Services
| Medicine for the Elderly (including rapid access appointments) | Available Resources : Radiology including ultrasound, MRI, CT |
| Parkinson’s clinics | ECG, echocardiography, 24 hour ambulatory ECG |
| Stroke and Cerebrovascular | Pulmonary function testing |
| Dizziness and Falls | Endoscopy |
Consultants
Dr Elizabeth C Keane (MoE & Parkinson’s)
Dr Sarah L Keir (MoE and Stroke)
Dr Conor PJ Maguire (MoE & Parkinson’s)
Speciality Doctor
Dr Inas Saad (Dizziness)
Who to refer:
- Patients aged over 65 years with complex comorbidity
Unexplained falls
- Possible Parkinson’s or other movement disorders, e.g. tremor. Please refer untreated (Dr Keane / Dr Maguire)
Patients of all ages with post-acute stroke problems or cerebral small vessel disease (Dr Keir)
- Non-specific or unexplained symptoms e.g. syncope, dizziness, breathlessness, weight loss, anaemia
Review of complex polypharmacy
Who not to refer:
- Patients under 65 years (unless suspected Parkinson’s – Dr Maguire will see)
Single organ pathology in an otherwise fit older person (please refer to appropriate specialty)
- Acute stroke or TIA (refer to Neurovascular clinic)
Patients requiring full functional and multidisciplinary assessment (please refer to ARC)
- Memory Clinic patients: Should be referred to the MATS Service (Memory Assessment and Treatment Service in Psychiatry of Old Age)
How to refer:
Routine referrals
- SCI Gateway
Urgent referrals
- SCI Gateway
For advice or discussion about urgent or rapid access referrals, please contact the Consultant on call for MoE at WGH:
- Geriatric Medicine Advice Hotline: 0131 465 9107 (08.30 – 16.30 M – F)
- Consultant on call for WGH MoE: 07815 493034
- Email: geriatricmed.north@nhslothian.scot.nhs.uk
