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Biomedical subjects

C Richmond

Publications and source records attributed to C Richmond.

At least 37 records · Page 2Linked to original sources

Debate about multiple pregnancies moves to new heights in Britain.

The controversy about multiple pregnancy and abortion has taken on a new dimension in Britain as a result of two widely publicized cases. A mother who was carrying twins wanted to give birth to only one child, so one fetus was aborted. Public outrage turned to dismay when it was revealed another mother who had been taking fertility drugs refused selective termination, a standard procedure to ensure the growth of healthy fetuses, in an ill-fated attempt to give birth to eight babies.

Adult↗

Fighting the odds in the UK.

Caroline Richmond reports on miscellaneous winners and losers from the health care scene in the United Kingdom. The winners include a young patient who is holding her own against formidable medical odds after receiving heroic treatment for leukemia, and the country's osteopaths, who have won the right to compile a statutory register. The losers are the venerable St. Bartholomew's Hospital, which appears to have lost its battle to stay open, and a 32-year-old man who almost made it to medical school by posing as a teenager.

Female↗

NHS waiting list have been a boon for private medicine in the UK.

Health care: public, private or both? In Great Britain, about 13% of the population is covered by private health insurance, and everyone else is served by the public health care system known as the National Health Service, or NHS. Caroline Richmond, who examined the impact of private medical practice in Britain, says people become private patients for one compelling reason: to avoid the NHS's notoriously long waiting lists for surgery. According to Professor Alan Maynard, a health care researcher, the mainstays of the private sector are the "three h's" --hips, hernias and hemorrhoids-- along with some elective surgery, particularly in gynecology and opthalmology. Another small sector focuses on fertility regulation and cosmetic surgery. Although the levels are not monitored closely, physician consultants are not permitted to earn more than 10% of their income from private practice.

Canada↗

Triviality and frequency of night calls irk British GPs.

British general practitioners, who are tired of their 24-hour responsibility, recently had a showdown with government about providing medical care outside normal hours. Physicians will be paid more for after-hours calls, but many would prefer not to do the work at all. They say such calls are often a waste of their time.

Attitude of Health Personnel↗

The strange case of the misplaced suppository.

In a controversial decision, the General Medical Council has found a consultant anesthetist guilty of serious professional misconduct for giving a painkilling suppository without forewarning the patient and obtaining consent. Even though the suppository was misplaced in the patient's vagina, this was accepted as a mistake, at issue was whether a specific separate consent was required for insertion of the suppository.

Anesthesiology↗

Is the issue the price of a child's life, or the futility of heroic measures?

Britain's High Court has been asked to rule whether a $160,000 experimental treatment with a 1% chance of saving the life of a 10-year-old girl should be paid for by the National Health Service. Child B, who has had one bone-marrow transplant, has had acute myeloblastic leukemia for a year and is near death. However, after her Cambridge doctors advised that further treatment would not be beneficial, her family found a hematologist willing to try an experimental treatment and a second transplant. The media debate in Britain has focused on financial aspects of the situation, not on the usually futile use of heroic measures.

Child↗

Different fates await authors after two journal reports declared invalid in UK.

Two London gynecologists have left their positions in disgrace amid accusations of fraud connected with two research papers published in a British obstetrics journal. The merger of four medical schools, the first stage of the closure of the eminent St. Bartholomew's Hospital and hospital trust appointments also caught the attention of our London correspondent.

Female↗