Max’s Maxim Number 1

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

2. Max’s Maxim Number 2 • Parenthood is a worry • And it doesn’t end when the baby is born

3. Max’s Maxim Number 3 • Nature did not intend that a woman should have too many menstrual periods • She is supposed to be pregnant, breast- feeding, postmenopausal or dead • And the next best alternative is being on the Pill • Or putting the Pill into her uterus (Mirena)

4. Max’s Maxim Number 4 • Vaginal oestrogen is using HRT where you need it most • And without all of the side effects

5. Max’s Maxim Number 5 • Evaluating a person’s genetic makeup by doing a chromosomal analysis • Is a bit like looking at a map of the world • And checking that all the continents are in the right place

6. Max’s Maxim Number 6 • Mr Gates has a lot to answer for in this world

7. Max’s Maxim Number 7 • Obstetrics is easy • It’s obstetric politics that is bloody difficult

8. Max’s Maxim Number 8 • The problem with radiologists is that they are forever seeing things • And then they usually recommend further imaging!

9. Max’s Maxim Number 9 • The problem with pathologists is that they are forever wanting more

10. Max’s Maxim Number 10 • The clue to the present problem is often in the past • So please get me this patient’s previous medical record

11. Max’s Maxim Number 11 • Good medicine does not consist of doing every test that you can think of • The best medicine is doing only the right test(s) • At the right time

12. Max’s Maxim Number 12 • Beware of the multi who requires forceps or ventouse. • It is often OP or too big

13. Max’s Maxim Number 13 • Sometimes, the greatest hazard to good medical care. • Is the size of the patient’s hospital record • So please think before you add another page!

14. Max’s Maxim Number 14 • The mentality of the shift worker teaches that someone else will do the job… • If you drag your feet for long enough

15. Max’s Maxim Number 15 • Unfortunately, there are quite a few medical problems for which there is neither prescription nor operation • Fortunately, most of these get better or become more bearable with the passage of time

16. Max’s Maxim Number 16 • There is no disease that is easier to cure than the one that does not exist

17. Max’s Maxim Number 17 • Using an ultrasound machine without using a few of its knobs is like driving a car only in the first gear • It’s a safe way to go… • But you don’t get very far

18. Max’s Maxim Number 18 • It is time to retire when… • You think that the main indication for induction of labour is SOBP (sick of being pregnant) and the main indication for hysterectomy is SOHP (sick of having periods)

19. Max’s Maxim Number 19 • Induction of labour is better with Prostaglandins • Regardless of parity or the state of the cervix • (Based on RCOG Guidelines)

20. Max’s Maxim Number 20 • Induction of labour using Prostaglandins is like making love • The more time you spend in the beginning the better it is at the end

21. Max’s Maxim Number 21 • The best view • Is the one that you walk for

22. Max’s Maxim Number 22 • Food tastes better out of doors

23. Max’s Maxim Number 23 • You know that you are getting old when… • The best part of your day is memories