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General and Acute Medicine

How might a General Physician help you?

I have always practiced general medicine and my majority of my NHS practice is dedicated to managing the acutely unwell patient, who may not yet have a clear diagnosis, this gives me a broad experience of many health issues and concerns and makes me more than just another private endocrinoloy consultant London has to offer. I have been Clinical Director and Clinical Lead for Acute Medicine and maintain particular interests in:

  • Hypertension - the diagnosis and treatment of hypertension, assessment of the complications of hypertension and strategies to reduce cardiovascular risk, in particular heart attack, heart failure and stroke disease.

    • Secondary Hypertension - including:

      • Conn's syndrome - whether due to unilateral adrenal adenoma or bilateral adrenal hyperplasia.

      • Renovascular hypertension​ - whether fibromuscular dysplasia in younger patients or atherosclerotic renal artery stenosis in older patients.

      • Phaeochromocytoma and paraganglioma.​

  • Lipid disorders - acquired and familial disease, pure hypercholesterolaemia, mixed hyperlipidaemia, complications or intolerances of therapy, strategies to reduce cardiovascular risk, whether you need to start therapy, could or should stop therapy and what the risk might be.

  • Anaemia - the diagnosis and treatment of iron, B12 and folate deficiency, in particular using safer alternatives to red blood cell transfusion, reducing the side effects of iron therapy and ensuring anaemia is corrected before surgery and before, during and after pregnancy. The diagnosis and management of pernicious anaemia and dietary B12 deficiency.
    I Chair the London Regional Transfusion Committee and work closely with my colleagues in haematology, gastroenterology and surgery at King's and nationally to ensure patients receive the right treatment to keep them feeling well now and in future.

  • Venous thrombosis - I am responsible for the out-patient investigation and treatment of suspected and proven pulmonary embolism and if your conditions demands it I can supervise your out-patient or in-patient investigations and treatment. If breathlessness develops in the months and years after a PE it is important to be investigated for chronic thromboembolic pulmonary hypertension (CTEPH). This requires detailed investigations which I can supervise as an out-patient or in-patient as required.

  • Treatment of common infections of the urinary tract, lungs and skin and I work closely with our Department of Microbiology and Virology to ensure we are using antibiotics and antiviral therapy appropriately.

  • Disorders of weight including obesity and underweight (particularly the consequences of being underweight on the endocrine system and bone health).

  • Cardiovascular risk adjustment

  • Investigation of unexplained symptoms, including weight loss and fevers.

In-Patient Care

Guthrie Ward is closed for in-patients at the present time. If you require in-patient care we can arrange this at London Bridge Hospital or via The Phoenix Hospital.

I will supervise your care, by arrangement, as an in-patient, usually after referral from your GP, urgent care provider and/or Emergency Department but you can phone our in-patient team directly. I work with my colleagues in general and specialist medicine to ensure you can be assessed and admitted to Guthrie, and ensure you have the proper clinical assessments and investigations. I have particular interests in:

  • Assessment of suspected or proven meningitis

  • Treatment of severe infections - pneumonia/ bronchitis/ infective exacerbations of COPD, cystitis/ pyelonephritis, meningitis

  • Prevention or treatment of acute kidney injury

  • Acute breathlessness from asthma, infection, pulmonary oedema, exacerbation of COPD, suspected or proven pulmonary embolism.

  • Vomiting and/or diarrhoea from acute gastrointestinal disease

  • Jaundice from new liver disease, or decompensation of known established chronic liver disease.

  • Severe headache and sudden onset headache

Our experienced Private in-patient team can help advice on costs for care, working with your insurer, transfer from other hospitals, including international transfers. If you need a proposal for care please contact the Guthrie Ward in-patient team and I, or a colleague, will advise on what you need.

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