I created this website is for you, because there is simply too much information that can come across at a time when you have been just diagnosed with an illness and I want you to be able to access this information at your leisure, at home and with your family. You will also find a list of pages that provides information about your consultation, operation and news updates that may be of interest.

After spending time on the site, you will be well informed and when we meet, we can focus on your options and choices.

You are in charge and in control

When we first meet, you may notice that my approach to patient information and choice may be different from what you may be used to because I believe that both of us (patient and doctor) should make decisions about your care together.

Many patients (and doctors) don’t realise that patients are the best people to be in charge of the decision about their care. With a formal background in clinical trials, medical statistics and having reviewed the literature extensively, I am in a position to say that many decisions in clinical practice are not “medical” a few are “clear cut”.

The General Medical Council and I (as part of the British Guidelines committee for the Radical Management of Lung Cancer) emphasise that benefits and risks of any treatment or investigation should be explained to the patient and decisions about their care should be made together.

This is because “medical decisions” are made for each specific treatment when the perceived benefits outweigh the risks. Whilst doctors can inform you on the benefits and risks for each modality of your care, how people place a value on benefit and risk is subjective so only you can decide what is important to you.

You are at the driving seat of your care. I’ll provide the route map, and we’ll plan the journey together

Sometimes, it can be difficult to decide and patients may ask “what do you recommend?” or “what would you do if you were me?” and my reply is an explanation that it is difficult to put myself in your shoes because my values are yours may be quite different. So allow me to explore your values… and then we go on to dissect what is and is not important for me to allow me to help you with the decision.

Read more…

You tend to make the correct decisions about your care

Making a decision can be difficult and you may wonder if you have made a correct decision whether to accept or turn down the offer of an operation. I can say that patients tend to make the correct decisions for themselves. It is not simply a reassuring platitude.  We surveyed patients to came to see me in my clinic with poor lung function in whom surgery had the potential to make their lung function worse. Both the patients who chose surgery and those who declined it were equally highly satisfied with their decisions when surveyed approximately one year later.