Principles
What this practice stands for.
Every practice has a set of beliefs underneath it. Most leave you to work them out from the invoice. Here are mine, in writing, before you decide whether to book.
What I believe
- Most heart attacks are the end of a long, quiet process. The useful moment is years before it, not the morning of.
- A single number means very little on its own. Cardiovascular risk is a picture, and it has to be read together.
- The evidence is strong in some places and genuinely unsettled in others. You should always be told which one you are standing in.
- Lifestyle carries more of your long-term risk than any single prescription. That is not a slogan. It is simply where most of the leverage sits.
- Medication is a tool, not a personal failure—and declining it is your decision to make, with the real numbers in front of you.
- Women’s cardiovascular risk has been under-recognised for decades. Pregnancy complications and menopause belong in a cardiac history, not a footnote.
- Time is the clinical intervention that has been quietly removed from medicine. Most of what goes wrong in a fifteen-minute visit is the fifteen minutes.
What I will not do
- Sell you supplements. Nothing is dispensed here, nothing is commissioned, and no protocol is waiting at the end of your visit.
- Order a test that will not change the plan. My fellowship was in cardiac imaging, which is exactly why I am careful with it. Incidental findings lead to more scans, more worry, and often no change in what you actually do.
- Describe a finding as settled when it is not. You will be told when something is a judgement call.
- Manage remotely what needs to be seen in person. Some care belongs with an in-person cardiologist, and when yours does, I will say so and help you get there.
- Claim to be available around the clock. This is a single-physician practice with published hours. Promising more than that would not be true, and you should never be waiting on a reply when you need care sooner.
- Promise you an outcome. Risk can be lowered, often substantially. It cannot be abolished, and nobody honest will tell you otherwise.
- Replace your primary care physician—or your emergency department. This practice sits alongside both.
What you can expect from me
- Appointments long enough to actually do the work.
- Your records read before we speak, not skimmed while you wait.
- Your results explained in plain language, in a visit set aside for exactly that.
- A written plan you keep, and that your other physicians receive.
- A straight answer about whether this practice is right for you—including, when it is the truth, no.
If that sounds like the care you want.
Start with the complimentary introductory call. Fifteen minutes, no obligation, and a straight answer at the end of it.