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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…
Video: What positions are best for giving birth? In this video, a midwife talks through some of the best positions to give birth. Research shows that adopting upright positions in labour can: Aid in the descent of baby through your pelvis Reduces the pressure on your aorta, the large blood vessel which transports oxygenated blood from your heart to the rest of your body. This in turn increases the oxygen supply to baby, and decreases the chance of abnormal fetal heart patterns and therefore reduces the chance of caesarean section. Allows baby to get into an optimal position for birth…
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…
Melissa Mayo - Operational Support Officer – Referral Management Centre Typical day for myself would be supporting the day to day running of the RMC and our staff. We have approx. 35 staff within our department with a mixture of clinic clerks and coordinators for a vast range of services within WVT. My main role is to ensure the smooth running of the RMC each day – From workloads, short notice support, processes and also validation into our services PTL’s (2ww, urgent and routine). Having joined the trust in 2016 as a clinic clerk in the RMC, I was always inspired…
Birth Story 1 – An emergency caesarean section ‘I had my daughter 7 weeks early on the 7th January 2022 by category 1 caesarean section. I had come in during the middle of the night for monitoring as baby’s movements felt very off. I had felt her move, but my gut instinct was telling me something was wrong. Thought I'd just go in and she would be fine on the monitor, put my mind at rest and I could go home to bed. Turned out baby was in distress and within an hour of being on the monitor, I had…
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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