Referring Doctors

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, she 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.