." One can down load it for free to the reader device of your choice from Smashwords at: http://smashwords.com/books/view/161522. Or just Google Crooscultural Doctoring.  
DR William LeMaire
almost 3 years ago
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Labor and Delivery

Labor differs from woman to woman and from pregnancy to pregnancy, but common signs and symptoms can let you know when it is starting. Contractions that incr...  
youtube.com
almost 3 years ago
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Menstrual Pain

Menstrual pain is common in women of all ages. It's the feeling of cramps you get in your lower belly with your monthly period. Menstrual pain usually isn't ...  
youtube.com
almost 3 years ago
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Women in Psychology

1966-1979 Recieved numerous grants in two research areas (psychophysiology of autism and the development of parent training as a treatment for children with conduct disorder)  
psychology.okstate.edu
almost 3 years ago
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François Truffaut - Wikipedia, the free encyclopedia

François Roland Truffaut (French: [fʁɑ̃.swa ʁɔ.lɑ̃ tʁyfo]; 6 February 1932 – 21 October 1984) was a French film director, screenwriter, producer, actor, and film critic, as well as one of the founders of the French New Wave.[1] In a film career lasting over a quarter of a century, he remains an icon of the French film industry, having worked on over 25 films. Truffaut's film The 400 Blows came to be a defining film of the French New Wave movement. He also directed such classics as Shoot the Piano Player (1960), Jules et Jim (1961), The Wild Child (1970), Two English Girls (1971), Day for Night (1973) and The Woman Next Door (1981).  
en.wikipedia.org
about 3 years ago
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Internuclear ophthalmoplegia

An elderly woman had a fall. On examination she has an unusual constellation of eye movements. What's going on?  
lifeinthefastlane.com
about 3 years ago
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MONTESSORI FAQ's

Q. Where did Montessori come from? A. Montessori (pronounced MON-tuh-SORE-ee) education was founded in 1907 by Dr. Maria Montessori, the first woman in Italy to become a physician. She based her educational methods on scientific observation of children's learning processes. Guided by her discovery that children teach themselves, Dr. Montessori designed a "prepared environment" in which children could freely choose from a number of developmentally appropriate activities. Now, nearly a century after Maria Montessori's first casa dei bambini ("children's house") in Rome, Montessori education is found all over the world, spanning ages from birth to adolescence.  
michaelolaf.net
about 3 years ago
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John Amos Comenius - Wikipedia, the free encyclopedia

John Amos Comenius (Czech: Jan Amos Komenský; German: Johann Amos Comenius; Latinized: Ioannes Amos Comenius; 28 March 1592 – 15 November 1670)[1] was a Czech philosopher, pedagogue and theologian from Margraviate of Moravia.[2][3] He served as the last bishop of Unity of the Brethren and became a religious refugee and one of the earliest champions of universal education, a concept eventually set forth in his book Didactica Magna. He is considered the father of modern education.[4][5] Comenius was the innovator who first introduced pictorial textbooks, written in native language instead of Latin, applied effective teaching based on the natural gradual growth from simple to more comprehensive concepts, supported lifelong learning and development of logical thinking by moving from dull memorization, presented and supported the idea of equal opportunity for impoverished children, opened doors to education for women, made instruction universal and practical. Besides his native Bohemian Crown, he lived and worked in other regions of the Holy Roman Empire, and other countries: Sweden, the Polish-Lithuanian Commonwealth, Transylvania, England, the Netherlands and Hungary.  
en.wikipedia.org
about 3 years ago
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About Mary Ferrell

Mary Ferrell was a woman of rare ability, regarded internationally as one of the most knowledgeable and respected historical researchers of the assassination of John F. Kennedy. She aided many authors and other researchers in their work, and compiled a vast name database and a detailed set of chronologies. Her skills as an investigator and historian were matched by her ability to educate and stimulate those around her. This website is devoted to carrying on her work and spirit.  
maryferrell.org
about 3 years ago
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Connor Sparrowhawk death: Voicemail abuse left by Southern Health worker - BBC News

A woman who left an abusive voice message for a mother whose son died at a mental health unit is an employee of the unit's NHS trust, police say.  
bbc.co.uk
about 3 years ago
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Photophobia and a painful rash

A 62 year old woman presented to eye casualty with a 10 day history of a left sided headache. Two days after her headache started she developed a painful and pruritic left sided rash. During the 24 hours before presentation, her left eye had become injected, painful, and photophobic.  
feeds.bmj.com
about 3 years ago
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Women over 50 'putting off cervical screening test' - BBC News

One in three women over 50 has delayed or not attended their cervical screening test which should take place every five years, according to a survey from a cervical cancer charity.  
bbc.co.uk
about 3 years ago
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Prescription Habits Predict Compliance With Breast Cancer Pills

The likelihood that a woman will take pills to keep her breast cancer from coming back is higher if she tended to consistently take medications as directed in the past, a new study found.  
medscape.com
about 3 years ago
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Folic Acid Linked to Less Autism in Kids of Women With Epilepsy

New research suggests that women with epilepsy who take an antiepileptic drug should start taking folic acid supplements as early as possible in pregnancy, if not before.  
medscape.com
about 3 years ago
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Women 'nearly twice as likely to have anxiety' as men - BBC News

Anxiety disorders need more research and women are nearly twice as likely to be affected as men, a global review by University of Cambridge scientists finds.  
bbc.co.uk
about 3 years ago
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The power of vaccinating pregnant women - BBC News

Vaccinating pregnant women is crucial, and a way of plugging the "immunisation loophole" and protecting their unborn babies, says Lord Ara Darzi, writing for the BBC News website.  
bbc.co.uk
about 3 years ago
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Sarah Taylor: England wicketkeeper talks about anxiety issues

England women's wicketkeeper Sarah Taylor talks about her battle with anxiety, which has made her take a break from cricket to seek treatment.  
bbc.co.uk
about 3 years ago
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Women 'nearly twice as likely to have anxiety' as men - BBC News

Hannah Kara, 21, speaks about the social anxiety she has suffered, as a global review reveals women are nearly twice as likely to experience anxiety as men.  
bbc.co.uk
about 3 years ago
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Obesity Among Women in US Hits 40%; For Men, It's 35%

Black women had obesity rates up to 57.5%. The same national survey also finds a big gap in the morbidly obese: 5.5% of men and 9.9% of women. An editorial says prevention must start with women of child-bearing age.  
medscape.com
about 3 years ago
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Management of a new pregnancy in a woman with chronic hypertension

At first presentation of a newly pregnant woman with chronic hypertension, arrange prompt referral to an obstetrician, preferably one specialising in hypertension  
feeds.bmj.com
about 3 years ago