No abstract

Surgical waiting lists have been a feature of the NHS landscape for so long that British patients and health professionals have grown accustomed to their existence and often accept them as inevitable. They are usually explained by 'lack of resources' or, more specifically, by 'lack of surgeons'. It is well known that for many years the UK has lagged behind other rich European nations in the proportion of the gross domestic product spent on public health and it is often assumed that underfunding alone is responsible for waiting lists. This may not be entirely correct.

No abstract

A 90-year-old man presented with a rapidly growing vascular lesion after a pacemaker generator change. The rapid growth suggested a possible angiosarcoma. A less dramatic presentation of vascular proliferation has been described as reticular telangiectatic erythema, which has been reporting following insertion of pacemakers, implantable cardioverter defibrillators, and drug-delivery devices. The onset of the disorder is described as weeks to years after implantation or generator change. It is a benign condition that generally remains static or regresses over time. The vascular proliferation noted in this case resolved almost completely over a period of 1 year.

No abstract