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Reflections on the criticism of the criticism of the NHS

5 October 2017 |
Surfing my FB pages the other day I came across a link to a blog written by Dr Rachel Clarke, a Medical Writer, Feminist and Junior Hospital Doctor from Oxford. Rachel had written this in response to The Telegraph headline...

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.

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

24 March 2022 |
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.

Wound moisture sensing in traumatic wounds

1 June 2015 | | General Plastic Surgery
Wounds can be small and unpleasant, or may be large and life-threatening. The skin is a physical and an immunological barrier to infection, and any defect in the integrity of the skin may allow bacterial or fungal invasion to occur....

A study of chronic refractory tibia osteomyelitis treated with surgery and adjuvant hyperbaric oxygen

19 August 2020 | | General Plastic Surgery, ONLINE EXCLUSIVE ARTICLES
Introduction Chronic tibial osteomyelitis is a difficult problem to eradicate and often fails to respond to surgical treatment. Orthopaedic surgeons find it difficult to treat these infections which reside as a nidus in dead bone. There is always a risk...

Burnout: is this just a pandemic phenomenon?

1 June 2022 |
The phrase ‘burnout’ is often heard, but what is it, and what are the early warning signs? Importantly, how can it be prevented or managed? Over the last few years, health professional wellbeing, mental health, and burnout have come to...

Laser and light-based treatments for pigmented lesions

1 December 2017 | | Aesthetic Medicine, Dermatology
The authors detail the types of lasers and light-based devices that can be used in the treatment of epidermal and dermal pigmentations. Skin colour differences have, for centuries, been associated with the economic, political and social status of a person;...

Stratifying preoperative risk in revision augmentation: the six Cs

1 February 2016 | | Breast Surgery
Breast augmentation is the most frequently performed cosmetic surgical procedure in the UK [1], and with an increasing number of providers, plastic surgeons are managing revisions without information pertaining to the original procedure. Anticipating the features of successive generations of...

The future and a summary of the past

1 August 2014 | | Aesthetic Medicine, General Plastic Surgery
From liposuction to adipose stem cells; from regenerative medicine to tissue engineering; and a vision of the future. Part 3 Adipose stem cells There is a major clinical need for strategies that adequately reconstruct the soft tissue defects after deep...

Sensitive cilia – eyelashes in health and disease

7 October 2020 | | Aesthetic Medicine, Dermatology, Oculoplastics, Facial Plastic Surgery
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...

Lip augmentation

1 February 2017 | | Aesthetic Medicine
In the second of our two-part special focus (see here for Part 1) on lips we are delighted to present this comprehensive clinical guide for practitioners undertaking lip augmentation. Lips and eyes enhance facial beauty. Highlighting these has been dated...

How I Do It - Performing a mastopexy or reduction using Breform™ mesh

1 August 2016 | | Breast Surgery
Gravity defying breast surgery – the Holy Grail for breast surgeons. Repeat ptosis and pseudoptosis are significant problems facing patients and surgeons after breast reduction and mastopexy. Further surgery to correct this can be challenging, with increased complications, and the...