oct ewj 24 online - Flipbook - Page 35
it can lead to the spread of the primary cancer
throughout the whole limb leading to subsequent
amputation.
Dr Raj Kumar
Dental Exper t
Conclusion:
Delays in referral with suspected cancer patients can
lead to poor outcomes with increased morbidity and
mortality. This can subsequently lead to patients having poor and delayed treatment. This may lead to
more aggressive surgery being undertaken such as
amputation, where local control of limb salvage may
be obtainable in such soft tissue and bone sarcomas.
Metastatic bone lesions should not be presumed to be
from another cancer that the patient appears they had
without important diagnostics. It is important to take
a history with the patient to ensure that symptoms and
signs of soft tissue and bone cancer (sarcoma) are not
missed. Delayed referrals remain the commonest
cause for litigation in sarcoma.
BDS LDSRCS MSc ImpDent MAGDS RCSEd PGCert Facial Aesthetics
PGCert Orthodontics
Dr Raj Kumar has written over 250 reports in matters arising from patient and regulatory
complaints, dental negligence and accidental injury.
Dr Kumar qualified from Guys Hospital in 1989 with a BDS. In 1990 he obtained his LDS RCS
from the Royal College of Surgeons London.
He also has an expertise over 20 years in Invisalign orthodontics, having treated over 1400
patients. He worked as an NHS dentist from 1990 and set up a private practice in 1995 in the
West End of London.
He has expertise on breach and causation. Dental regulatory guidelines and those of
independent dental associations. He has worked closely with regulators, indemnifiers, lawyers,
mentees and patients. He is fully compliant with Part 35 rules.
Experienced in assessing patient complaints, record card assessment, record keeping and
assessing the patient consent process. Has worked closely with regulators, indemnifiers,
lawyers, mentees and patients. He has acted as a mediator for patients as well.
Doctor Kumar as an ability to read into patient treatments and to decipher the important
tracts that relate to consent and treatment provided.
Having a good understanding of dental guidelines and expert literature helps Dr Kumar to
create informative and corresponding medical legal reports.
Mr Kumar is part of McCollum Consultants; you can
view his profile/instruct him via: https://www.mccollumconsultants.com/expert-witness/amit-kumar/
Or contact
akmlreports@gmail.com
Areas of expertise include;
G
Emergency dental care
G
Treatment planning and diagnosis
G
Patient consent
G
Routine dental treatment including:
G
Periodontal care
G
Restorative dentistry
G
Crowns
G
Root canal treatment
G
Fixed bridge work
G
Removable prostheses
G
Extractions
G
Cosmetic dentistry
G
Facial aesthetics
Complex dental treatment including:
G
Reference list:
Implant dentistry
G
Orthodontics
Tel: 07802 456 804 - Email: info@dentalexpert.me
NICE Guidelines for Bone and soft tissue sarcoma:
https://cks.nice.org.uk/topics/bone-soft-tissue-sarcoma-recognition-referral/
Website: www.forma.co.uk - Alternate Website: https://dentalexpert.me/
Consultation clinics at
65 London Wall, London, EC2M 5TU
1-2 St Peters Arcade, Peterborough PE1 1YX
Guidelines for metastatic bone disease:
https://www.boa.ac.uk/resources/boast-management-ofmetastatic-bone-disease.html
38 Harborne Road, Birmingham, B15 3EB
Sarcoma UK - https://sarcoma.org.uk
Consultant Oral & Maxillofacial
Miss Kenga Sivarajah
Expert Obstetrician
& Head & Neck Surgeon
MBBS BSc (Hons) MRCOG MRCP (UK) PGCert (MedEd)
Professor Panayiotis Kyzas
PhD, FRCS (OMFS), FST, MBBS, BDS, RSPA
Ms Kenga Sivarajah is an Expert Obstetrician based in London.
Professor Panayiotis (Panos) Kyzas is a consultant in OMFS/Head
Currently a Consultant Obstetrician at King’s College Hospital (KCH) and gained by
completion of training in 2018. Ms Sivarajah is the Labour ward lead at KCH, lead for
Perinatal Mental health and runs the Cardiology, Respiratory and Liver pregnancy service.
and Neck Surgery with a clinical specialty interest in ablation and
reconstruction of head and neck cancer and facial skin cancer. He has
completed a TIG H&N fellowship in advanced head and neck surgical oncology
and he is a JCST-recognised Head and Neck Surgeon. He is an accredited
Ms Sivarajah has an excellent knowledge of Obstetrics, with special interest in women
with pregnant women with medical complications and the complex journey that they
often face before, during and after their pregnancy.
microvascular reconstructive surgeon, a GMC-recognised surgical trainer and a fellow
of BAOMS and RCSEd in good standing. He has joined the RCSEd faculty of surgical
trainers (FST). He is currently the Regional Specialty Advisor (RSPA) for OMFS, a post jointly
With a wealth of experience in caring for these women at both tertiary and district
general hospital level. In her experience, thorough counselling and planning prior to
pregnancy remains an essential component of maternal medicine care. Ms Sivarajah is on
the PSIRF panel for risk incidents in maternity at KCH She has extensive experience of
root cause analysis of patient safety incident in the maternity unit as well as preparing
serious untoward incident reports. Ms Sivarajah has worked with TMELP since
September 2021. She assists in obstetric legal cases by providing by expert Obstetric
opinion and has provided her expertise on over 250 cases.She has completed the
Capsticks diploma in risk and claims management with distinction.
supported by RCS/BAOMS/FDS. He is the national OMFS Lead for the QOMS project for H&N
Cancer, Facial Skin Cancer and H&N reconstruction.He is the deputy editor of the main UK
scientific journal for his specialty, and is elected to become Editor-in-Chief in 2024, for 5 years.
He is the chair for the OMFS Specialty Training Committee and the regional research advisor.
He is the national OMFS representative on the TIG H&N fellowship committee and the Quality
Assurance Lead for TIG H&N. He has graduated both his medical and dental degrees with
honours, and has won multiple scholarships, bursaries and awards throughout his
undergraduate and postgraduate years of training.
Professor Kyzas accepts instructions as a medical expert witness throughout the spectrum of
Ms Sivarajah is very familiar with the legal framework applicable for women who lack
capacity to make decisions regarding their antenatal, intrapartum and postnatal care. She
has led and assisted on 10 such cases; one of which was extremely complex and a
landmark case in the Court of Protection. Subsequently awarded a King's Star award for
her work. She is an expert in co-ordinating care of these women via an extensive MDT,
making best interest decisions and submitting detailed care plans to the Court of
Protection. In her current role, she works closely with the safeguarding team ensuring that
care for the unborn child and existing children is also maintained. She is currently part
of a working group to formulate a framework for assessing mental capacity
in patients.
Oral and Maxillofacial Surgery, facial cosmetic surgery and head and neck surgery.
The list below is indicative but not exhaustive.
G Dentoalveolar Surgery
G Facial Cosmetic surgery
G Surgery of the Temporomandibular Joint
G Head and Neck Surgery / Neck Lumps
G Facial skin cancer treatment
G Salivary gland surgery
G Facial Trauma
G Orthognathic surgery – correction of facial deformity
G Laser treatment of facial and intraoral conditions
Tel: 07796 132 059
Email: kenga.sivarajah@nhs.net
60 Southerton Road, London, W6 0PH
Area of work:Greater London, happy to travel to other parts of the UK if required.
Mobile: 07505 402640 - Email: kyzasp@icloud.com
BMI The Huddersfield Hospital, Birkby Hall Rd, Huddersfield, HD2 2BL
EXPERT WITNESS JOURNAL
33
O C TO B E R 2 0 2 4
