I have to
confess that I would not be the best patient in the world – especially if
surgery was involved.
It is probably due to having been involved in cases over
the last twenty years in which I have come across most of the things that can
go wrong! So you are unlikely to find me in any theatre other than one where a far more
harmless drama unfolds, unless it is absolutely necessary.
But
seriously, surgery is serious business. Things can go wrong, even with the
greatest of care in the world. Patients should be fully aware of the risks
involved. Surgery does not become less risky just because it is described as ‘cosmetic’.
The use of invasive treatment to improve appearance has become big business
over the last few years. As a result there has been a bigger emphasis on the ‘sale’
than on the patients’ safety. Those patients include the most vulnerable, who
are desperate to improve their ‘look’.
It is not
uncommon for somebody to be seen by a sales rep rather than a doctor prior to
agreeing to a procedure. There are even reports of deals being offered to encourage
surgery including buy one get one free. This scandal has been highlighted over
the last year by the PIP implants involving thousands of women in the UK who were
given potentially faulty breast implants which carry a high risk of rupture.
It is look
as though action is finally on the horizon following yesterday’s publication of
a review of the industry –
Whilst
surgery has to be carried out by a doctor there are many other procedures which
do not and which still carry risks. In addition patients who will do anything
to achieve what they believe will be a better appearance, are consenting to procedures
without being fully aware of the dangers. Two important recommendations are for
a two stage consent process to soften any sales pitch and the fairly obvious
requirement that a person be seen by a doctor and not a salesperson.
The well
known GP Rosemary Leonard correctly spells out the problem – “Surgery –
indeed any cosmetic intervention – is a serious step and a patient must be told
about the immediate side-effects after surgery as well as any potential
long-term effects on their health."
These suggestions will certainly assist. But I suspect that
far tighter regulation will be required. It is a sector which seems to have gone
out of control. I have seen the damage that can be done when surgery goes wrong
or when expectations are falsely raised. It is not good enough to be able to
sue somebody after the event. The damage is done and money is little comfort.
I hope that
this report is beginning of the end of the end of surgery as part of a ‘cosmetic
industry’.
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