For referring clinicians

I provide Geriatric and General Medical services with a focus on complexity, in the setting of chronic disease and quality of life issues. My priority is providing you and your patient with a clear understanding of the diagnoses, facilitating any investigations needed, and supplying a comprehensive management plan. I value effective communication, compassionate interactions and providing people with the time they need to feel heard. Education and support is critical for our patients to have successful outcomes. 

I am happy to receive referrals for issues without complexity as well, and can help assist with common medical conditions that benefit from a physician assessment. I am happy to be contacted to discuss whether I can be of assistance with management of your patient.

General Medicine

Undifferentiated problems

  • Weight loss

  • Chronic fatigue

  • Sweating/flushing

  • Orthostatic intolerance

  • Cognitive impairment

  • Shortness of breath

  • Nausea and vomiting

  • Pain, depending on the context

Specific medical issues

  • Autonomic dysfunction

  • Hypertension, Cardiac Failure

  • Chronic Obstructive Pulmonary Disease, chronic cough

  • Hyperventilation syndrome

  • Chronic kidney disease

  • Diabetes management

  • Altered bowel habit and dyspepsia, hepatic dysfunction

  • Biochemical/electrolyte issues (eg hyponatraemia)

  • Neuropathy

  • Anaemia

Geriatric Medicine

Common problems I can assist with include

  • Falls/funny turns

  • Cognitive impairment, including subjective cognitive symptoms with normal testing

  • Threatened independence, and considering the transition into residential care

  • Polypharmacy and medication complexity

  • Frailty and sarcopenia

  • Bone management/osteoporosis treatment

  • Neurodegenerative conditions (eg Parkinson’s Disease)

  • Psychosocial complexity and vulnerability

  • Whānau distress

  • Behavioural and psychological symptoms of dementia

  • Advanced care planning