This document provides an overview and summary of the qualifications and experience of Dr. Kevin Naylor. It outlines that Dr. Naylor is a dual qualified barrister and medical doctor, having practiced medicine for 7 years in various specialties. It notes that Dr. Naylor's practice focuses on clinical negligence and personal injury, acting for both claimants and defendants. His medical background is considered an asset. The document provides recommendations from other legal professionals and summaries of Dr. Naylor's experience in clinical negligence and personal injury cases.
Background: This report describes a unique case of a patient that developed psychotic symptoms believed to be secondary
to a tentorial meningioma with associated hydrocephalus. These psychotic symptoms subsequently abated with placement of a
ventriculoperitoneal shunt. Case description: 60-year-old female was admitted to an inpatient psychiatric facility on a psychiatric involuntary commitment petition due to progressive paranoia, homicidal ideation and psychosis. The work up showed a calcified six cm tentorial meningioma with associated hydrocephalus. The patient initially rejected treatment but later became amenable to placement of Ventriculoperitoneal Shunt
(VPS).
CASE STUDIES: Navigating new routes to improved mental health care wef
CASE STUDIES/Navigating new routes to improved mental health care for older adults - Gina O'Halloran and Richard Goddard at live session of May 20, 2014:
http://worldeventsforum.blogspot.com/p/l-ive-event-to-be-held-tuesday-may-20.html
Agnesian HealthCare, an integrated health system in the southern part of the Fox Vally in Wisconsin, shares provider updates, patient stories, health tips and much more in its Spring 2015 edition.
Dental Implant 1 /certified fixed orthodontic courses by Indian dental academy Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
00919248678078
Isolated Cerebellar Stroke Masquerades as DepressionZahiruddin Othman
There are numerous reports on neurological conditions masquerading as psychiatric disorders. However, cerebellar
stroke is not established as one of it. The 2 case reports will highlight that this masquerade is possible and the physician's
high index of suspicion is the key to accurate diagnosis.
Background: This report describes a unique case of a patient that developed psychotic symptoms believed to be secondary
to a tentorial meningioma with associated hydrocephalus. These psychotic symptoms subsequently abated with placement of a
ventriculoperitoneal shunt. Case description: 60-year-old female was admitted to an inpatient psychiatric facility on a psychiatric involuntary commitment petition due to progressive paranoia, homicidal ideation and psychosis. The work up showed a calcified six cm tentorial meningioma with associated hydrocephalus. The patient initially rejected treatment but later became amenable to placement of Ventriculoperitoneal Shunt
(VPS).
CASE STUDIES: Navigating new routes to improved mental health care wef
CASE STUDIES/Navigating new routes to improved mental health care for older adults - Gina O'Halloran and Richard Goddard at live session of May 20, 2014:
http://worldeventsforum.blogspot.com/p/l-ive-event-to-be-held-tuesday-may-20.html
Agnesian HealthCare, an integrated health system in the southern part of the Fox Vally in Wisconsin, shares provider updates, patient stories, health tips and much more in its Spring 2015 edition.
Dental Implant 1 /certified fixed orthodontic courses by Indian dental academy Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
00919248678078
Isolated Cerebellar Stroke Masquerades as DepressionZahiruddin Othman
There are numerous reports on neurological conditions masquerading as psychiatric disorders. However, cerebellar
stroke is not established as one of it. The 2 case reports will highlight that this masquerade is possible and the physician's
high index of suspicion is the key to accurate diagnosis.
Presentation on leveraging and scaling MOOCs as assets in teacher professional development programs for a
research panel on Professional Development for Online/Blended Teaching at the 2015 Society for Information Technology and Teacher Education (SITE) conference in Las Vegas, NV, March 5, 2015.
Introduction to NSF-sponsored Big Data Education ProjectBig Data Education
Date: 2015-12-11
Presenter: Eun-Kyeong Kim (eun-kyeong.kim@psu.edu)
Symposium: The 17th KOCSEA (Korean Computer Scientists and Engineers Association in America) Technical Symposium 2015
By Keith Hampson, PhD. Presented at an annual sales conference for a national education publisher, this presentation considers some of the most significant obstacles standing in the way of traditional colleges and universities taking fuller advantage of the possibilities of online instruction.
#SPW13 - Reverse engineering from old used computers - workshop 2016-10-15Brussels, Belgium
The 13th Science Projects Workshop in the Future Classroom Lab, organised by Scientix, in collaboration with the STEM Alliance and OPENSKIMR took place in Brussels in October 2016, from Friday 14 (starting time: 19:30) to Sunday 16 (end ~14h).
What is on the agenda for the future for ICDE - International Council for Distance Education? Presented by the ICDE Secretary General Gard Titlestad in Moscow, Russia and Curitiba Brazil September - October 2014.
The teacher as learner: exploring the creative potential of online profession...Federica Oradini
This session will focus on an online Postgraduate Certificate qualification for Higher Education teachers. Our data is drawn from an evaluation survey. We will share the impact of the course on teachers'…
• Pedagogic thinking
• Teaching practice
• Use of technology
…and participants' responses to the online delivery.
The 13th Science Projects Workshop in the Future Classroom Lab, organised by Scientix, in collaboration with the STEM Alliance and OPENSKIMR took place in Brussels in October 2016, from Friday 14 (starting time: 19:30) to Sunday 16 (end ~14h).
#SPW13 - School events: industry - education collaboration - workshop by the ...Brussels, Belgium
The 13th Science Projects Workshop in the Future Classroom Lab, organised by Scientix, in collaboration with the STEM Alliance and OPENSKIMR took place in Brussels in October 2016, from Friday 14 (starting time: 19:30) to Sunday 16 (end ~14h).
#SPW13 - Skills stereotypes in STEM edcation - workshopBrussels, Belgium
The 13th Science Projects Workshop in the Future Classroom Lab, organised by Scientix, in collaboration with the STEM Alliance and OPENSKIMR took place in Brussels in October 2016, from Friday 14 (starting time: 19:30) to Sunday 16 (end ~14h).
SPW13 - Sure, I'm interested in your project, you got 1' 2016-10-16Brussels, Belgium
The 13th Science Projects Workshop in the Future Classroom Lab, organised by Scientix, in collaboration with the STEM Alliance and OPENSKIMR took place in Brussels in October 2016, from Friday 14 (starting time: 19:30) to Sunday 16 (end ~14h).
The 13th Science Projects Workshop in the Future Classroom Lab, organised by Scientix, in collaboration with the STEM Alliance and OPENSKIMR took place in Brussels in October 2016, from Friday 14 (starting time: 19:30) to Sunday 16 (end ~14h).
Patients for patient safety. Margaret Murphy. III International Conference on Patient Safety: "Patients for Patient Safety" (Madrid, Ministry of Health and Consumer Affairs, 2007)
Presentation on leveraging and scaling MOOCs as assets in teacher professional development programs for a
research panel on Professional Development for Online/Blended Teaching at the 2015 Society for Information Technology and Teacher Education (SITE) conference in Las Vegas, NV, March 5, 2015.
Introduction to NSF-sponsored Big Data Education ProjectBig Data Education
Date: 2015-12-11
Presenter: Eun-Kyeong Kim (eun-kyeong.kim@psu.edu)
Symposium: The 17th KOCSEA (Korean Computer Scientists and Engineers Association in America) Technical Symposium 2015
By Keith Hampson, PhD. Presented at an annual sales conference for a national education publisher, this presentation considers some of the most significant obstacles standing in the way of traditional colleges and universities taking fuller advantage of the possibilities of online instruction.
#SPW13 - Reverse engineering from old used computers - workshop 2016-10-15Brussels, Belgium
The 13th Science Projects Workshop in the Future Classroom Lab, organised by Scientix, in collaboration with the STEM Alliance and OPENSKIMR took place in Brussels in October 2016, from Friday 14 (starting time: 19:30) to Sunday 16 (end ~14h).
What is on the agenda for the future for ICDE - International Council for Distance Education? Presented by the ICDE Secretary General Gard Titlestad in Moscow, Russia and Curitiba Brazil September - October 2014.
The teacher as learner: exploring the creative potential of online profession...Federica Oradini
This session will focus on an online Postgraduate Certificate qualification for Higher Education teachers. Our data is drawn from an evaluation survey. We will share the impact of the course on teachers'…
• Pedagogic thinking
• Teaching practice
• Use of technology
…and participants' responses to the online delivery.
The 13th Science Projects Workshop in the Future Classroom Lab, organised by Scientix, in collaboration with the STEM Alliance and OPENSKIMR took place in Brussels in October 2016, from Friday 14 (starting time: 19:30) to Sunday 16 (end ~14h).
#SPW13 - School events: industry - education collaboration - workshop by the ...Brussels, Belgium
The 13th Science Projects Workshop in the Future Classroom Lab, organised by Scientix, in collaboration with the STEM Alliance and OPENSKIMR took place in Brussels in October 2016, from Friday 14 (starting time: 19:30) to Sunday 16 (end ~14h).
#SPW13 - Skills stereotypes in STEM edcation - workshopBrussels, Belgium
The 13th Science Projects Workshop in the Future Classroom Lab, organised by Scientix, in collaboration with the STEM Alliance and OPENSKIMR took place in Brussels in October 2016, from Friday 14 (starting time: 19:30) to Sunday 16 (end ~14h).
SPW13 - Sure, I'm interested in your project, you got 1' 2016-10-16Brussels, Belgium
The 13th Science Projects Workshop in the Future Classroom Lab, organised by Scientix, in collaboration with the STEM Alliance and OPENSKIMR took place in Brussels in October 2016, from Friday 14 (starting time: 19:30) to Sunday 16 (end ~14h).
The 13th Science Projects Workshop in the Future Classroom Lab, organised by Scientix, in collaboration with the STEM Alliance and OPENSKIMR took place in Brussels in October 2016, from Friday 14 (starting time: 19:30) to Sunday 16 (end ~14h).
Patients for patient safety. Margaret Murphy. III International Conference on Patient Safety: "Patients for Patient Safety" (Madrid, Ministry of Health and Consumer Affairs, 2007)
2.1 DEFINITION OF INFERTILITY :
Infertility is defined as a failure to conceive within one or more year of regular unprotected coitus.
2.2 TYPES OF INFETILITY:
1. PRIMARY INFERTILITY:
SECONDARY INFERTILITY
2.3 CAUSES OF INFERTILITY :
• MALE FACTORS :
DEFECTIVE SPERMATOGENESIS
SECONDARY INFERTILITY
2.3 CAUSES OF INFERTILITY :
• MALE FACTORS :
DEFECTIVE SPERMATOGENESIS
Infection
Gonadotropin suppression
Endocrine factors
Immunological factors
Tubal and peritoneal factors
UTERINE FACTORS CERVICAL FACTORS
VAGINAL FACTORS
COMBINED FACTORS
DIAGNOSTIC PROCEDURES
FOR FEMALE
HISTORY
EXAMINATIONS
DIAGNOSTIC EVALUATION:
1. CERVICAL MUCUS STUDY
2. HORMONAL ESTIMATION
3. ENDOMETRIAL BIOPSY
4. SONOGRAPHY
5. LAPROSCOPY
6. INSUFFLATION TEST (Rubin’s test)
2.5 RECENT ADVANCEMENT IN INFERTILITY MANAGEMENT :
ASSISTED REPRODUCTIVE TECHNIQUES (ART)
“ASSISTED REPRODUCTIVE TECHNIQUES INVOLVING DIRECT RETRIEVAL OF OOCYTE FROM OVARY, MANIPULATION OF GAMETS AND EMBROYOS OUTSIDE BODY FOR PURPOSE OF ESTABLISHING PREGNANCY”.
TYPES OF ART :
1. IUI (Intrauterine insemination)
2. IVF-ET(In vitro fertilization & embryo transfer)
3. ZIFT(Zygote intra fallopian transfer)
4. ICSI (Intra cytoplasmic sperm injection) (TESA, PESA, MESA)
5. EMBRYO OR OOCYTE DONATION
6. GESTATIONAL CARRIER
7. SURROGACY
2.6 ROLE OF NURSE IN MANAGEMENT OF
INFERTILITY :
] ASSESSMENT :
- Assessment of the infertile couple is the initial stage of infertility management. The nurse is often the first contact the infertile couple make during their visit for treatment. The nurses role during this stage is to educate the couple about each test or investigation. The nurse plays a vital role in alleviating the fear and anxiety about the various diagnostic procedure.
2] TREATMENT :
- The nurse plays the link between the doctor and the couple and should always be available to the couple for their assistance, guidance and support before, during and after the infertility treatment.
- Numerous ethical issues are associated with infertility treatments and the couple undergoing treatment need appropriate counselling and discussion.
-The goal of the nurse helping the infertile couple is to assist them through the treatment cycle as smoothly as possible.
3] EDUCATION :
- The role of a nurse in educating the patients includes education about the basic male and female anatomy and physiology and how the drugs act on their body, including possible side effects. This may be offered under various setting such as
• Face to face on an individual basis.
• In a group situation,
• Fertility nurses should also educate the couple about the self-administer medications.
• Proper knowledge of administration of these medicines and storage conditions for medications, as well as the possible side affects, should be imparted to the couple undergoing treatment.
4] PSYCHOLOGICAL SUPPORT :
-A couple undergoing infertility treatments are usually under stress due to variety of reasons.
How evidence affects clinical practice in egyptWafaa Benjamin
Evidence based medicine is the gold standard for clinical care.
It implies the integration of best research evidence with clinical expertise and patient values.
There is still a wide gap between availability of evidence and its incorporation into routine practice in our country.
Barriers to implementation could be personal, social, institutional, financial and legal barriers.
True practice of evidence based care can only occur where evidence based decisions coincide with patients’ beliefs and clinicians’ preferences.
Continuing medical education programs should be set with integrating evidence based medicine teaching and learning within clinical training.
The importance of presence of local national guidelines which need to take into account variation in expertise, resources and patient preferences across our geographical and cultural contexts .
Customisation of a guideline to meet the local needs of a target patient population is critical to successful implementation.
Patient Information Please see attachment for Rubrics and Soap T.docxssuser562afc1
Patient Information
Please see attachment for Rubrics and Soap Template
Family Medicine 27: 17-year-old male with groin pain
User:
Beatriz Duque
Email:
[email protected]
Date:
September 5, 2020 11:01PM
Learning Objectives
The student should be able to:
Elicit focused history of patients presenting with scrotal pain.
Demonstrate the ability to perform proficient testicular examination and to elicit signs specific to identify or exclude testicular torsion.
Develop a differential diagnosis for adolescent male presenting with scrotal pain.
Identify appropriate laboratory and radiological studies as it relates to the differential diagnosis of scrotal pain. Outline the algorithmic approach to testicular pain.
Discuss management of testicular torsion.
Recognize sexually transmitted infections as a cause of testicular pain among adolescent males.
Discuss the importance of counseling to prevent sexually transmitted infections.
Discuss epidemiology and USPSTF recommendations for screening for common testicular cancers.
Knowledge
Important Features of the History for a Patient in Pain
The following acronym can be helpful:
LAQ CODIERS:
L
ocation
A
ssociated symptoms
Q
uality
C
haracter
O
nset
D
uration
I
ntensity
E
xacerbating factors
R
elieving factors other
S
ymptoms
HEEADSSS Adolescent Interview
Home
Education / Employment
Eating
Activities
Drugs
Sexuality
Suicide / Depression Safety / Violence
Scrotal Exam Findings
Cremasteric reflex
Cremasteric reflex can be assessed by lightly stroking or pinching the superior medial aspect of the thigh. An intact cremasteric reflex causes brisk ipsilateral testicular retraction. Absence of the cremasteric reflex is a sensitive but nonspecific finding for testicular torsion. It can be absent on physical exam in normal testes. It should be assessed after inspection and before palpation of the testicles.
Blue dot sign
Tenderness limited to the upper pole of the testis suggests torsion of a testicular appendage, especially when a hard, tender nodule is palpable in this region. A small bluish discoloration known as the "blue dot sign", may be visible through the skin in the upper pole. This sign is virtually pathognomonic for appendiceal torsion when tenderness is also present.
Prehn sign
Prehn reported that physical lifting of the testicles relieves the pain caused by epididymitis but not pain caused by testicular torsion. A positive Prehn sign is pain that is relieved by lifting of the testicle; if present this can help distinguish epididymitis from testicular torsion.
Causes of Testicular Torsion
Congenital anomaly
A congenital anomaly that results in failure of normal posterior anchoring of the gubernaculum, epididymis, and testis is called a bell clapper deformity because it leaves the testis free to swing and rotate within the tunica vaginalis of the scrotum much like the gong (clapper) inside of a bell, causing an intravaginal torsion. A large mesentery betwee.
IRCM’s Centre on Rare and Genetic Diseases in Adults
Sophie Bernard, M.D., PhD.
Head of the Rare Disease Clinic, IRCM Director, Genetic Dyslipidemias Clinic, IRCM Assistant Professor, Department of Medicine, Montreal University
Rare Disease Day Conference 2020 March 9-10
Perfecting the art of medical hypnosis as an alternative to traditional anesthesia, learnings from Sodexo's International Leaders' Survey, addressing the challenges and opportunities created by the multi-generational workforce in hospitals, improving transport services to increase efficiency, news around the world.
MedicalResearch.com: Medical Research Exclusive Interviews December 31 2014
finalcv (2)
1. 1
Dr. Kevin Naylor
Overview
Kevinoriginallyqualifiedasa doctorand practisedmedicine for7years.He isone of a small number
of dual qualificationbarristerspractisinginthe UK.He has heldUniversityTeachingHospital postsin
the followingdisciplines:
General Medicine,General Surgery,Accident&Emergency,Obstetrics,Paediatrics, Medicineforthe
Elderly, General Practice andPsychiatry.
Kevinpractisesinthe fieldsof clinical negligence andpersonal injury,actingforbothclaimantsand
defendants.Hisbroadbasedmedical knowledgeisanenormousasset.Hispractice alsoincludes
coroner’sinquestsandsolicitors’negligence claimsarisingoutof the conductof clinical negligence
and personal injuryclaims. Kevinisalsoanaccredited Mediator.
Recommendations
“A master tactician who can immediately identify the key issues in a complex case. He is one of only a handful of UK
barristers who is also a qualified doctor and his input in a case is invaluable. A silk in all but name.”
Sarah Barclay, Partner, Sarah Barclay and Co.
“A very persuasive advocate with great courtroom skills.He prepares cases meticulously and fights very hard for his
clients. His medical knowledge gives him a tremendous advantage dealing with expert witnesses”
Michael Saul, Partner, TJL Solicitors
“A very sound counsel who has a calm, measured and empathetic manner with clients. Engagingly unpretentious.
Helpful and approachable to those instructing him, always personable; a good eye for detail and excellent on analysis of
complex issues.”
Elaine Meehan, Head of Clinical Negligence, Ralli Solicitors.
“Kevinis the leader in his field.He brings a calm and measured approach to cases and has an outstanding track record.
His medical background puts clients at ease as they quickly realise that they are dealing with an exceptionally
knowledgeable barrister”
Pam Roberts, Headof Clinical Negligence, WHN Solicitors
“KevinNaylor is an excellent barrister and advocate. I have always found him most efficient and reliable and Ihave
never experienced any delay in my cases when Kevinis involved. His practical and sensible approach to his work is
refreshing and I find him an absolute pleasure to work with. I cannot recommend him highly enough and I am delighted
that I came across Kevinwhen I did because his work makes my life a little easier and it keeps my clients very happy”
Carol Sinnott, Principal, Sinnott Solicitors
Kevinis easy to work with and provides a very personal service.He is very knowledgeable and his advice is always
thorough. As a personal injury and clinical negligence specialist his medical knowledge is of considerable benefit”
Caroline Marchbank-Caunce, Partner, Simon A Holt & Co.
3. 3
Gastroenterology:failuretodiagnose Crohn’sdisease; negligenttreatmentof ulcerativecolitis;
negligentgastroscopyresultingin cerebral hypoxiaandbraindamage;negligentcolonoscopy
causingcolonicperforationrequiringcolostomy.
Nephrology:failure todiagnosePUJobstruction.
General surgery :small/large bowelperforationduringsurgery; failure todiagnose anastomoticleak;
failure totreatintra-abdominal sepsis; failure todiagnose acute colitis; failure toproperlymanage
fistulae.
General Practice : failure todiagnose andtreat variousconditionsincludingmyocardial ischaemia,
transientischaemicattack, temporal arteritis, renal vasculitis, acute lowerlimbischaemia, CVA,
abdominal pain, developmental delay;negligentear- syringingcausingtympanicmembrane
perforation.
Psychiatry : wrongful prescriptionof addictive drugs;failure todiagnose andappropriatelytreat
acute psychoticepisode resultinginthe homicide of the patient’s5yearolddaughter.
Personal Injury
Keviniswell knownforadvisingbothclaimantsanddefendants inhighvalue quantumcases.He has
particularexpertiseincaseswhere medical causationiscomplex.Hispractice encompassesall areas
of personal injury.Insummary:
Traumatic headinjury,resultinginsevere permanentbraininjury.
Spinal cordinjury causingpermanentneurological deficit.
Peripheral nerveandbrachial plexusinjuries.
Loss of sight.
Deafness.
Single andmultipleorthopaedicinjuries.
Traumatic amputation.
Softtissue injuries.
Burns andscarring
Injurycausedbyoccupational exposure tohazardoussubstances.
Psychiatricinjury
Chronicpain.
4. 4
Cases
Clinical Negligence
Illustrative Recent Cases
Hartleyv Blackpool Fylde &Wyre TeachingHospitalsNHSFoundationTrust
The 35 yearoldfemale Claimantsufferedlife-threateningintra-abdominal sepsis asaresultof
anastomoticleakage followinganelective anteriorresection.She requiredmultiple further
operationsandsufferedarecto-vaginal fistula,para-colostomyandincisional herniae andshe hasa
permanentcolostomy.Breachof dutyandcausationwere robustlydenied.Causationwascomplex,
the Claimantarguingthather maininjury(the inabilitytorestore gastro-intestinal continuity) was
materiallycontributedtobythe negligentdelayindiagnosingthe anastomoticleak. The claim
settledata JSMfor £250,000.
DanielsvDr Hadoke
The 22 yearoldClaimantsufferedinjury12yearsago whilstworkingasan aircraftengineerinthe
RAF.He sufferedavascularnecrosisof the right(dominant) scaphoidandultimately requiredawrist
fusion,asa resultof failure todiagnose ascaphoidfracture.The Defendantwasworkingasa GP sub-
contractedto the MOD. The Claimanthadto overcome significantlimitationdifficulties,the index
treatmenthavingtakenplace over12 yearsago. The Claimantsucceededatthe trial of the
preliminaryissue of limitation.Afterdetailedquantuminvestigations,the claim settledataJSM in
the sum £310,000.
Faheyv (1) BoltonSalford& TraffordMental HealthNHS Trust (2) TraffordBorough Council.
The case concerneda 5 year oldgirl whowas stabbedtodeathin a ritualistickilling,byhermentally
ill mother.Kevinrepresentedthe victim’sfatherinthe civil claim, havingearlierrepresentedthe
familythroughoutthe statutoryInquirywhichheardevidence overseveral months.The civil claim
was settledforasubstantial (confidential) sum, shortlybeforetrial.
Bravo v Royal Bromptonand HarefieldNHSFoundationTrust
The 79 yearoldmale Claimantunderwentelectivecoronaryarterybypass grafting[CABG] followed
by a revisionoperation.He sufferedanadverse reactiontothe sternal wiresandclipsusedinthe
operation,bothof whichare standardcomponentsusedthroughoutthe NHS.The case concerned
issuesof informedconsentandthe technical performanceof the 2 operations.Liabilityand
causationwere denied.Afterlengthynegotiations,the claimsettled,the Claimantaccepting£75,000
indamages.
RaffertyvDr Weis
Negligentdelayindiagnosingandtreatingthe deceased’smalignantmelanoma.Liabilityand
causationadmittedfollowingservice of proceedings.Quantumisyettobe determined.Claim
pleadedinexcessof £750,000.
5. 5
Cosmetic Surgery
Kevinhasbeeninstructedinover100 cosmeticsurgerycasesinthe past2 years.The cases coverthe
entire spectrumof cosmeticsurgeryincludinglasereye surgery,face lift, brow lift, blepharoplasty,
rhinoplasty,facial fillers,mastopexy,breastaugmentation, buttockaugmentation, abdominoplasty,
Plasmalite (laserhairremoval),liposuction etc.
Examples:
S v (1) Dr Kramer(2) Dr Alexandrides(3) 111 HarleyStreetClinicLtd(4) AmericanCosmeticSurgery
ClinicLtd.
A novel andcomplex cosmeticsurgeryclaim.The 39 yearold female claimantunderwentbuttock
augmentationwithinsertionof implants.The claimproceededagainst4defendants:the operating
surgeon;a differentsurgeonwhotreatedthe Claimantpost-operativelyandthe 2 companies
responsible forthe clinicwhere the Claimantreceivedtreatment.The claimrequiredexpert
evidence incosmeticsurgery,microbiologyandclinical psychology.The issuesincludedthe technical
performance of the original operationandthe failure toofferadequatepost-operative treatment
togetherwithcomplex causationissues.The treatmentinquestiontookplace overa2 year period,
encompassingover40consultations.Liabilityandcausationwere robustlydeniedbyeach
defendant.The claimsettled,the Claimantaccepting anofferof £70,000 in damages.
Raperv (1) Dr Almeida(2) The Hospital Medical GroupLimited
The 25 yearoldfemale Claimantunderwentbreastaugmentation.The issuesinthe claimagainstthe
operatingsurgeonincludedpre-operative consentandthe performance of the index operation.The
claimagainstthe SecondDefendantallegedbreachof contract,bothinrelationtothe definitionof
“Surgeon”withinthe SecondDefendant’sstandardtermsandconditionsandbreachof section13 of
the Supplyof Goodsand ServicesAct.The claimhad wide implicationsforthe SecondDefendant,a
national providerof cosmeticsurgery,sinceitwasallegedthat the surgeonselectedbythe Second
Defendantandadvertisedonitswebsite was notadequatelytrainedandqualified.The claimwas
robustlydefendedbybothDefendants.The claimsettledonthe firstdayof the trial,the Claimant
acceptingan offerof £100,000.
PenningtonvDrPaul McArthur
The 56 yearoldfemale Claimantunderwentafaceliftoperationperformedbythe Defendant.The
claimconcernedissuesof informedconsentrelatingtothe positioningof the operationscarand the
technical performance of the operation.The claimwasrobustlydefended,the Defendantbeing
anxioustoprotecthisprofessional reputation.The trial tookplace over3 days.The claimsucceeded
and the Claimantwasawardeddamagesinthe sumof £30,000.
Simpsonv(1) Dr KhalidKhan(2) Optical ExpressLimited
The 36 yearoldmale Claimantunderwentlasereye treatment[LASIK(LaserIntrastromal
Keratomileusis)] performedbythe firstDefendantonbehalf of the SecondDefendant.He wasleft
witha significantvisualdefect.The underside of the corneal flaphadbeen negligently laseredbythe
FirstDefendantbefore beingreplaced,producingacontourdeformitywhichwasthe cause if the
6. 6
visual defect.LiabilitywasdeniedbybothDefendants.Followingexchange of expertevidence the
case settled,the Claimantaccepting£100.000 indamages.
Personal Injury
Illustrative Recent Cases
Ball v Sagar
The 42 yearoldClaimantsufferedsevereinjurieswhenhismotorcyclewasstruck bythe Defendant’s
vehicle.Inadditiontosufferingmultipleorthopaedicinjuriesthe claimantsufferedCRPSwith70%
leftupperlimbdeficit.The Clamantwasunable tocontinue workingasa helicopterpilot.Damages
agreedat £950,000.
Gwynne-LyonsvSwindonBoroughCouncil
The 46 yearoldClaimantsufferedawhiplashinjuryinwhatappearedtobe aninnocuouslow speed
road trafficaccident. He developedfibromyalgiawithsignificantgeneraliseddisability.The
Defendant’sinsurersoughttoresile froma pre-actionadmissionof liability. The Defendant’s
applicationwassuccessfullyopposed.The claimsettledwithdamagesagreedinthe sum£400,000.
Dockeryv Wilkinson
The 46 yearoldClaimantsufferedawhiplashinjuryinaroadtrafficaccidentresultinginchronic
occipital neuralgia.The claimwaspresentedonthe basisthathercontinuingsymptomsrendered
herdisabledwithinthe meaningof the EqualityAct 2010 and she lostthe chance to progress her
teachingcareer.Afterlengthynegotiationsthe claimwassettledfor£310,000.
Lenchv Curtain
An unusual case.The 64 yearoldClaimantsufferedsegmental fracturesof the tibiaandfibulawhen
hiscycle was struckby the Defendant’svehicle.The orthopaedicinjurieslargelysettled.However,
the Claimantalsosufferedpsychiatricinjuryinthe formof an obsessive compulsive disorder[ICD
F42.1] witha guardedprognosis.Damageswere eventuallyagreedinthe sum£130,000.
Jacksonv Smethurst
The 25 yearoldClaimantsufferedabrachial plexusinjurywhenhermotorcycle wasstruckbythe
Defendant’svehicle.She workedasa PCSOand itwas herwishto applyfora jobas a Police
Constable inthe Lancashire Constabulary.The Claimantclaimeddamagesforherlostchance of a
careeras a Police Officer.Damageswere agreedinthe sum£350,000.
ObayuwanavPahirathan
The 51 yearoldClaimantsufferedvariousinjuriesinaroad trafficaccidentincludingacomminuted
fracture of the tibial plateau.Inaddition,she sufferedadeteriorationinherpre-existingdiabetes
mellitus.The worseningdiabetesincreasedthe riskof micro-vascularandmacro-vascular
complicationstogetherwithanincreasedriskof jointinfectionandasepticlooseningof the knee
7. 7
prosthesiswhichwouldbe requiredwithin10 years.Medical evidence wasobtainedin5 different
disciplines.Damageswere agreedinthe sum£330,000.
Murray v Lambe
The 22 yearolduniversitystudentsufferedawhiplashinjurywhich,onhercase,materially
contributedtoan exacerbationof CFS/ME[chronicfatigue syndrome/myelopathic
encephalomyelitis].Damageswere agreedinthe sum£75,000.
Reported Cases
Carr v Stockport Health Authority CA (CivDiv) 23/03/1999
Severe birthinjury.
(1) Ann Enright (2) John Enright v (1) Dr Kwun (2) Blackpool Victoria Hospital NHS Trust [2003]
EWHC 1000 (QBD)
Wrongful birth.Birthof childwithDown’sSyndrome followingfailuretoprovide appropriate
antenatal screening.
Bottomleyv TodmordenCC [2003] EWCA Civ1575
Duty of care at common lawand underO.L.A.1957. Claimantseverelyinjuredinpyrotechnicdisplay.
Casey v East Lancs HA [2004] EWHC 289
Causation. Delayindiagnosingganglio-neuroblastoma.
Glassv Surrendran [2006] EWCA Civ 20
Extensionof time forservice of ClaimForm.
Hullock v East Ridingof Yorkshire County Council [2009] EWCA Civ1039
Costs.
Ellisv Lokat QBD (Birmingham) ( Judge OliverJonesQC) 06/10/2011
Motorcyclistsufferedfatal injuriesDriverof vehicle transporterandhisemployerheldliable where
the driverhad turnedtooslowlyata trafficlightcontrolledcross-roadsjunction,causingcollision
withmotorcyclisttravellingonthe oppositecarriageway.
The Shipman Inquiry
Kevinwasinvolvedinthe ShipmanInquiryoveraperiodof 4 months,representingDrAlan Banks,an
employeeof WestPennineHealthAuthoritywhoassistedthe Police intheirinitial investigationinto
Shipman,6 monthsbefore hiseventual arrest.
8. 8
Inquiry intothe death of Chloe Fahey
Kevinrepresented the fatherof Chloe Fahey,a5 yearold girl who wasstabbedto deathina
ritualistickilling,byhermentallyill mother.The wide rangingInquiryheardevidence overseveral
monthsand inthe InquiryReport, widespreadcriticismswere made against the police,mental
healthpersonnelandsocial workerswhomissedcrucial warningsignsof herdeterioratingmental
health.
Career History
1985 : QualifiedinMedicine.
1985-1989 : PractisedinUniversityTeachingHospitalsinthe followingdisciplines:
General Medicine,General Surgery,Accident&Emergency,Obstetrics,Paediatrics,
Medicine forthe Elderly,GeneralPractice andPsychiatry.
1989-1991 : LL.B. (Hons.).Studiedlaw whilstworkingfulltime asGPDeputy.
1991-1992 : Innsof CourtSchool of Law. (VeryCompetent)
1992-1993 : LL.M. (International andCommercialLaw)
1993 to date : Barristerpractisingonthe NorthernCircuit.
Qualifications
MB.Ch.B.MRCGP LL.B. (Hons) LL.M.
Memberships
Personal injuriesBarAssociation
FoundermemberSocietyof DoctorsinLaw (SODIL)
Hobbiesand Interests
Kevinenjoysskiing.He isveryenthusiasticbutessentiallyunskilleddespite over400 hoursof
personal instruction.Hisotherinterestsinclude fishing, topiary andwalkingtothe village pubwith
hisfamilyandtrustedLabradors,Malt and Harry.