Problems and Conditions

Medical consultations are most likely to succeed when there a clear patient goal within the scope of the doctor.

When is neurology consultation with me appropriate?

My consultations are primarily for patients with new neurological symptoms or problems, who want expert opinion on management.

Common problems in a neurology clinic

Common problems I see in neurology clinic are:

• headaches;
• memory problems;
• tremors, shaking, or involuntary movements;
• muscle weakness, stiffness, or spasms;
• difficulty with coordination;
• shuffling gait;
• numbness and tingling;
• episodes of altered consciousness or convulsions;
• dizziness and balance;
• neuropathic pain (burning, tingling, electric) affecting a specific part of the body;
• vision changes (e.g. double vision, loss, or change);
• speech difficulties (slurring, difficulty finding words).

When might a neurology consultation with me not be appropriate?

I do not routinely see patients:

• with symptoms or concerns outside the scope of work of neurologists;
• who have already seen another specialist for exactly the same problem (except where the specialist requests a neurology opinion);
• who have seen another neurologist for the same problem (except at the request of the neurologist).

If you are considering seeking a consultation with me in one of the above circumstances, the best next step is to make an enquiry (e.g. by email to my secretary). I can then let you know if an appointment with me is appropriate.

I never manage patients under the active care of another neurologist (NHS or private), unless explicitly requested by that neurologist.

Problems outside the scope of a neurologist

I do not see patients to assess the following primary problems:

• suspected or diagnosed postural orthostatic tachycardia syndrome (POTS);
• fatigue;
• body pain or widespread pain;
• depression or anxiety;
• auditory hallucinations or psychosis;
• tics of childhood onset.