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Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 10) – Informed consent (ii)

15 December 2021 |
In the context of medicine, we typically speak of informed consent as having both an ethical and a legal basis. The ethics are related to patient autonomy and human rights. The legal perspective relates to the definition of what occurs if consent is not obtained, and a physical intervention occurs (assault or battery at a minimum and it would appear, gross negligence if things go wrong).

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 - NSR with dermal fillers

1 February 2022 | | PMFA - Aesthetic Medicine, PMFA - Rhinoplasty, PMFA - Facial Plastic Surgery
Year on year non-surgical rhinoplasty (NSR) has become increasingly popular and after first learning the technique with a needle, I was taught the cannula technique. Currently, I practise both techniques regularly and often use threads on bulky noses. Indications The...

The gender affirmation surgery MDT

1 February 2019 | | PMFA - Breast Surgery, PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery, PMFA - Maxillofacial Surgery
The authors provide a comprehensive and thought-provoking discussion of the multidisciplinary nature of caring for someone undergoing gender reassignment surgery. In the last 50 years in the UK an estimated 130,000 people have changed their gender assigned at birth (assigned...

The importance of teamwork and leadership in the management of patients in burns centres

1 June 2019 | | PMFA - General Plastic Surgery
The authors discuss the vital part teamwork, leadership and communication play in the complex management of burns patients. Teamwork is a group of individuals collaboratively working together in the most efficient and effective manner to achieve a common goal [1,2]....

Mercy Mission: all aboard with Mercy Ships off the coast of West Africa

1 December 2013 | | PMFA - Facial Plastic Surgery, PMFA - General Plastic Surgery, PMFA - Maxillofacial Surgery
Countries along the coast of West Africa are amongst the poorest in the world. Extreme levels of poverty often lead to poor outcomes or fatalities in many medical conditions that would be eminently treatable, with good outcomes in more developed...

Cleft surgery: outreach not over-reach - You can’t save the world, but you might improve it a little

1 October 2015 | | PMFA - Facial Plastic Surgery, PMFA - Maxillofacial Surgery
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...

Breast reconstruction – techniques from a plastic surgery perspective

3 October 2022 | | PMFA - CPD, PMFA - Breast Surgery, PMFA - General Plastic Surgery
This article has been verified for CPD. Click the button below to answer a few short questions and download a form to be included in your CPD folder. Breast reconstruction following breast cancer surgery has positive physical and psychosocial health...

Sensitive cilia – eyelashes in health and disease

7 October 2020 | | PMFA - Aesthetic Medicine, PMFA - Dermatology, PMFA - Facial Plastic Surgery, PMFA - Oculoplastic
In health our eyelashes protect the eyes, but in disease they can disfigure, impair quality of life and threaten vision. In this review the authors discuss aspects of lashes that are relevant to all professionals working near the eyes and...

Brazilian butt lift: large volume fat grafting with water jetstream assisted liposuction

1 August 2014 | | PMFA - Aesthetic Medicine, PMFA - General Plastic Surgery
Liposculpture involving fat transfer to the buttocks (‘Brazilian butt lift’) has experienced a dramatic increase in demand in recent years. Popular tabloid celebrities have fuelled the demand for this procedure, resulting in large numbers of patients requesting buttock enhancement surgery....

My experience of setting up a nurse-led independent aesthetics and dermatology clinic

1 June 2018 | | PMFA - Aesthetic Medicine, PMFA - Dermatology
An experienced nurse shares her tips and advice for launching an independent private aesthetic clinic. LoveSkin Clinic opened its doors in November 2016. Like so many other nurses embarking on such a venture I had no experience running a business...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 2)

4 June 2021 |
In Volume 1, Issue 1 of this journal I wrote an article entitled: ‘From PIP to DC-CIK to the Sorcerer’s Apprentice: a medico-political minefield’. Little did I know or anticipate what a mess this was going to become: a medico-legal mess with ignorant lawyers and arrogant doctors demonstrating how stupidity and rapacious hypocrisy can twist and distort reality for the purposes of extracting a bizarre social revenge with little sense of justice.