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Max’s Maxim Number 1 Every woman should have her Every woman should have her second baby first second baby first

Max’s Maxim Number 1 Every woman should have her second baby first

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Page 1: Max’s Maxim Number 1 Every woman should have her second baby first

Max’s Maxim Number 1

Every woman should have her second baby Every woman should have her second baby firstfirst

Page 2: Max’s Maxim Number 1 Every woman should have her second baby first

Max’s Maxim Number 2

Parenthood is a worryParenthood is a worry

And it doesn’t end when the baby is bornAnd it doesn’t end when the baby is born

Page 3: Max’s Maxim Number 1 Every woman should have her second baby first

Max’s Maxim Number 3

Nature did not intend that a woman should Nature did not intend that a woman should have too many menstrual periodshave too many menstrual periods

She is supposed to be pregnant, breast- She is supposed to be pregnant, breast- feeding, postmenopausal or deadfeeding, postmenopausal or dead

And the next best alternative is being on the And the next best alternative is being on the PillPill

Or putting the Pill into her uterus (Mirena)Or putting the Pill into her uterus (Mirena)

Page 4: Max’s Maxim Number 1 Every woman should have her second baby first

Max’s Maxim Number 4

Vaginal oestrogen is using HRT where you Vaginal oestrogen is using HRT where you need it mostneed it most

And without all of the side effectsAnd without all of the side effects

Page 5: Max’s Maxim Number 1 Every woman should have her second baby first

Max’s Maxim Number 5

Evaluating a person’s genetic makeup by Evaluating a person’s genetic makeup by doing a chromosomal analysisdoing a chromosomal analysis

Is a bit like looking at a map of the worldIs a bit like looking at a map of the world

And checking that all the continents are in And checking that all the continents are in the right placethe right place

Page 6: Max’s Maxim Number 1 Every woman should have her second baby first

Max’s Maxim Number 5a

Having an operation is a bit like roadworksHaving an operation is a bit like roadworks

Things will be worse before they get betterThings will be worse before they get better

And you have to go a lot slower in the And you have to go a lot slower in the meantimemeantime

Page 7: Max’s Maxim Number 1 Every woman should have her second baby first

Max’s Maxim Number 6

Mr Gates has a lot to answer for in this Mr Gates has a lot to answer for in this worldworld

Page 8: Max’s Maxim Number 1 Every woman should have her second baby first

Max’s Maxim Number 6a

You can surf the InternetYou can surf the Internet

Or just iPaddleOr just iPaddle

Page 9: Max’s Maxim Number 1 Every woman should have her second baby first

Max’s Maxim Number 7

Obstetrics is easyObstetrics is easy

It’s obstetric politics that is bloody difficultIt’s obstetric politics that is bloody difficult

Page 10: Max’s Maxim Number 1 Every woman should have her second baby first

Max’s Maxim Number 8

The problem with radiologists is that they The problem with radiologists is that they are forever seeing thingsare forever seeing things

And then they usually recommend further And then they usually recommend further imaging!imaging!

Page 11: Max’s Maxim Number 1 Every woman should have her second baby first

Max’s Maxim Number 9

The problem with pathologists is that they The problem with pathologists is that they are forever wanting moreare forever wanting more

Page 12: Max’s Maxim Number 1 Every woman should have her second baby first

Max’s Maxim Number 10

The clue to the present problem is often in The clue to the present problem is often in the pastthe past

So please get me this patient’s previous So please get me this patient’s previous medical recordmedical record

Page 13: Max’s Maxim Number 1 Every woman should have her second baby first

Max’s Maxim Number 11

Good medicine does not consist of doing Good medicine does not consist of doing every test that you can think ofevery test that you can think of

The best medicine is doing only the right The best medicine is doing only the right test(s)test(s)

At the right timeAt the right time

Page 14: Max’s Maxim Number 1 Every woman should have her second baby first

Max’s Maxim Number 12

Beware of the multi who requires forceps or Beware of the multi who requires forceps or ventouse.ventouse.

It is often OP or too bigIt is often OP or too big

Page 15: Max’s Maxim Number 1 Every woman should have her second baby first

Max’s Maxim Number 13

Sometimes, the greatest hazard to good Sometimes, the greatest hazard to good medical care.medical care.

Is the size of the patient’s hospital recordIs the size of the patient’s hospital record

So please think before you add another So please think before you add another page!page!

Page 16: Max’s Maxim Number 1 Every woman should have her second baby first

Max’s Maxim Number 14

The mentality of the shift worker teaches The mentality of the shift worker teaches that someone else will do the job…that someone else will do the job…

If you drag your feet for long enoughIf you drag your feet for long enough

Page 17: Max’s Maxim Number 1 Every woman should have her second baby first

Max’s Maxim Number 15

Unfortunately, there are quite a few medical Unfortunately, there are quite a few medical problems for which there is neither problems for which there is neither prescription nor operationprescription nor operation

Fortunately, most of these get better or Fortunately, most of these get better or become more bearable with the passage of become more bearable with the passage of timetime

Page 18: Max’s Maxim Number 1 Every woman should have her second baby first

Max’s Maxim Number 16

There is no disease that is easier to cure There is no disease that is easier to cure than the one that does not existthan the one that does not exist

Page 19: Max’s Maxim Number 1 Every woman should have her second baby first

Max’s Maxim Number 17

Using an ultrasound machine without using Using an ultrasound machine without using a few of its knobs is like driving a car only a few of its knobs is like driving a car only in the first gearin the first gear

It’s a safe way to go…It’s a safe way to go…

But you don’t get very farBut you don’t get very far

Page 20: Max’s Maxim Number 1 Every woman should have her second baby first

Max’s Maxim Number 18

It is time to retire when…It is time to retire when…

You think that the main indication for You think that the main indication for induction of labour is SOBP (sick of being induction of labour is SOBP (sick of being pregnant) and the main indication for pregnant) and the main indication for hysterectomy is SOHP (sick of having hysterectomy is SOHP (sick of having periods)periods)

Page 21: Max’s Maxim Number 1 Every woman should have her second baby first

Max’s Maxim Number 19

Induction of labour is better with Induction of labour is better with ProstaglandinsProstaglandins

Regardless of parity or the state of the Regardless of parity or the state of the cervixcervix

(Based on RCOG Guidelines)(Based on RCOG Guidelines)

Page 22: Max’s Maxim Number 1 Every woman should have her second baby first

Max’s Maxim Number 20

Induction of labour using Prostaglandins is Induction of labour using Prostaglandins is like making lovelike making love

The more time you spend in the beginning The more time you spend in the beginning the better it is at the endthe better it is at the end

Page 23: Max’s Maxim Number 1 Every woman should have her second baby first

Max’s Maxim Number 21

The best viewThe best view

Is the one that you walk forIs the one that you walk for

Page 24: Max’s Maxim Number 1 Every woman should have her second baby first

Max’s Maxim Number 22

Food tastes better out of doorsFood tastes better out of doors

Page 25: Max’s Maxim Number 1 Every woman should have her second baby first

Max’s Maxim Number 23

You know that you are getting old when…You know that you are getting old when…

The best part of your day is memoriesThe best part of your day is memories

Page 26: Max’s Maxim Number 1 Every woman should have her second baby first

Max’s Maxims

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