Private Medical Practice of the Year

London Prestige Awards 2019

Roseneath Medical Practice – Private Medical Practice of the Year.

The judges commend Roseneath Medical Practice for their considerate and ethical approach to healthcare


Roseneath Medical Practice is a private practice in Richmond Upon Thames, which has established itself over the last three years, through the concerted efforts of a caring clinical and support team. The team consists of an experienced general practitioner (GP), a consultant paediatrician and administrative staff, who are friendly, compassionate, and put patient wellbeing first. The practice provides patients with
a relaxed, spacious and comfortable environment whilst also affording the highest possible standard of medical care by being equipped with the latest technology.
The judges commend Roseneath Medical Practice for their considerate and ethical approach to healthcare. In their everyday practice, Roseneath searches beneath the surface of a problem in order to identify and address the root causes of illnesses, rather than just treating symptoms. The practice also does not treat prescription medication as a cure-all remedy; instead, it concentrates on various aspects of, and possibilities for illness prevention. As well as treating illness, Roseneath Medical Practice helps empower patients to realise their maximum health potential for a large range of conditions. They guide patients – young and old – on their journey to wellbeing by integrating preventive measures such as nutrition, exercise and cognitive techniques into their everyday lives.

Did you know? Few facts about alcohol consumption…

Did you know that your body can only process one unit of alcohol an hour?

Regularly drinking too much or binge drinking puts your health at serious risk.

alcohol consumption
How much is too much?

-The UK Chief Medical Officers’ guidance is now the same for both men and women- a limit of 14 units of alcohol a week should not be exceeded.

– Fourteen units is the equivalent of : – six pints of beer (4%); six glasses (175ml) of wine (13%); 14 glasses of 25ml spirits (40%)

– In pregnancy it is advised not to drink alcohol at all, to minimise risk to baby

What are the potential health risks of alcohol?
  • Disturbed sleep patterns
  • Weight gain
  • Cardiovascular disease- increased risk of diabetes, high blood pressure, stroke
  • Acid reflux
  • Liver disease
  • Reduced fertility and sexual dysfunction,
  • Cancers of the mouth, head/neck, liver, bowel, pancreas
  • Osteoporosis
  • Memory loss, dementia, depression and anxiety, stress and anger problems
Is alcohol good for the heart?

The advice on this can be confusing.  The potential health benefits to the heart are considered  to be outweighed by other health risks ( as listed above) and only occur if the limit of fourteen units is spaced out during the week (ie not binge drinking). Drinking within the recommended limit is key.

How can we help?

See Dr Soori at Roseneath Medical Practice for an assessment of your drinking pattern and complete evaluation of your resulting physical and emotional health. Blood tests can be done at the practice, with same day results. Depending on the findings advice  and management will be provided to improve your health and prevent potentially serious illnesses.

 

Abdominal / central obesity Q&As

Did you know that abdominal fat is a predictor of Type 2 diabetes, heart disease and some cancers?

In fact, abdominal (central) obesity is more closely related with cardiovascular disease than general obesity.

 

gp in richmond; obesity

 

Why  does ‘abdominal’  or ‘central’ obesity arise?

  • Because one may consume more usable calories than he/she expends
  • Alcohol and a high meat consumption has been associated specifically with abdominal obesity
  • Conditions that predispose to central obesity are Cushing’s syndrome or Polycystic ovary syndrome (PCOS)

Why does abdominal fat become more of an issue with age?

  • This is predominantly due to a drop in metabolic rate (the number of calories the body needs to function)
  • Menopause – with the associated change in hormones women tend to hold weight in their abdominal area

What are the possible problems that may arise from central obesity?

  • Osteoarthritis of weight bearing joints eg hips and knees
  • Insulin resistance,  resulting in Type 2 Diabetes
  • Cardiovascular disease
  • Asthma-  people with obesity are more likely to be hospitalised for asthma                   
  • Alzheimer’s disease

What can you do to help ?

  • Exercise (combining aerobic exercise with resistance training is more effective than cardiovascular exercise alone in getting rid of abdominal fat). Also exercise leads to a reduction in cortisol production – a hormone that leads to more abdominal fat deposits
  • Eating healthily – consume the same number or fewer calories than used

How can we help?

See Dr Soori at Roseneath Medical Practice for abdominal measurement, exploration of possible causes,  assessment of your health risks, and advice and treatment of your excess weight condition. Advice will be provided on how one can improve their metabolic rate through diet and lifestyle changes.  Medication can in some cases help to reduce fat absorption, and anti-diabetic drugs can be prescribed which can help diabetes and central obesity.

 

Roseneath Medical Practice patients’ feedback

‘…I was extremely impressed with the care I received and would not hesitate to return to the practice in future…’

‘…Very responsive, rapid treatment & results. Highly recommended!…’

‘…A genuinely caring doctor, who is reliable and has coverage that goes beyond a normal GP service – weekends and evening contact with aftercare and follow-ups. Comprehensive referral service with the best specialists in their field..’

‘…I have never felt more comfortable with a doctor…’

‘…Genuinely one of the best medical practices I have ever visited…’

‘…Roseneath provides the best in private medical care…’

‘…Outstanding staff and I appreciate the holistic and caring approach…’

‘…Superb. Attentive, quick to respond, hugely professional…’

‘…I don’t have words to express my appreciation for your brilliant services…’

‘…Excellent service in all respects – speed, care, thoughtfulness…’

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

‘…Great team here. Very professional and unbelievable level of service and aftercare. You’ll never go back to your old Doctor again…’

‘…Really great service. Easy to get a quick appointment…’

‘…I have used this private practice on a few occasions and have found them to very professional and efficient. All the staff are very reassuring, friendly and helpful making you feel at ease…’

Coeliac disease

Did you know that untreated coeliac disease can lead to additional serious health problems?

coeliac disease

What is coeliac disease?

  • It is an autoimmune condition where the small intestine becomes inflamed and unable to absorb nutrients
  • It is caused by an adverse reaction to gluten , which is found in any food or drink containing wheat, barley, rye eg cereals, pasta, bread, cake, beer.
  • It is not an allergy or intolerance to gluten.
  • It is hereditary
  • It could result from environmental factors eg a digestive system infection in childhood

  • It is estimated that one in 100 people in UK have coeliac disease, and that nearly half a million people aren’t yet aware of their condition.

What are the symptoms?

  • diarrhoea  
  • abdominal pain
  • bloating
  • wind
  • indigestion 
  • nausea
  • constipation
  • hair loss
  • fatigue 
  • weight loss
  • itchy skin rash 
  • delayed growth/ puberty  

What are the risks of coeliac disease?

  • Malnutrition
  • Increased risk of other autoimmune diseases eg Type 1 diabetes, autoimmune thyroid disease
  • Lactose intolerance
  • Lymphoma and  bowel cancer
  • Unexplained infertility
  • Osteoporosis
  • Irritability and depression – children with coeliac disease are irritable
  • Low birthweight babies
  • Dental defects

How can coeliac disease be treated?

Currently the only treatment for coeliac disease is lifelong adherence to a strict gluten-free diet.

And the good news?

In most cases the symptoms can be reversed and the complications prevented by a gluten-free diet. Early diagnosis and treatment are key. See Dr Soori at Roseneath Medical Practice for full evaluation of your symptoms and same day blood tests to help identify if you may have coeliac disease. If required a specialist referral for a biopsy confirmation of the diagnosis can then be arranged.

Fatigue in children

FATIGUE IN CHILDREN

Fatigue is excessive tiredness. It is normal for a child to experience tiredness from time to time, especially when they have growth spurts. A simple nap or rest should help. However, if despite rest a child has an overwhelming need to sleep, it could indicate a problem.

Interestingly, children don’t usually complain of tiredness during the day, for fear of missing out on fun, even when they do feel a little tired. Instead, such concerns are typically noticed by the child’s parents or teachers. Therefore when a child does report tiredness or show obvious signs of fatigue, such situations should be explored further.

Possible causes:

  • Allergies – may cause prolonged or significant tiredness. Gluten intolerance or coeliac disease may cause chronic fatigue in children.
  • Depression – can be very emotionally and physically overwhelming to a child and depression in children often presents as tiredness.
  • Poor nutritional intake – Children may feel tired when they get hungry between meals, especially if their meals aren’t of sufficient nutritional value. A child needs a well-balanced diet rich in wholegrains and protein, whilst avoiding excess sugar and processed food. Healthy snacks are recommended between meals
  • Vitamin deficiency – e.g. vitamin d deficiency. Vitamin supplements are recommended for children in the UK, aged six months to five years.
  • Poor sleep – Children generally need at least ten hours of sleep to function well during the day. A good night’s sleep can prevent daytime tiredness for many kids.
  • Excessive exercise – a lot of children are very keen on sport but if this becomes excessive it may be that they are burning too many of the calories they consume.
  • Anaemia – when there aren’t enough healthy red cells to carry adequate oxygen to the body’s tissues. Tiredness can be a symptom of anaemia.
  • Infection (bacterial or viral) – the fatigue goes away when the infection clears.
  • Medication – e.g. antihistamines, cough medicines, painkillers, antidepressants.
  • Obesity, enlarged tonsils or adenoids – Obstructive sleep apnoea may result and thus cause interrupted sleep, further resulting in fatigue.
  • Chronic fatigue syndrome – usually caused by Glandular fever. Tiredness is the most common symptom.
  • Other diseases – e.g. asthma, hypothyroidism, diabetes, autoimmune diseases, heart disease, cancer

When to act:

When fatigue begins to disrupt your child’s normal routine, activities, education and quality of life, it is important to understand why he is so tired. In rare cases tiredness, combined with other symptoms e.g. weight loss, nosebleeds, visual changes, swellings, headaches, pain could occur due to childhood cancers. Most of the time however tiredness in children is caused by diet and lifestyle, but further evaluation should be undertaken.

What to do if your child experiences fatigue:

See a doctor for a full assessment of your child’s symptoms, examination and investigations to pinpoint the cause for the tiredness. A quick diagnosis can then be made and effective treatment can be commenced.

 

 

 

 

New Year’s resolutions

Did you know it is estimated that three-quarters of New Year’s resolutions are abandoned by the end  of February?

Why do people give up on their resolutions so quickly?

  • It takes time to make a new habit, or to lose a less healthy one. Any new exercise regime or diet takes a while to bed in.
  • We often set unrealistic goals and targets- for example, deciding to eat no sugar, give up carbohydrates completely or exercise every day for an hour.

How can you improve your chances of success?

  • Knowing your current health status is a good way to start-your cholesterol level, blood sugar level, blood pressure, body mass index, and being aware of your ideal measurements .
  • A good way to do this is to have a Health Assessment, personal to you, taking account of your age, gender, family history and lifestyle.
  • By knowing these parameters as well as others, your individual risk for heart disease can be calculated.  Other potentially serious conditions can also be screened for eg lung disease, cancers,  mental health problems. This means you can set goals that really improve your personal health, which are safe and realistic for you.

 

health assessment

 

How can we help?

  • At Roseneath Medical practice, Dr Sumi Soori offers a broad range of Health Assessments- Men, Women’s, Comprehensive health assessments,  Healthy heart, Cognitive assessments, Child health,  Fertility, Mental health etc all with same day results.  Referrals can be made as necessary to other health professionals, some on-site eg physiotherapy.
  • Making new habits and behaviours requires us to understand our responses to stress and other triggers. Dr Soori can help you to do this  through Cognitive Behavioural therapy, which can help increase your chance of sticking to you goals and achieving your resolutions.
  • So for 2018, rather than embark on fad diets or fitness regimes that you can’t keep to, why not book a health assessment to fully understand your current health status, and receive advice and support you to successfully achieve your goals.

Roseneath Medical Practice offers a 10% discount for health assessment bookings in January and February ‘18

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 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.