Lab testing

I have access to a number of world-class laboratories through which I can arrange both standard and specialist tests. Many of these are not available on the NHS, even though they are all part of orthodox medical diagnostics. There are many benefits of private laboratory testing:

  • A wider range of tests that can help get to the bottom of your condition.
  • Get the tests you want, without having to seek your GP’s approval.
  • No waiting, no NHS queues. Generally, results come back in a matter of days.
  • Confidentiality assured. Your test results are conveyed to you directly.

Some laboratories will send a test kit directly to the patient containing everything necessary for collecting the samples, along with secure packaging for sending back to the lab. For many tests, I have the kits ready to go in my clinic, saving time and allowing me to talk you through the contents and procedure.

Usually, you will be able to collect the required sample for yourself at home. This is generally the case where the test requires urine, stool, hair or saliva samples. In the case of blood tests, where a blood draw is necessary, the services of a local phlobotomist will be required.


IMPORTANT
Although I am a trained, insured phlebotomist, recent changes to legislation
mean I am not licensed to take blood for any tests I provide for my patients.
When tests require a blood draw, therefore, patients will need to take the kit I supply
to a local phlebotomist (e.g. Superdrug, Chichester) to have their blood drawn.


I have a good working relationship with my labs and have direct phone access to their biochemists. I also attend the CPD lectures provided by certain labs and researchers ensuring that I keep abreast of progress in the field.

Please scroll down to read about some of the tests that I find particularly relevant in my practice, and why.

  • Genova logo
  • The Doctors Laboratory logo
  • Cyrex logo
  • Great Plains / Mosaic Diagnostic logo
  • Doctors Data logo
  • NHS Oxford Immunology Lab logo

Genetic testing

The DNA testing I offer can provide unique insights into your health and opens the way to truly personalised medicine.

The testing I offer only checks for gene variants that can help uncover weaknesses in metabolism (e.g. vitamin B and folate cycles) that may help diagnosis or indicate simple lifestyle changes or specific supplements that would be impossible to identify otherwise.

DNA-reportFor example, whilst salt is generally no problem in the diet, for a sub set of people it is more likely to contribute to raised blood pressure. Genetic testing could reveal this. Similarly, I generally recommend coffee drinking for it’s many health benefits, but for someone with the slow caffeine metabolism gene the opposite advice would be appropriate. Only with genetic testing can such advice be given confidently.

My DNA labs also offer specific testing for exercise related genes. These identify injury susceptibility, endurance and performance related genes, and those that indicate recovery potential. Such information can be invaluable for athletes and anyone trying to maximise the potential of their exercise regimen.

The recently updated and expanded test now requires a finger-prick blood sample to be taken. The equipment is provided in the kit, and you can safely undertake this at home. The lab returns a multi page report and I offer a consultation to go over the results and discuss possible interventions that are likely to be beneficial in light of this information.

  • Genova logo

My top clinical kit

Good clinical skills are all about observation, and observation is massively helped with the right  kit. We are not talking MRI scanners here, but hands-on, front-line equipment that let me look and listen to the body more effectively. That’s some of my stuff laid out on my desk.

Stethoscope: this quintessential piece of medical kit is invaluable, not only for listening to the heart and lungs but also bowels thyroid gland and, occasionally a baby.

Blood Pressure Monitor: for taking blood pressure. Quick and non-invasive. Only really accurate if the patient is relaxed, which tends to be the case as my consultations less rushed than a typical GP visit.

Magnifying glasses: essential for checking skin and eyes and mouth. Dermatology is a tricky business, and I am certainly not a specialist, but I have accurately diagnosed many a case of eczema, psoriasis, and all sorts of lesions, as well as correcting previously incorrect diagnoses, and all through careful observation and attention to the full history of the patient.

Otoscope and ophthalmoscope: for looking inside ears and eyes respectively. I can examine the ear canal and ear-drum, the ceiling, floor and sides of the ear canal, and identify and treat many problems, and with the ophthalmoscope observe the fundus, optic disc and retinal vessels of the eye to aid in an understanding of a variety of symptoms and signs a patient might present with.

Dipstix:  as a first line aid in identifying a number of conditions urine dipstick are invaluable. A quick pee in a pot in the bathroom next door and in a couple of minutes I can obtain useful and actionable information. I get instant feedback on urinary glucose, ketones, leukocytes, blood, protein and pH, all of which can be direct or indirect signifiers of pathology or underlying condition. Quick, cheap, reliable and invaluable.

Continuing professional development

In order to provide my patients with a proper service I make studying and learning more a major priority for my practice. I make sure I am continually updating my clinical and diagnostic skills.

I also regularly attend conferences, talks, seminars and workshops in order to maintain the level of expertise and clinical skills that patients deserve. The image above shows me at one of the lectures for GPs run at the Chichester Medical Education Centre at St Richard’s Hospital, which I attended every week for four years, in the process of which I got to know many of the local Consultants and Specialists, as well as a great many of the GPs in my area.

High quality medical conferences are held throughout the year and many of these are focused on the areas of medicine that our NHS find so hard to resolve. Chronic, ongoing conditions such as thyroid disorders like Hashimoto’s, neurodegenerative conditions such as the various forms of dementia, and developmental conditions that fall within the autism spectrum, and autoimmune disorders which are effecting more and more people all require a great deal more time and specialism than GPs are able to provide. The standard approach to these, and many other conditions may be woefully inadequate for the patients, who can suffer for years with insufficiently thought through treatments, or worse. I attend conferences run by experts in their field, in order to save my patients from the same unnecessary failures.

There are also now some first class online webinars in which specific subjects are discussed by people working on new or expanding areas of research. Areas such as effective and safe removal of toxic metals like aluminium, mercury or cadmium from people who have struggled for years with unexplained symptoms. Or Lyme disease and the rise in this poorly grasped issue of vector borne diseases, which are also frequently mis-diagnosed. Experts in the field of microbes, epigenetic, nutrition, functional medicine, the microbiome, specific disease entities, new and better tests for old adversaries, or new therapeutic strategies are now available through these international online conferences, as well as venue based events, and I am fortunate to have made contact with many leaders in these fields of research, from whom I continue to expand my knowledge, whether in Herbal Medicine, nutritional medicine or biochemistry and physiology. I take all the opportunities I can to upgrade my knowledge in order to truly enable recovery in my patients, many of whom have been struggling for far too long with mysterious or unexplained problems that we can now confidently say can be tackled.

Below is a list of some recent CPD events:

  • Thyroid disease, new research, testing parameters and better treatment
  • Alzheimer’s Disease, dementia and neurodegeneration: new research and successful treatment
  • Lyme Disease and associated vector borne diseases: spread, new tests and treatments