1. Home
  2. Regular

Dr Judith Standing - Obstetrics

Regular Off On A-Z of Consultants

GMC Number: 3583904

Year & location of first qualification: 1992, MBChB Aberdeen

Specialty: Obstetrics

Clinical interests: Specialist in maternal medicine, caring for women with pre-existing medical conditions during pregnancy. I also offer pre-pregnancy advice clinics for those women with medical conditions considering pregnancy.

Secretary: Lauren Dunphy

Telephone number: 0117 4146749

Dr Standing is a member of RCOG, British Maternal Fetal Medicine Society and MacDonald Obstetric Medicine Society.

Standing

Mr Mark Nowell - Complex Spine Surgery

Regular Off On A-Z of Consultants

GMC Number: 6078818 

Mark Nowell picture

Year & location of first qualification: MB BS, MA (Oxon), PhD, FRCS (SN)  

Specialty: Complex Spine Surgery

Clinical interests: Craniocervical pathology, cervical spondylosis, lumbar disc disease, minimally invasive spine surgery, intradural pathology.

Secretary: Lydia Cooley

Telephone number: 0117 414 6699

Mr Nowell is a Consultant Neurosurgeon and Spinal Surgeon at Southmead Hospital, Bristol.

Following completion of neurosurgical training in Bristol, Mr Nowell developed a subspecialty interest in Spinal Surgery. He completed the Complex Spine Fellowship at the Leeds General Infirmary and the Sir Victor Horsley Spinal Fellowship at the National Hospital for Neurology and Neurosurgery (NHNN) and the Royal Orthopaedic Hospital, Stanmore.

As a true dual trained surgeon in Neurosurgical and Orthopaedic Spine Surgery, he is equipped with the skills and experience to provide the most appropriate treatments across the entire spectrum of Spinal Surgery. This includes degenerative disease, trauma, tumour and infection across the whole spine.

Mr Nowell’s particular clinical interests include cervical and lumbar degenerative disease, minimally invasive surgery and navigation intradural surgery.

Mr Nowell trained in medicine at Oriel College, Oxford and Imperial College School of Medicine, London, and achieved a first-class honours degree in Physiological Sciences from Oxford.

He also completed a PhD at University College London. This focused on the development of advanced imaging tools and computer navigation for use in the operating theatre, which is increasingly relevant in Spinal Surgery today.

Mr Nowell has presented widely at National and International meetings and has published extensively. He was awarded the British Association of Spinal Surgeons Travelling Fellowship in 2017. As a member of BASS and the Society of British Neurosurgeons (SBNS), he regularly attends meetings which promote engagement and collaboration with colleagues and other professions allied to surgery. He is the current Spinal Surgery Academic Lead for the SBNS.

Mr Nowell believes strongly in patient-centred care. He offers a range of treatment options and supports patients to make informed decisions that is right for them.

Nowell

Dr Beth Wright - Dermatology

Regular Off On A-Z of Consultants

GMC Number: 7045443  

Beth Wright picture

Year of first qualification: 2009, University of Nottingham

Specialty: Dermatology

Clinical interest: Skin cancer assessement and traige, skin surgery, general dermatology and teledermatology

Secretary: Rachel Hunt

Telephone: 0117 414 7287

Dr Beth Wright is a Consultant Dermatologist working at Southmead and Cossham Hospitals. I completed my specialist training in Dermatology in Bristol and Bath. I have an active role in education and a postgraduate certificate in medical education. I am involved in advancing teledermatology services, locally and nationally, within the British Association of Dermatologists Teledermatology subcommittee. I have recently been appointed a trustee of the Skin Cancer Research Fund (SCaRF).

Wright

Dr James Wareham - Interventional Neuroradiology

Regular Off On A-Z of Consultants
Doctor James Wareham who is wearing a lead vest that is used in Radiology.

GMC Number: 7082790

Year & location of first qualification: 2010, Bristol

Specialty: Interventional Neuroradiology

Clinical interests: Subarachnoid haemorrhage, Ischaemic stroke, Vascular conditions/disease of the brain and spine, Percutaneous spine intervention, and Diagnostic neuroradiology.

Secretary: Claire Nurse

Telephone number: 0117 414 9012

Wareham

Dr Mihaela Boca - Neurology

Regular Off On

GMC Number: 7416746

Year & location of first qualification: 2010, Cluj Napoca

Specialty: Neurology

Clinical interests: Movement disorders, Parkinson’s disease, dystonia, tremor, deep brain stimulation, advanced therapies for Parkinson’s

Secretary: Tracy Chiddy

Telephone number: 0117 414 4437

Mihaela Boca is a Consultant Neurologist with a specialist interest in Movement Disorders.  In her doctoral research, Mihaela investigated the neural correlates of continuous motor control using a behavioural paradigm and intracranial local field potential recordings. Mihaela’s research background includes a clinical research fellowship at the Brain Centre where she worked on the Glial cell derived neurotrophic factor trial. Mihaela joined NBT as a Consultant in 2020 and her clinical interests include Advanced Therapies for Movement Disorders, Deep Brain Stimulation and Dystonia. In 2020, Mihaela set up the first regional Complex Dystonia clinic.

Related links

Related links

About ReMemBr Group

Regular Off Off

The ReMemBr Group (Research into Memory, the Brain and dementia)

Our team includes Neurologists, Psychologists, Researchers and Nurses from both University of Bristol and North Bristol NHS Trust.
 
We diagnose and treat patients with dementia and also offer clinical research opportunities to people with and without dementia. Our research focuses on early diagnosis of dementia, understanding how memory is stored in the brain and how this can be enhanced and clinical trials of treatment in dementia.

"We run one of the only brain health clinical services in the country.  We see people with mild memory problems, offer precision early diagnosis or exclusion of dementia.  We also offer evidence based brain health lifestyle advice and access to research which aims to delay the onset of dementia".

What is dementia?

The word ‘dementia’ is used to describe symptoms of memory decline and difficulties with thinking, problem-solving or language that are severe enough to affect daily life.

There are many different causes of dementia. The most common cause is Alzheimer’s disease.

 

Miss Michelle Mullan - Oncoplastic Breast Surgery

Regular Off On A-Z of Consultants

GMC Number: 4180625

Miss Michelle Mullan

Year & location of first qualification: University of Bristol 1995

Specialty: Oncoplastic Breast Surgery

Clinical interests: Breast cancer, benign breast disease, NHS Breast Screening work, teenagers with breast problems

Secretary: Louise O' Leary

Telephone number: 0117 414 7000

Michelle qualified from the University of Bristol in 1995 and underwent her surgical training in Bristol and the West Midlands. She has always been interested in breast disease, and undertook research at The Royal Surrey County Hospital in sentinel lymph node biopsy, as part of the Medical Research Council ALMANAC Trial. Michelle has been appointed as a Trustee for the Association of Breast Surgery and sits on the Clinical Practices and Standards Committee.

Her advanced surgical training in Oncoplastic Breast Surgery was in the UK and the United States, practising at the University of Michigan, Ann Arbor, and the Henry Ford Institute in Detroit. She was admitted as a Fellow of the Royal College of Surgeons of England in 2006. In 2008 Miss Mullan won the European Society of Surgical Oncology Travelling Scholarship and spent her time at the Nottingham Breast Institute. Her first consultant appointment was in Worcestershire in 2008, where she was Lead Cancer Clinician for the county. She was appointed to her current position as an Oncoplastic Breast Consultant at North Bristol NHS Trust in 2019.

Her clinical interests include breast cancer surgery using oncoplastic techniques (surgery with minimal scarring), sentinel lymph node biopsy, lipofilling of breast defects (Colman fat transfer), breast reconstruction, nipple reconstruction and nipple tattooing.

Mullan

Kidney Transplant and Food

Regular Off Off

This FAQs will give you information about foods to choose after a kidney transplant.  You will speak to a dietitian after your operation.  They will give you a booklet containing more information.  Some people may have medical reasons why they need different information.  Always follow advice from your own dietitian or doctor.

What should I eat to keep me well after a kidney transplant?

Most people will benefit from eating a healthy diet.  Some people have side effects from their medication, such as a bigger appetite, weight gain, high blood cholesterol and high blood glucose levels.   Small changes to your eating can help to manage your blood pressure, blood glucose and reduce your risk of heart disease. 

The Eatwell Guide on the NHS website shows how much of what we eat should come from each food group for a healthy diet.  You don’t need to get this balance with every meal or snack.  Try to get the balance right over a day.

What if I have diabetes?

Managing your blood glucose levels can give you more energy, good sleep, healthier skin and gums.  Also this can prevent problems with your nerves, eyes, feet and heart.  Find out more about Complications of diabetes at www.diabetes.org.uk

Some people may develop diabetes.  This is known as new onset diabetes after transplant (NODAT).

Use The Eatwell Guide to eat healthily and aim to get to or stay at a healthy weight.  Find out more about diet and diabetes at Diabetes UK.

Should I still eat less salt?

Yes - Eating less salt can improve your blood pressure.  Around ¾ of the salt we eat comes from salt in manufactured foods.  This salt FAQ will give you more information.

Salt substitutes such as LoSalt, Saxa So Low and Solo are not recommended for people with kidney problems.

Do I still need to eat less potassium and phosphate?

You can usually start to eat foods high in potassium and phosphate again. Sometimes blood levels can be high and you may need to limit some foods.  Your dietitian, consultant or specialist nurse will tell you if this is needed by looking at your latest blood test.

This potassium FAQs will give you information about foods to choose if you have high blood potassium levels.

This phosphate FAQs will give you information about foods to choose if you have high blood phosphate levels.

How do I reduce my risk of food poisoning?

After your transplant you will be on medication to stop your immune system rejecting your new kidney.  This medication weakens your immune system and can increase the risk of food poisoning. You can reduce your risk by being careful about what you eat and how prepared and cooked.  The information below is a short guide.  Your dietitian will give you more information.

Here are some recommendations:

• Make sure your hands, work surfaces, utensils, chopping boards, dishcloths and tea towels are all clean when handling, preparing and cooking food
• Chill and store foods properly.  Eat them by the ‘use by’ dates
• Don’t let raw foods drip on or touch cooked foods, especially meat, fish and poultry
• Don’t handle food if you’ve had diarrhoea or vomiting recently
• Wash fruit, vegetables and salad before use
• Avoid unpasteurised soft cheese, soft blue cheese and cheese with rind such as brie, camembert, unless it is cooked until piping hot
• Milk should be pasteurised or UHT
• Avoid yoghurts labelled ‘Probiotic’ or ’Bio’
• Avoid eggs with runny yolks and foods with raw egg in them. Use eggs with a ‘red lion’ stamp, store them in the fridge and cook them until yolks are solid
• Avoid all raw or undercooked meat, poultry, fish and shellfish
• Avoid rotisserie chickens, buffets and foods from the deli counter. Choose pre-packaged foods instead
• Buy cooked meat or fish in sealed packs and eat within 24 hours of opening
• Avoid pâté, unless it is tinned

How do I reduce my risk of food poisoning when eating out or eating abroad?

• Avoid eating out or takeaways for the first 6-8 weeks.  After that only eat from places known to be clean and hygienic.  You can check the food hygiene rating of businesses here https://ratings.food.gov.uk/  This gives you information about how clean a business is.
• Avoid takeaway rice.  It is important rice is freshly cooked and not reheated
• Avoid food from buffets, salad bars and street stalls
• Make sure hot food is piping hot and freshly cooked
• Be especially careful if travelling abroad.  Avoid tap water, ice and foods washed in tap water
More detailed information can be found here www.food.gov.uk/food-safety and Food and water abroad - NHS

What is the risk of Hepatitis E Virus?

Hepatitis E virus (HEV) causes liver disease.  There have been some cases in people after a transplant.  It is thought the HEV comes from under-cooked pork or pork products (such as sausages, bacon, cured meats and offal).  It is important to cook all meat thoroughly including barbequed meat.  If you have further questions about this please speak to your doctor, nurse or dietitian.

Which foods might affect my transplant medications?

Grapefruit, grapefruit juice, pomelo, pomelo juice, some herbal remedies and high doses of vitamins can affect transplant medications, so should be avoided.  Discuss any vitamins or supplements (such as herbal or homeopathic products) with the transplant team before taking. 

Starfruit can be harmful to people with kidney disease and you are recommended to avoid eating it.

How can I protect my bones?

Transplant medications such as steroids can weaken your bones.  To reduce the risk of weak bones and fractures you need enough calcium and vitamin D.

The best sources of calcium are milk, cheese, yoghurt, tofu, tinned fish with bones, sesame seeds, tahini paste and foods with added calcium such as some plant milks and cereals.  Beans, lentils, nuts, dried figs, white bread and white flour products are also good sources.

Vitamin D helps you absorb calcium from your food.  It is found in eggs, oily fish, red meat and foods with added vitamin D such as skimmed milk powder, margarine, low fat spread, some cereals and plant milks.  You can find more information on foods for strong bones on the NHS website.

The best source of vitamin D is sunlight on the skin, but medications can increase your risk of skin cancer. Find out more on the british association of dermatologists.

Your calcium and vitamin D levels can be measured and supplements prescribed by your doctor if needed. 

Lifestyle factors such as regular weight-bearing exercise, not smoking, drinking less alcohol and keeping to a healthy weight can also help keep your bones healthy.

Subscribe to Regular