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Melanoma skin cancer: how can we improve early detection in the UK?

With melanoma rates increasing globally, should there be screening of high-risk groups? Stephen Hayes takes a look at how Australia has reduced its melanoma mortality and asks whether a similar model should be adopted elsewhere. In Britain, some 16,000 new...

Perceptions and Deceptions: a personal blog by the editor 3 August 2016

Whistle blowing. What is it? Fascinating discussion with Chris Day, the Junior Doctor in the UK who is challenging the execution of the law in this sensitive area of employment contracts (http://54000doctors.org). More of that later, but just to note,...

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.

Is point of care ultrasonography just an inscrutable snowstorm or is it here to stay?

To non-radiologists ultrasound may always look like a snowstorm . . . so unless you are the one holding the scanner and moving it over the patient with some idea of their history, it is difficult to know what you...

Training in Facial Plastic Surgery in the UK

Following the Keogh report earlier this year into the quality of cosmetic surgery in the UK, surgical training into cosmetic surgery is high on the agenda. A Cosmetic Surgery Interspecialty Committee at the Royal College of Surgeons will be discussing...

Treatment of striae utilising the Frax 1550™ on the Nordlys™ System

Striae distensae, or stretch marks, are a common dermatologic condition caused by excessive mechanical stretching of the skin with damage to dermal elastic fibres [1]. The lesions are arranged perpendicular to the direction of skin tension. Striae are often associated...

In conversation with Prof Ashraf Badawi

We were delighted to speak with Professor Ashraf Badawi about his distinguished career in dermatology. You are internationally recognised in the field of dermatology – can you tell us a little bit about your background? I come from a scientific...

The medial gastrocnemius flap

This classic muscle flap is now being used with increasing frequency following revision knee joint surgery. Following the Nahai and Mathes classification, the gastrocnemius muscle is a Type I muscle with a single dominant vascular pedicle (Figure 1). The gastrocnemius...

Living confidently with a distinctive face or body

The visual impact of having a face which has scars from an accident or burns like mine or a birthmark, a cleft lip and palate, a Bell’s palsy or a skin condition is arguably not taken seriously enough by clinical...

Aye, Aye. AI?

This is the first in a series of blogs where I look at artificial intelligence (AI) beyond the horizon. To do so, I must present the evidence that takes us to the horizon and then, using both experience and imagination,...

Perceptions and Deceptions a personal blog by the editor 15 Apr 2016

This is a personal blog. The theme is ‘perceptions and deceptions’ related to professional practice. There is a lifetime of blogging in this theme, but let me move on. Consider that fabulous bit of TV drama where HBO were setting...

When a patient asks for your insurance details…

Coming from a patient, the question “Do you have insurance?” is almost certain to put a medical practitioner on edge. Not being a common query, many do not have a ready answer and instead have to grapple with some questions...