Photograph: Wellcome


QU AR TER F OUR / 2018


Editor Dr Barry Parker


Managing editor Jim Killgore


Associate editor Joanne Curran


Editorial departments Medical Dr Richard Brittain Dental Mr Aubrey Craig Legal Susan Trigg


Design and production Connect Communications 0131 561 0020 www.connectmedia.cc


Printing and distribution L&S Litho


Correspondence Insight Editor MDDUS Mackintosh House 120 Blythswood Street Glasgow G2 4EA


jkillgore@mddus.com


Cover image Winter Landscape, Marjorie Stark Mixed media and collage Marjorie Stark (1914-99) studied at Edinburgh College of Art between 1949-55, working in watercolour and also abstract collage. She was a member of the Society of Scottish Artists.


Art in Healthcare (formerly Paintings in Hospitals Scotland) works with hospitals and healthcare communities across Scotland to encourage patients, visitors and staff to enjoy and engage with the visual arts. For more information visit www.artinhealthcare.org.uk Scottish Charity No SC 036222.


4 MDDUS news 6 News digest 8 Briefing General practice deserves better 9 Risk Home but not alone 10 This vexed question Adam Campbell highlights the background to an exhibition celebrating 500 years of women in medicine 12 Cut on the dotted line Dr Selina Master looks at tongue splitting and other forms of oral “body modification” and the growing risk to public health 14 Reflective practice – what now? Solicitor Joanna Bower considers the status of reflective practice following the legal case of Dr Hadiza Bawa-Garba


16 Case files Gut pain, Healthy eating, Patient abroad, Honest assessment, Impacted wisdom tooth, An angry ending 20 Dilemma Off label request 21 Ethics Trials, hope and research ethics 22 Addenda Book choice: This is going to hurt, Object Obscura: Detail from Trajan’s frieze, Crossword and Vignette: Dame Anne Louise McIlroy, first female medical professor in the UK


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Insight is published quarterly by The Medical and Dental Defence Union of Scotland, registered in Scotland No 5093 at Mackintosh House, 120 Blythswood Street, Glasgow G2 4EA. Tel: 0333 043 4444 Fax: 0141 228 1208 Email: General: info@mddus.com Membership services: membership@mddus.com Marketing: marketing@mddus.com Website:www.mddus.com The MDDUS is not an insurance company. All the benefits of membership of MDDUS are discretionary as set out in the Articles of Association. The opinions, beliefs and viewpoints expressed by the various authors in Insight are those of the authors alone and do not necessarily reflect the opinions or policies of The Medical and Dental Defence Union of Scotland.


MDDUS INSIGHT / 3


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