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A novel integrated practice unit (IPU) approach to periocular skin cancer management

2 February 2024 | | PMFA - Oculoplastic
The COVID-19 pandemic was one of the biggest challenges to face NHS workers. However, history has repeatedly shown that times of difficulty can result in the development of significant social and technological advances. We describe our own experience of this...

The challenge of reinterpreting past data through the lens of advances in skin biome research

2 February 2024 | | PMFA - Dermatology
Advances in technology have allowed scientists to expand their understanding of the complex interactions that occur between humans and the microbes that reside on and inside their bodies. However, these same advances present a challenge to scientists and clinicians to...

OPINION - Raising awareness of the dangers of local anaesthetic misuse in aesthetic procedures

3 October 2023 | | PMFA - Aesthetic Medicine, PMFA - General Plastic Surgery
This article will explore local anaesthesia (LA) and how its misuse can have severe negative consequences. We will also look into how we can address this important issue and help make the industry safer for patients. In the last few...

Recent developments in facelift surgery

3 October 2023 | | PMFA - Facial Plastic Surgery
Early facelifting procedures were documented in the 1900s, where skin undermining with excess skin excision along the hairline was performed. The 1970s witnessed a major change with an upsurge in public interest in facelift surgery, which led to innovative changes...

Part four: Aye, Aye. AI?

9 April 2025 | | AI, clinical guidelines, good practice, technology, artificial intelligence, oncology, melanoma, cosmetic, aesthetic surgery
“Formal clinical guidelines would provide a structured, evidence-based approach to managing patients who have undergone melanoma treatment and are considering elective surgery. This would enhance patient safety, standardise care, and support informed decision-making. Given the increasing prevalence of melanoma and...

Obituary: Michael Felix Freshwater, MD 1948-2016

17 October 2016 |
Revelation By Robert Frost (my favourite American Poet) WE make ourselves a place apartBehind light words that tease and flout,But oh, the agitated heartTill someone find us really out. ‘Tis pity if the case require(Or so we say) that in...

The New Doctors Contract NHS England – a brief summary

22 November 2016
This is intended to provide a quick summary of recent events, an outline of the current problems, including the contract, and whistle-blowing, and what we can do to address them. BackgroundIn November 2015, after a new contract was proposed, 98%...

Perceptions and Deceptions (A Death in Hong Kong.) 6 December 2016

6 December 2016 |
An evolving essay and insight into Medicine and the Law in contemporary Hong Kong. A girl’s brain was destroyed due to medical negligence. She had entrusted her life to a celebrity cosmetic surgeon who was going to make her breasts...

Perceptions and deceptions: a personal blog by the editor 8 December 2016

8 December 2016 |
A Death in Hong Kong An evolving essay and insight into medicine and the law in contemporary Hong Kong (part two). The death of a young person. A fit and healthy person. A person for whom adult life has only...

Reflections on the criticism of the criticism of the NHS

5 October 2017 |
Surfing my FB pages the other day I came across a link to a blog written by Dr Rachel Clarke, a Medical Writer, Feminist and Junior Hospital Doctor from Oxford. Rachel had written this in response to The Telegraph headline...

First there was Sophia

4 January 2019 | Written by
A robot is a man-made machine which can do some things by itself. It is not alive. It has no physiology. But it does have a source of energy, sensors to interact with the external world, a rudimentary nervous system...

Letter from Hong Kong (13 April 2020)

14 April 2020 |
Now is not the time to start spreading blame. There will be time for that later. At the same time, now, is the time to recognise the great courage required in true leadership.