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Injury Time How Professionals and Amateurs Experience Sports Prognosis The periodical of the Harley Street Medical Area The periodical of the Harley Street Medical Area Issue 05 / 2019 Issue 05 / 2019 / 05 Issue Injury time How professionals and amateurs experience sports medicine Deep brain stimulation A remarkable treatment for Parkinson’s disease Witness protection The vital role played by doctors who appear in court as expert witnesses Crystal ball How the treatment of thyroid conditions is set to evolve The centre of medical excellence in the heart of London harleystreetmedicalarea.com prognosis_issue05_coverprognosis_issue03_BC_FINAL.indd PROOF01.indd 56 1 15/12/2017 15:49 08/01/2019 17:44 Rent a property directly from The Howard de Walden Estate 23 Queen Anne Street London W1G 9DL [email protected] hdwe.co.uk MEDICAL THE PROGRESS OF THE WORLD FAMOUS HARLEY STREET MEDICAL AREA IS OF GREAT IMPORTANCE TO THE ESTATE Over 1,000,000 sq ft of medical accommodation to let, from single consulting rooms to whole hospitals. For more information please contact Claire Kennedy on +44 (0)20 7290 0970 [email protected] OFFICE THE ESTATE’S STRATEGY IS DESIGNED TO ATTRACT SUCCESSFUL COMMERCIAL ACTIVITY TO THE AREA BY HELPING LOCAL BUSINESSES TO GROW Over 600,000 sq ft of office accommodation, ranging in scale from 250-50,000 sq ft. For more information please contact Claire Kennedy on +44 (0)20 7290 0970 [email protected] RESIDENTIAL THE ESTATE’S RESIDENTIAL Harley Street Medical Area is a world class It boasts the largest concentration of centre of medical excellence located in the medical excellence in one location PORTFOLIO ENCOMPASSES heart of central London. With access to over anywhere in the world. EVERYTHING FROM STUDIO 5,000 practitioners, small clinics, full scale APARTMENTS TO COMPLETE hospitals and support services covering To find out more about this acclaimed TOWNHOUSES just about every medical specialism and medical area please visit Over 800 residential rental units, of all types and sizes. related profession. harleystreetmedicalarea.com For more information please contact Shirley Boullier on +44 (0)20 7290 0912 [email protected] @HarleyStMedArea Harley Street Medical Area harleystreetmedicalarea.com #HSMA hsma_prognosis_issue03_website.inddprognosis_issue05_cover PROOF01.indd 1 2 16/12/2017 11:26 hdwe_MJAD_rentaproperty_JUNEJULY2017_02.indd 1 08/01/201924/05/2017 17:4412:54 Prognosis is owned by 36 Injury time The Howard de Walden Estate 36 23 Queen Anne Street Some of the country’s top sports London W1G 9DL medicine experts explain to 020 7580 3163 Prognosis how the treatment of the hdwe.co.uk general public is heavily influenced Estate contact by—but no less important than—that Jenny Hancock of the sporting elite [email protected] Publisher LSC Publishing 13.2.1 The Leathermarket Weston Street London SE1 3ER lscpublishing.com Editor Mark Riddaway [email protected] Deputy editor Viel Richardson [email protected] Assistant editor Clare Finney [email protected] Sub-editor Ellie Costigan [email protected] Editorial desk 020 7401 7297 Advertising sales Donna Earrey 020 7401 2772 [email protected] Contributers Sasha Garwood, Orlando Gili, Christopher L Proctor Design and art direction Em-Project Limited 01892 614 346 [email protected] Printing Warwick Prognosis—1 prognosis_issue05_PP1-25 PROOF01.indd 1 10/01/2019 09:32 The current legal system is incredibly expensive, it is very slow, it is not good for doctors, it is not particularly good for those claiming compensation. We need a major overhaul of the whole system 04 A patient approach 60 My Marylebone Simon Baynham, property director of 26 The big interview Dr David Hopkins, consultant physician The Howard de Walden Estate, on how Barrister Anton van and diabetologist at London Medical the HSMA’s challenge is to ensure patient 62 What’s on numbers keep pace with capacity Dellen on medical Cultural events near the Harley Street 09 News court cases and expert Medical Area New arrivals, developments and events 63 Five 10 Crystal ball witnesses Places for a pastry The evolution of the treatment of 32 Oral testimony 64 The guide thyroid conditions A tour of Marylebone’s 11 Harley Street hero Bridging the divide masterclasses and Thomas Horrocks Openshaw between dentistry and workshops (1856-1929) 12 How does it work? medicine In vitro fertilisation 36 Injury time 14 Thinking aloud The thoughts ofMr Rami Alfalahi, How sports medicine director of Green Door Clinic for the general public 16 Profile of a pathogen Influenza is influenced by the 18 How to... sporting elite Deal with cataracts 20 A day in the life 46 Q&A Cat Dowling, matron at medical Mr Erlick Pereira and concierge service Lexihealth 22 Second opinion Dr Dominic Paviour on Should epidurals be available on demand deep brain stimulation during labour? 50 Patient experience How David’s rare heart condition was cured after three complex operations 54 Handsome devil The doctor who used good looks and charm to push a lethal miracle cure 2—Prognosis prognosis_issue05_PP1-25 PROOF01.indd 2 10/01/2019 09:32 14 20 50 16 26 The case of John St John Long echoes through history, testifying to the enormous power of people’s faith in doctors and, more prosaically, the importance of medicine’s professional bodies 18 36 54 Prognosis—3 prognosis_issue05_PP1-25 PROOF01.indd 3 10/01/2019 09:32 A PATIENT APPROACH Simon Baynham, property director of The Howard de Walden Estate, on how the Harley Street Medical Area’s next challenge is to ensure patient numbers keep pace with its impressive increase in capacity The HSMA already has many attractions that go beyond its medical credentials—its centrality, its transport links, its proximityto restaurants, shops and green spaces— but there is plenty more that we can do to increase our appeal to patients Several years ago, when The Howard its historic building stock is a challenge, that I would most like to have join us de Walden Estate began to formulate to say the least. But to judge how here, I would have suggested the Mayo its long-term plan for the Harley Street far we have come in meeting that Clinic and the Cleveland Clinic—the USA’s Medical Area, our primary aim was a aspiration, all I need do is scan the list of highest performing and most forward- simple one: to draw to the area medical attendees for one of the HSMA’s regular thinking non-profit academic medical providers of global repute, whose medical forums, at which clinicians centres. Now, both are coming to the arrival would reinforce the solid base and managers from the area’s medical HSMA. As part of a wider collaboration of highly regarded hospitals and clinics providers meet, share ideas and catch with the University of Oxford, the Mayo already operating here, and in doing up on the latest news. Today, that list Clinic is set to open a screening and so significantly enhance the area’s would include representatives of some diagnostics centre on Portland Place reputation for medical excellence. of the world’s most respected acute in 2019 (a development with which To fulfil this ambition, our challenge was hospitals, as well as leaders in oncology, The Howard de Walden Estate is not to identify world-class organisations orthopaedics, optics, sports medicine, directly involved, but welcomes with whose specialisms would complement mental health, fertility, imaging, great enthusiasm). The Cleveland Clinic and augment the existing mix, and then and a seemingly endless list of other is opening a new hospital on Grosvenor attract them to the HSMA by offering specialisms. Place, but has chosen to locate the state-of-the-art facilities and a clear It is a rollcall that in the next few associated diagnostic and outpatient vision for the area’s future. years is set to become even more facility, where most patients will begin It has not been easy—creating impressive. If at any point in the past and end their treatment journeys, here highly sophisticated modern medical decade you had asked me to identify the in the HSMA—an offer has been made to accommodation in an area defined by two medical groups in the entire world the Estate to take a lease on 24 Portland 4—Prognosis prognosis_issue05_PP1-25 PROOF01.indd 4 10/01/2019 09:32 Harley Street Prognosis—5 prognosis_issue05_PP1-25 PROOF01.indd 5 10/01/2019 09:32 Every measure we take who are recuperating from or awaiting treatment and who need to be close to to create a more seamless their clinic, potentially with access to experience for users of the dietary, therapeutic or pharmaceutical area’s diverse services or to services—would be a significant addition sell what we’re doing around to the area. Patients’ families would also benefit from a patient hotel, and there the world will rely upon the are other ways in which the Estate could HSMA’s clinics and hospitals help meet their needs. We might, for working closely with us and example, dedicate some of our residential with each other properties to short-term lets for people who are here to access the HSMA. Along similar lines, we are also looking at ways of providing accommodation at discounted rents for key workers. This could include junior doctors, nurses, technicians and support staff, upon whose skills the area depends, but whose prospects of finding an affordable home close to their central London workplaces are increasingly limited. Place, which we expect to be confirmed area, The Howard de Walden Estate will Every measure we take to create a imminently. do whatever it can to make sure it does. more seamless experience for users With providers of the calibre of Royal Partly, that means spreading the word of the area’s diverse services or to sell Brompton & Harefield Hospitals, the about what the area has to offer, but what we’re doing around the world Royal Marsden, Moorfields Eye Hospital, it also means thinking hard about will rely upon the HSMA’s clinics and The London Clinic, King Edward VII’s how we can improve the patient hospitals working closely with us and Hospital and HCA either here or on their experience.
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