General Medicine St John’s Hospital
General Medicine SJH -This April 2011 content was copied from directly Old RefHelp 23.11.18 and is currently being reviewed – it has not undergone the RefHelp Update process
Service
- General Medicine clinics on the St John’s Hospital site (Dr John Wilson and Dr Mukhtar Ahmed). Dr Wilson has a specific interest in musculoskeletal and movement disorders (excluding those conditions which would obviously be referred to Rheumatology and Orthopaedics)
- Lipid clinic run by Dr Bob Finnie. Please address referral FAO LIPID CLINIC
- We presently do not offer a Rapid Access Medical Clinic.
Last Updated on Friday, 01 April 2011 13:35
Who to refer:
- Patients with an unknown diagnosis despite appropriate GP investigation
- Those with a lack of response to therapy for presumed diagnosis
- Patients seen by us either as inpatients or in the Primary Assessment Area who require ongoing review
- Those patients who require a medical second opinion
Who not to refer:
- Patients who are known, or have been referred, to other services and have ongoing specialty-specific issues
- Patients with allergy issues – consider Dermatology or out of region immunology referral. There is presently no immunology/anaphylaxis specialist in Lothian
- Diabetes with related symptoms/complications – refer to diabetes
- Presumed ischaemic chest pain – refer to the chest pain clinic
- Possible stroke/ TIA – refer to the stroke clinic using the General Medicine – Stroke option in SCI Gateway and choosing the Stroke/TIA protocol
- Complex neurological problems
How to refer:
- SCI Gateway is the usual pathway for outpatient referral
- Urgent reviews can be discussed with Medical Consultant on call
The General Medicine Consultant on call can be contacted via switchboard on 01506 523000