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Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 12) – Risk
Risks are ubiquitous in medicine. It is very important to realise that a risk can be both a threat and a friend. Risks relate to probabilities. The probability or possibility that the outcome may not be as desired. The Law does have a perverse view on this. The Law likes, demands, seeks cause and consequence. An honest doctor can rarely satisfy the Law. And that is why it was such a bad thing to see this poor Judge being led by the nose by two unscrupulous Medical “Experts”!Laser tattoo removal: results and issues
The term tattoo indicates both the technique for pictorial decoration on a person’s body [1], and the decoration produced by such a technique. Studies show that in the United States around 5-6% of the general population, 13% of adolescents, 19-35%...Letter from Hong Kong (13 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.
Aesthetic Medicine – International Dialogue on the Relationship Between Medicine, Beauty, and Ethics
This landmark publication presents a compelling, multifaceted dialogue on the evolving ethical landscape of aesthetic medicine. Curated by an esteemed panel of international experts, it provides a much-needed exploration of how aesthetic practice must adapt in response to technological advancements,...Editor’s reaction to acid attacks in London
As I travelled to work to day I heard on the radio that there had been five separate “acid attacks” in London last night. It appears that these were all perpetrated by the same assailants and the motivation for the...OPINION - From ethics to commerce: challenges faced by cosmetic practice for 2025 and beyond
Cosmetic medicine and surgery have seen remarkable and ongoing increases in popularity, reflecting advancements in medical technology and evolving societal norms based on, for example, social media, cultural expectations, and globalisation of beauty standards. Unlike with other medical specialties, these...
Raised serum lactate as a marker in the diagnosis of necrotising fasciitis
A 10-year prospective study of cases of suspected necrotising fasciitis was made, involving 53 patients. Of these, 28 had histologically proven necrotising fasciitis, 25 did not. Serum lactate measured at presentation of those who had the condition was 4.1+or-1.62 mmol/l...Botulinum toxin (BoNT) for depression: A review of the mechanism of action and its potential place as an adjuvant treatment
BoNT is becoming a recognised efficient treatment for depression, endorsed by several disciplines including psychiatry. Clare Amrani examines the potential mechanism of action and explores the appropriate place of BoNT in the therapeutic armamentarium for depression. How did BoNT become...
Lymphedema – Complete Medical and Surgical Review
This single 600-page volume is one of relatively few books that draws together all of the current knowledge and understanding of lymphoedema, its pathogenesis, investigation, staging and management. The book’s authors are well known for their expertise in the field...
Periocular sweat gland carcinomas
This is an interesting review of a rare group of tumours which together comprise the adnexal sweat gland carcinomas. Although there are only 22 patients, this is the largest cohort ever published. The authors summarise the clinical presentation, stage, management...
