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Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 1)

On the 8 December 2020, Justice Judianna Barnes sentenced Dr Mak Wan-ling to three and a half years in prison. The charge for which she was found guilty was gross negligence manslaughter (GNM). She had injected a contaminated blood sample into a patient and the patient had died. The conviction was fundamentally flawed.

How I Do It - Non-surgical approach to facial ptosis – the PDO barbed absorbable thread 5-point facelift

Polydioxanone (PDO) threads summary: Colourless, crystalline, biodegradable synthetic polymer Monofilament Biodegradation by hydrolysis Mainly urine excretion Absorption rate 180 days Breaking strength 53% at 42 days Long established safety record in general surgery as a suture material (PDS II Ethicon)...

How I Do It - Treating the ageing neck with Ellevate™ plus

The ageing and sagging neck cannot always be successfully corrected using standard facelift techniques, even those that include extensive SMAS lift [1]. Adjuncts to treatment can include liposuction, radiofrequency or similar skin tightening procedures, open or closed platysmaplasty, extensive SMAS...

Hair removal: a summary of techniques with a particular emphasis on the importance and versatility of electrolysis

Background and causes of excess or unwanted hair The management of unwanted body and facial hair has been a constant challenge for the human species since the dawn of human culture in the Neolithic era. Of note this was the...

Laser and light based hair removal

Laser hair removal is a popular, and constantly evolving, treatment. Professor Paolo Bonan and colleagues provide us with a comprehensive overview and some ‘top tips’ for how to make the procedure as safe and effective as possible. Hair removal, also...

Business administration for aesthetic practitioners – why be managed when you can manage?

Do you know what the difference is between a profit and loss account or a balance sheet? Have you wondered how you will market your practice? What can you do to drive your team to success? These are just some...

Body Contouring and Liposuction: Expert Consult

The authors, in the Preface of Body Contouring and Liposuction, acknowledge that this challenging and constantly evolving branch of plastic surgery lies at a unique intersection of “surgical skill, artistry and new technology”. Their book aims to deconstruct and simplify...

Microtia and Atresia – Combined Approach by Plastic and Otologic Surgery

In this textbook Kaga and Asato, both leading experts in otology and plastic surgery respectively, present over 10 years of their experience in joint reconstructive surgery for microtia and auricular atresia, combining autologous auricular reconstruction with external auricular canaloplasty and...

How I Do It - Vaginal rejuvenation - Er:YAG laser therapy

I began doing research in 2010 on vaginal laser tissue induction to achieve vaginal tightening and sexual enhancement. I started noticing an improvement of continence in patients who were leaking. I was very excited about the results and more than...

The New Doctors Contract NHS England – a brief summary

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%...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 20) - Culpability: The judge opines

The issue at stake is one of culpability. Who is to blame when things go wrong? That involves both an awareness of what has actually happened and those responsible for the various elements that have shown to be at fault.

Part two: Aye, Aye. AI?

This is the second blog in this series looking at the current trends in AI. In the first, I reviewed a 'chat' with ChatGPT regarding the limitations of the program in editing work. This is actually a highly skilled human...