News

Vitamin D deficiency

Did you know that as many as 1 in 5 adults and 1 in 5 children in the UK have low vitamin D levels?

Vitamin D deficiency

Why is vitamin D deficiency so common in the UK?

We gain some vitamin D from food, but most from sunlight.

What are the food sources of vitamin D?

  • Oily fish (such as salmon, mackerel and sardines), cod liver oil and other fish oils
  • Eggs
  • Meat
  • Mushrooms
  • fortified foods – such as most fat spreads and some breakfast cereals

Why is vitamin D important for our health?

  • For our bone and muscle health
  • Deficiency is associated with Diabetes, Heart disease, Breast cancer, Bowel cancer, Alzheimer’s disease

Who is at risk of Vitamin D deficiency?

  • Pregnant and breastfeeding women
  • Under 5 year olds
  • Over 65 year olds
  • People who have little or no exposure to the sun eg those who cover-up for cultural reasons, people who are housebound or who stay indoors for long periods of time.
  • People with darker skin (these groups are not able to make as much vitamin D as those with paler skin).

How does vitamin D deficiency present itself?

  • Many have no symptoms or only vague symptoms of tiredness or body aches
  • Proximal muscle weakness
  • Rib, hip, pelvis, thigh and foot pain are typical
  • Fractures
  • Extreme cases can cause rickets in children, osteomalacia in adults

How can you find out if you have vitamin D deficiency?

  • A simple blood test done by Dr Sumi Soori at Roseneath Medical Practice, with same day results.
  • This may be combined with further blood tests to look for changes linked to low vitamin D and possible referral for wrist x-ray in a child to check on bone development.

 

Google reviews November 2017

November 2017 – Patients’ feedback

Feedback of our GP and Richmond doctor services

‘Dr Soori is superb, as is the whole practise. I have used the surgery three times now, twice for me and once for my daughter. On each occasion – covering a wide variety of issues – the level of care and treatment has been first class. It is not just the approachable and efficient service but also that extra ingredient of a Doctor who seems to have time to focus wholly on the issue to hand and obviously really cares deeply about the well being of her patients. First class.’ – Trevor Millett

‘My wife attended Roseneath Medical Practice to have a silicone injection in her knee that had been recommended by the consultant Mr Rhidian Thomas at Parkside Hospital Wimbledon. She has terrible “white coat syndrome” she was pretty nervous Dr Sumi was very patient and understanding and talked her through the procedure which in the end was totally straightforward and painless. She is am happy to say that for the first time in years her right knee is virtually free from pain. She is now going to arrange MRI scans of her left knee and hopefully she can have the same procedure.’ – Richard Sanders

‘We were on holiday in Richmond for a couple of weeks and were looking for a doctor for our young daughter to be examined. We have made the best choice to visit Dr Sumi Soori who has been really fantastic and whom i would highly recommend as a family GP! She even took some time “off work” on different occasions to check up on our daughter which we really appreciated. Warm welcome and high quality care!’ – Caroline Izard
Private GP in Richmond – Surrey review

Google reviews September 2017

September 2017 – Patients’ feedback

Valuable feedback about our doctor & GP practice

‘Dr Sumi Soori is patient, extremely knowledgeable and refreshingly personable. I would highly recommend her.’

‘The best experience I’ve had with a GP in the UK. I highly recommend Dr Soori, she is sensitive to individual needs, caring and will go above and beyond to ensure that her patients receive the best care, as well as aftercare, highly recommend.’

‘I was in the UK for few weeks on vacation. And I had been here several time with sick kids and for general consultation. The staff was great and very friendly… and was able to to schedule an appointment on the same day. Their weekend hours are also very convenient.. and the wait was short… Dr. Sumi is very knowledgeable and experienced. She answered all my questioned and was very helpful… I consider her as my family doctor whenever I am in the UK.’

 

Timely immunisation

A number of illnesses can be prevented by
timely immunisation.

Learn about illness prevention, by our Doctors in Richmond

gp in richmond; private gp

Which vaccines should you have for Autumn?
– Flu – did you know that even if you had the flu vaccine last year, you will need another one this year? People are always at risk of getting flu because the strains are always changing. The vaccine can be administered in the form of injection for adults or nasal spray for young or high risk children.
– Meningococcal B and ACWY vaccine – Meningitis remains a serious threat to children, teenagers and young adults, especially in the winter months. It is fatal in one in 10 cases.
– Measles – Did you know that this is the third most common vaccine-preventable cause of death among children throughout the world? It is one of the most infectious diseases in humans.
– Whooping cough – This is a highly infectious bacterial infection, which can be very serious for babies under one year. It is important to have this vaccine in the third trimester of every pregnancy.
– Chickenpox – This vaccine is not part of the routine childhood immunisation schedule in UK. The vaccine prevents the likelihood of serious chickenpox and lessens the chance of scarring.
And the good news?
The benefits of all the vaccines mentioned far outweigh the risk of side effects, which all tend to be mild.
At Roseneath Medical Practice we have stock of all the vaccines. We want you to stay well and healthy over autumn, and offer appointments seven days a week.

Google review July 2017

July 2017 – Patient’s feedback

‘As an American who visits London quite frequently, I have been generally very fortunate not to require medical services while here. However, on my current trip I was not as fortunate as I found that a severe allergic reaction required blood tests with a quick turn-around time. After exploring options, the only one that would meet the need for a quick turn-around was Roseneath Medical Practice in Richmond. My first call was answered by Jessica in reception, and she was very charming and understood exactly what I needed and helped arrange an appointment with Dr. Sumi Soori within two hours. Upon my arrival, I filled out a short questionnaire and was immediately shown into Dr. Soori’s office. Dr. Soori was friendly, professional, very competent, and understood the need for quick turn-around. She drew the blood right away, and it left the examination room before I did. She promised the results by end of the day, by phone, or email if it was too late. I received a call from Dr. Soori six hours after the blood was drawn and she had the complete set of results which she reviewed with me. And I received a follow-up email with the detailed results as well.

My entire experience with Roseneath Medical Practice was efficient, friendly, and professional, and I recommend them without reservation!’

St Margarets Fair

Roseneath Medical Practice at St Margarets Fair – 8th July 2017

gp_richmond

Dr Soori and the Roseneath Medical team were at St Margarets Fair on Saturday 8th July, introducing themselves to some of the  local community and enquiring about patients’ hopes and expectations from a quality medical service. Thank you for having us!

doctors_richmond

A Guide to Meningitis

meningitis

A Guide to Meningitis by Dr Sumi Soori

Meningitis is the inflammation of the meninges, the membranes that cover the brain and spinal cord. Most cases are caused by infection in children, from babies to young adults. It can be a potentially serious illness which can be life threatening. However, if dealt with quickly, it can be treated.

Types of Meningitis

Meningitis is usually caused by a bacterial or viral infection. Viral meningitis is the most common but least serious type; bacterial meningitis is rare but can be life threatening.

Possible bacteria and viruses that may cause meningitis:

  • Meningococcal bacteria – types A, B,C,W,X,Y,Z
  • Pneumococcal bacteria
  • Haemophilus influenza B bacteria
  • Mumps virus
  • Herpes simplex virus (usually cause cold sores or genital herpes)
  • Enteroviruses (usually cause mild stomach infections

Signs and symptoms

High fever (not always in babies under three months)

  • Reduced feeds or nausea or vomiting
  • Fatigue, drowsiness or floppiness
  • Irritability, confusion, agitation
  • Headache
  • Bulging fontanelle (soft spot on head) in babies
  • High pitched cry
  • Rapid breathing
  • Pale mottled skin, with cold hands and feet
  • Limb/joint pains or stiffness, neck stiffness
  • Fits
  • Dislike of bright light
  • Rash

The rash associated with meningitis usually starts with small pinpricks, which then spread throughout the body, turning into red/ purple blotches.

Glass test: A rash that does not fade under pressure (when a glass is rolled over it) is a sign of life-threatening blood poisoning (septicaemia). However, a rash does not appear in a number of cases of meningitis. Remember that the rash may be harder to see on dark skin. Checking for spots on paler parts of the body (eg palms of hands and soles of feet) maybe helpful in these cases.

Complications:

Complications are rare after viral meningitis. They are more common after bacterial meningitis, and in approximately 1% of cases it is fatal.

  • Hearing and vision loss
  • Cognitive problems (memory issues, learning difficulties)
  • Difficulties with co-ordination
  • Epilepsy
  • Bone and joint problems or limb loss (due to rapid spread of infection)
  • Kidney problems
  • Psychological upset

Vaccines that can help reduce the chances of your child getting meningitis:

There are a number of meningitis vaccinations available that provide protection against some of the infections that can cause meningitis.

  • Meningitis B vaccine (a new vaccine provided on the NHS for infants, available privately for other children)
  • 5-in-1 vaccine (includes protection against Haemophilus influenzae B, a bacteria that can cause meningitis)
  • Pneumococcal vaccine
  • Men C vaccine (protects against Meningococcal C bacteria)
  • MMR vaccine (Meningitis can occur as a complication of measles, mumps or rubella)
  • Meningitis ACWY vaccine (protects against four bacteria types that can cause meningitis)

Important points to consider:

  • Not all children get all the typical symptoms
  • Don’t wait for the rash as it doesn’t always appear
  • Vaccination is key in helping prevent cases of meningitis
  • Trust your parental instincts. Act fast, get medical help immediately if you are worried your child may have meningitis.

Dr Sumi Soori is a Private GP at Roseneath medical practice who has a strong interest in Paediatrics and Women’s health. The practice is open to new patients and offers appointments seven days a week. For more information, visit http://www.roseneath.co.uk

Sexual problems affecting men

sexual dysfunction

Did you know that approximately one in ten men experience difficulties with sex?

Any man can be affected by sexual dysfunction and such problems become more common with age.

What sexual problems affect men?

Erectile dysfunction:- Inability to achieve or maintain an erection suitable for intercourse

  • Causes may be physical or psychological.
  • Physical causes: hardening of arteries affecting blood flow, diabetes, other nerve disorders eg Multiple sclerosis, raised blood pressure, physical injury to the penis or scar tissue in the penis (Peyronie’s disease), alcohol, smoking, drug misuse and side effects of certain medications.
  • Psychological issues: stress , anxiety, depression

Premature ejaculation:-When a man ejaculates sooner than he wants during or before penetration

  • The most common male sexual problem
  • Usually due to nervousness over sexual performance or other psychological factors

Inhibited or retarded ejaculation:- Slow to ejaculate

  • Usually psychological factors

Retrograde ejaculation:-Where the ejaculation goes into the bladder instead of out of the penis

  • Possible causes: diabetes , consequence of surgery for bladder or prostate

Loss of libido:- A decrease in desire for or interest in sex

  • Possible causes: Diabetes, low testosterone levels, raised blood pressure, certain medications, relationship problems, stress, anxiety, previous sexual trauma

So what’s the good news?

  • Fortunately most cases of sexual dysfunction are treatable

How can Roseneath Medical Practice help you?

Dr Soori conducts confidential sexual health assessments which include a history of symptoms, physical examination and tests with same day results, to look for possible causes. Once complete, certain treatments are also available from the surgery or if required a swift referral to a recommended therapist or hospital specialist.

Google Review May 2017

5-starsDr Sumi Soori is a doctor in a million. She combines compassion and empathy with acuity and total professionalism, and has seen, and is continuing to see, me through a very challenging time. Dr Soori is totally committed to her patients and goes way above and beyond what might be expected of her. I feel so fortunate to have found her, and have no hesitation in recommending Dr Soori and her team to anyone and everyone.

Women over 50 years of age are at an increased risk of heart disease and certain cancers

Heart Disease & Cancer Information, provided by our Richmond Doctors
increased risk of heart disease and certain cancers

Did you know that women over 50 years of age are at an increased risk of heart disease and certain cancers?

Heart disease:

  • The hormonal changes that occur during the menopause cause a rise in cholesterol levels. The metabolism also slows down during this time, causing weight gain and increasing cardiovascular risk further.

How you can help:

  • Focus on healthy diet and lifestyle ( stay active, eat healthily, maintain a healthy weight, reduce stress, avoid too much alcohol, don’t smoke)
  • Take part in regular health screening- body mass index check, blood pressure screening, cholesterol and diabetes screening, baseline electrocardiogram, ten year cardiovascular risk assessment

Cancer:

  • Cancer becomes more common after the age of fifty, especially breast cancer, lung cancer, bowel cancer and gynaecological cancers (womb, cervical, ovarian)

How you can help:

  • Regular breast self- examination and mammogram screening every three years; colorectal cancer screening through stool sample plus possible sigmoidoscopy or colonoscopy; gynaecological cancer screening via  cervical smear and HPV infection test  every five  years from 50 years age, regular pelvic examinations plus possible tumour marker testing and pelvic scan

At Roseneath Medical Practice we believe that health promotion and disease prevention are key to living a long, healthy life. To help you achieve this, for women over the age of fifty, our practice offers a variety of health assessments and screening tests, all with same day results.