News

Confidentiality, in a nutshell

Confidentiality forms a cornerstone of a Doctor-patient relationship and except for certain circumstances outlined in law; whatever is discussed in a consultation remains confidential. A medical secretary transcribes a clinical letter following consult, but they too are bound by the same requirements of confidentiality. I send a copy of the clinical letter to a patient’s General Practioner and any other allied health professionals involved in their treatment, such as physiotherapists or referring clinicians. The General Medical Council (GMC) guidelines state that ‘appropriate information sharing is an essential part of the provision of safe and effective care. Patients may be put…

Prudential Ride London: Completed!

The weather forecast leading up to the event was a cause for concern, not to mention Leith and Box hill. Looking out of the window at 4am of the morning of the ride and the rain was coming down in stair rods with standing water everywhere. Fortunately, as we left for the start, the rain had stopped leaving only a brisk breeze. The event is extremely well organised with over 100,000 cyclists participating over the weekend. 25,000 cyclists took part in the Sunday event through London and Surrey on a similar route to that of the London 2012 Olympic road-cycling…

Doctors v Parents: Charlie Gard

The recent case of Charlie Gard puts into sharp focus the relationship between parents, doctors and the courts in relation to the treatment of children. Charlie Gard is an eleven-month-old baby being cared for at Great Ormond Street Hospital. He is unable to breathe unaided or move his arms or legs. Charlie has a very rare inherited disease causing a reduction of mitochondrial DNA (the messaging system within the energy-producing units of each cell). The doctors at Great Ormond Street feel that they are no longer serving Charlie’s best interests by keeping him alive. A doctor in the United States…

Metal on Metal (MOM) Hip Replacements

There has been a lot of interest in the recent reports in the press about metal on metal (MOM) hip replacements. The Medicines and Healthcare products Regulatory Agency (MHRA) issued an update on its previous advice regarding these implants at the end of June 2017. This advice is made available to all Orthopaedic surgeons to assist in the early detection of soft tissue reactions in those patients with metal on metal implants. All moving surfaces wear and liberate wear particles. The wear particles liberated from metal on metal hip replacements include cobalt and chromium ions. Depending on the amount of…

Non-surgical management of the hip, groin and pelvis

 David is looking forward to attending the ‘Non-surgical management of the hip, groin and pelvis’  course located in central London on June 28 2017. Comprehensively covering non-operative management, from diagnosis to return to sport, this event will bring together experts from the field of physiotherapy, sports medicine, radiology and surgery for an educational day, highly relevant to clinical practice.   Topics include: Management of the young hip Pelvic dysfunction and athlete health Pelvic pain Imaging of the hip and groin Femoroacetabular impingement Athletic pubalgia Osteitis pubis Labral pathology  

David & Prudential Ride London

      Celebrating the legacy for cycling created by the London 2012 Olympic and Paralympic Games, Prudential RideLondon-Surrey 100 starts at 05:45 in Queen Elizabeth Olympic Park, then follows a 100-mile route on closed roads through the capital and into Surrey’s stunning countryside. The Prudential RideLondon-Surrey 100 finishes on The Mall in central London, shortly before 150 professional cyclists race in the Prudential RideLondon-Surrey Classic on a similar route. David and a group of friends will take on this challenge on Sunday 30th July 2017 in aid of Alex’s wish. Alex’s Wish is a registered charity set-up to raise vital funds…

Controversies in Knee Injuries

Click the link to see David’s latest presentation about the controversies in knee injuries here… Sports Science Talk This presentation will take you through case studies of David’s current and past patients, talking you through the initial examination stages through to management stages.  Particular areas of interest include patella tendinopathy, its management and diagnosis. David qualified from The Royal Free Hospital, London in June 1990 having also undertaken a BSc at St. Mary’s Hospital. His specialist Orthopaedic training was based at the Royal National Orthopaedic Hospital Stanmore and he was appointed a Fellow of the Royal College of Surgeons in May 1999.…

Sit less, move more!

Physical activity (PA) helps prevent or treat increased blood pressure, coronary heart disease, stroke, diabetes, breast cancer, colon cancer and depression. It improves memory and mental health. It is recommended to undertake 150 minutes of moderately intense exercise each week.  2 strength training sessions should also be undertaken as well as working on flexibility and balance. Research into the amount of physical activity people undertook used to be difficult, the production of accelerometers (now widely available as “watches”) has allowed researchers to accurately quantify how much physical activity individuals undertake. It has been shown that there are low levels of…

PHYSICAL ACTIVITY REDUCES SPORTS INJURIES

Physical activity is important in the prevention and treatment of many significant medical conditions including heart and lung disease, diabetes, cancer, increased blood pressure, obesity, osteoporosis and depression. One of the few drawbacks of physical activity is the possibility of injury.The chance of injury is dictated by factors related to the individual – Intrinsic –  (body make up/fitness/ability/gender/risks they take/age) and those acting on them externally – Extrinsic – the activity they participate in (rugby/ snooker/ gym) and the environment in which they play (extremes of temperature/altitude, quality of playing surface). Treatment of sports injuries can be expensive and time consuming both…