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How I Do It - Approaches to acne treatment: Pulsed-dye laser

Acne vulgaris is the most common skin disease worldwide and inflammatory acne has significant psychological impact with potential for long-term emotional and physical sequelae [1]. Energy based treatments are useful both as adjuncts to traditional therapies and particularly for patients...

Dermoscopy: an update and personal view

With skin cancer now at epidemic levels, early diagnosis is essential. Specialist Stephen Hayes advocates the use of dermoscopy as a triage tool and explains how to interpret the data. Melanoma skin cancer is now the UK’s fifth most common...

The scandal of NHS contracts with the independent healthcare sector

Since March 2020 it was sensible medical practice to consider making all possible beds in the NHS available to potentially admit ill patients with COVID-19. The expected admission rate was supposed to risk overwhelming the NHS, so independent sector facilities apparently volunteered and were then contracted to the NHS as priority, with full remuneration for their losses, and all private practitioners were effectively frozen out from seeing, admitting and operating on their own self pay patients.

The gender affirmation surgery MDT

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 World Association of Plastic Surgeons of Chinese Descent

With the 4th World Association of Plastic Surgeons of Chinese Descent (WAPSCD) coming up in November I thought I would share my experiences with you. I attended the second world congress in Taiwan for plastic surgeons of chinese descent which...

Perceptions and Deceptions a personal blog by the editor 22 Apr 2016

The junior doctors in the UK are facing the reality that if they hold steady there is the very real prospect that ‘an elite group of professional people’ can topple a corrupt and dishonest Government and restore the balance of...

Perceptions and Deceptions a personal blog by the editor 9 June 2016

Distractions! I am getting behind my timetable for the on-going story. So let me press on. I shall only comment at the outset that with regard to the Junior Doctors Contract issue in the UK, I do think the government...

Perceptions and deceptions: a personal blog by the editor 5 September 2016

The junior doctors are without doubt the very backbone of the NHS. They span from the newly graduated medical students to the most senior postgraduate trainees who are about to embark on a definitive post as a hospital consultant or...

Perceptions and Deceptions: a personal blog by the editor 26 September 2016

As I write this blog the noble few, the bold and brave few, are in the High Court in London presenting arguments to Judge. There is strong legal evidence to support a finding that the Right Honourable Jeremy Hunt has...

COVID-19: a threat or a warning?

Soon the public health implications of COVID-19 will be clearer. In Hong Kong, life has changed so much these past six months. The riots, the protests, the arson, the anarchy. And now nature shows what she can do.

Letter from Hong Kong (1 October 2020)

Today is National Day in Hong Kong. A celebration of the founding of the People’s Republic of China on 1 October 1949.

Letter from Hong Kong (17 December 2020)

This will be the last ‘Letter from Hong Kong’. I began back in April with a simple message, wear masks.