NileshBabu

Visually delight stuff & some research in between

Why do men become gynaecologists?

In the days when all doctors were men, all gynaecologists obviously were too. A few may have chosen the specialty for dubious motives but, having done a few gynaecology outpatient sessions myself, there's nothing remotely titillating about it. Most male gynaecologists just have a fascination for the subject.

This enthusiasm was first documented by J Marion Sims, a bloke who practised surgery in Alabama in the 19th century and is credited as the founder of modern gynaecology. Of one patient with a fistula (an abnormal connection between vagina and bladder) he wrote: "Introducing the bent handle of a spoon I saw everything as no man had ever seen before. The fistula was as plain as the nose on a man's face." You might query his note-taking but Sims enjoyed his work. He may have liked looking, but with detached objectivity not lust. He invented a speculum, a catheter, several new surgical techniques and kept a straight face when a patient "was embarrassed by an explosive sound of air". A true professional.

There are now far more women in medicine and gynaecology, and you've got a good chance of being treated by a female doctor – more so if you ask. But the sex of a doctor is far less important than the manner.

Filed under  //   doctors   gynaecologists   independent   medicine   men  

Who Will Determine Who Pays for Equality in Health Care ?

Imagine that someone invented a pill even better than the one I take. Let’s call it the Dorian Gray pill, after the Oscar Wilde character. Every day that you take the Dorian Gray, you will not die, get sick, or even age. Absolutely guaranteed. The catch? A year’s supply costs $150,000.

Anyone who is able to afford this new treatment can live forever. Certainly, Bill Gates can afford it. Most likely, thousands of upper-income Americans would gladly shell out $150,000 a year for immortality.

Most Americans, however, would not be so lucky. Because the price of these new pills well exceeds average income, it would be impossible to provide them for everyone, even if all the economy’s resources were devoted to producing Dorian Gray tablets.

So here is the hard question: How should we, as a society, decide who gets the benefits of this medical breakthrough? Are we going to be health care egalitarians and try to prohibit Bill Gates from using his wealth to outlive Joe Sixpack? Or are we going to learn to live (and die) with vast differences in health outcomes? Is there a middle way?

Filed under  //   bill gates   economics   health care   medicine   nytimes