SW Thames Prospectus - South Thames Diabetes and Endocrinology
SW Thames Prospectus - South Thames Diabetes and Endocrinology
SW Thames Prospectus - South Thames Diabetes and Endocrinology
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4 hour targets, <strong>and</strong> pleasant to work in. A new acute medical assessment unit<br />
(MAC) has been introduced to streamline medical admissions <strong>and</strong> is additionally<br />
staffed by an on call consultant of the day as well as by permanent admissions<br />
unit staff grades aiding the take. Full radiological, endoscopic, ITU <strong>and</strong> HDU<br />
support is available. Specialist skills provision occurs in the Coronary care <strong>and</strong><br />
stroke units with respiratory expertise for BIPAP. An outreach team from ITU<br />
provides additional expert assistance <strong>and</strong> advice for medically sick patients.<br />
<strong>Diabetes</strong> <strong>and</strong> <strong>Endocrinology</strong><br />
The full range of <strong>Diabetes</strong> <strong>and</strong> Endocrine specialty services are provided. The<br />
main base for the post is at Kingston Hospital, but one diabetes clinic is based at<br />
the newly built Queen Mary’s hospital in Roehampton, a pleasant 10 minutes<br />
away across Richmond Park.<br />
A full range of diabetes clinics run <strong>and</strong> include<br />
specialist adolescent, eye, antenatal <strong>and</strong> renal<br />
clinics as well as multidisciplinary clinics for the<br />
diabetic foot which has established orthotic links<br />
with the Douglas Bader unit. There is senior<br />
experienced diabetes nurse support from a team<br />
that includes one of the first Diabetic nurse<br />
consultants as well as psychology <strong>and</strong> dietetic<br />
expertise. A number of patients in clinic are now<br />
managed with pump therapy <strong>and</strong> a continuous<br />
glucose monitor has been purchased <strong>and</strong> is<br />
available for clinical <strong>and</strong> study use.<br />
The diabetes renal clinic is run jointly with a<br />
consultant nephrologist from St Georges <strong>and</strong><br />
offers opportunities for research with projects<br />
currently running in renal anaemia <strong>and</strong> vascular<br />
stiffness.<br />
The consultants at Kingston have research interests in the pathogenesis of renal<br />
complications, renal anaemia, diabetes <strong>and</strong> pregnancy <strong>and</strong> the investigation of<br />
endocrine disease.<br />
Endocrine clinics are unselected with registrars involved recently in the<br />
investigation <strong>and</strong> diagnosis of acromegaly, Sheehans’ syndrome,<br />
hypoparathyroidism <strong>and</strong> an insulinoma.<br />
Close endocrine surgical links exist with St George’s hospital <strong>and</strong> Queens Square<br />
as well as with the Hammersmith hospital providing endocrine <strong>and</strong> neurosurgical<br />
management for the patients.<br />
Monthly endocrine meetings occur with biochemistry <strong>and</strong> neuroradiology allowing<br />
discussion of ongoing <strong>and</strong> interesting cases.<br />
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