BARRINGTONS HOSPITAL
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Contents
Editor: Ruairi Kavanagh Design & Layout: Linda Kavanagh Advert Design: Alan McArthur, Illustrations & Photography: Michael Martin Photography iStockphoto.com, Thinkstock Production Manager: Leonard Wilson Sales Director: Paul Clemenson
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Published on behalf of Barringtons Hospital by: Ashville Media Group Old Stone Building, Blackhall Green, Dublin 7, Ireland Tel: (01) 432 2200 Fax: (01) 672 7100 www.ashville.com
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Contents Managing Director Address
22 Rheumatology
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Quality & Accreditation
23 Pain Management
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Infection Control
24 Oral Surgery
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Pharmacy
26 Oral & Maxillofacial Surgery
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Laboratory
27 Ophthalmology
11 Nursing
27 Radiology
13 Insurance
30 Cosmetic Surgery
15 Medical Director
32 Dermatology
17 Gastroenterology
33 Gynaecology
18 Colorectal Surgery
34 Dietetics and Nutrition
19 Urology
36 Patient Information
20 Orthopaedics
37 Consultant Directory
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All articles Š2013. No part of this may be reproduced, stored in a retrieval system or transmitted in any form or by any means without written permission from the publisher. Opinions and comments expressed herein are not necessarily those of Ashville Media Group. readers should make their own independent evaluation of the information contained within this publication and make such other investigations as they consider necessary (including obtaining independent financial advice) before acting in reliance on this information.
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Managing Director Address
Barringtons Hospital Committed To Excellence
Welcome message from Managing Director, Mr Denis Cahalane
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ituated in the centre of Limerick, Barringtons Hospital is a well known and respected medical institution. Over the last few years we have been developing our concept of what the hospital, as an independent medical facility, provides to the people of the city and the Mid-West Region.
Mr Denis Cahalane, Managing Director of Barringtons Hospital
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Our core ethos here at Barringtons Hospital is to complement our consultant led expertise with a respected international based model of medicine, augmented by the best in modern medical technology. We have invested heavily in technology and will continue to do so as it is at the core of how we see the hospital developing into the future. We deliver, and consistently seek to improve our model of ambulatory, patient-centred healthcare. Barringtons Hospital was awarded the Joint Commission International ( JCI) standard of accreditation in 2009 and was re-accredited in 2012. Quality and impeccably high standards are at the centre of everything we do here. Receiving this independent, international standard of accreditation demonstrates our commitment to patient care of the highest standard. All personnel and systems at Barringtons are centred around excellence in patient care and this is built upon adherence to quality and maintaining standards at all times. Quality is not an achievement, it is a constant process which we rigidly maintain. It is a fundamental responsibility of each and every person working at the hospital. We are exceptionally proud of the calibre of staff that we have at Barringtons Hospital. Our consultants are amongst the finest in their respective disciplines and underpin the system of high quality, good value healthcare that we have here. For 2013 we are seeking to broaden and improve our range of services to include the provision of enhanced orthopaedic surgical capabilities including joint replacement. We have also just secured Irish National Accreditation Board (INAB) approval for our laboratory services here at the hospital. Barringtons is an independent medical provider which is fortunate to occupy such an iconic building in the heart of Limerick City. We constantly seek to change the common perception that independent hospitals are not affordable and we
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provide an excellent outlet for diagnostics, minor to intermediate level procedures and top quality postoperative and aftercare assistance and support. As medicine evolves there are many challenges for Barringtons Hospital despite the huge advances we have made over recent years, we are confident that we will continue to evolve and manage the challenges as they present. We would like to thank our local medical community for their loyalty and support and our patients for their trust in what we provide here at Barringtons Hospital. The highest standards of patient care is what is ultimately most important, and we are confident that we will continue to provide the best independent healthcare in the Mid-West, using the most modern technology, backed up by the skills of our experienced medical professionals.
Contact: Barringtons Hospital, Georges Quay, Limerick, Tel: 061 490500, Fax: 061 312939 Email: info@bhl.ie Web: www.bhl.ie
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Achieving Excellence
In the 19 years since the hospital reopened as an independent medical facility, Barringtons Hospital has established itself and its credentials in terms of quality and accreditation. Eileen Hayes; Best Practice Manager, Sarah O’Sullivan; Accreditation & Quality Facilitator and Louise Heffernan; Best Practice Nurse, talk about the achievements of the hospital in securing successive Joint Commission International (JCI) accreditation awards and why quality care and patient safety is of paramount importance. Our Ethos Our ethos is simple, we strive for quality, equity and accountability and we ensure this is evident in the services we provide.
Quality & Accreditation
International Standard
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Dr Edward Walsh (Chairperson of the Strategic Advisory Board) and Mr Denis Cahalane, MD of Barringtons, after receiving the JCI Accreditation Award
Achieving Accreditation 2009 saw a huge achievement for the hospital in securing JCI accreditation. Maintaining our accreditation in 2012 has shown our commitment to quality patient care and safety.
The Team The Best Practice team is made up of experienced clinical personnel with a wealth of knowledge in quality and safety. Sarah O’Sullivan explains that this experience guarantees international standards are adhered to and exceeded. “Our aim is to guarantee patients recieve a quality service in a safe environment, complimented by strong team work and the continuous professional development of all our staff, we feel that this provides constant reassurance to patients.”
Quality & Risk Management Through numerous quality initiatives around the hospital, staff are reminded that quality and patient safety are their responsibility and Louise Heffernan says that the team’s job is to keep the hospital at a consistent ‘audit-ready’ level. “There are always challenges when it comes to ensuring standards are met. We conduct audits in different criteria to ensure preparedness in areas such as risk management and infection control,” she says. Risk management in terms of patient care is of paramount importance in Barringtons. “Our approach is very much leadership driven with strong lines of communication between all
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departments in the hospital,” adds Eileen Hayes. “This ensures we take into account the entire patient cycle. This has an impact on both patient treatment and patient satisfaction.”
Aims Patient safety is achieved with a consistently proactive approach, from the audits and surveys that are conducted to education days and other quality initiatives rolled out across the hospital. Strong team work from all facets of the hospital ensures that patient safety is everyone’s goal and this can be seen from audit results. The hospital has just secured accreditation from the Irish National Accreditation Board (INAB) for the Laboratory which represents procedures in accordance with EU and other international standards.
Contact: Barringtons Hospital, Georges Quay, Limerick, Tel: 061 490500, Fax: 061 312939 Email: info@bhl.ie Web: www.bhl.ie
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Infection Control
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Barrington’s Hospital recognises that Infection Prevention and Control (IP&C) practice is an essential component of patient care within the organisation.
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ŠStockbyte/Thinkstock
Infection Control
When Only the Highest Standards Will Do:
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Infection Control
The CSSD Facility at Barringtons
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P&C activities are co-ordinated by the IP&C team which consists of disciplines from Theatre, Laboratory, Hygiene Services, Consultant, Nursing and Specialist Nursing in the field of IP&C, the team is further supported by the IP&C committee with representation from Accreditation/ Best Practice, Risk Management, Central Sterile Supply Department (CSSD), Procurement and Facilities Management.
ordinated an IP&C awareness day where the main focus was on hand hygiene, for 2013 the team plan to facilitate this training for patients and visitors alike.
The aim of the IP&C team is to ensure the effective delivery of the infection prevention and control programme within the hospital, acting as a source of specialist advice to all disciplines and to support their endeavours in the prevention and control of health care associated infections.
Policy/Procedure/Guidelines in relation to IP&C activities are in place and are in accordance with national and international best practice.
The team, supported by the committee, have a comprehensive programme in place which includes such activities as: Staff Education: There is a mandatory training programme in place for all new staff on induction and yearly thereafter. This year the team co-
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Audit: There is a comprehensive audit programme in place throughout the hospital in key areas like the safe use and disposal of sharps, the appropriate segregation of healthcare waste and hand hygiene.
Surveillance of healthcare associated infection is undertaken in areas such as Surgical Site Infection, Blood Stream Infection and Intravascular Device Related Infection. A root cause analysis is always undertaken. What is important is while we realise that infections cannot be prevented completely, is that we do everything that is possible to prevent the spread of infections.
Contact: Barringtons Hospital, Georges Quay, Limerick, Tel: 061 490500, Fax: 061 312939 Email: info@bhl.ie Web: www.bhl.ie
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Pharmacy
ad
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Pharmacy at Barringtons Hospital
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arringtons Hospital pharmacy service is provided in conjunction with Ballinacurra Late Night Pharmacy. We provide a pharmaceutical service, the aim of which is to achieve excellence in the pharmaceutical care of patients by ensuring the safe, effective and economic use of drugs. As pharmacist for the hospital I am heavily involved in the implementation of pharmaceutical policies which have been integral in the achievement of Joint Commission International Accreditation. The accomplishment of Barringtons Hospital achieving the JCI accreditation is reflected by a consistent quality service and practice in all services that the hospital provides and as pharmacist I work within this established framework. I am available round the clock to provide advice and training to clinical staff on dosage, side-effects and interactions relevant to the use of medication in the hospital. I provide a procurement service for difficult to source medicines and imported medicines. As pharmacist I also review the prescriptions of patients and monitor this during and throughout the course of their treatment. My primary concern is patient safety so my work also involves analysing a patient’s medical history and tracing any medications that they have previously been prescribed. Medication
is also reviewed in terms of appropriateness for the patient’s condition, taking into account the frequency, dosage and method of administration to ensure the patient benefits to the maximum from any prescriptions. When required I interact with the patient and explain the need for various medications. The pharmacy staff work closely with other members of the multidisciplinary team to ensure that patients receive optimal pharmaceutical care while in the hospital and after discharge. There is a dedicated medication management committee which meets regularly to review drugs being used in the hospital along with new drugs which are to be added to the hospital formulary. Regular audits are carried out on the ordering, dispensing, storage, prescribing and administration of drugs in the hospital. There is constant monitoring of drug use in Barringtons with the primary aim of improving the outcome of treatment and the quality of life of patients who attend the hospital. The pharmaceutical expertise on hand at Barringtons Hospital is another example of the hospital’s dedication to providing a service which meets and exceeds the expectations of patients.
©iStockphoto/Thinkstock
Mr Dave Kavanagh explains his role as pharmacist to Barringtons Hospital.
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Laboratory
The Laboratory:
A Scientific Approach
Pamela Colbert (left) and the Laboratory staff at Barringons Hospital.
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he Laboratory facilities at Barringtons are an excellent barometer of the ambition of the hospital and the skills of its highly trained staff. Utilising the latest technology in a modern environment, the laboratory provides a comprehensive and ever expanding range of services for the hospital and its patients. The lab at Barringtons offers a full, multidisciplinary facility which provides the following primary services to the hospital and its patients: • Histopathology • Haematology • Biochemistry • Serology
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• Microbiology Medical Scientist Pamela Colbert has been working at Barringtons hospital for twelve years and has been manager of the laboratory since 2003. “The laboratory has a strong working relationship with all other medical professionals within the hospital. One of our primary roles is in pre and inter-operative assessments. We then conduct post-operative blood sampling to ensure satisfactory surgical outcomes. Our histology and pathology services are also widely used, in all cases where tissue samples are taken. We are also the only laboratory providing andrology (semen) testing in the MidWest region.” The laboratory provides a blood sampling service following referrals from GP’s nationwide. The laboratory has expanded to a large extent over the past decade, now employing seven people to deal with the hospital’s increasing caseload. Blood testing alone has increased from 20 patient samples a week to over 100 per week. “Our histopathology services have also increased due to the increase in patient volume and the more advanced procedures now being carried out at the hospital. The laboratory has also just been awarded ISO 15189 accreditation by the Irish National Accreditation Board (INAB). INAB is the national body with responsibility for the accreditation of Testing and Calibration laboratories, ISO 1702, ISO 15189.
Barringtons Hospital recently received the INAB award for their Laboratory histology services.
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Contact information: Laboratory Reception, Barringtons Hospital, Georges Quay, Limerick, Ireland. Tel: 061 490556, Fax: 061 490553 Email: laboratory @bhl.ie
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Nursing
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Nursing at Barringtons Director of Nursing at Barringtons, Helen Power, explains her role in the hospital and vision for the future.
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eginning life with Barringtons Hospital as a staff nurse, Helen Power later became the Theatre Manager before promotion to ber current position as Director of Nursing. “I’ve seen a lot of changes over the years,” she explains. “When I started eighteen years ago we only had seven beds and we were only operating three days a week. Now we have forty four beds and thirty five of the seventy three consultant specialists attending are surgeons providing elective surgical, diagnostic procedures and treatments under thirteen specialties – the place has grown phenomenally over the years. It is fantastic to be a part of the continual growth here at Barringtons Hospital.” The overarching philosophy at the hospital, which drives all of the staff, is the provision of high quality care. We aim to provide a comprehensive personalised service appropriate to our patient’s individual health care needs,” she says. As Director of Nursing, patient care and the delegation of her nursing team falls under Helen’s remit of responsibility as she works on the frontline of care. Patients feedback, Helen believes, is what shows that Barringtons is a first-class hospital. “We have a very good patient rating,” she says. “We have a patient satisfaction questionnaire which is given to every patient on the day of their procedure. Each area is touched upon and that’s the best way to improve – through patient feedback.” In tandem with patient care is the philosophy of efficiency. One such example of this, Helen says, is the endoscopy unit. GPs can refer a patient for an endoscopy utilising a direct access booking system, ensuring
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they are completely prepped with the result of minimal fuss when they present at Barringtons. GPs form a large part of Helen’s work; informing them about the services and diagnostics we provide and liaising with them regarding urgent patient results and referral pathways. “We have open GP nights,” she says. “We might have a group of new specialists that have joined so we would invite the GPs in to a medical meeting, the new specialists would talk on an area that would be applicable to primary care and it is a great opportunity to get to know the new consultants personally.” Taken on a walkthrough of the hospital, these GPs can get to know the facility and any new services and developments. “They know then where they are sending their patients,” says Helen. As with any other high level institution, Barringtons Hospital is not content with resting on its laurels, and has big plans for the future. Besides developing the building adjacent to the hospital and the construction of a new endoscopy unit, operating theatres and increasing bed capacity, Helen envisages a future where Barringtons works hand in hand with the public service, being part of an integrated health care system within the Mid west region, offering the use of their elective surgery capabilities to relieve some of the huge strain the public hospitals in Ireland are under. “If we can help take the pressure off, that’s great” says Helen. “We’re all working together in providing better access to care at a higher quality standard for the people of the Mid-West and surrounding areas.”
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Barringtons Hospital has direct payment schemes with all the major Health Insurance companies.
Insurance
Barringtons Hospital & Health Insurance
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© Hemera/Thinkstock
ur advice to each patient before they visit the hospital is to check with their relevant insurance company to ensure that they have the appropriate level of cover. Here are five very important questions for patients to ask their insurance company: • What is the start date of my cover? • What is the name of my plan? • Do waiting periods apply to my policy at the moment? • Is there an excess/shortfall payable by me to the hospital on the day of my treatment? • Am I covered for my treatment ? For example, I am having Orthopaedic Surgery in Barringtons in two weeks time, am I covered for this treatment at this time? Our Admission Team will gladly help patients with any insurance queries that they may have. The Admission Team can be contacted on 061 490532/533. Where there is an excess or shortfall on your policy, you will be required to pay this on admission to the hospital. We have listed below the most popular Health Insurance companies. It is worth noting that these companies are up to date as of 31 December 2012. Barringtons Hospital currently operates direct payment schemes with the following insurance providers: • VHI • LayaHealthcare • Aviva • Garda Medical Aid • ESB Medical Provident Fund • Prison Officers Medical Aid • Defence Forces Health Cover • GLOhealth Barringtons Hospital operates a direct payment scheme with your insurance provider. This means that your insurance provider will pay the hospital and your treating consultants directly once you
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have the appropriate level of cover. During your stay at the hospital you will be asked to sign a Direct Payment Claim Form which will enable the hospital to invoice the insurance provider directly for your treatment. In instances where there is an excess or shortfall on your policy, you will be required to pay this on admission to the hospital. This amount will be verified by our Admissions Team and/or your insurance provider for you. The hospital will accept cash, cheque, laser and visa as payment options. In most instances health insurance patients are covered in full for their hospital treatment and consultant care, meaning that your treatment will be paid by the provider and there will be no additional cost to you.
No Cover Patients (No Insurance) The hospital welcomes patients who do not have health insurance. Prior to your admission the Admission Team will contact you in advance to advise the cost of your treatment. This account must be settled on the morning of your admission to the hospital.
Contact: Barringtons Hospital, Georges Quay, Limerick, Tel: 061 490500, Fax: 061 312939 Email: info@bhl.ie Web: www.bhl.ie
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Medical Director
Looking to the Future Medical Director and General Surgeon, Mr Paul O’Byrne, explains why the hospital is ideally placed to provide an unrivalled level of patient care and procedures in the Mid West region.
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r Paul O’Byrne is passionate about what Barringtons Hospital means in terms of providing a new level of healthcare for patients in the Limerick and Mid West region. He was instrumental in the reopening of Barringtons Hospital and its establishment as the only independent medical facility in the Mid West region in 1994. Alongside his colleagues on the clinical, nursing and management sides, he is driven to continuously improve and enhance the facilities on offer at Barringtons Hospital in order that it can develop and improve in line with the hospital’s mission statement: “Our mission is to deliver an ambulatory patient centred healthcare service in a safe and compassionate environment. Our dedicated and competent staff ensures that we provide the highest possible standard of care for patients and their families. We are committed to the improvement and development of services in line with the ever changing healthcare environment. We strive for quality, equity and accountability.” “At Barringtons Hospital we have a safe, friendly and caring environment which is reflected throughout all departments in the hospital, patients and people feel valued and that is very much in line with the ethos of how we aim to develop the hospital,” explains Mr O’Byrne. As a general surgeon, Mr O’Byrne is also frequently working in theatre with his clinical and nursing colleagues and his role in the hospital also encompasses that of Medical Director. Therefore Paul is responsible for overseeing clinical care in Barringtons Hospital, working with the interdisciplinary team to ensure quality care and to implement appropriate clinical policies, procedures, and programmes, and working with hospital
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Medical Director, Mr Paul O’Byrne (2nd from left) alongside other members of the clinical staff.
management regarding quality assurance activities, and education and training for physicians, nurses and other medical staff at the hospital. “It’s helpful that I am involved in two areas of the hospital, these being the clinical and management functions, as this allows me to help develop relationships between my consultant and other medical colleagues and the administrative and management elements of the hospital. Inter-departmental relations within the relevant departments are very strong and this is one of the prime reasons why I believe the hospital works well and delivers a quality, streamlined service to its patients with the emphasis on patient safety and eradicating hospital infections,” adds Mr O’Byrne. Along with his colleagues, he is driven to continue to enhance the range of treatments and procedures which the hospital can provide. “The model of patient care which we are building here at Barringtons Hospital is all about serving the needs of the patient and what their condition or procedure may require. Elective procedures form the core of what we offer here and that allows us to plan a patient’s treatment across different areas of the hospital well in advance. We have also invested, with close consultation between management and medical staff, significantly in technology which dictates the pace of modern medical progress and look forward to further significant expansion in the short to medium term,” he adds.
Contact: Barringtons Hospital, Georges Quay, Limerick, Tel: 061 490500, Fax: 061 312939 Email: info@bhl.ie Web: www.bhl.ie Private: 061 4908050
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Close-up of laparoscopic surgical procedure.
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aving trained on the Halsted Surgical Residency at the John Hopkins Hospital in Baltimore US, in the UK and on the Higher Surgical Training Scheme, Mr Raphael Keane was appointed as a surgeon to St. John’s and the Regional Hospitals in Limerick in 1990. He brings many years of surgical experience and expertise to Barringtons Hospital providing patients with an expanded range of minimally invasive biliary, general surgical and endoscopic procedures. These range from diagnostic endoscopy to advanced laparoscopic surgical procedures, including laparoscopic cholecystectomy, laparoscopic Nissen’s fundoplication, diagnostic laparoscopies and laparoscopic adhesiolysis. Mr Keane also provides a general surgical service including a full range of hernia repairs, ano-rectal procedures such as haemorrhoidectomy, fistula and fissure surgery and rectal prolapse repair. He also offers miscellaneous general surgical procedures such as pilonidal sinus excisions and minor surgical procedures such as excision of skin lesions and ingrown toenail surgery.
©/iStockphoto/ thelinke
Ref: M&I
Mr Raphael Keane is now offering an expanded range of surgical procedures at Barringtons Hospital.
Gastroenterology
51:04
Experience & Expertise
At Barringtons, there is a prompt endoscopy service offering direct referral to suitable patients. “At Barringtons the majority of our procedures are carried out on a day care basis but more complex operations such as laparoscopic cholecystectomy and laparoscopic hiatus hernia repair require short overnight hospital
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admissions in order to be carried out safely,” explains Mr Keane. “The benefit of working at Barringtons Hospital is the ability to admit patients quickly for both investigations and for surgical procedures. There is essentially no waiting list and no delays. Indeed we can carry out endoscopic investigation on a direct referral basis in suitably fit patients. The hospital is very efficient and the calibre of staff is excellent with many of the theatre and ward nursing staff having had many years experience within the public hospital system which adds greatly to our ability to provide a very organised and safe surgical service. In addition, our radiology and pathology services are largely provided by colleagues with whom we have worked over the years in the public system and in whom we have great confidence.”
Contact: 1A Lock Quay, Old Clare Street, Limerick Tel: 061 413544 Fax: 061 409749
Mr Raphael Keane, Consultant Surgeon
In investing in the recruitment of consultant staff of the calibre and experience of Mr Keane, Barringtons have demonstrated their intent to recruit the best possible medical professionals in order to be able to continue to provide an unrivalled level of service to their patients.
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Colorectal Surgery
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Accessibility and Excellence
Mr Eoghan Condon, Consultant Colorectal Surgeon at Barringtons Hospital, explains the procedures available and why the hospital provides excellent access to cutting edge technology and world class expertise.
Contact: Barringtons Hospital, Georges Quay, Limerick, Tel: 061 490500, Fax: 061 312939 Email: info@bhl.ie Web: www.bhl.ie Private: 061 490547
Drawing on his training, and previous work
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experience at the world renowned Cleveland Clinic in the US, Mr Condon can augment his surgical approach with expertise from contemporaries in the US. “The formal multi-disciplinary approach to colorectal cancer can have huge benefits for the patient and utilising international expertise in addition to our own high standards means massive benefits for the patient , we now have the technology here in Limerick to access world class expertise, even to make difficult decisions during the procedure itself.” At Barringtons Hospital, a dedicated Endoscopy Suite is located on the second floor of the hospital, where procedures can be performed under local anaesthetic or sedation. There are currently eight consultants offering appointments in Barringtons dedicated Endoscopy Suite and patients are advised that a referral letter from your GP will be required before an appointment can be made.
©Ryan McVay/Digital Vision/Thinkstock
M
r Eoghan Condon has worked at Barringtons for the past three years in the area of colorectal surgery and is also Consultant Colorectal Surgeon at Midwest Regional Hospital (MWRH), St John’s and Ennis hospital. Under the guidance of Mr Condon and his fellow consultants, Barringtons offers a comprehensive multi-disciplinary approach to all aspects of care in this area, from endoscopy to laparoscopy and other surgical procedures in this discipline as well as access to the brand new Colorectal Laparoscopic theatre at MWRH. Over the past decade, there have been huge advances in this area, and today virtually all procedures can be carried out using minimally invasive methods. Laparoscopic colorectal procedures offer the same benefits as open surgery to patients whilst also meaning that patients experience less pain, a shorter stay in hospital and a more rapid return to normal activity with very small scars.
14/03/2013 10:48:41
Urology
Building On Experience Consultant Urologist Mr John Drumm explains the ethos behind urology services at Barringtons Hospital.
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A
fter more than 20 years working in the public health system in the Mid-West area, Mr John Drumm, along with his colleague Mr Imtiaz Ahmed, are focusing on developing the urology services at Barringtons. “We are working on the development of a comprehensive urology service here at the hospital. As the main private hospital in the region and we’re hoping to build upon the reputation of Barringtons and provide a wider range of services.” In terms of the procedures at the hospital, Mr Drumm and Mr Ahmed focus on the following areas: • Prostate Pathology (benign and neoplastic) • Urinary tract infections • Bladder problems including neoplastic and overactivity • Renal Calculi • Female urinary incontinence • Sexual health problems “The day care model is already very well established here and we now have overnight facilities for more comprehensive or advanced procedures, which, in terms of urology is very much how we are seeking to develop the service. We work closely with our colleagues in the MWRH and hold regular multidisciplinary conferences with them to discuss cases and to plan the best course of treatment for the patient,” Mr Drumm adds. The waiting times for cases at Barringtons Hospital are measured in weeks and everything is geared toward providing
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Mr John Drumm, Consultant Urologist
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an effective, streamlined service for the patient. “We have excellent access to both imaging and endoscopy facilities. We understand the complexity of the procedures we undertake and we have been expanding upon them. We are very fortunate with the cadre of experienced people which we have at the hospital now. This extends throughout the surgical teams and through to the nursing staff. A number of senior nurses here moved from the Public Health Sector to work at Barringtons Hospital and this has enabled us to provide a more advanced service for patients. My colleagues and I work very closely with management to develop the range of facilities and treatments available. They have invested significantly to develop our services and that is to be welcomed.”
Contact: Barringtons Hospital, Georges Quay, Limerick, Tel: 061 490500, Fax: 061 312939 Email: info@bhl.ie Web: www.bhl.ie Private: 061 316550
14/03/2013 10:48:51
Orthopaedics
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Innovation in Orthopaedic Care Mr Denis Dartee, Consultant Orthopaedic Surgeon at Barringtons Hospital, explains what procedures are available for patients and how the hospital is looking to develop its capabilities in this field.
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r Dartee has worked at Barringtons since 1998, and he has seen the hospital develop into the multi-disciplinary facility it is today. “When I started working in Barringtons I was the only Orthopaedic Consultant working in the hospital. I think it’s wonderful to see where the hospital is today and indeed where it can go in the future, it provides an excellent service to the people of Limerick and Mid-West region. The hospital has developed from purely a day care model to a more comprehensive approach in caring for patients and has invested significantly in technology and staff. Barringtons Hospital offers patients a safe and comfortable environment to receive surgical care. The consultants, and our highly qualified nursing and technical staff, strive to exceed expectations and provide a positive surgical experience,” he says.
Areas Of Speciality
Contact: Barringtons Hospital, Georges Quay, Limerick, Tel: 061 490500, Fax: 061 312939 Email: info@bhl.ie Web: www.bhl.ie
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Mr Dartee is one of five orthopaedic surgeons currently working at Barringtons hospital. His colleagues are Mr Maha Lingam, Mr Dermot Farrell, Mr Breandán Long and Mr Michael Gilmore. “One of the strongest aspects of Barringtons Hospital is the strong working relationships between the departments. For example, I can consult and discuss cases with my colleagues in the radiological department during the course of a patients treatment, the whole system is designed to move at a pace which benefits the patient. We also work closely with our physiotherapy colleagues in particular.” Mr Dartee’s particular specialty is in relation to problems concerning the hips, knees and ankles and he also focuses on sports injuries. “Some
of the common procedures we would undertake here include arthroscopy of the knee, shoulder and ankle. Arthroscopic surgery is a minimally invasive procedure which allows the surgical team to perform keyhole procedures on our patients. We also provide treatment for anterior cruciate ligament injury, cartilage and meniscus problems and treating foot deformities problems like bunions. At present we do not carry out more advanced orthopaedic procedures such as hip replacements, but we are optimistic about the development of a new laminar flow orthopaedic operating theatre, which will allow such procedures to be undertaken.” A laminar flow operating theatre means that the air which is
14/03/2013 10:48:56
Orthopaedics
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Looking To The Future
other medical staff in terms of the acquisition of technology or the expansion of departments. The nursing staff is excellent at Barringtons Hospital and there is a real team spirit here.�
Mr Dartee and his colleagues at the hospital are ambitious about what the future holds for the development of orthopaedic services. “The potential development of a 5 day ward will have huge benefits for patients in terms of the procedures that can be undertaken. I think enormous credit needs to be given to the management of Barringtons Hospital for the way in which they have invested in the future of the facility, they have engaged very positively with the consultants and the
Outside of his work at Barringtons Hospital, Mr Dartee works at Jeroen Bosch hospital in the Netherlands where he is also resident. He is secretary of the Dutch Orthopaedic Association, which is heavily involved in communicating the need for good orthopaedic care to patients. Specialising in sports injuries he works alongside local hockey, football and rugby teams in terms of dealing with orthopaedic injuries.
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circulated into the operating theatre is sterilised prior to entry into the air flow system.
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14/03/2013 10:49:02
Rheumatology
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Rheumatology at Barringtons Hospital Dr Ahmed El Rafie has been practicing at Barringtons for over ten years, providing expert treatment for patients with a wide variety of rheumatological ailments, at a time when the waiting list in public sector hospitals for rheumatology patients can be up to two years.
“T Contact: Barringtons Hospital, Georges Quay, Limerick, Tel: 061 490500, Fax: 061 312939 Email: info@bhl.ie Web: www.bhl.ie Private: 061 490546
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here are over 200 distinct rheumatologic conditions that can present and while every case that presents is different, the most common conditions that we treat would be predominantly arthritis, such as osteo-arthritis, psoriatic arthritis and rheumatoid arthritis. I would also encounter and treat conditions such as dupuytrens contracture, lupus and I would also provide treatment for those suffering from sports injuries,” explains Dr El Rafie. The reputation of the rheumatologic treatment facilities and services at Barringtons has grown and clinics specialising in sports injuries in the Mid-West region now frequently refer patients to the hospital for further treatment.
Dr El Rafie adds that along with hospital management, he and his fellow medical professionals are constantly seeking ways to streamline and improve the experience for the patient at Barringtons hospital. “There is very good communication here at the hospital and if necessary, a patient can be moved between departments should their condition be diagnosed as requiring a different procedure. There are also regular multi-disciplinary conferences here at the hospital between the different consultants and this provides for discussion on any difficult or challenging cases. Further possible developments at the hospital would include a 5-day ward, in which patients would be admitted and receive the full range of treatments necessary during the course of their stay. We are constantly seeking to refine and improve what we do here in line with the hospital’s mission statement and the ever changing nature of modern healthcare.”
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Dr El Rafie is very happy to be able to provide a rapid-access clinic for patients, working off a very short waiting list which normally does not exceed two weeks. “The structure of Barringtons hospital means that I can focus on treating cases and it allows me to see more patients during my twice weekly clinics.” As one of the longer serving medical professionals at the hospital, he has seen the facilities and services at the hospital expand and indeed he has been directly involved in one of the impressive recent additions to the hospital. The hospital has recently opened a dedicated IV infusion facility for patients suffering from conditions such as osteoarthritis or rheumatoid arthritis. “The infusion process provides very effective treatment and relief for patients suffering from arthritic conditions. It is a more cost effective way to provide the treatments also. The IV infusion clinic has been over two years in development and without doubt it’s a very impressive addition to the hospital.”
14/03/2013 10:49:04
Pain Management
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Pain Management Dr Brendan Conroy (MD, FFARCSI, FFPMCAI, DABA (pain), FIPP) Consultant Anaesthetist and Pain Physician, explains why Barringtons Hospital can provide pain management solutions that work.
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r Conroy has practised in both Ireland and the US, where he worked as an Associate Professor at the University Of Texas. Currently Dr Conroy holds a contract in St Johns Hospital and HSE Mid-West and is well placed to assess the contribution which Barringtons can make in helping patients manage pain within the region.
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“Here we can provide diagnostic and therapeutic facilities for patients with pain. The most common conditions presenting are chronic, non-malignant conditions such as severe back and neck pain. The focus of patient care in Barringtons Hospital is diagnosis, education and a range of effective therapies including medication, physiotherapy and interventional techniques,” says Dr Conroy. Dr Conroy says that Barringtons has evolved in terms of the services it can provide to patients with an excellent level of consultant led care. “The key to this is the expansion of services and consultants available in Barringtons Hospital. Over the last few years many colleagues have joined the staff, that I have primarily worked with and trust, from a range of specialities including medicine, surgery and radiology. The quality and judgement of my colleagues is superb.”
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Dr Brendan Conroy, Consultant Pain Specialist Barringtons has invested heavily in staff training, equipment and facilities and has shown a willingness to help develop Pain Management as a speciality. From humble beginnings the pain physicians in Barringtons Hospital have access to excellent diagnostic resources with both fluoroscopic and ultrasound guided techniques to help diagnose and treat the cause of a patient’s pain.
Barringtons has become more established in the Mid-West region and it’s recognised as a high quality facility with a growing spectrum of services for its patients. Pain management matches very closely with the facilities that are available at Barringtons Hospital, allowing the provision of timely and effective treatment modalities in the appropriate patient. We hope that Barringtons will develop in to a MidWest regional centre of pain management and will ultimately rival more established centres nationwide.
Contact: Private Rooms 2 Verona Villas, O’Connell Ave, Limerick Tel: 061 467766
14/03/2013 10:49:16
Oral Surgery
Expertise In
Oral Surgery
ad
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O
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ral surgery can be described as the surgical treatment of problematic or pathological conditions of the mouth or jaws. The practice of Oral Surgery in Ireland has undergone a huge transformation in the past 13 years. With the accreditation by the Dental Council of Ireland in 1999 of a Specialist List of Oral Surgeons, some 40 practitioners are today working in this field nationwide. Since becoming resident Oral Surgeon at Barringtons Hospital in 1999, Dr Tobin has established her Oral Surgery unit to serve patients from the Mid West, North Munster and Western Regions.
level of service for her patients. The independent practice receives referrals from general dental and medical practitioners who require the expertise of an accredited oral surgery specialist.
The Team
Diagnosis and Treatment
In keeping with the changes that Barringtons Hospital itself has undergone in the past 13 years, Dr Tobin’s practice has retained a consistently high
By adopting a “fast-track” scheduling system, referrals are processed with minimum delay. Working closely with the Barringtons Theatre Manager, surgical cases
With the benefit of a general dental surgeon (Dr Paul O’Dwyer) managing the practice as the first point of contact, thorough and accurate clinical information can be gathered to best serve the referring practitioner. As the only independent practice in Ireland to have dentally qualified support staff, practitioners welcome the reassurance of clinical expertise at this initial step.
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Dr Paul O’Dwyer, Practice Manager for Dr Deirdre Tobin, resident Oral Surgeon at Barringtons, explains why the hospital is the perfect solution for those seeking the best in oral surgery.
14/03/2013 10:49:25
Oral Surgery
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are assessed and treated within the shortest time frame. The flexibility that an independent practice brings to this service means that waiting times are virtually non-existent. This ensures that patients receive the best clinical outcomes for their presenting conditions in a timely manner.
Equipment Aside from the traditional film radiography, Barringtons Hospital also provides the latest in digital radiography. Both intra-oral and extra-oral radiographs are available to accurately assess each patient. In keeping with the progress in digital informatics, the practice accepts referrals via email. Patients are updated via email also and clinic running times are updated via an innovative text based system. This ensures that where delays occur, patients are informed in advance – minimising disruption and keeping them informed. Provision for both general anaesthetic and local anaesthetic facilities ensures that suitable cases are treated in the correct modality.
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The on-site medical laboratory at Barringtons Hospital ensures that pathology and histology reports are returned promptly.
Communication The practice also hosts a Social Media presence through its Twitter account : @TheOralSurgeon. As practitioners our aim is that all patients are informed by helpful and communicative staff. This is evidenced by the loyal referring practitioner base who rely on the comprehensive service they have come to expect over the past decade.
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JCI Working in tandem with the Best Practice Dept at Barringtons Hospital, the practice has tailored all pre-surgical assessment with the highest international standards – as evidenced by the JCI accreditation bestowed on the Hospital in the past. A full, thorough and complete patient pathway for each surgical case has been the hallmark of this system.
Services The practice is primarily concerned with dentoalveolar surgery (wisdom teeth, minor orthodontic surgery, surgical removal of supernumerary/ odontomes) coupled with minor soft tissue surgery and oral medicine. In keeping with the everchanging needs of an aging society, patients tend to present with ever-more complex medical histories. Having specialists in-house from a variety of medical disciplines means that accurate and timely reports on clinically important details are readily available.
Reliability From assessment to post-operative review, patients are informed, educated and advised. Treatment outcomes are supported by Clinical Audits within the practice which underline the commitment to the high standards Barringtons Hospital itself maintains.
The Future Working in concert with the anaesthetic, nursing and administrative staff, Dr Tobin’s Oral Surgery practice has a proven track record of dependable patient care. Underpinning and supporting the JCI accreditation in delivering high quality care to all oral surgery patients is our goal.
Contact information: Dr Deirdre Tobin FDSRCS, FFDRCSI Oral Surgeon Email: oralsurgery@mail.ie Dr Paul O’Dwyer BDS Dental Surgeon Practice Manager Email: oralsurgery@mail.ie Tel: (direct) 087 679 4954 Web: www.about.me/ DrDeirdreTobin Twitter: www.twitter.com/ TheOralSurgeon
14/03/2013 10:49:28
Oral & Maxillofacial Surgery
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What is Oral & Maxillofacial Surgery? O
Contact: Barringtons Hospital, Georges Quay, Limerick, Tel: 061 490500, Fax: 061 312939 Email: info@bhl.ie Web: www.bhl.ie Private: 061 608012
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MF surgery is unique in requiring a dual qualification in medicine and dentistry, and is often seen as the bridge between medicine and dentistry. It treats conditions that require expertise from both backgrounds, such as head and neck cancers, facial skin cancers, salivary gland diseases, facial disproportion, facial pain, temporomandibular joint disorders, impacted teeth, cysts and tumours of the jaws as well as numerous problems affecting the oral mucosa, such as mouth ulcers and infections.
The Service There has been an Oral and Maxillofacial Service in Barringtons Hospital since 2004. This is currently provided on a daycase basis. There is a regular outpatient and review clinic. It is provided by Mr Michael Gilbride FDS, FFD, FRCSI, FRCSI(OMFS), Consultant OMF Surgeon. He is also a Consultant Surgeon at the Midwest Regional Hospital and this provides a link for more complex surgery.
• Dentoalveolar surgery is treatment of the teeth and jaws. This includes cysts, tumours, abscesses and infected teeth, particularly wisdom teeth. • Facial Skin Cancer • Head and Neck Cancer - the surgical treatment of tumours affecting the head and neck, from removal of the tumours to subsequent reconstruction. This is done in conjunction with the regular multidisciplinary team meeting in Midwest Regional Hospital. • Surgery for Facial Deformity • Oral Medicine - diagnosis and management of medical conditions presenting in and around the cervico-facial structures. • Trauma - the treatment of facial soft and hard tissue injuries of the craniofacial structures. • Jaw problems and facial pain - two distinct areas that often overlap, and can require specialist expertise in order to differentiate them from one another. • Salivary gland disease
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Oral & Maxillofacial Surgeons (OMF) specialise in the diagnosis and treatment of diseases affecting the mouth, jaws, face and neck, explains Mr Michael Gibride, Consultant Oral & Maxillofacial Surgeon.
14/03/2013 10:49:37
Ophthalmology
An Eye for Excellence
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Ms Sylvia Jungkim is a Consultant Ophthalmologist at Barringtons Hospital where she works alongside three other specialists; Mr Sean Chen, Mr Raymond Niland and Mr David Kent, to deliver excellent ophthalmological care.
“A
t Barringtons we provide a service focusing on general ophthalmology. My own area of speciality is in the treatment of glaucoma and cataract surgery,” she explains. “At Barringtons we can focus exclusively on providing treatments and procedures for our patients who are assured of ease of access, rapid consultation and treatment.” Cataract surgery, one of the areas in which Sylvia specialises, has been the subject of considerable advances in terms of both procedures and technology. Changes in techniques performed during procedures, such as making smaller incisions, make recovery times much swifter and advances in technology complement this to ensure safer procedures, better results and quicker recovery. Specialist ophthalmology services at Barringtons include: • Cornea & Ocular Surface Diseases • Cataract & Refractive Surgery • Glaucoma • Vitreous & Retinal disorders • Neuro-ophthalmic disorders • P lastic & Reconstructive surgery for disorders of eyelids and eye orbits At Barringtons the excellence of the treatment and procedures provided by the personnel is augmented to the latest medical technology, which is the driving force behind the advances in modern medical healthcare. “There have been huge advances in patient care in terms of ophthalmology
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over recent years, with technology constantly changing to provide the patient with better procedures,” adds Sylvia. The hospital is equipped to carry out procedures in the following areas: • Small incision cataract surgery • Glaucoma surgery • Anti-VEGF injections for Macular Degeneration • Eyelid surgery • Squint surgery • Retinal detachment surgery • Visual field testing • Fluorescein angiography • Minor lid surgery • YAG laser treatment (single and double Yag laser) • Retinal laser treatment • Injections for the treatment of Age Related Macular Degeneration (AMD) • Biometry • Botulinum Toxin treatment Consultant ophthalmologists at Barringtons Hospital are committed, in line with the mission statement at Barringtons, “to the improvement and development of services in line with the ever changing healthcare environment.” Sylvia Jungkim adds that she and her colleagues are ambitious in terms of what they can provide to their patient population and what improvements they can continue to make in terms of developing the services at Barringtons. “We’re focused on ensuring our patients get the care they need in as rapid a timeframe as possible, within the safe and friendly environment that Barringtons provides and look forward to constantly expanding and improving our range of services.”
Contact: Barringtons Hospital, Georges Quay, Limerick, Tel: 061 490500, Fax: 061 312939 Email: info@bhl.ie Web: www.bhl.ie Private: 061 310379
14/03/2013 10:19:53
Radiology
CT Scanner at Barringtons Hospital.
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Seeing The Future:
Imaging Department at Barringtons Hospital Having worked at Barringtons for over 22 years, radiologist Dr Alex Stafford is well positioned to appreciate the expansion in facilities and services which the hospital has undergone in that time-frame.
“T
he imaging and radiology facilities have grown with the hospital over the years,” explains Dr Stafford. “In 1995 we established ultrasound and x-ray facilities, in 2000 the MRI (Magnetic Resonance Imaging) scanner came on stream and in 2007 the hospital installed the CT (Computed Tomography) scanner. We also
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offer OPG (panoramic dental x-ray) facilities and DEXA bone density scanning.” Today, alongside their partners Alliance Medical, Barringtons offers a comprehensive and everincreasing range of imaging and treatment capabilities in addition to a complete radiological
14/03/2013 10:19:55
“Ultrasound and x-ray procedures would comprise the majority of the procedures here,” adds Dr Stafford, “we work to ensure that the hospital works to the patients benefit in terms of time efficiency and cost efficiency. We perform diagnostic ultrasounds in cohesion with other elements of the patients treatment plan so that all appointments are done in a single day where possible, in the shortest possible time frame to the best possible standard.”
Ultrasound: Barringtons offers an ever increasing array of ultrasound services, including: • General diagnostic ultrasound • Paediatric • Gynaecological • Obstetric • Vascular • Musculoskeletal
MRI: The hospital’s MRI centre is a bright and accessible facility which provides rapid access to patients. MRI is a proven and established technology, in operation for almost forty years, which utilises magnetic technology, radio waves and computer imaging to form pictures of the patient’s body. The images form via the magnet emitting radio signals, which interact with the hydrogen in the human body, much of it being water. The computer then translates this data into images. MRI is particularly useful for musculoskeletal, abdominal, neurological and vascular imaging. MRI scans are very safe and the lengths of time scans take depend on the part of the body which is being scanned.
Radiology
assessment and consultation. Based full-time at the hospital, Dr Stafford delivers Barringtons suite of imaging facilities in conjunction with colleagues based at Limerick Regional Hospital (see panel).
Working Together In addition to Dr Stafford, Barringtons Hospital can also call upon the qualified experience of six Consultant radiologists who work primarily with Limerick Regional Hospital. Drawing upon their collective experience, they are actively contributing towards helping Barringtons Hospital improved and expand their imaging facilities. Dr Bryan Kenny: Specialising in gastrointestinal and paediatric radiology Dr Pat Kiely: Specialising in neurological and thyroid radiology. Dr Fintan Wallis: Specialising in ear, nose & throat, oncology and vascular radiology Dr Padraig O’Brien: Specialising in neurological and vascular radiology Dr Jim Crotty: Specialising in radiology musculoskeletal and sports injuries Dr Paul Hession: Specialising in radiology for chest and for sports injuries
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Contact: facility has to offer. “The most important thing for us here at Barringtons hospital is to provide the patient with the best possible care, in the swiftest possible timeframe. The focus here in the hospital remains on providing as many procedures as possible to as many patients as possible. We are always seeking new and better ways to provide care for our patients and look forward to continuing to enhance the radiology and imaging facilities and services at the hospital.”
Barringtons Hospital, Georges Quay, Limerick, Tel: 061 490560, Fax: 061 312939 Email: info@bhl.ie Web: www.bhl.ie Private: 061 414784
Radiologist, Dr Alex Stafford.
CT: CT scans are an x-ray procedure which combine many x-ray images with the aid of a computer to generate cross-sectional views and, if needed, three-dimensional images of the internal organs and structures of the body. The technology is particularly useful in providing images of: The head after injuries or to detect tumours and infections • The spine and vertebral discs • The density of bone - to detect osteoporosis • The chest - to identify tumours, cysts, or infections • I maging of internal organs such as the liver, gallbladder, pancreas, spleen, aorta, kidneys, uterus, and ovaries. Drawing on his vast experience in both private and public practice, Dr Stafford is committed to working with the hospital to enhance what the
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14/03/2013 10:19:58
Reconstructive & Cosmetic
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Different Class: Reconstructive and Cosmetic Surgery at Barringtons Plastic and Cosmetic Surgeon Consultant Mr Vikram Vijh explains the philosophy which drives his work and how this fits in with Barringtons outlook
S
ince opening its doors as an independent medical facility, Barringtons Hospital has committed itself to providing a service founded and grounded in excellence for the patients under its remit of care, through both the extensive list of procedures the hospital provides, and the overarching quality of the members of staff which operate to a consistently high standard beneath its roof. This extends to all disciplines including cosmetic, plastic and reconstructive surgery. Amongst the extensive list of consultants practicing at Barringtons is Mr Vikram Vijh, one of Ireland’s and the UK’s foremost consultant cosmetic and reconstructive plastic surgeons. A Fellow of the Royal College of Surgeons since 1992, Mr Vijh began his career in plastic surgery with over two years of research in wound healing and scarring, and went on to work as a plastic surgeon in hospitals across London, and was
Cosmetic, Plastic and Reconstructive Surgery is carried out not only to improve physical appearance but also to improving function and enhancing general well-being for people with congenital deformities, those who have had accidents or injuries, and cancer sufferers. The range of activity available at the hospital includes the management and treatment of conditions using the following surgical procedures; • Skin Lesions • Breast Surgery • Hand Surgery • Cosmetic Procedures including; • Medical Cosmetics • Surgical Cosmetics (Aesthetic Surgery)
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appointed as a consultant plastic surgeon in the National Health Service (NHS). In addition to his consulting duties at Barrington, Mr Vijh and a trauma team also operate on call to the Centre for Defence Medicine, based in the Queen Elizabeth Hospital in Birmingham. It is experience of this calibre that Mr Vijh, and his colleague, Dr Jenny Lynch, bring to Barringtons Hospital and the patients he treats under the umbrella of hand, cosmetic plastic, reconstructive and aesthetic surgery at the Limerick hospital. One trait in particular which ensures Mr Vijh stands out in his particular field is his attitude towards perfection. Nothing but the best is good enough for the patients he
14/03/2013 10:20:05
Reconstructive & Cosmetic
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treats and has described an instance where he had just finished removing a mole from a patient then looked at it and said “I am really sorry, but I don’t think that’s quite good enough and then I undid all the stitching and did it again. It has to be that little bit better.” This attitude is one which he constantly strives to instill in those cosmetic surgeons he trains on their way to becoming consultants. “I teach them the finesse,” he explained. “They know one way to do a breast augmentation – I teach them six ways to do it and how to choose what is right in each case.” The combination of his perfectionist attitude towards his work and his numerous years of training and experience in the profession has also caught the eye of the media industry, and Mr Vijh
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has featured as an expert on programmes such as Extreme Makeover UK, Ten Years Younger and You Are What You Eat while as a media commentator he has featured on ITN news, the BBC and various local news stations across Britain and Ireland. Over its history, which spans two centuries, and which has seen it operating first as a public hospital and then as an independent medical facility. Barringtons Hospital has always strived to maintain its reputation for providing first class services for the people of Limerick and the surrounding Mid-West area, both through the addition of high quality services and the consistently high professional standards of the staff.
Contact: Barringtons Hospital, Georges Quay, Limerick, Tel: 061 490500, Fax: 061 312939 Email: info@bhl.ie Web: www.bhl.ie Private: 061 490545
14/03/2013 10:20:12
Dermatology
Dermatology
at Barringtons Hospital
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“I
provide services here up to three times a week and I’ve been working at the hospital for over eight years. The advantage for patients attending Barringtons is how quickly they can be seen as the waiting time in the public hospital system for certain dermatology conditions can be up to years. I deal with a wide variety of dermatological conditions here for referred patients.”
Contact: Barringtons Hospital, Georges Quay, Limerick, Tel: 061 490546, Fax: 061 312939 Email: info@bhl.ie Web: www.bhl.ie Private: 061 490581
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The most common cases treated at the hospital include: • Eczema • Psoriasis • Lesions • Acne Some of the other treatments at the hospital include excisions in the cases of skin cancer, phototherapy and patch testing.
Phototherapy This light-based treatment is particularly effective in the treatment of Guttate and plaque psoriasis resistant to topical therapy. The treatment involves exposing the skin to ultraviolet light three times
a week for 6-8 weeks under medical supervision. Phototherapy treatment at Barringtons is done in a dedicated phototherapy suite at the hospital, using the latest technology.
Patch Testing A patch test is a method used to determine if a specific substance causes allergic inflammation of the skin. Any individual with eczema suspected of having allergic contact dermatitis and/or atopic dermatitis needs patch testing. Patch testing helps identify which substances may be causing a reaction in a patient. It is intended to produce a local allergic reaction on a small area of your back where the diluted chemicals were planted. The chemicals included in the patch test kit are the offenders in approximately 85-90 percent of contact allergic eczema and include chemicals present in metals (e.g. nickel), rubber, leather, hair dyes, formaldehyde, lanolin, fragrance, preservative and other additives. “All dermatology cases are seen on a day case basis and we have a very rapid consultation and treatment programme for patients,” says Dr Khan. “I review all patients subsequent to procedures to ensure there are no complications and I offer a same day service to my patient’s if there are any questions which they might have. If I feel there is a need for a patient to be seen by other specialty team in relation to any condition, we work with our colleagues in Barringtons Hospital to ensure the patient receives the care required.”
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Compassionate care, ease of access and excellent aftercare are the focus of the Dermatology service at Barringtons. Dr Farhana Khan explains the nature of her work at the hospital.
14/03/2013 10:20:16
Gynaecology
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Gynaecology
at Barringtons Hospital
Gynaecological services at Barringtons Hospital offer an increasing range of procedures to its patients, explains Consultant Surgeon, Dr Cathy Casey.
D
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r Casey has been providing gynaecological services at Barringtons Hospital for over four years, providing day case procedures and investigations to patients. “We provide a very efficient service in terms of day case procedures for patients here at Barringtons Hospital,” says Dr Casey. “Primarily our work here is for investigation and treatment of the vast majority of gynaecological conditions other than complex cases.” At Barringtons Hospital, gynaecological patients are assured of first class procedures, carried out by extensively qualified personnel in a caring environment. “One of the great strengths of Barringtons Hospital is that in the course of my treatment of patients I can call upon a host of other disciplines and areas of speciality, should that be necessary,” says Dr Casey. “The fact that the hospital has developed excellent imaging facilities is of particular benefit, giving me access to image guided diagnostics and investigations. This provides access to a far broader range of procedures for my patients.” Dr Casey adds that it is not just access to technology that has benefits for the cases she treats. “I also have the benefit of the knowledge
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and expertise of my clinical colleagues at the hospital she adds.” Dr Casey says that the majority of gynaecological procedures have changed from major surgical procedures to minimally invasive laparoscopic procedures, which have become very common in this field. This allows surgeons to access the abdomen and pelvis through a key-hole incision. This minimally invasive procedure has greatly reduced post-operative pain, the duration of a patients stay at a hospital and it also greatly reduces the necessary recovery time for the patient. She adds that the experience of the nursing staff at Barringtons Hospital is a fantastic asset to both consultants and ultimately the patients. “The quality of the nursing at the hospital is excellent and this is augmented by very good administrative staff also. The thorough standards at the hospital, in which everything is tracked and documented is of immense benefit and comfort to a visiting consultant, this allows us to focus on the most important thing, providing excellent care. The management of the hospital also deserve great credit for how they have expanded the services at the hospital and worked closely with surgical staff to develop very good services for patients.”
Contact: Barringtons Hospital, Georges Quay, Limerick, Tel: 061 490500, Fax: 061 312939 Email: info@bhl.ie Web: www.bhl.ie Private: 061 314031
14/03/2013 10:20:20
Dietetics and Nutrition
Elaine McGowan, Dietitian and Clinical Nutritionist at Barringtons Hospital.
34
Dietetics and Nutrition at Barringtons Hospital Barringtons Hospital, as part of its dietetics services, is now offering consultations the low FODMAP diet a new dietary approach to the management of irritable bowel syndrome.
Barringtons 27-40.indd 34
Elaine McGowan M.Sc., B.Sc., Human Nutrition, Dip. Dietetics, MINDI Elaine established her first dietetic clinic in Barringtons Hospital in 1992 and has gained vast experience in providing patients with individual dietetic consultations for patients in her clinics. Her main areas of interest are weight management, obesity, diabetes, heart disease, nutrition and gastroenterology. She is also a very active member of the Irish Nutrition & Dietetic Institute (INDI). Elaine was one of the first Dietitian’s to practice the low FODMAP diet in Ireland and since 2010 has experienced exceptional results with a large patient base and is very pleased to be able to offer the diet to patients at Barringtons Hospital. It has proven a most effective treatment for functional gut disorder particularly IBS. She has provided dietetic consultancy to a wide range of public and private sector companies, including the implementation of workplace wellbeing programmes. These include Aughinish Alumina in Limerick. Elaine has a Masters in Sports Nutrition (A Nutritional Evaluation of Elite Irish Athletes) from the University of Limerick and has worked for the Olympic Council of Ireland for the 1992, 1996 and 2000 Olympic Games. With her expertise in this area she has worked in establishing
a nutrition programme for the National Athlete Player Support Network. She has worked with the national Rugby team and inter-county GAA team. Elaine’s interest in functional gut disorders led her to Melbourne, Australia, the hub of research in this area, in 2010. Whilst in Melbourne, Elaine spent time training with Dr Jaci Barrett one of the senior researchers working on the low FODMAP diet research at Monash University. She decided to further expand her knowledge base in this area and in May 2011 she completed training on ‘The Low FODMAP Diet in Functional Gastrointestinal Disorders’ at King’s College London. The ‘low FODMAP’ diet is a relatively new dietary treatment option available in Ireland, now accepted and recommended as one of the most effective dietary therapies for IBS and may help reduce functional symptoms in other gut disorders such as Colitis and Crohn’s disease. Elaine has adapted the diet to Ireland and has done continuous research in updating information for her patients. “Carbohydrates can be present in different forms of food and most are easily digested and absorbed to produce energy. But new research shows that a group of shorter chain carbohydrates (FODMAPS) are poorly absorbed in the small intestine and can trigger the symptoms of irritable bowel syndrome (IBS),” says Elaine.
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What is the low FODMAP diet?
Ingestion of foods high in FODMAPs leads to alterations in fluid content and bacterial fermentation in the colon triggering functional gut symptoms in susceptible individuals. The aim of the diet is to identify which FODMAP foods, if any, cause symptoms. It involves restricting certain foods for up to four to six weeks, and then re-introducing them systematically back into the diet. Removing foods high in FODMAPs from the diet is effective in improving such symptoms as diarrhoea and/or constipation, bloating, wind, nausea and abdominal pain. This dietary intervention takes into account that there is a threshold for the amount of global FODMAPs an individual can tolerate at one time. However, the diet is most effective when FODMAP-trained dieticians provide dietary advice. It has been shown that patients who had seen a FODMAP-trained dietician reported significant improvement in symptoms after being on the diet. In practice, by modifying your diet, you will be able to know what FODMAP-containing foods you can tolerate, and which ones will produce symptoms.
Results of the Diet
According to researchers at King’s College London, the low FODMAP diet is effective for greater than 70 per cent of people with IBS who try it. After four to six weeks your progress is reviewed. Many people can return to their normal diet and will have identified the high FODMAP foods that need to be avoided or consumption quantity reduced. While FODMAPs do not cause the underlying functional gut disorder, they do represent an opportunity for reducing symptoms in 75 per cent of cases. It is certainly a clinically proven
Barringtons 27-40.indd 35
option for anyone suffering from chronic digestive disorders. With the low FODMAP diet and other services, Elaine is committed to providing simple, practical nutrition and dietary advice to patients at Barringtons Hospital.
Up to Date Information
There have been a lot recent advances in research in this area. Information on the low FODMAP diet available in books and on the internet may be misleading and inaccurate. Research into the dietary strategy continues and information requires continuous updating.
Reference Material for low FODMAP diet:
Gibson PR, Shepherd SJ. Evidence-based dietary management of functional gastrointestinal symptoms: The FODMAP approach. Journal of Gastroenterology and Hepatology. 2010;25(2):252-8. Barrett JS, Gearry RB, Muir JG, et al. Dietary poorly absorbed, short-chain carbohydrates increase delivery of water and fermentable substrates to the proximal colon. Aliment Pharmacol Ther 2010;31:874-82. Barrett JS, Irving PM, Shepherd SJ, Muir JG, Gibson PR. Comparison of the prevalence of fructose and lactose malabsorption across chronic intestinal disorders. Alimentary Pharmacology & Therapeutics 2009; 30:165-174 Therapeutics 2009; 30:165-174
Elaine was one of the first Dietitian’s to practice the low FODMAP diet in Ireland and has experienced exceptional results with a large patient base and is very pleased to be able to offer the diet to patients at Barringtons Hospital.
Dietetics and Nutrition
“The main culprits and major FODMAPs are fructans, galactans, fructose, polyols and lactose. These carbohydrates can create gut symptoms when consumed. When the molecules are poorly absorbed in the small intestine of the digestive tract, these molecules then continue their journey to the large intestine, where they act as a food source to the bacteria that live there normally. The bacteria then digest/ferment these FODMAPs and can cause symptoms of IBS. They can also cause symptoms by exerting an osmotic effect and drawing fluid into the gut,” she adds. In people with gastrointestinal symptoms, foods high in FODMAPs such as pasta, bread, beans and dairy can cause: • Abdominal pain/discomfort • Abdominal bloating/distension • F latulence/wind • Belching/burping • Urgency to open bowels • Poor stool consistency • Constipation
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The low FODMAP programme at Elaine McGowan Dietetic Clinics Barringtons Hospital • Individualised dietary modifications taking into consideration usual dietary intake and symptom profile. • Assessment and recommendations on which foods high in FODMAPs should be removed from the diet of IBS sufferers for four to six weeks. • Documentation of food and fluid intake and symptoms during this period. • Follow up consultations (1-2) where foods are reintroduced gradually while monitoring the patient’s individual symptoms, and their tolerance to the reintroduction of foods. • Comprehensive written materials are provided on dietary recommendations. • Careful implementation is required to ensure the diet is effective and ensuring their diet is nutritionally adequate. • The low FODMAP diet may be used in conjunction with other dietary advice for any of the following conditions - Irritable Bowel Syndrome, Diverticular Disease, Constipation, Coeliac Disease, Crohns Disease or Ulcerative Colitis
Contact: Barringtons Hospital, Georges Quay, Limerick, Tel: 061 490500, Fax: 061 312939 Email: info@bhl.ie Web: www.bhl.ie Private: 061 490547 Web: www.emgdc.ie
14/03/2013 10:20:24
Patient Information
36
We are here for you Whether you are an inpatient or an outpatient, you will receive the same excellent levels of service, patient care and personal attention from our dedicated staff. Maintaining the highest standards of cleanliness and hygiene is of paramount importance to the Hospital. The hospital strives to ensure a high level of patient satisfaction throughout all departments.
W
e are pleased that you have chosen Barringtons Hospital to provide for your outpatient or inpatient needs. We recognise that for everyone coming into hospital it can be a stressful and an unnerving experience. We are committed to the welfare of all our patients and aim to make your stay with us as pleasant as possible. All our staff will strive to make your stay with us is a positive experience. The Patient Information brochure is a complete guide on what to expect on admission and gives you a few simple ideas on what you must bring into hospital with you. If you have any questions about your admission please do not hesitate to contact our Admissions Team who will be happy to answer any questions you may have. Admissions Team - Telephone: 061 490532/533
Medication If you are taking any tablets or medication it is important that you bring these with you, in their original labelled containers when you come into the Hospital. Please inform the hospital if you are taking any diabetic or blood thinning medication.
Scans Please ensure that you bring with you any relevant scans (CT/MRI/X-Ray) that you may have had
Barringtons 27-40.indd 36
taken prior to your admission.
Personal Property We recommend that you do not bring any valuables with you to the hospital as we cannot take responsibility for any lost or misplaced items. As wardrobe space is limited we would advise you to bring only necessary attire, such as night wear, dressing gown, slippers, toiletries and reading material.
Infection Control
Barringtons Hospital Infection Control Team is responsible for the ongoing development of the Infection control plan. (Please see relevant article in this publication.)
Arriving at the Hospital
The Hospital is situated on Georges Quay, Limerick. Please note there is no parking at the hospital but there is a drop off point at the main entrance. There are a number of Public Car Parks located within walking distance of the Hospital.
Wheelchair Access For those requiring assisted access, the hospital has two ramp entrances. Please check with the receptionist on duty who will assist with your needs.
14/03/2013 10:20:27
Consultant Directory
37
Consultant Directory Anaesthetics: Dr D B Rao Consultant Anaesthetist 061 490581
Dr Robert Concannon Consultant Anaesthetist 061 490581
Dr Aftab Baloch Consultant Anaesthetist 061 490581
Dr Fasih Khan Consultant Anaesthetist 061 490581
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Dr Joseph Lee Consultant Anaesthetist 061 490581
Dr Brendan Conroy Consultant Anaesthetist 061 490581
Dr Mohammed Zafruddin Consultant Anaesthetist 061 490581
Dr P Gnanamoorthy Consultant Anaesthetist 061 490581
15/03/2013 14:42:37
Consultant Directory
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Prof. Dominic Harmon
ENT:
Consultant Anaesthetist 061 490581
Mr Charles Shinkwin
Dr Magesh Shanmugam
Consultant ENT Head & Neck Surgeon 061 490547
Consultant Anaesthetist 061 490581
Prof. John Fenton
Dr Richard McEllistrem
Consultant ENT Head & Neck Surgeon 061 307540
Consultant Anaesthetist 061 490581
Mr Neville Shine
Dr Gwen Murray
Consultant ENT Head & Neck Surgeon 061 490547
Consultant Anaesthetist 061 490581
Mr Joseph Hughes
Audiology Mr Michael Power Audiologist 061 490560
Cardiology: Dr Abid Hussaini Consultant Cardiologist 061 490560
Gastroenterology: Dr Jane English Consultant General (Internal) Medicine 061 490534 /535
Dr Manus Moloney Consultant Physician & Gastroenterologist 061 490547
Dr Maeve Skelly
Dermatology:
Consultant Gastroenterologist 061 405029
Dr Farhana Khan
Dr Heather Holloway
Consultant Dermatologist 061 490546
Consultant Gastroenterologist 061 329228
Dietitian / Nutritionist:
General Surgery:
Ms Elaine McGowan
Mr Paul O’Byrne
Consultant Dietitian / Nutritionist 061 490547 (www.emgdc.ie)
Consultant General Surgeon 061 608050
Emergency Medicine
Consultant General Surgeon 061 413544
Dr Gareth Quin
Mr Eamon Kavanagh
Consultant Emergency Medicine 061 490546
Consultant General Surgeon 061 482761
Endocrinology:
Mr Eoghan Condon
Dr Mary Ryan Consultant Physician & Endocrinologist 061 490516
Barringtons 27-40.indd 38
Consultant ENT Head & Neck Surgeon 061 305050
Mr Raphael Keane
Consultant General Surgeon 061 490547
Mr Paul Burke Consultant General Surgeon 061 467766
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Ophthalmology:
Consultant General Surgeon 061 227672
Mr David Kent
Gynaecology: Dr Cathy Casey
Consultant Ophthalmic Surgeon & Retinal 061 608011
Specialist
Consultant Gynaecologist 061 314031
Mr Sean Chen
Dr Soha Said
Consultant Ophthalmic & Oculoplastic 091 720110
Consultant Gynaecologist 086 4162777
Mr M Umar Consultant Gynaecologist 087 6471961
Hand Surgery: Mr Vikram Vijh Consultant Hand Surgeon 061 490545
Dr Jennifer Lynch Consultant Hand Surgeon 061 490545
Neurology / Neurosurgery: Dr Helena Moore Consultant Neurologist 066 7149873
Dr Peter Boers Consultant Neurologist 061 608018
Dr Sean Connolly
Mr Raymond Niland Consultant Ophthalmic Surgeon 061 310017
Ms Sylvia Jungkim Consultant Ophthalmic Surgeon and Glaucoma Specialist 061 310379
Oral/Maxillofacial Surgery: Dr Deirdre Tobin Consultant Oral Surgeon 061 373945
Mr Michael Gilbride Consultant Maxillofacial/Head & Neck 061 608012
Ms Mairead Cashman Consultant Oral & Maxillofacial Surgeon 061 490513
Orthopaedic: Mr Breandán Long
Dr Elizabeth O’Mahony
Consultant Orthopaedic Surgeon 056 7723252
Consultant in Paediatric Clinical Neurophysiology 061 490560
Mr Denis Dartée
Professor Amanda Cotter Consultant Obstetrician 061 490536
Dr Soha Said Consultant Obstetrician 086 4162777
Barringtons 27-40.indd 39
39
Surgeon
Consultant Neurophysiologist 061 490560
Obstetrics:
Consultant Directory
Mr David Waldron
Consultant Orthopaedic Surgeon 061 490547
Mr K Maha Lingam Consultant Orthopaedic Surgeon 061 490534 /535
Mr Dermot O’Farrell Consultant Orthopaedic Surgeon 061 397894
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Consultant Directory
Mr Michael Gilmore
Dr Jennifer Lynch
Consultant Orthopaedic Surgeon Medico Legal Work 091 587933
Plastic, Reconstructive & Aesthetic Surgeon 061 490545
Paediatrics: Dr Michael J Mahony Consultant Paediatrician 061 490548
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Dr Con Sreenan Consultant Paediatrician and Neonatologist 061 490546
Pain Management Prof Dominic Harmon Consultant Pain Specialist 061 608020
Dr Brendan Conroy Consultant Pain Specialist 061 467766
Dr Richard McEllistrem Consultant Pain Specialist 061 303262
Psychiatry: Dr CiarĂĄn Clarke Child & Adolescent Psychiatrist 061 490546
Radiology: Dr Alex Stafford Consultant Radiologist 061 414784
Dr Bryan Kenny Consultant Radiologist 061 305787
Dr Fintan Wallis Consultant Radiologist 061 312977
Dr Padraig O’Brien Consultant Radiologist 061 312977
Dr Patrick Kiely
Pathology
Consultant Radiologist 061 312977
Dr John Coyne
Dr James Crotty
Consultant Pathologist 061 490550
Consultant Radiologist 061 312977
Dr Peter Faul
Dr Paul Hession
Consultant Pathologist 061 490550
061 312977
Dr Peter Kelehan Consultant Pathologist 061 490550
Rheumatology: Dr Dominic Cooke
Dr Vourneen Healy
Consultant Physician & Rheumatologist 061 490546
Consultant Pathologist 061 490550
Dr Ahmed El Rafie
Dr Elizabeth Mulcahy
Consultant Physician & Rheumatologist 061 490546
Consultant Pathologist 061 490550
Plastic Surgery:
Urological Surgery: Mr Imtiaz Ahmad
Mr Vikram Vijh
Consultant Urologist 061 490534 /535
Plastic, Reconstructive & Aesthetic Surgeon 061 490545
Mr John Drumm Consultant Urologist 061 316550
Barringtons 27-40.indd 40
15/03/2013 14:42:37
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