2021/11/23

Treatment method in which a nurse is in charge of armpit pain treatment

Reading Time: <1 minuteUnderarm surgery is, of course, performed by a doctor.However, recently there has been a lot of trouble caused by nurses treating armpit bugs.He uses miraDry, Beauhot, etc. as treatments for armpits other than surgery.Recently, treatments using ultrasound, such as HIFU, have become popular.The common feature of these treatments is that they all use equipment, and he uses a method in which a special probe is pressed against the affected area and irradiated.Therefore, the procedure is simple and can be treated by a nurse.However, nurses did not study medicine.Even if you study nursing, you are not an expert in dermatology, wound healing, or aesthetic medicine.Both nurses and doctors simply press a probe against the skin and irradiate it, so they are not the same.First of all, since there are individual differences, it is necessary to set detailed parameters such as output, irradiation time, range, etc. according to the condition of each individual patient, such as skin condition and treatment area. Not only do they not occur, but extremely serious skin injuries, burns, and nerve damage actually occur as medical accidents.So, why do nurses treat armpit bugs?The reason is assumed to be as follows. XNUMX: The procedure takes a long time and it is not worth it considering the doctor's fee. XNUMX: The doctor performs the surgery, but due to the reservation situation, only nurses are available. XNUMX: The procedure is a simple treatment that can be done by a nurse as it is a business operation. XNUMX. If you think about how to reduce treatment costs due to price competition, you won't be able to run a business if nurses don't perform the treatments XNUMX. Doctors don't know anything about armpit pain, so nurses There are not only risks but also legal issues associated with the treatment.Since it is a medical practice, even if it is under the supervision of a doctor, it cannot be said that there is no problem under the Medical Practitioners Act for a nurse to treat armpits.Ethically, it is absolutely unacceptable for her to have a nurse treat her armpits.We have been advising manufacturers regarding this issue for many years, but they have ignored us, and what we feared happened.This is not an armpit treatment, but a nurse used high frequency treatment for wrinkles and sagging (according to reports it was laser treatment) without the supervision of a doctor, which caused severe burns on the neck, which took six months to fully recover. A cosmetic medical problem occurred during a medical diagnosis, and a certain clinic was searched for an injury due to work-related negligence.The report included her real name and even the name of the cosmetic medical equipment. https://news.yahoo.co.jp/articles/98c0df8670df62a988c3d9b40ea6cdbff7afabcc It is unusual for a police investigation to involve a medical institution in cases other than fatal accidents.This incident is just the tip of the iceberg, and the reality is that many troubles occur due to nurse treatments.Our hospital receives many inquiries after problems with nursing treatments.It is very unfortunate, but a business system is being established in the beauty medical industry where nurses perform treatments by lowering the unit price and attracting customers through PR.In order to avoid compromising the quality of aesthetic medicine, perhaps it is time to reconsider the gray area aesthetic medical practices performed by nurses.  
2021/11/15

Background of criminal cases related to burns caused by laser treatment

Reading Time: <1 minutehttps://news.yahoo.co.jp/pickup/6409686 Recently, there was a report about a problem with a treatment at a beauty clinic.There are some mistakes in this content, so I would like to share my personal opinion.There are articles in the news about troubles with lasers, but in reality, there is almost no laser treatment for wrinkles or sagging, so it is expected that it is a treatment using electrical energy using high frequency.The word "high frequency" is mentioned in the text, but if it is high frequency, it is not a system like Thermage, which generates heat energy from a single pole terminal to generate collagen in the dermis and treat sagging and wrinkles. I think so.However, currently, the main system for treatment of wrinkles and sagging in the neck is called HIFU.It is a treatment method that focuses ultrasonic waves with high density and generates heat to induce protein degeneration in the dermis and fascia and lift them up. .Isn't this a problem caused by HIFU on the internet?There are many references to this, and the truth is still unknown.Although it says that it is the use of unapproved equipment, it is illegal to use unapproved equipment for beauty treatment.In fact, in Japan, much of the beauty treatment in Japan involves the use of unapproved equipment, and if unapproved beauty treatment equipment were made illegal, it would be impossible to run a beauty clinic or perform beauty treatment.The current state of cosmetic medicine in Japan is that doctors are personally responsible for importing unapproved cosmetic medical equipment from overseas to perform treatments.I am concerned about the content of the report giving the impression that the use of unapproved equipment is at fault, or that the use of unapproved equipment led to a police raid.What is the problem with this case? XNUMX. The nurse performed the procedure. XNUMX. Instructions to the nurse and post-surgery checks were not conducted properly, and even if the procedure was performed under the supervision of a doctor, it was insufficient.It is unusual for the police to raid a medical institution for cases other than a fatal medical accident, and there have been reports of damage from patients and criminal complaints submitted to the police along with medical certificates and other concrete evidence. It is assumed.Alternatively, it is assumed that there are other similar victims and there are multiple similar cases, or that the medical institution's response to the current patient was extremely inappropriate.In any case, I don't think this problem is limited to medical institutions that have had their homes searched.At our hospital, we also receive a considerable number of consultations from patients who have suffered burns after receiving laser irradiation or HIFU irradiation at other clinics, which should normally be performed by a doctor.If there is even the slightest risk in any treatment, a doctor should always perform the treatment, and she believes that import agents and manufacturers should not sell beauty medical equipment on the assumption that a nurse will perform the treatment.I would like to pay close attention to the facts of this incident so that more people can receive aesthetic medicine, which has many gray areas, with greater social peace of mind.At our clinic, since we opened, I, as the director, have been responsible for all treatments, and I have always performed them from beginning to end.

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