Pilonidal Sinuses.
General surgical colleagues tell me that they have modified their surgical approach to pilonidal sinuses. My sources are now using less extensive surgery and believe that their results, in the long...
View ArticleStop! Wrong Way with Finger-Tip injuries
Finger tip injuries are common. In the past, where the pulp was lost, elaborate procedures were devised to close the wound. These included grafting by split or full thickness skin. Complex “flaps”...
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Tight Sutures
Many photographs are sent to me showing tight sutures, and the associated problems with healing. Many correspondents to this website are concern that their wound became infected. Such infections are...
View ArticleStop, Wrong Way! Finger pulp splits.
Crush injuries of the finger pulp are common. Often these result in longitudinal splits and damage to the subcutaneous tissues. I am frequently asked about best management, but usually after the split...
View ArticleMaking Abstruse Generalisations
This web-site could be criticised for making abstruse generalisations. This possibly perplexing style is not intended to engender mystique. There is certainly enough of that in medicine (and many other...
View ArticleStop! Wrong way! Ulnar nerve entrapment.
Ulnar nerve entrapment is relatively frequent, and often unrecognised. A survey of old-age homes (author, unpublished) demonstrated that at least half the inhabitants had features of ulnar nerve...
View ArticleInterpretations
Frequently patients claim their X-rays and other imaging studies on the basis that “I have paid for them and they belong to me”. These X-rays are regarded as their possessions and part of their natural...
View ArticleStop! Wrong Way! Naso-gastric Tubes
One of the most unpleasant afflictions following abdominal surgery is the naso-gastric tube. Pushed though the nose and into the stomach it is a constant irritant, day and night. Yet naso-gastric...
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Case of the Week
The phrase “dislocation of hip prosthesis” is meaningless. No prosthetic dislocation is unadorned by the circumstances of the dislocation. This is important because the management depends upon, indeed...
View ArticleDoes Homeopathy Work?
What conventional medicine is not good at is allowing “natural healing” the latitude which it deserves. This is an exceptionally hard nut to crack in the present mechanistic world. It could probably be...
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