Andrew Burd (Prof Rtd)
Retired Professor of Plastic Surgery; Freelance Medico/Legal Consultant
Email: darburd@gmail.com
Co-Editor - The PMFA Journal
Andrew Burd is a British trained Plastic Surgeon, a Harvard trained Scientist, a School of Life trained Educator and a Pragmatic Ethicist. He was the Professor of Plastic, Reconstructive and Aesthetic Surgery at the Chinese University of Hong Kong and the Centenary Professor of Regenerative Medicine and Translational Science at the School of Tropical Medicine in Kolkata, India. He is currently completing his PhD looking at the potential for Big Data to influence Health Policy. He is the founding and current Editor of The PMFA Journal. He is a staunch patient advocate with uncompromising views on patient safety.
Latest Contributions
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.
14 June 2021 is the day in the Chinese calendar to celebrate the Dragon Boat Festival. These local holidays are a reminder of the deep cultural heritage enjoyed by the Chinese people.
I want to return to the case of Dr Mak, who was, from the available evidence, caught up in a miscarriage of justice that arose because of a lack of effective interprofessional communication in the legal process.
I wonder what Vanessa is thinking right now. If she can even think. A torrent of images, regrets, what ifs. The onslaught must be so great, no wonder the normal response is for the mind and the body to shut down? Depression.
There is no formally recognised specialty of Cosmetic Surgery (and / or Medicine) in Hong Kong. Unsurprisingly, there are no formal training programs in cosmetic surgery or aesthetic medicine.
South Korea is a truly amazing country and has, over the last thirty years, transformed into one of the most dynamic and innovative economies in the world.
Propofol played a significant role in the trial of Dr Vanessa Kwan. Vanessa went to South Korea to learn about cosmetic surgery. Cosmetic surgeons in South Korea use a lot of propofol in office-based practice. Ipso facto, Vanessa learned about propofol and its use in cosmetic surgery.
It is one year ago today that Justice Judianna Barnes sentenced Dr Mak Wan-ling to be incarcerated for three and half years for a crime she did not commit (see parts 1-4 of this blog).
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).
So now we are entering the third year of this global pandemic. It is changing, evolving and is bringing out the very best and the very worst in humanity. Science and scientists have had a real bashing, but then who by? Quacks, aardvarks and gobbeldygooks. Looking back is looking forward.
Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 11) – Misinformed assent
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”!