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Plastic surgery: Celtic overcome dodgy pitch to inject joy into Scottish game

IT was a test of character and an examination of nerve on a pitch probably not fit for purpose.

But although the grass beneath their studs was plastic – and even if they made heavy weather of it for longer than Neil Lennon’s heart would have liked – Celtic were the only real deal.

Goals from Joe Ledley and Georgios put Scotland’s champions into tomorrow’s draw for the final round of qualifiers and gave our ailing game a boost, even though Victor Wanyama was sent off before the win was secured.

Well, what did we expect? this is Celtic in Europe and such nights seldom run smoothly but they will be operating in Europe for the next six months at least.

Lennon and rival boss Antti Muurinen had agreed this big lump of green carpet would be soaked until it could take no more.

They were. and it could not.

But it still looked pretty dubious and treacherous. Mind you, so did parts of the Celtic manager’s starting line-up – one area in particular.

The centre of Lennon’s defence is like a Bermuda Triangle. All number of men have gone missing in there and most of them disappear for good. then there’s the curious case of Thomas Rogne who comes and goes without warning.

The big Norwegian was overlooked for the first leg but here he was right back in the thick of it on a night which looked likely to test his temperament as much as his technique.

Scott Brown’s mettle has never been in doubt, only his creaking hip joint. But the skipper took a jab to play and ought to have stroked his side towards the next round with 12 minutes gone.

The Scotland man timed a forward run to perfection to saunter clear through the heart of the defence on to a long probe from Charlie Mulgrew.

Suddenly Brown found himself in on goal but poked a shot wide from 12 yards when he should have scored.

It was a bad miss and another followed soon after when Samaras cut in from the left but flashed a volley wide.

Lennon’s anxiety levels were not helped by the showboating of Austrian ref Robert Schorgenhofer.

When Kris Commons complained about his decision making one too many times the official brandished a yellow card with the flourish of a man happy at his work, like a traffic warden writing a ticket.

But in 28 minutes Schorgenhofer and one of his helpers called it right when they ruled out a Gary Hooper strike after he had latched on to a wayward Wanyama shot in an offside position before slotting calmly beyond keeper Ville Wallen. Celtic’s opponents were even more limited on their own synthetic surface.

Gambian winger Demba Savage fired one early shot over the top from 20 yards and 10 minutes before half-time he was exposed in toe-curling fashion when he made an amateurish mess of HJK’s only real chance of the half.

Savage found himself walking on to a volley at Fraser Forster’s back post after being picked out by Sebastian Sorsa’s hanging cross. But the wide man swiped at it and connected only with fresh air.

The sight of Helsinki nearly storming into a lead in the opening minute of the second half was almost beyond belief.

Adam Matthews thought he was ushering the ball out for a throw but was robbed by left-back Mikko Sumusalo who surged forward before drilling a cut back across the box and into the path of Sorsa whose first-time shot might have drilled into the bottom corner of Forster’s net had Emilo Izaguirre not rushed back to clip it behind for a corner.

Suddenly these Finnish minnows were beginning to fancy their chances and Celtic had to make them pipe down.

Wanyama tried to do exactly that in 52 minutes when he smashed a header towards the target but it was blocked at point-blank range by Timi Lahti.

Celtic screamed for a penalty but Schorgenhofer waved the appeals away then raced to the halfway line to book Mulgrew for a foul which stopped Sumusalo breaking at full speed. Wanyama followed him into the book for the first time soon after.

The tension had just been racked up by several notches.

Just after the hour it almost got on top of Forster who fumbled nervously at a close-range header from Mathias Lindstrom and just about managed to get it away for a corner. Celtic now were in urgent need of a settler.

And Mulgrew went out of his way to deliver it in 67 minutes with a wonderful piece of play to lay the opener on a plate for Ledley.

Greek striker Georgios Samaras celebrates sealing the win 

The big centre-back brought the ball out from the back then worked a slick exchange with Samaras before setting off down the right with a little flurry of step-overs.

Finally, he worked the ball back on to his left foot and whipped in a cross which eliminated Wallen and left Ledley needing only to chest the ball up over the grounded keeper and looping into the back of his net.

It was a glorious moment for Lennon who came bounding off his bench to punch holes in the cool night air. Celtic were almost there now. almost.

Of course, it’s never that simple on these away days.

No sooner had Lennon settled back into his seat than Wanyama was being shown a second yellow card, this time for a trip on Mika Varynen. Again, Schorgenhofer looked a little too pleased with himself as a distraught Wanyana buried his face in his shirt before making the long walk.

Lennon reacted by replacing Hooper with Kayal, Commons with James Forrest and sending Samaras up top on his own.

And four minutes from time the Greek delivered Celtic into the hat for one final, nerve-shredding qualification double-header when he strode on to a perfect Ledley cut-back to lash a terrific low drive in at keeper Wallen’s left-hand post.

Plastic surgery: Celtic overcome dodgy pitch to inject joy into Scottish game

Q&A: Ida Fox, assistant professor of reconstructive surgery, Washington University

By operating on the nerves of a patient’s upper arm, rather than his injured spine, surgeons at the Washington University School of Medicine in St. Louis restored some hand function to a quadriplegic. first performed about two years ago, the case study was recently announced in the Journal of Neurosurgery. The surgery, according to the study authors, was the first reported case of using nerve transfer to restore the ability to flex the thumb and index finger after a spinal cord injury.

Dr. Ida Fox, an assistant professor of plastic and reconstructive surgery who treats patients at Barnes-Jewish Hospital, performed the second surgery of this kind. below are excerpts from our recent interview.

Only quadriplegics with a specific type of injury are eligible for this procedure. Why are they ideal candidates?

We’re trying to get the tip of the thumb and the tip of the index finger to bend, so they can pick up small objects. we have to rob Peter to pay Paul. we need something close by we can switch over to get that function. The patients who qualify for this transfer are patients who are C6 or C7 motor level injury quadriplegic patients. Their spinal cord has an injury. all the nerves below the level [of injury] are working. Those are the nerves that go to the hand, but they’re not connected to the brain. we need to reestablish that connection to the brain by stealing the nerve above the level of spinal cord injury, which is connected to the brain, and rewiring it to the nerves below that level. with the spinal cord injury at a specific site, we’re able to restore that function.

What’s the ultimate goal of the surgery?

These patients have figured out ways to use their arms even though not all the muscles are working. They’re able to move their fingers by moving their wrist back and forth. They’re able to hold things. but if they inadvertently straighten their wrist, their hand will open and they’ll drop the object. we wanted to add the ability to lift things without depending on the wrist to manipulate the fingers and provide more independent finger motion. It makes things faster for them. It lets them use utensils or a writing instrument without an assistive device. It makes us human to have that ability to hold things precisely between the thumb and index finger.

Instead of operating on the spine, you target the nerves of the upper arms. Why?

We don’t have the ability to make the central nervous system, which includes the spinal cord, regenerate. There’s been a lot of work trying to bring peripheral nerve tissue into the central nervous system to make it regenerate. but we still have not broken the code on how to make the spinal cord recover after injury.

The peripheral nervous system does have the ability to regenerate. If it’s a nerve that’s cut, we can put it back together and the nerve will grow back to the muscle and skin to restore motor function and sensation. We capitalize on that physiology in this case. we have to treat the central nervous system like a black box. we bypass the spinal cord injury we don’t know how to fix. When we do the nerve transfer, we create a peripheral nerve injury. we want to create that injury as close to the muscle as possible. We’re slicing over into a new nerve. when we cut the nerve that’s connected to the brain and slice it into the nerve that’s not connected to the brain because of the spinal cord injury, the nerve dies back to where we cut it. It has to grow back down the nerve tube to get back to the muscle. That growth occurs at an inch a month. If that nerve shoot doesn’t get back to the nerve within a year, the muscle will be unresponsive. The closer we are to the muscle, the faster the recovery.

What’s innovative about this technique?

Nerve transfer is not a new concept. It’s been popularized in the last 10 years for patients with peripheral nerve injuries. we started doing nerve transfers toward the fingertips and stealing extra nerves to restore function more quickly. In the last 10 years, that’s become much more popular. Applying that concept to patients with spinal cord injuries is a new part.

These are well-established procedures that haven’t been used in this patient population. Patients with spinal cord injury have a blockage between the brain and those nerves. The muscle and the nerve are alive below the level of spinal cord injury. The cell of the nerve is sitting in the spinal cord. That long shoot is the peripheral nerve. It goes out to the muscle. That connection is intact in patients with spinal cord injury. That’s unlike peripheral nerve injury where the nerve fiber itself is cut. That’s the different physiology of these two patient populations that we exploit.

How did you figure out this technique would work for these patients?

It’s a bit of luck and happenstance. my partner Susan Mackinnon, who did the first procedure, shared the story of what brought her to this point. The patient had been a practicing trauma surgeon. On his way to a surgery, he was in a motor vehicle crash and became quadriplegic. His friend, a plastic surgeon, [suggested he meet Dr. Mackinnon, a peripheral nerve expert]. they went to see if she could help him. [Dr. Mackinnon] walked into one of our patient rooms and, knowing everything she does about peripheral nerves, it just came to her. She thought she’d harness this technique.

This is a gentleman who is a surgeon, so he understands the risks of surgery. It took out all the things we worry about when we’re doing something outside the expected. She did [the surgery] and sat on it. We’d only done it in the one patient to make sure it worked. At about six months, he began getting a twitch of function. At 12 months, he was able to feed himself independently. That instigated the publishing of the case report. we have a clear clinical result that shows this does work.

Describe the process of the surgery.

We make an incision on the inner aspect of the arm above the elbow. we go through a layer of fatty tissue. The nerves are there. The median nerve is the nerve we’re transferring into. It goes to the muscle that controls the bend of the thumb and index finger. near the biceps muscle, which bends the elbow, we peel the muscle up. Underneath it is a nerve that bends the elbow. We’re going to sacrifice the nerve to that muscle. we use a handheld nerve stimulator to give a little electric current. we can see the fingers moving as we tap on the nerve. we figure out which piece of the nerve we want. we use microscopic instruments to tease out the bit that’s going to the thumb and index finger. we make sure it’s going to the muscle we want. we cut it. we go over the other nerve and cut it. We flip-flop the two nerves over each other and use a tiny suture to stitch the two pieces together again.

What happens after the surgery? What were the results of the patient in your case study?

The nerve has to grow back to the muscle. It will take several months. once it gets to the muscle, the patient has to do intensive physical therapy. The patient has to re-learn that the nerve that used to give the signal to bend the elbow now gives the signal to bend the thumb and the tip of the index finger. It’s a bit of a mind game. Eventually their brain re-learns and they don’t have to think about it. It takes time to adapt. It will also take time to strengthen the muscle that hasn’t been used since the spinal cord injury.

What’s next for this work?

We’re continuing to move forward and offering it to additional patients. A single case study, while helpful and important, needs to be taken a little bit critically. we need to make sure we can get similar results in a larger patient population.

The important thing about the surgery is we’re careful not to burn any bridges. We’re taking a muscle that cannot be used for more traditional surgeries, such as tendon transfers, because of its location and anatomy. We’re preserving all the traditional options in this patient population. That’s critical to think about. while we’re extremely excited, we need to be cautious and meticulous.

Watch a video on the second year results of the initial patient.

Photo: Dr. Ida Fox / Courtesy of Washington University

Image: To detour around the block in this patient’s C7 spinal cord injury and return hand function, Mackinnon operated in the upper arms. there, the working nerves that connect above the injury (green) and the non-working nerves that connect below the injury (red) run parallel to each other, making it possible to tap into a functional nerve and direct those signals to a non-functional neighbor (yellow arrow). / Eric Young

Q&A: Ida Fox, assistant professor of reconstructive surgery, Washington University

Cosmetic Surgery Negligence: Your Rights

Any person who has suffered any kind of damage, scarring or other problems due to medical negligence during cosmetic surgery has a right to claim compensation for cosmetic surgery negligence.

A person who chooses a surgeon puts an enormous amount of trust in the surgeon’s ability to treat them well. However, with the boom in cosmetic surgery, many clinics have doctors and nurses who are not properly qualified, or who are negligent in the treatment of their patients. once the patient is under the surgeon’s counsel, it is the legal responsibility of the surgeon to care for him or her, following the right medical practices and rules.

A person who suffers due to negligence from plastic surgery can claim compensation for any of the following: excessive scarring, particularly that which she was not warned about; uneven results (eg., size of breasts being unequal after reduction or augmentation procedures); infection or nerve damage that occurs due to negligence; loss of function in the nerves, particularly after face lift or related procedures.

The patient can also claim compensation if the surgeon fails to explain all the related effects and risks of the surgery she will be undergoing; lack of adequate post-operative care, and any physical abnormalities that ay occur due to medical error.

On the surface, cosmetic claims are the same as any other medical claim. the difference lies in the fact that in medical negligence claims, the NHS is usually the defendant. in cosmetic surgery claims, however, the patient has a contract with a private clinic or hospital, which tries to distance itself from liabilities arising from negligence. While signing a contract for cosmetic surgery, it is important to go through it carefully and make sure that the hospital or clinic can be held liable for any probable error they might commit later.

According to the law, there should be a period of two weeks between the consultation and the actual surgery, giving the patient time to reconsider her decision. during this period, the surgeon should explain the procedure of the surgery, and not rush the patient, as cosmetic surgery is very rarely performed in emergency situations. in many cases, the surgeon has to recommend psychological counselling as well to the patient. once the patient decides to go ahead, she should be given a written guide about the surgery, its effects and the terms and conditions of the contract.

What can You Claim

When claiming compensation for negligence during cosmetic surgery, it is important to approach a medical negligence solicitor who can help with the lawsuit. an experienced solicitor can help the patient claim compensation for all of her losses including psychological trauma caused by unexpected results; any costs that may arise to correct the mistakes from the surgery; loss of any earnings, and cost of medical care, as well as other related expenses. Any losses directly arising from the negligence during cosmetic surgery can be claimed. the courts decree that prospective patients should be aware of the results of the cosmetic surgery, and should have a realistic idea of what they can expect to look like or achieve after the surgery.

Cosmetic Surgery Negligence: Your Rights

What Are The Various Specialties With Plastic Surgery?

Plastic Surgery is a surprisingly broad field and there are sub-specialties within Plastic Surgery. The general public thinks of plastic surgeons as only aesthetic or cosmetic surgeons. However, there is a huge amount of reconstructive surgery involved.

Historically, Plastic Surgery is a field where the greatest advances have been made during times of war. for example, World War I, World War II, the Korean War, the Vietnam War, and even the current wars in Iraq and Afghanistan have resulted in stunning advances in reconstructive techniques. The ability to repair reconstructive defects can be applied to aesthetic issues as well.

Hand and Microvascular Surgery is one of the few separate sub-specialty recognized by the American Board of Medical Specialties. this is an intensive year long training program, in addition to plastic surgery, that focuses only on the hand and upper extremity. Most orthopedic and general surgeons do this fellowship training.

Microvascular surgery is a field where a muscle, along with the artery, vein, and nerve that is associated with the muscle, is detached from the body, and then re-attached somewhere else in the body. this field has been literally a life saving procedure in patients with significant wounds, such as after trauma, burns, cancer, and other medical problems.

Craniofacial and/or Pediatric Plastic Surgery is a year long fellowship training program that focuses on congenital or birth defects. The most common problems include cleft lift and cleft palate. this field also encompasses defects with facial skeleton growth, developmental problems elsewhere in the body, and reconstructive surgery in children.

Aesthetic Plastic Surgery training generally lasts 6-12 months, and is concentrated on aesthetic, or cosmetic, procedures. since a lot of Plastic Surgery training already discusses aesthetic surgery, many plastic surgeons choose not to do this fellowship. However, the number of training slots has slowly been increasing over time.

Burn Surgery is a year long and is focused on immediate burn care, and the reconstructive burn care to obtain function. Skin grafts, including skin grown in a laboratory, have been the major advances in this field.

Breast Surgery is usually 6-12 months in training length, and is focused on breast reconstruction after breast cancer surgery, and breast surgery in relation to aesthetics, including breast augmentation, breast lift, and breast reduction. many programs are associated with large surgical oncology, or surgical cancer in a hospital.

What Are The Various Specialties With Plastic Surgery?

Pay Day Loans

February 29, 2012 – 3:17 am

Pay-day loan firms came under fire yesterday for offering unsecured lending arrangements to fund cosmetic surgery.

Glossy websites promote short-term pay-day deals alongside unsecured loans to pay for operations including face lifts, breast enlargements, tummy tucks, gastric bands and liposuction.

many of the procedures cost thousands of pounds and could leave consumers facing huge repayments for years to come.

Yet the cosmetic surgery loans are listed alongside offers of pay-day loans – usually a very short-term debt of 100 to 1,000 designed to tide people over in an emergency for just days or weeks until they receive their pay cheque.

The sites feature photographs of attractive young women, often laden with shopping bags, and claim they can offer instant loans without credit checks.

Cheapfastloans.co.uk offers unsecured loans of up to 25,000 for cosmetic surgery without specifying repayment rates. it said the loan could be repaid over between one and 25 years.

The site says: ‘Good looks always make a person feel certain and unique. However, many a times, having birth defects, like improper chin or nose can be a nerve-racking obstacle for you.

On the contrary, they can be vanished without any trouble with the aid of these our schemes. Our cheap fast loans can be useful for your fiscal crisis and can help you to obtain a beautiful look.’

an unsecured loan means the lender relies on the borrower’s promise to make repayments, without collateral such as a house or other assets.

The increased risk involved for the lender means interest rates tend to be higher, and many firms want to see proof of employment and income before they will offer a loan.

Another site, needloans.org.uk, also offers unsecured loans for plastic surgery. The site says: ‘Don’t get delayed, get the look you were craving for with loans for cosmetic surgery.’

Reputable surgeons stress that cosmetic surgery is a serious decision which should not be taken quickly.

Rajiv Grover, president-elect of the British Association of Aesthetic Plastic Surgeons, said he discouraged patients from using any loans to pay for surgery.

‘I say, “if you need a loan for this, please don’t have it at all – wait and do this once you have saved up and you are totally in the right frame of mind”,’ he said.

The growth of the pay-day loan industry, which is now worth more than 1billion a year in the UK, has prompted fears that consumers are taking on debts they cannot repay.

Consumer groups have warned that a tougher lending climate from banks and building societies has driven financially vulnerable people to use the loan companies, whose rates can exceed 4,200 per cent APR on short-term loans.

if customers cannot meet their repayments, they are hit with large fees and the high interest rates mean their original loan amount can quickly spiral.

Stella Creasy, Labour MP for Walthamstow, in east London, said: ‘This is another example of how the industry cannot get its act together.

‘The longer the Government leaves this, the worse the situation will get. We should be warning people that if you don’t have the money, don’t spend it.’

Pay-day loan companies argue they offer a vital service to people who cannot get credit quickly from their banks.

They claim the short-term nature of most pay-day loans means they are relatively inexpensive and that it is not fair to calculate their interest charges on an annual basis.

Cheapfastloans.co.uk and needloans.org.uk were unavailable for comment. The sites both state they are not direct lenders or brokers but simply match applicants with lenders.

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Pay Day Loans

Glamour model kicks cosmetic surgery ‘addiction’

Summary of story from the Daily Record, October 6, 2011

Glamour model Alicia Douvall has decided she has had enough of plastic surgery, after keeping surgeons in business for over a decade.

Her quest for perfection has led to more than 50 cosmetic procedures – including 15 boob operations, seven nose jobs, countless cheek implants, three sets of veneers and even painful toe surgery.

Her last surgery – a year ago – was corrective. She had her jaw, nose and mouth reshaped to restore her face to its previous look after botched surgery left her with nerve damage.

“That was the worst scare of my life. even now, I can’t feel parts of my face,” she admits.

And she claims that the total bill for her multiple procedures is now more than £1million.

“I needed to stop,” she says. “It was destroying my life and could have killed me. I finally feel I’ve got my obsession under control and I’m living a healthy life.”

“none of my boyfriends wanted me to have surgery – in fact some of them hated my huge fake boobs.”

She claims her father, a self-made millionaire, was strict and constantly told her she was ugly.

She says: “I deeply regret all the surgery I’ve had in the past and I wish more than anything in the world that I could just turn back time. but now I look in the mirror and I don’t hate myself. I’m learning to like the face I’ve got.”

Glamour model kicks cosmetic surgery ‘addiction’

Thigh muscle gives woman a reason to smile again

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Headed by Smile Foundation medical director Professor George Psaras, the woman and children had facial reanimation surgery in Smile Week as Psaras shared his expertise with other surgeons from academic hospitals.

Psaras has performed 41 facial animations and reanimations during sponsored Smile Weeks, one for a woman from Bloemfontein who developed facial paralysis after severe recurring infections.

A piece of muscle was harvested from the woman’s left thigh and the red muscle was "parachuted" into her cheek, where Psaras and his team connected an artery, vein and nerve to the transplanted muscle.

The operation, performed to the sounds of Classic FM at the Charlotte Maxeke Johannesburg Academic Hospital on Tuesday, took about 10 hours. The patient is expected to get some movement back in her face in two to six months.

"We operated on a 10-year-old yesterday and last week on an eight-year-old in Johannesburg and a girl in Cape Town," said Psaras.

The facial reanimation operation involved the intricate replacement of 18 muscles with one muscle. "This is a compromise but it’s the best option we have," he said.

Yesterday was the last day of the Vodacom’s Facial Reanimation Smile Week.

  • The Smile Foundation organises free reconstructive surgery for children with facial abnormalities within South Africa.

<a href="http://www.timeslive.co.za/local/article997958.ece/Thigh-muscle-gives-woman-a-reason-to-smile-againtag:news.google.com,2005:cluster=http://www.timeslive.co.za/local/article997958.ece/Thigh-muscle-gives-woman-a-reason-to-smile-againThu, 31 Mar 2011 22:47:55 GMT 00:00″>Thigh muscle gives woman a reason to smile again

Cosmetic Surgery Gone Wrong

Published on December 20th, 2010 by Martha Collins

According to the Medical Defense Union (MDU), a not-for-profit UK organization that helps mediate between surgeons and patients in medical negligence incidents, clear communication between both patients and surgeons is the key to avoid incidents of cosmetic surgery gone wrong and claims or lawsuits being brought against surgeons.

MDU has settled a total of 250 cosmetic surgery claims, an average of 25 per year, between 1996 and 2005. however, there is no clear sign of the number of claims increasing, despite the fact the number of cosmetic procedures continues to rise.

The main reasons for patients making claims were categorized by the MDU as follows:

  • Dissatisfaction with the aesthetic results (42%)
  • Unaccepted Scarring (24%)
  • Infection (12%)
  • Nerve damage (3%)
  • Wrong Operation (3%)
  • Other (16%)

These results highlight the importance of communication between both patients and surgeons, to effectively present both desired and expected results from the surgery. The MDU has highlighted poor communication of side effects and absence of consent on behalf of the surgeon as probable reasons for plastic surgery gone wrong

Below are examples of real life claims made by patients against surgeons in response to results of facelift procedures. These cases have all been taken directly from the MDU’s December 2006 publication.

A middle aged man who had a face lift and blepharoplasty made a claim against his surgeon alleging that he was not warned that any scars would be visible after the facelift. he also complained of a scar near his mouth, which it was later discovered was due to a burn from a diathermy instrument used during the operation to seal blood vessels and which had accidentally touched the patient’s face. The claim was settled for £25,000, as a result of cosmetic surgery gone wrong.

A young man sued a cosmetic surgeon because he was unhappy with the results of a rhinoplasty. he complained that he had suffered breathing problems since the operation and that he had asked the surgeon to make his nose smaller but that this hadn’t been achieved. he needed two further operations to get the effect he wanted and to correct the breathing problems. The doctor had kept careful notes of the pre-operative discussion and was able to show that he had counseled the patient about the aesthetic effect which could be achieved. The claim was settled for £10,000 in recognition of the patient’s breathing problems.

At Facelift-pedia, we believe that it is in the public interest for transparent information on cosmetic medical negligence incidents to be readily available. because of Data Protection Laws, patients in the UK have limited access to objective, systematic information about malpractice lawsuits and medical negligence incidents – unlike patients in the US.

Furthermore, plastic surgery is often a hush-hush topic among both patients who undergo plastic surgery and among those who are considering it. It is also one of the least regulated medical areas, and one where a majority of patients pay out of pocket for treatments in private establishments. When plastic surgery goes wrong, most patients do not voice the dangers and failures publicly. These factors result in a highly divergent standard of care. We hope to be your voice. please contact us if you have a real story to tell. Blow the whistle, and we will help the fight againts cosmetic surgery gone wrong.

Or contact AvMA, Action against Medical Accidents, an independent charity that promotes better patient safety and justice for people who have been affected by a medical accident.

Source: MDU Journal Volume 22 Issue 2 December 2006

Cosmetic Surgery Gone Wrong

£50k payout for patient left in agony by blundering dentist – Tameside Advertiser

A woman has won a £50,000 payout after a dentist botched her treatment, leaving her in constant pain and unable to eat properly.

Jean Wall, 75, handed over thousands of pounds to Dr Oscar Kwame Gagoh after he promised to correct a crooked front tooth. but her dream of a Hollywood smile turned into a nightmare after the treatment sessions in Droylsden and Clayton.

Grandmother-of-five mrs Wall said she had to endure a year of radical treatment with another dentist, costing £30,000, to repair the damage.

Lawyers acting on her behalf spent three years trying to track down Dr Gagoh until finally securing a £50,000 payout from his insurers.

The M.E.N. can reveal that Dr Gagoh is now practising as a dentist in Michigan, in the United States.

He left Britain despite having 13 outstanding county court judgements against him across the country – topping £450,000.

He is also subject to conditions imposed by the General Dental Council after another patient made a complaint against him.

Mrs Wall, from Droylsden, had agreed a schedule of treatment with Dr Gagoh that included bleaching, crowns, veneers and white fillings.

But, she says, her life was ‘almost wrecked’ when the sessions left her with burned and blistered lips.

She said: “I looked like a mess. I had nerve damage – the pain was unbearable, I couldn’t eat, drink or swallow properly.”

Mrs Wall’s case was taken up by Chris Gawne, partner in clinical negligence department at Manchester law firm Pannone.

They were able to secure a payout from Dr Gagoh’s defence organisation, the Medical Protection Society, after its bosses admitted that even they hadn’t been able to contact him.

Mr Gawne said: “She had placed her trust in Dr Gagoh and that trust was obviously misplaced. not only did he give her negligent treatment, he has refused to address the claim.

“Even his own defence organisation was unable to get instructions from him.

“Despite the difficulties caused by his refusal to deal with the claim, we were able to secure a substantial sum. Jean has not had to go through the difficult and risky process of pursuing Dr Gagoh personally.”

The General Dental Council said Dr Gagoh, who used to work at the Fairfield Road dental practice, Droylsden, and carried out treatments at a clinic in Clayton, was made the subject of an interim order, which runs until August next year.

He is still allowed to work in Britain but only under a series of conditions, including informing them if he changes his work address. The M.E.N tracked down the dentist to the Gagoh Family Dental practice in Michigan.

Confronted with mrs Wall’s claims, he said he had done nothing wrong and insisted she was happy with her treatment.

He refused to comment on why he had left Manchester and would not be drawn on the outstanding county court judgements.

Dr Gagoh added: “I remember the patient well. She was given a mirror and saw the work. if she was not happy, why did she allow me to continue? this is nonsense.”

According to Dr Gagoh’s American website, ‘excellence is the hallmark’ of his work.

He describes himself as ‘highly motivated and hardworking’ and says he is ‘committed to serving families and creating beautiful smiles which leave patients feeling good, content and confident’.

He says he is originally from Ghana, and is a graduate of Manchester University’s Dental School.

He also says he has completed an advanced dentistry programme at the University of Rochester, new York.

No happy ending to widow’s dream of Hollywood smile

SHE dreamed of a Hollywood smile – but when Jean Wall went to see Dr Oscar Gagoh there was no happy ending.

Mrs Wall was still grieving the loss of her husband Thomas when she decided to spend some of her inheritance on cosmetic dental work.

She had disliked her crooked front tooth for years and finally plucked up the courage to do something about it.

When she arrived at Dr Gagoh’s Fairfield Road practice in March 2007, he impressed her with his confident manner and promised he would sort her teeth out ‘in no time’.

Mrs Wall agreed to pay £8,000-£10,000 for crowns, veneers, white fillings and bleaching, to ensure she had the perfect smile.

A week later, she was back in the treatment chair for four hours, having her teeth drilled and filed. She says the session left her in great pain.

At her next session, she spent five hours in and out of the chair and had to have her anaesthetic topped up four times.

She had two further treatment sessions but became concerned when the bill soared to £12,000, then £15,000.

When she refused to pay the extra money, she says, Dr Gagoh turned up at her house asking for the cash.

She last saw him on Good Friday 2007. After that, she was unable to contact him after being told he had left the area.

At that point she went to law firm Pannone to press for compensation.

She said: “I had perfect teeth apart from one slightly crooked one at the front.

“My husband had died in the November and had left me some money. I’d seen programmes on the TV for cosmetic dentistry and that gave me the idea to go for it.

“I ended up with veneers and crowns I didn’t need.

“My lips were blistered and gums were inflamed.”

Pannone spent three years fighting for compensation.

Mrs Wall added: “I had to have a full restoration of my teeth, costing over £30,000 and taking more than a year to complete.”

She said she had no sense of satisfaction at her payout but thanked lawyers at Pannone and Dr Robert McLelland at St Ann’s dental clinic in Manchester, who carried out the repair work.

£50k payout for patient left in agony by blundering dentist – Tameside Advertiser

How much would it cost to get inches added to your penis via plastic surgery?

around how much would it cost to get 2 or 3 inches added to my penis? and what are the risks of having it done?

Thousands and yes there would be tremendous risk involved.

you cant add anything, theres about 3 inches of extra penis inside your body, and a surgery i would think to get that 3 inches out would be in the thousands

Call a plastic surgeon to find out.

i dont think you could get it done in the u.s. unless it's absolutely necessary. if you have more than 3 inches, you're all set. The most sensitive area of the vagina is the first 3-4 inches in….so…..that's all you need really

Not possible to add that much – even with surgery –
See article – en.wikipedia.org/wiki/Penis_enlar…
Talk with a urologist and see if he has some suggestions – as long as it is functional – try something else -

The big risk is that you damage the nerve ending in your penis so you have a 9 inch monster that has no feelings

Also, teh surgery can generate scar tissue and make things worse. Survey says…..abandon this approach

You can easily check your minimal health care rates in internet, for example here – health-quotes.isgreat.org

Hey… Ronnie here… Perhaps my story could be of some help to you

For the past 6 months or so now I've been a member of this penis enlargement program website which has worked amazing for me…. I'm 1/2-1/2 japanese/chinese.. and unfortunately, at least for me, the steriotypes about asians rang true.. after I hit the end of puberty at like 18, I was about 5"10 height(which btw is pretty tall for most of asian ethnicity) and downstairs I was only 5 inches when fully erect…I did some research and found out that I was almost 1 1/2 inches below average… however ive had about 3 girlfriends and the first two never complained or said anything about it, so i always assumed everything was fine. This was until my last girlfriend who was a total *****… Her I was with for like 4 months until she broke up with me, seemingly for no reason… so when i asked why she had done it she snapped back at me saying how she could no longer "put up" with me or my "baby dick" .. I kind of just shrugged this off because I didn't really care all too much about the girl anyway.. but the latter of what she said stuck with and ate away at me inside.

So eventually I came across this one penis enlargement website that caught my eye and i signed up for it.. over these past 6 months using all the material and support in their member section… i'm now measuring in at just a little under 6.75! It's definetely not as much as they told me i would gain in that period of time, but im still more than satisfied… because now jamie can take her stupid lil insults and shove it. lol ANYWAYS sorry for the rambling, their website's .. penisadv.pcti-system.com .. and it's basically a natural way of enlarging your penis through various different "exercises"… the science behind it is something to the effect of destroying cell tissue in the shaft of ur penis through specialized exercises, then not like-but similar to a muscle… when it heals and rejuvenates- these damaged/killed cells grow back larger, therefore expanding your shaft… whats interesting too when you research into these special methods these exercises and so forth, will see that these are actually what ancient indian tribes used to do way back in the day to enlarge their penises. Hope I was of some help to you my friend, and I wish you the best of luck!

why don't you try a much safer and cheaper way first before you jump into surgery ? think about the side effect and how much it will cost you for the rest of your life (i'm not talking about money here)

How much would it cost to get inches added to your penis via plastic surgery?