BBCWhen his health deteriorated last winter, Phillip Marks doubted he would ever play another round of golf, let alone see his 62nd birthday.

Family handout Two people have been arrested on suspicion of manslaughter following the death of a woman believed to have undergone a non-surgical Brazilian butt lift (BBL).

A top medical device regulator’s work overlapped at times with his wife’s legal representation of clients with business before the agency.Two members of Congress have asked an inspector general to investigate whether the top federal regulator for medical devices like pacemakers and artificial hips acted ethically in work that overlapped with that of his wife, a leading lawyer for device companies.The lawmakers cited an investigation by The New York Times that examined the intersection of the work of the regulator, Dr. Jeffrey Shuren of the Food and Drug Administration, and his wife, Allison Shuren, a co-chair of the drug and medical device practice at the prominent Washington office of Arnold & Porter.The two House Democrats who wrote a letter seeking an inquiry are Representatives Anna Eshoo, of California and ranking member of the health subcommittee, and Rosa DeLauro, of Connecticut and ranking member of the appropriations committee.The Times found several instances in which the couple’s work overlapped and could have posed conflicts of interest requiring Mr. Shuren’s recusal. The F.D.A. acknowledged ethics violations, saying that Dr. Shuren should have stepped aside or sought approval to be involved in two matters to “avoid any potential appearance of bias.”“In circumstances such as these,” the congresswomen’s letter to the inspector general, Christi Grimm, said, “the only way to get to the truth and be fair both to the public and Dr. Shuren is through an independent review of the matter to determine whether this is simply an appearance of impropriety or actual inappropriate and unethical conduct.”A spokeswoman for the inspector general’s office of the Health and Human Services Department said that the letter was received Tuesday and that “we are reviewing it for appropriate action.”We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe.

Getty ImagesThe food safety watchdog has issued new guidance over caffeine in food supplements after a man died miscalculating the amount he was meant to use.

Health care systems have been putting therapists’ progress reports online, much to the surprise (and anger) of some patients.Stunned. Ambushed. Traumatized.These were the words that Jeffrey, 76, used to describe how he felt when he stumbled upon his therapist’s notes after logging into an online patient portal in June.There was a summary of the physical and emotional abuse he endured during childhood. Characterizations of his most intimate relationships. And an assessment of his insight (fair) and his judgment (poor). Each was written by his new psychologist, whom he had seen four times.“I felt as though someone had tied me up in a chair and was slapping me, and I was defenseless,” said Jeffrey, whose psychologist had diagnosed him with complex post-traumatic stress disorder.Jeffrey, who lives in New York City and asked to be identified by his middle name to protect his privacy, was startled not only by the details that had been included in the visit summaries, but also by some inaccuracies.And because his therapist practiced at a large hospital, he worried that his other doctors who used the same online records system would read the notes.In the past, if patients wanted to see what their therapists had written about them, they had to formally request their records. But after a change in federal law, it has become increasingly common for patients in health care systems across the country to view their notes online — it can be as easy as logging into patient portals like MyChart.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe.

Women who say they had “intrusive” medical tests while working at Harrods are to make a complaint to the regulator about a doctor, says an ex-employee who says was sexually assaulted by Mohamed Al Fayed.

Getty ImagesChildren’s eyesight is steadily getting worse with one in three now short-sighted or unable to see things in the distance clearly, a global analysis suggests.

Getty ImagesThere is growing unease within the NHS about the government’s “broken” messaging, the BBC has learned.

A four-year-old boy who was expected to die shortly after his life support was removed has “confounded” medical expectations, a UK judge has said in a ruling.

Overwhelmed by queries, physicians are turning to artificial intelligence to correspond with patients. Many have no clue that the replies are software-generated.Every day, patients send hundreds of thousands of messages to their doctors through MyChart, a communications platform that is nearly ubiquitous in U.S. hospitals.They describe their pain and divulge their symptoms — the texture of their rashes, the color of their stool — trusting the doctor on the other end to advise them. But increasingly, the responses to those messages are not written by the doctor — at least, not entirely. About 15,000 doctors and assistants at more than 150 health systems are using a new artificial intelligence feature in MyChart to draft replies to such messages.Many patients receiving those replies have no idea that they were written with the help of artificial intelligence. In interviews, officials at several health systems using MyChart’s tool acknowledged that they do not disclose that the messages contain A.I.-generated content.The trend troubles some experts who worry that doctors may not be vigilant enough to catch potentially dangerous errors in medically significant messages drafted by A.I.In an industry that has largely used A.I. to tackle administrative tasks like summarizing appointment notes or appealing insurance denials, critics fear that the wide adoption of MyChart’s tool has allowed A.I. to edge into clinical decision-making and doctor-patient relationships.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe.