Monthly Archives: May 2012

Red wine, chocolate, add coffee to the list…

Now, my colleague and friend in Belgium has been telling me for some years that chocolate is good for me and I should eat more. I interpreted this as an attempt on his part to boost the Belgian export market … Continue reading

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And relax…

Really – the world is becoming a funny place.  A few years ago – the likes of the iphone and ipad were objects of pure fantasy, lusted after by gadget-mad men while watching the latest Bond film.  Are our lives … Continue reading

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Can tiredness be a reason rather than an excuse….

The world we live in is so pampered, so privileged and so very harsh.  When did it become acceptable to view tiredness as a failure, a sign of weakness that one should just rise above?  We all race around as … Continue reading

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Epilepsy in pregnancy – sodium valproate safety

Epilepsy is a problem in pregnancy although in general women will not see an increase in seizure frequency. Looking at the literature the obstetric implications are not as clear-cut as one might think. However in general it has been thought … Continue reading

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What should I do about an abnormal smear in pregnancy?

We don’t usually take smears in pregnancy but sometimes a smear is taken before you realise you are pregnant. At other times you may have had an abnormal smear before the pregnancy and your doctors may want to keep a … Continue reading

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Should my daughter have the HPV vaccine?

HPV vaccination is working very well and is extremely safe and the WHO, as well as a number of governments, has recommended that it is given to all girls and young women. Since its introduction in 2007, it has been … Continue reading

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Picture of the week: St Pauls Cathedral from the south bank along the Millennium bridge

 St Paul’s is the fifth cathedral to have stood on the site since 604, and was designed by Sir Christopher Wren and built between 1675 and 1710, after its predecessor was destroyed in the Great Fire of London. This was … Continue reading

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Do you need expensive ultrasound machines to get the diagnosis right?

Doctors love fancy bits of kit, and there is no better example of this than when it comes to ultrasound  imaging. There are fabulous machines around that give spectacular images – but how good does an image have to be … Continue reading

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Diet and exercise in pregnancy – BMJ paper shows value for intervention

I think everyone knows the old adage that pregnant women are “eating for two” is not only wrong but positively unhealthy. Yesterday in the British Medical Journal, Shakila Thangaratinam and colleagues published an analysis of papers designed to see if … Continue reading

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Morbidity from ectopic pregnancy is more likely to reflect the quality of care than anything else…

As trainee gynaecologists one of the first things we learnt is the idea that a women with pain/bleeding/almost any symptoms has an ectopic pregnancy until proved otherwise. Over time maybe this teaching has slipped. In a recent study from Nora … Continue reading

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