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Obituary: Michael Felix Freshwater, MD 1948-2016
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...How I Do It - Reduction thyroplasty
Introduction Male to female transgender patients often undergo reduction thyroplasty – a procedure to reduce the external appearance of the thyroid cartilage of the larynx, and feminisation of the voice. Reduction thyroplasty, often erroneously called ‘tracheal shave’, is one of...
Update on necrotising fasciitis
As a reviewer, there is always a temptation to select those articles in which one has a particular interest and to review them, rather than those which may very well deserve a review, but are outside one’s personal experience. So...Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 21) - Clinical practice guidelines and indictments
Because of liability issues there is a reluctance to make clinical practice guidelines (CPG) statutory requirements; that is to say, guidelines are ‘suggestions’, not ‘instructions’. And why is this important to this case?Perceptions and deceptions: a personal blog by the editor 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...
Complications of plates in fibula free flaps
Good functional reconstruction of the mandible remains challenging for the maxillofacial surgeon. The fibula osteocutaneous flap is widely used as a method of mandibular reconstruction and it can withstand multiple osteotomies and a thus requires hardware to adapt and hold...In conversation with Prof Ashraf Badawi
We were delighted to speak with Professor Ashraf Badawi about his distinguished career in dermatology. You are internationally recognised in the field of dermatology – can you tell us a little bit about your background? I come from a scientific...Cleft surgery: outreach not over-reach - You can’t save the world, but you might improve it a little
Cleft lip and palate surgery is a life changing event. In many regards the surgery itself is relatively straightforward without major physiological consequences and the opportunity of making an impact for little risk is highly attractive. Medical missions offer the...How I Do It - Surgical tear trough treatment and periorbital procedures
It is very helpful to use the patient’s old photographs as a guide to addressing the bothersome changes that have occurred in order to plan an approach that maintains an individual’s natural appearance. Periorbital rejuvenation should be considered in the...
