What I treat
Most patients come to me because of a symptom rather than a diagnosis. Below is what a consultation typically looks like for the things I see most often — what we'll cover, the tests that may follow, and how I look after you afterwards.
Short of breath on stairs, on exercise, or at rest — and not sure why.
Breathlessness has dozens of causes, from asthma and COPD to anaemia, anxiety, deconditioning and heart problems. The job of the first consultation is to narrow that list quickly and safely.
What we will cover: a full history (timing, triggers, exercise tolerance, past illness, occupational and family history), examination, and a review of any imaging or tests already done.
Tests that may follow: spirometry and full lung function, FeNO (Fraction of Exhaled Nitric Oxide), blood tests, chest imaging (X-ray or CT), echocardiogram or a cardiopulmonary exercise test (CPET) if exertional breathlessness is the main problem. I arrange these at recognised central-London facilities.
Follow-up: a clear written summary to you and your GP, an detailed co-created plan, and review appointments as needed — including remote review if you live outside London.
A cough that's outstayed its welcome — typically more than eight weeks.
Chronic cough is one of the most common reasons for a respiratory referral and, frustratingly, one of the most often dismissed. In practice it's usually driven by one or more of three things: cough-variant asthma, reflux, or post-nasal drip — and sometimes a hypersensitive cough reflex in its own right.
What we will cover: a careful history (what makes it worse, what makes it better, night vs day, any voice change or weight loss), examination, and a frank discussion about what's already been tried.
Tests that may follow: spirometry with reversibility, FeNO, a chest X-ray (sometimes CT), and where appropriate a structured trial of treatment for each likely cause before resorting to further imaging.
Follow-up: most chronic coughs settle with the right targeted treatment. Where they don't, I work with ENT and gastroenterology colleagues to push the diagnosis forward rather than leaving you on a repeat prescription.
Tired despite a full night's sleep, or a partner who's noticed your breathing pauses.
I'm a respiratory sleep physician and assess patients with snoring, witnessed apnoeas, and unrefreshing sleep. That said — for dedicated sleep-apnoea care, the pathway is best delivered through our specialist service.
The London Sleep Apnoea Clinic runs the full pathway under one roof: home sleep studies, CPAP initiation and fitting, mask and supplies, and long-term review. If you already know (or strongly suspect) sleep apnoea is the issue, that's where you'll be best served.
If you'd prefer to start with a one-off consultant opinion with me first — for example to understand whether a sleep study is justified, or to review another sleep diagnosis like insomnia, restless legs or shift-work intolerance — you're welcome to book a consultation.
Pre-existing respiratory condition follow-up, fitness-to-fly tests, pre-operative assessment, insurance and medico-legal reports.
Beyond symptom-led referrals, I look after a steady caseload of:
An unclear diagnosis, a treatment that isn't working, or a scan result you want reviewed.
A second opinion isn't about overruling another doctor — it's about making sure nothing has been missed and that the plan still makes sense. I see patients who want a fresh respiratory view before committing to long-term treatment, biologic therapy, or an invasive test.
What to bring: recent clinic letters, imaging reports (and ideally the images on disc or via PACS transfer), lung function reports, and a list of medications tried.
Turnaround: a same-day verbal summary at the end of the consultation, and a written report within a few working days that you can share with your existing team.
That's fine. Book a consultation and we'll work it out together — or get in touch first if you'd like to ask before booking.