Surgery

Are you worried that you might have head and neck cancer? Have you been seen in the NHS and are scared and worried that nothing makes sense or progress is slow? Not every GP or ENT consultant specialises in head and neck cancer, so seeing a general ENT surgeon, who does not deal with cancer day to day can lead to delay, confusion and fear.

I see head and neck cancer patients from all over the south east of England, and some patients come to see me, from abroad, for my expertise.

I can see you quickly, investigate you, and come up with comprehensive personalised treatment plan.

Like an experienced and confident pilot, my job is to take you by the hand, navigate the turbulence, and give you a soft landing. If you can't afford private healthcare, your GP can refer you to me on the NHS, where you will…

Do you have a chronic cough? Have you had a cold, virus or chest infection and since then have been unable to stop coughing? Do you feel like there is something stuck in your throat, a lump in the throat, irritation or phlegm. Do you cough so much your throat has become sore, or does your chest ache. Maybe you have been examined by your GP, nurse, or another ENT doctor, your chest x-ray is clear, and you are no further forwards?

Perhaps I can help? I would ask you about any pain in the throat, difficulty eating or drinking, weight loss, smoking or alcohol intake. I would examine your mouth, throat, nose and neck. I use a nasendoscope (camera) to look in the nose and down the throat to check for any lumps, bumps or cancers. Once I have done this, and excluded anything sinister, I can provide…

Nosebleeds can be quite frightening. They occur in children and adults. They can be caused by: nose picking, blood thinning medications (e.g. aspirin, warfarin, rivaroxaban, clopidogrel), high blood pressure, a dry nose, steroid nasal sprays, inherited diseases, nasal fractures, and cancers or benign tumours of the nose.

There are many blood vessels that join up in the front of the nose. This is a weak point, in the body, for bleeding to happen.

If you come to see me, I would ask you about all these risk factors. I would then examine the front of your nose to check for areas that might have been bleeding. I also use a camera (nasendoscope), to look further into the nose, to check there are no cancers or tumours which have been causing bleeding.

If a nose bleeds happens keep calm. Panic will send your blood pressure up, making the bleeding worse. Sit…

I see children at the Spire Cambridge Lea Hospital, and the Nuffield Hospital, Cambridge.

After a cold or viral illness, a negative pressure can develop in the space behind the ear drum (middle ear). This negative pressure pulls fluid from the lining of the ear. The fluid is trapped and causes deafness. It is a bit like hearing through cotton wool. Most children develop glue ear at some point in the first 5 years of life, especially when they go to nursery and pick up coughs and cold. Occasionally, adults can develop glue ear. If an adult develops glue ear on one side only, we must consider the possibility of a cancer in the back of the nose blocking one Eustachian tube (nasopharyngeal carcinoma).

When your child comes to see me, I would ask about attendance at nursery, smoking in the household, sore throats, snoring and if your child…