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Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 9) – Informed consent (i)

8 December 2021 |
It is one year ago today that Justice Judianna Barnes sentenced Dr Mak Wan-ling to be incarcerated for three and half years for a crime she did not commit (see parts 1-4 of this blog).

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 16) – Aggravating factors

28 February 2022 |
The Judge just cannot say, “Lee’s airway and oxygenation were not established or maintained”. This is nonsensical from the perspective of a person trained in medicine. Even more senseless from a person who is not. If Lee’s airway was not established and maintained, how did Lee survive a three-hour operation, albeit in the prone position and without developing any signs of cyanosis?

How I Do It - Nose reshaping using advanced fillers

1 February 2016 | | PMFA - Aesthetic Medicine, PMFA - Rhinoplasty
Nose reshaping, often inappropriately referred to as the ‘non-surgical rhinoplasty’, is one of the procedures where good outcomes are more difficult to achieve when using dermal fillers alone. The alternative has usually been to perform a conventional surgical rhinoplasty and...

How I Do It - Facial rejuvenation – treating sun‑damaged skin

1 April 2019 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
It is reasonably easy for the medical professional to underestimate the impact of appearance on a patient’s quality of life. Sun-tanned skin is viewed as healthy and desirable, and overseas vacations offer almost guaranteed sunny days. Paradoxically, prematurely aged skin...

An update from SIME

28 February 2022 | | PMFA - Aesthetic Medicine
Since its founding in 1975 SIME (the Italian Society of Aesthetic Medicine) has always set goals revolving around research, study and the acquisition of knowledge in regards to aesthetic medicine. This includes ensuring the sharing of information with its members,...

The REAL Clinic: the sustainable building and running of a new clinic

3 February 2023 | | PMFA - General Plastic Surgery
Naveen Cavale is CEO and Consultant Plastic Surgeon at the REAL Clinic, a small clinic near the Battersea Power Station, South London. He has offered The PMFA Journal his insights into the setting up, and running, of a new hospital....

Focus on: Cosmeceuticals (part 2 - continued)

1 June 2016 | | PMFA - Aesthetic Medicine
The previous sections in this special focus (see Cosmeceuticals (part 2) and Skin anatomy and photoageing and Definitions, regulations and a review of the market) have covered skin anatomy, photoageing and cosmeceutical ingredients in detail. In this section I will...

UK allergy crisis: deploy the ‘LIMED’ mnemonic

1 October 2019 | | PMFA - CPD, PMFA - General Plastic Surgery
In response to the revelation that allergies now cost the NHS approximately £900 million pounds per year, Professor Frame and colleagues in Chelmsford explain why the mnemonic ‘LIED’ needs to be updated.

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 23a) – forensic snoring

21 April 2022 |
If a person is snoring that means they are breathing. If they are breathing and their skin is of a normal colour does that not suggest that they are oxygenating the tissues?

How I Do It - Congenital midline cervical cleft excision and reconstruction

29 June 2023 | | PMFA - General Plastic Surgery, PMFA - Facial Plastic Surgery, PMFA - Maxillofacial Surgery
Congenital midline cervical cleft (CMCC) is an extremely rare malformation comprising: a cranial soft tissue protuberance and a caudal blind-ending sinus connected by a vertical defect of absent or atrophic skin with an underlying subcutaneous fibrous cord that can extend...

The fault in our scars

5 July 2024 | | PMFA - Dermatology
A groundbreaking study recently presented to the British Association of Plastic, Aesthetic and Reconstructive Surgeons (BAPRAS – www.bapras.org.uk), conducted at Great Ormond Street Hospital, in collaboration with the University of Toronto's Hospital for Sick Kids and University College London, has...

Submandibular haematoma with airway obstruction following a warfarin overdose

1 June 2017 | | PMFA - Maxillofacial Surgery
Submental and submandibular abscesses are frequent in oral and maxillofacial surgery; on the other hand submandibular haematomas are uncommon. However, we encountered a submandibular haematoma, initially masked as a Ludwig’s angina, which was compromising the airway of a warfarinised patient...