I established Heartmed, my private cardiology practice in 2005.
At Heartmed, we address the concerns of both patients and their referring doctors. Where appropriate, we also assess each patient for intercurrent cardiological problems. If a heart condition is discovered, in cooperation with the patient and their referring doctor, I formulate and recommend a management plan. With all patients, I also take the opportunity to make appropriate individualised recommendations with respect to preventive cardiological health.
I am a General Cardiologist with subspecialty interest in Non-Invasive Cardiological Imaging. As a General Cardiologist, I provide care for all patients referred with all cardiological problems or potential cardiological problems.
My subspecialty interest and expertise in Non-Invasive Cardiological Imaging relates to CT coronary angiography, cardiac CT and echocardiography including exercise and dobutamine stress echocardiography and transoesophageal echocardiography.
Subspecialty expertise in Non-Invasive Cardiological Imaging is arguably the best asset a cardiologist can have for the initial assessment of any cardiological patient: i.e. the best asset a General Cardiologist can have. These non-invasive tests cover the majority of heart conditions in the majority of patients. Best medical practice is to, wherever possible, use non-invasive tests in preference to invasive tests. This avoids, as much as possible, complications of invasive testing. This is especially advantageous in patients in whom heart conditions are excluded by the non-invasive testing.
For many patients their cardiac pathology overlaps different subspecialties. Cardiology contains too many subspecialty areas for it to be practicable any more for an individual cardiologist to be master of all the subspecialty areas. They would risk being "a Jack of all trades and Master of none". I have a well-developed network of cardiologists who have sub specialised in various other areas of cardiology, as well as cardiac surgeons (who also may also be sub specialised) and non-cardiology specialists.
When appropriate, I draw on this network to assemble the best team to provide the best cardiological care to our patients. When I select each doctor, I will have regard to their particular subspecialty expertise and performance. Where local expertise is undeveloped, I will consider superior expertise further afield. Of course I also have regard to patient and referring doctor preferences and the issue of cost.