Reading Time: <1 minuteOf course, armpit surgery is performed by a doctor. However, recently, there have been many problems with nurses treating armpits. Non-surgical armpit treatments include Miradry and Viewhot. Recently, ultrasound treatments such as HIFU have also become available. The common feature of these treatments is that they all use equipment to press a dedicated probe against the affected area and irradiate it. For this reason, the technique is simple and even nurses can perform the treatment. However, nurses have not studied medicine. Even if they study nursing, they are not experts in dermatology, wound healing, or cosmetic medicine. It is not the same whether they are nurses or doctors, as they only press a probe against the skin and irradiate it. First of all, there are individual differences, so detailed parameter settings such as output, irradiation time, and range are required depending on the condition of the skin, the treatment area, etc. of each individual patient, and following the manual given by the company not only does not produce sufficient results, but extremely serious skin damage, burns, and nerve damage have actually occurred as medical accidents. So why do nurses treat armpits? The reasons are assumed to be as follows. 1: The treatment time is long and it is not worth it considering the doctor's fee. 2: The surgery is performed by a doctor, but only nurses are available due to the reservation situation. 3: The company sold the equipment to me, saying that it is a simple treatment that even a nurse can do. 4: Considering how to reduce the cost of treatment in the price war, the business will not be viable unless a nurse performs the treatment. 5: Doctors do not know anything about body odor. For this reason, not only are there risks involved in nurse treatment, but there are also legal issues that are gray. Since it is a medical procedure, even if it is under the supervision of a doctor, it cannot be said that there is definitely no problem under the Medical Practitioners Act for a nurse to perform body odor treatment. Ethically, it is absolutely not OK for a nurse to perform body odor treatment. I have been advising manufacturers about this issue for many years, but they have completely ignored me, and the thing I feared happened. Although it was not a treatment for underarm odor, a nurse was performing high-frequency treatment for wrinkles and sagging skin (reported as laser treatment) without the supervision of a doctor, which caused severe burns to the neck and resulted in a six-month recovery, causing a cosmetic medical incident in which a certain clinic was raided for professional negligence resulting in injury.The report included real names and even the name of the cosmetic medical device used. https://news.yahoo.co.jp/articles/98c0df8670df62a988c3d9b40ea6cdbff7afabcc It is unusual for police to investigate a medical institution for reasons other than fatal accidents. This case is just the tip of the iceberg, and the reality is that many problems occur as a result of nurse treatments. Our hospital has also received many consultations after problems with nurse treatments. It is unfortunate, but the cosmetic medical industry is building a business system that lowers the unit price for nurse treatments, promotes them, and attracts customers. In order to avoid lowering the quality of cosmetic medical care, perhaps it is time to reconsider the gray area cosmetic medical procedures performed by nurses.  

Reading Time: <1 minutehttps://www.mbs.jp/news/kansainews/20211115/GE00041054.shtml

Burns for XNUMX months after laser treatment ... Victims file criminal accusation with doctors Medical equipment is not approved in Japan

There were reports like this, but I was concerned about some mistakes and a shift in focus, so I have explained it in more accurate terms. It is unusual for a case to be reported as a criminal offence and a search warrant at a beauty clinic other than a fatal accident. In terms of cosmetic medical risk management, there were problems with follow-up and treatment of patients when cosmetic medical troubles occurred, which is thought to have led to the problem expanding beyond medical troubles. First of all, this cosmetic medical trouble was,Laser treatmentso···scaldThere is a title, but in the document it is not due to high frequency and laserhigh frequencyIt turns out that it is a medical accident of beauty treatment by. Lasers and high frequencies are completely different. Lasers are light with a single wavelength, and high frequency is electrical energy, meaning that light and electricity are completely different types of energy. Lasers are primarily used in cosmetic treatments that approach the epidermis or the superficial dermis, such as removing age spots and tattoos. However, high frequency is mainly used to treat wrinkles and sagging skin, not the epidermis, and is a treatment that targets the subdermis. Lasers and high frequency are confused. Next, the name of a medical manufacturer called Jis●● Co., Ltd. was shown in the news video as an unapproved device, and a photo that appears to be a brochure for the device that was supposed to have been used, ULTRACell?, was also shown. This could make it seem as if the company itself is in trouble. If this company had promoted this device by advertising it as a nurse treatment, the company's responsibility could be questioned, but common sense would make it impossible to make such a recommendation. It is unthinkable that a medical device that can be used by a nurse to perform medical procedures that should always be performed by a doctor would be sold. Of course, no company can sell unapproved devices in Japan. In reality, the flow of purchasing unapproved cosmetic medical equipment is that the doctor imports the equipment at his/her own personal responsibility, and the company acts as the agent for the personal import. In this case, of course, leasing is not possible, so all payments must be made in cash. We are concerned that this report will give the impression to viewers that there is a problem because unapproved equipment was used. In the current world of cosmetic medicine, unapproved equipment is often used when performing cosmetic treatments, and if unapproved equipment is considered to be illegal, many cosmetic medical services must be stopped. There is no problem with using unapproved medical equipment as part of a doctor's responsibility. The doctor at this medical institution should have had no problem introducing this equipment. Now, the problem with this incident is that the nurse performed the treatment. This is a medical procedure that is often described as black and gray. The doctor seems to have given instructions such as printing at the beginning, but the nurse was just doing it like an assembly line? Or she must have been following some kind of manual. I saw the scars from this patient's surgery on the Internet, and they were second- and third-degree burns. There were some areas of severe burns that seemed to have caused skin necrosis. Unlike abrasions and cuts, burns take longer to heal, are more likely to scar, and scar contraction is more likely to occur. It is assumed that the pain after surgery was also quite severe. Rather than the skill of the nurse, the doctor should have checked the patient's condition during the procedure. Of course, after surgery too. When the skin damage caused by the burn was discovered after the procedure, early intensive treatment for the burn (if it were me, I would thoroughly perform PRP therapy, cytokine skin regeneration therapy, moisturizing therapy, cooling, inflammation suppression, etc., and consider daily wound care) should have been necessary. To the patient: If the medical diagnosis and treatment at that time were explained in detail and an apology was given, and as much cosmetic and regenerative medicine as possible was performed, it is assumed that not only could the scar heal more easily, but also the patient's mental burden could have been reduced. According to the reports, the medical institution was criminally charged, so it is clear that the patient was angry and distrustful of the medical institution's response, not just as a result of the medical trouble. Nurse treatment: I think that this treatment is not gray, but black, that is, it is also a legal problem. Ethically, it is absolutely not allowed. It seems that patients chose nurses for treatment because it was cheaper, but I question the idea of ​​having nurses perform treatments that should be performed by doctors just to reduce treatment costs. I am not a legal expert, but as a cosmetic surgeon I have been practicing cosmetic medicine in clinical practice for over 30 years, and I have always feared that the more nurses perform treatments in place of doctors, the more problems there are and the more dire the results. I have repeatedly told cosmetic medicine manufacturers with whom I have a connection that problems occur when nurses perform treatments, that ethically and legally, nurses should never perform treatments, and that as a manufacturer of cosmetic medicine equipment, they should never use this term in their sales pitches. In reality, there are cosmetologists who are willing to convince and do not recommend nurse treatment, and there are cosmetologists who are repulsed and let the nurse do what is wrong. This incident does not seem to me to mean that this medical institution is extremely unscrupulous or illegal, or that it has caused any major problems. Cosmetic medical troubles like this one are just a small part of the problem. I have received many consultations about more tragic problems caused by nurse treatments. I think it's just the tip of the iceberg. I hope that this incident will encourage cosmetic medical businesses to straighten up in the future and provide support and business in which doctors, not nurses, are responsible for operating cosmetic medical equipment and directly carrying out cosmetic medical treatments. I am not trying to defend the doctors and nurses at this clinic, but I think it is important that this incident be a lesson to encourage people to be careful when receiving cosmetic medical treatments, rather than criticizing the doctors and nurses in charge, and that it will be an opportunity for doctors to be responsible in providing cosmetic medical treatments. The purpose of cosmetic medical treatments is to make women happy.