At Home with Dr Hilary Jones

At Home with Dr Hilary Jones
May 2009

Welcome to at home with Dr Hilary Jones, the first issue devoted to health, happiness and fitness for the family.
* What’s up doc?
Dr Hilary Jones talks candidly about his life, career and being a GP in the 21st century.
* A day in the life of Dr Hilary Jones
How does our fave GP spend the day when he’s on telly?
* Ask the doctor
Dr Hilary Jones is a GP, and GMTV’s resident health and medical advisor. Since joining the station in 1993, he has been dispensing advice to viewers. Here he answers some of your health questions. .

Wimborne Care Home

‘Home away from home’ describes this idyllic retreat on the island of Hayling. Wimborne is an imposing picturesque bungalow residence, nestling in charming gardens in coastal Hampshire. Wimborne Care home is a truly person centered approach which prides itself on the work they do. A home, which has an environment, adapted to make sense to the person experiencing dementia. It not only has the warmth that comes with a home in terms of furnishing and style, but the warmth of people who care beyond the call of duty. There is a feeling of love that embraces residents and visitors and the answer to any request is always yes. The residents have freedom without boundaries and locks in a home where the doors are always open.  Excellent standards of care, companionship and community are fundamental to their commitment to providing the utmost in quality for all.

“The answer is always yes, the question is how do we make it happen?”

A care home is needed in a time of crisis, and to soften the blow Wimborne makes every effort to spread the feeling of love and friendship in a non-controlling environment. Sometimes residents move in advance of worsening conditions and it is always a positive choice for them and they have chosen the care home because it has provided them with all the social things they want to do, freedom and choice.

During a time of crisis it is very difficult to identify what is important and essential to an individual. Wimborne does everything they can do discover what is important and what matters to residents by being their friend and getting to know them.

“We get it wrong by not paying attention to those tiny little details”

What makes Wimborne stand out from other care home is the feeling when you walk in. It’s not pretentious and does not look like a lavish country club or hotel. It is welcoming and filled with many happy residents and staff where everybody lives like an extended family.  There is no routine at Wimborne, the day is built around the residents and what they wish to do. Activities range from classic sing-along (always a favourite) to fitness with care using a Nintendo Wii or a vibrating muscle toner. There are also regular trips and events, which add variety and meaning to everyday life. They can do whatever they would at home with the added bonus of a community spirit running through the home. The open door policy works very well to remind residents they are in control of their life.

“A persons spirit and cause is with them, right up to the end and we are the ones who need to recognise that and focus on it.”

Every resident is assessed and has their own care plan to cover physical needs and mental stimulation needs. They also have a life history section to understand resident’s earlier life and habits in an attempt to become a better friend. Wimborne emanates friendship and warmth with even a short visit leaving a lasting impression.

They say ‘home is where the heart is’.  You can’t help falling in love with Wimborne Care Home.

Neil Bulstrode BSc (Hons) MBBS MD FRCS (Plast) is Head of Clinical Lead of Plastic Surgery at Great Ormond Street Hospital.

It can be described as life saving when we need a doctor for recovery. When we need a doctor to be a hero it can be heart warming. Neil Bulstrode BSc (Hons) MBBS MD FRCS (Plast) is Head of Clinical Lead of Plastic Surgery at Great Ormond Street Hospital.

Neil Bulstrode specialises in all aspects of cosmetic facial, breast and body contouring surgery for adult and paediatric patients.

The decision to have private cosmetic surgery is an individual decision, but deciding on the surgeon to perform this life altering procedure can be the hardest part and is definitely the most crucial decision you may make in your life, after all there is little or no recourse for such a major decision. So why not have peace of mind of being in the hands of the best in the business and take the worry and stress out of searching for the perfect surgeon.

Plastic surgery is the finest type of surgery you can do with regard to technical aspect. Neil Bulstrode works all over the body as the work is technique based rather than region based. Neil Bulstrode conducts life-transforming operations such as using rib cartilage to carve a framework to sculpt and create ears for children. There is not only skill but also a high degree of art in his work. This artistic element is what separates Neil Bulstrode from others in his field.

His daily work is nothing short of miracles for all the children under his care. Surgery for these children is a must and is truly a life changing experience. What better time to restore ones confidence when one is a child, with a fresh start? To many he is a genius, to children he is a hero.
His life altering work with the Health Service has created a path to allow Neil Bulstrode into private practice. He conducts breast augmentation surgery, facial surgery, liposuction as some of his cosmetic operations.

Neil Bulstrode firmly believes in checking a surgeons credentials to ensure they are at least a member of BAPRAS. This means they have achieved a level of training, which is approved by the Royal College of Surgeons.

They say “A good surgeon operates with his hand, not with his heart” Neil Bulstrode operates with both in good measure and good regard.

Mr.Paul Smith MB BS ,FRCS, FRCSPG Consultant Plastic & Hand Surgeon

A doctor’s work is never done as they say, and time delivers a wealth of experience. This is certainly the case of Mr.Paul Smith MB BS ,FRCS, FRCSPG Consultant Plastic & Hand Surgeon, and The Portland Hospital for Women and Children. An true expert in his field of medicine Mr.Paul Smith is a leading consultant in rhinoplasty having spent 24 years as a consultant and performing one of the most popular types of cosmetic surgery.

Mr. Paul Smith is a renowned international expert in congenital hand surgery, particularly with children. Having trained in Glasgow, London and the United States he proceeded to become clinical instructor in Plastic Surgery at Duke University , North Carolina, and a Christine Kleinert Fellow in hand surgery which is regarded as the premier training centre for hand surgery in the world. Congenital hand surgery is the finest kind of microsurgery and attention to detail and eye for detail is of the highest calibre. He referees and peer reviews over 55 papers for scientific journals and published 17 chapters in textbooks. What separates a good surgeon from a great surgeon is training, experience and reputation and Mr. Paul Smith has all in abundance.

‘Rhinoplasty requires the greatest deal of finesse and straddles the border between cosmetic and reconstructive”

In the cosmetic field he has a passion for rhinoplasty and facial rejuvenation surgery and conducts a lot of breast augmentation surgery.
Our faces are our windows to the world and although we are asked ‘not to judge a book by its cover’ we all subconsciously do anyway. Mr. Paul Smith understands that being unhappy with the shape of your nose can affect your self-confidence. He realises the importance of carefully analysing your nose and individually planning your operation. It is this understanding of patients needs which provides solution to patient problems. Mr. Paul Smith expresses clarity of communication with honesty and transparency.
Mr. Paul Smith is considerably aware of the current climate of marketing of cosmetic surgery and firmly believes that people needed to be protected from this. He believes in properly counselling patients before they undertake any kind of cosmetic work so they are aware of possible complications.

“Even if a complication only occurs in 5% of patients , if it happens to you it is a 100% complication.”

When he sees a cosmetic patient he always consults them twice, and in between that time he sends them literature from the British Association of Plastic Surgeons and the American Association. After which he will recall them and put them through an informed consent program on the computer, which has been designed by an American company, which goes through everything in regards to the operation. This leads to the second consultation which answers any queries the patient may have, and if Mr. Paul Smith is not happy he will see them four or five times if necessary so they really understand the full nature of the procedure.

“Medicine is about trust”

Trust is the easiest thing to loose and the hardest thing in the world to get back. Here’s a doctor you can trust.

Mr. Simon J Eccles BDS MBBS FRCS (Eng) FRCS (Plast)

Mr. Simon J Eccles BDS MBBS FRCS (Eng) FRCS (Plast) started off qualifying as a dentist when he realised his main area of interest included craniofacial and head and neck, so he went back to a 4 year training programme in General Surgery and became a member of the Royal College of Surgeons in 1996. It is this double qualification that makes Mr. Simon Eccles understand head and neck surgery extremely well in both a reconstructive sense and cosmetic. Mr. Simon Eccles also heavily works with the NHS and does not anticipate ever leaving. Much of his reconstructive work is helping children from around the world, born with congenital head defects. Mr. Simon Eccles gives a lot of his time to Charities he is involved with and loves working with children. A lot of the challenging reconstructive work he performs weighs in heavily in helping his cosmetic work. Craniofacial surgery has a very strong association with aesthetic surgery and some of the pioneers worked very closely with the aesthetic side.

“Once you qualify is when you begin learning and not when you stop learning”

Mr. Simon Eccles specializes in facelifts, rejuvenation of upper and lower eyelids and brow surgery for adults.
Communication with the patient is a key factor during consultation and the ability to be able to translate their expectations into a procedure you can deliver. It is about managing expectation of a patient and getting to know the patient.

“The patient needs to feel well supported”

Mr.Simon Eccles claims to have a fantastic team of nurses and doctors who really care. A good surgeon he says is some that not only can deliver consistently goods results but can communicate with the patient and is eventually on the same wavelength as them.
Although the body is a work of art, you cannot see everybody as the same work of art, though anatomically they may be. They are all different and require individual attention to detail. For example there are 10 different types of facelifts so you need to assess very carefully what the patient wants at the end of the day.

“I love art and spend a lot of time looking at faces and the way artists represent things”
There is an artistic element in surgery but Mr. Simon Eccles believes that is underpinned by knowledge of anatomy and surgical techniques.
The quality of care has also increased with technological advances as surgeons understand many aspects of anesthesia, pain control, blood supply, wound healing better and are able to manipulate it in different ways, whether it be bio synthetic materials or artificial cartilage.
A great deal of surgery involves rejuvenation, which means putting things back to how they were before, so you are not destroying anything but merely preserving tissue so those procedures are repeatable. However repeatable they may be Mr. Simon Eccles is skeptical about starting cosmetic procedures too young and opening oneself to a lifetime of surgery and care.
Mr. Simon Eccles prides himself on having a high moral code and is happy to best advise in the patient’s interest.

Mr. Simon Eccles puts a smile on your face, this he can do from a simple meeting or from many of the reconstructive or cosmetic procedures he has performed. He is a doctor that seems to work for ‘love’ not ‘money’ and he really cares and it really shows.

542 words