Dear Doctor,
Thank you for considering our services. I will offer your patient my best possible care and write back to you within 24 hours of the visit. I welcome contact if you need advice or are unsure whether to refer a patient. You can reach me on , or [javascript protected email address]
You are welcome to print out my patient information sheets for your patients as well.
In general, I appreciate the following information when triaging referrals:
THYROID-related referral - Ideal minimum information:
- Referral with reason for assessment, medical history, and medications
- Thyroid Function Tests. (Consider CMP, PTH, Vit D, especially in women >50)
- Thyroid Ultrasound in all patients except Graves’ disease with no palpable nodules
- Cytology report if a thyroid biopsy had been done.
- If biopsy has not been done, I can provide one on the day if needed
PARATHYROID referral - Ideal minimum information:
- Referral with reason for assessment, medical history, and medications
- Blood tests: calcium, PTH, Vitamin D, U&E. TFT’s a good idea as well.
- I prefer to organize parathyroid imaging with my experienced radiologists.
- If imaging has already been done, please send report AND ask patient to bring images.
- If they were done at RMH, Epworth, MIA/iMed, Lake Imaging, or FMIG, I can access images online)
ADRENAL referral – Ideal minimum information:
- Referral with reason for assessment, medical history, and medications
- CT scan or MRI report and images and any other relevant imaging
- Do not depend on the radiology company to forward images
- If images were done at RMH, Epworth, MIA/iMed, Lake Imaging, or FMIG, I can access images online.
- I will order the following biochemistry if you have not done so already:
- Plasma metanephrines,
- 1mg overnight dexamethasone suppression test (1mg dexamethasone at 10pm then 8AM serum cortisol),
- aldosterone-renin ratio, U&E.
- Please do not order an adrenal biopsy.