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Back to Rapid Cardiology The two carotid arteries are the main vessels that supply blood to the brain. They originate from the main arteries of the body (the aorta and brachiocephalic artery) in the chest and travel up through the neck and into the skull. Atherosclerosis of the right or left carotid artery is the most common cause of a stroke. A carotid duplex scan is a technique to take a picture of these arteries using sound waves (ultrasound). A sound-wave transducer is placed gently on the neck. The walls and interior of the artery are visualised and the velocity…
If you’ve ever dreamt of a place which brings together the convenience of living in a big city with the lifestyle associated with a home in a rural idyll, Herefordshire is the place for you. Herefordshire lies in the south west of the West Midlands, bordering Wales. It is a rural county with a population of around 178,400. Numbers are expected to grow to 193,600 by 2026. Just under half of the population live in villages and rural areas, just under a third (30 per cent) of the people live in Hereford City, and the rest (22 per cent) live…
Back to Orthopaedics Mr Iain Bissell Job Title: Consultant Orthopaedic Foot and Ankle Surgeon and Associate Medical DirectorSpecial interests: Foot and Ankle SurgeryAppointed to Hereford County Hospital 2007 Qualifications Mr Bissell studied medicine at St. Bartholomew's Hospital London, graduating in 1994. His orthopaedic training was in Oxford and Southampton; completed with fellowships in limb construction with Roger Atkins and foot and ankle surgery with James Calder. Since 2007 he has offered a comprehensive Orthopaedic Foot and Ankle service, including Trauma. He has served as Clinical Director for Trauma and Orthopaedics, during which time the department expanded its’ Upper Limb and Foot and Ankle…
Acquired brain injuries We are a small, specialist multidisciplinary rehabilitation team who support medically stable clients living in the community. The team are open to referrals for clients who have an identified acquired brain injury and who have active neuro rehabilitation goals.The team can provide Occupational Therapy, Physiotherapy, Speech & Language Therapy, Clinical Psychological and Psychological Therapy.  After an Acquired Brain Injury The difficulties that arise following a brain injury are not always visible and as a result, their impact can be underestimated. People who have an Acquired Brain Injury (ABI) can experience a range of difficulties, such as: Cognition…
At your booking appointment your midwife will go through all the screening that you will be offered during pregnancy and for your baby once they are born. The first screening will involve a blood test at your initial appointment, which will be looking for infectious diseases, your rhesus factor, your haemoglobin level, your blood type and if you have any antibodies.  Also at this appointment your midwife will make a referral for you to have a dating scan, which will give you an estimated date of birth for baby.  At this scan they will ask if you would like to…
Job Title: Consultant Orthopaedic and Trauma Surgeon Qualifications Mr Oakley studied Medicine at Glasgow University, graduating in 1991. His specialist registrar training was on the Northern Regional Orthopaedic Training Programme whilst living in Durham. In 2001, he passed his FRCS (Tr & Orth) and completed an Arthroplasty Fellowship at the Royal Orthopaedic Hospital, Birmingham, and a Trauma fellowship in Denver, Colorado, USA. He returned, as a Consultant, to Hereford in 2003. Research interests include hip and knee replacement, and arthroscopic knee surgery. Research papers on: Day Surgery Hernias (BJS) DVT Prophylaxis (BMJ) Hip Fractures (Injury) Fixation of Clavicle Fractures (EFFORT)…
About the Upper Gastrointestinal (GI) team The Upper GI (Gastrointestinal) Service at Hereford County Hospital is made up of a skilled and supportive team, including surgeons, specialist nurses, gastroenterologists, radiologists, pathologists, and oncologists. Together, we assess and treat conditions affecting the upper part of your digestive system, including your oesophagus (gullet), stomach, gallbladder, bile ducts, and liver. We provide care for a wide range of non-cancerous (benign) conditions, such as gallstones, acid reflux, and hernias. If a more serious (cancerous) condition is suspected, we will arrange the appropriate investigations and refer you to our specialist cancer team (Upper GI Cancer…
Colorectal Surgery at The County Hospital is provided by a multidisciplinary team of surgeons, gastroenterologists, radiologists, pathologists, oncologists and specialist nurses.  Outpatient assessment, investigation, treatment and follow-up are provided for all colorectal surgical conditions, including colorectal cancer, inflammatory bowel conditions (crohns’ disease and ulcerative colitis), functional bowel disorders (constipation and incontinence) and anorectal conditions (fistula-in-ano, fissures, haemorrhoids etc.).  Minimally invasive (laparoscopic) colorectal surgery is well developed, and enhanced recovery is provided by a dedicated team of doctors, physiotherapists, dieticians, specialist and ward nurses and other staff.  Colorectal surgical patients are admitted to Frome ward and Primrose Unit (Elective). Day case…

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