Our Consultants

Dr Antonios is a Senior Lecturer and Honorary Consultant in Cardiovascular & General Medicine. He is the head of the Blood Pressure Unit at St George's Hospital, London. His research interests include the microcirculatory abnormalities in cardiovascular disease particularly essential hypertension, pregnancy associated hypertension and microvascular angina. He is internationally acclaimed in this field of microcirculation research and has lectured in several international conferences. His clinical interests include management of severe and resistant hypertension, secondary hypertension, malignant hypertension, pregnancy-associated hypertensive disorders including preeclampsia, and hypertensive heart failure.

Dr Antonios joined St George’s hospital medical school in 1993. He was appointed as a Senior Registrar honorary lecturer in Clinical Pharmacology and therapeutics and in General Medicine in 1996. Between 1996 and 2000 he undertook research funded by the British Heart Foundation under the supervision of Dr D Singer and Prof G MacGregor, studying the Microcirculation in Cardiovascular disease. He was admitted to the degree of Doctor of Medicine by the University

Clinics: Every Friday afternoon

Clinic: Thursday evenings and the 4th Saturday morning of every month.

Clinic: Wednesday evenings, Saturday am, alternate Monday evenings

Clinic: Wednesday pm, Friday am

I trained in respiratory & general medicine in London at various district hospitals, Royal Brompton Hospital and finally at St George's hospital where I was subsequently appointed as a consultant with a remit to develop interstitial lung disease sub specialisation and a rapid access service at Queen Mary's, Roehampton.

My research interest was in occupational lung disease, specifically respiratory hypersensitivity to workplace chemicals. Whilst at St George's I spent six months training in adult intensive care and became an advanced life support instructor.

Clinics: Friday evenings and Wednesday am

Clinic: every Tuesday evening

About me
Appointed in 1992 as consultant physician with a special interest in gastroenterology.

Undergraduate training

• BA (Physiological Sciences) Oxford 1975. MB BS London 1978
• Postgraduate training
• MD (London) 1987
• MA Bioethics (Surrey) 2005
• LLM (Cardiff) 2006

Professional career
Principal co-author “Lecture Notes on Medical Law and Ethics”. Blackwells Ltd. 2005

Conditions treated
Acute general medicine (inpatients)
Digestive diseases including peptic ulcer disease, inflammatory bowel disease and swallowing disorders.

Procedures performed
Gastroscopy

Clinic: Monday evening, Thursday pm

Dr Steve Hyer has been a consultant in general (internal) medicine, diabetes and endocrinology at St Helier Hospital since 1994.

His specialist interests are in all complications of diabetes particularly the problem of diabetes in pregnancy, and also thyroid disease. He attends the weekly multi-disciplinary thyroid clinic at the Royal Marsden Hospital.

Undergraduate training
Dr Steve Hyer graduated in medicine from University College Hospital in London with MB BS (Hons).

Postgraduate training
His specialist training was at Hammersmith Hospital where he obtained his MD (University of London, 1990) and St George's Hospital, London.

Professional career
Since obtaining an MBA (Hons) (University of Surrey, 1996), Dr Steve Hyer has held various management positions and is currently clinical director (Specialty Medicine) and director of research and development in the Trust. He also graduated MA (Bioethics) (Hons) in 2006 (University of Surrey). He remains active in clinical research.

Prizes, memberships and fellowships

• FRCP (UK) 1997
• Membership:
• British Medical Association
• British Thyroid Association
• Diabetes UK
• European Association for the Study of Diabetes
• European Thyroid Association
• Royal College of Physicians
• Society for Endocrinology
• Sutton District Medical Society

Conditions treated
Diabetes including new patients, diabetes reviews, young persons clinic (including dedicated insulin pump clinics), antenatal clinic (with obstetrician), diabetes foot clinics, diabetes renal clinic (with nephrologist).
All adult endocrine disorders (including adrenal, thyroid, pituitary and gonadal disease).

Clinic: Friday evening

Consultant Physician & Geriatrician at Epsom General Hospital since 2002
Honorary Senior Lecturer & Teacher, University of London
Fellow of the Society of Geriatric Cardiology, FSGC (USA) 2007

Clinics: By appointment

Clinic: Tuesday evenings

Clinic: Ad Hoc

Clinic: Monday am (monthly)

I graduated from University of Leicester Medical School. I gained postgraduate experience in a number of London teaching Hospitals including St Georges Hospital in Tooting. I carried out my research for a higher MD degree at Hammersmith Hospital in London. My research focused on mechanisms of gut repair following injury, such as in Inflammatory Bowel Disease or following the use of non steroidal anti-inflammatory drugs. I have published several original papers in peer reviewed journals.

I currently hold a position as a Consultant Gastroenterologist at Epsom & St Helier NHS Hospitals. I have extensive experience in all aspects of Gastroenterology and Hepatology as well as Endoscopy.

My particular interests and expertise are in the management of patients with Inflammatory Bowel Disease , acid related disorders, functional gut disorders and chronic liver disease. My interests in endoscopy are both diagnostic and therapeutic endoscopy of the upper and lower GI tract. This includes dilatation of strictures, luminal stent insertion, variceal band ligation and photo-coagulation. I am also fully trained in therapeutic ERCP.

Clinic: Wednesday evenings

Dr. Shanthi Paramothayan is a Consultant Physician in Respiratory and General Medicine at Epsom & St. Helier NHS Trust. She is Honorary Senior Lecturer at St. George's University of London, Foundation Training Programme Director and COPD Lead for the Trust.

Dr. Paramothayan is experienced in managing all Respiratory problems. She is a Bronchoscopist and trained to undertake and report sleep studies, thoracic ultrasound and pleural procedures. Her specialist interests include sarcoidosis, lung cancer, asthma, COPD, interstitial lung disease and obstructive sleep apnoea.

She completed her PhD at the University of Cambridge and her undergraduate medical degree at St. Bartholomew's Hospital, University of London. She qualified with Distinction and several prizes, trained at various London Hospitals, including the Royal Brompton, completing her Specialist training in 2001.

Dr. Paramothayan is committed to teaching and training undergraduates and postgraduates. She is an examiner for St. George's Medical School and the Royal College of Physicians. She has a Masters in Medical Education, is an Academic Associate for ASME, a member of the British Thoracic Society Education and Training Committee and a Fellow of the Higher Education Authority. She is actively involved in research and has several publications, including Systematic Reviews.

More details can be found at www.paramothayan.com

St.Anthony's Hospital Appointments 020 8335 4678 / 79

Clinic: Alternate Friday evenings

Interests: General Gastroenterology, acute and chronic liver and pancreatic disease. Reflux and functional bowel disease. Therapeutic upper GI endoscopy and colonoscopy.

My present post is based at St. George’s Hospital, London where I am involved in the Departments of Gastroenterology and Intensive Care Medicine. My post includes out-patient clinics, care of in-patients, teaching and also performing endoscopic procedures (endoscopy, colonoscopy, flexible sigmoidoscopy) at the National Endoscopy Training Centre based at St. George’s Hospital.

With regards to my previous training, I completed my PhD in liver disease at the Royal Postgraduate Medical School, Hammersmith Hospital and the Royal Free Hospital. My further specialist training was based at St. Thomas’ London, where I was involved in new and innovative treatments of complex Barrett’s oesophagus and reflux disease, Crohn’s, ulcerative colitis and functional bowel disease.

I am able to offer investigations  and management for oesophageal, gastric, colonic and liver cancers. I have particular expertise in the management of acute and chronic liver diseases, pancreatic disease, irritable bowel syndrome and other functional bowel disorders.

My interests in endoscopy are both diagnostic and therapeutic endoscopy of the upper and lower gastro-intestinal tract. This includes most modalities of dilatation, stent insertion, variceal banding, photo-coagulation and laser therapy.

Clinic: Friday mornings

Dr. Ratoff qualified from King’s College Hospital Medical School, London in 1994. His early training led to membership of the Royal College of Physicians and then specialist training in Respiratory and General Medicine, in the South Thames region. During this period Dr. Ratoff completed clinical research towards his PhD thesis entitled: Airway T-cell Pathology in smoking, severe asthma and COPD. Sub-specialty training posts were held at St. George’s (airway intervention and intensive care) and Royal Brompton Hospitals (cystic fibrosis and interstitial lung disease), London. Dr. Ratoff was appointed Consultant General and Respiratory Physician at Epsom and St. Helier NHS Trust in 2009.

Dr. Ratoff has developed specialist interests in interstitial lung disease and sarcoidosis, obstructive sleep apnoea, lung cancer, COPD and asthma, pleural disease, non-invasive ventilation, fibre-optic and rigid bronchoscopy, respiratory critical care medicine and medical education. He is a clinical supervisor, a tutor on MRCP PACES and clinical skills courses and continues to collaborate in research studies. Data from his thesis and other projects continues to be published and presented at international meetings.

Dr. Ratoff is married to Jill, a Burns and ICU nurse, and has three children (Kate, Abigail and William). On occasion they have been known to spend some time together! His interests include music, cinema, reading, skiing and tennis.

Clinics: Alternate Thursday pm

Dr. Charlotte Rayner trained in General and Respiratory Medicine at Charing Cross Hospital, the Royal Brompton Hospital and St.George’s Hospital London.

She was Lead Clinician for Respiratory Medicine and lung cancer at St.George’s Hospital and was Director of Training for General Medicine both at St.George’s and in the South West Thames Region. In addition, she was lead Clinician in South West Thames for both Lung Cancer and for Tuberculosis.

At St.George’s she established a specialist service in aspects of Respiratory medicine including asthma, chronic obstructive pulmonary disease, sarcoidosis, sleep disorders and tuberculosis, bronchoscopy and endobronchial therapy. Working with the Department of Paediatrics, she also had an interest in adolescent respiratory problems including asthma and allergy.

Her research interests cover aspects of cancer infection, infection and the lung including bronchiectasis, chronic obstructive airways disease and tuberculosis. In addition she has undertaken studies in sleep medicine, asthma, sarcoidosis, interstitial lung diseases and cough.

Charlotte is happy to see patients with any acute or chronic medical or respiratory disorders.

Her PA, Sally Mclean can be contacted on 0208 605 2851

After training in General Internal Medicine in London, I specialised in Endocrinology and Diabetes and worked at the Medical Research Council Clinical Research Centre, Harrow (1986-1989) and then at St George’s Hospital and Medical School, London (1989-1996). I took up my present NHS Consultant post in Endocrinology, Diabetes Mellitus and General Medicine at St Helier Hospital, Carshalton in 1996 and I am the Lead Clinician for Diabetes and Endocrinology.

I have a major interest in undergraduate and postgraduate medical education and training. I was a Clinical Lecturer at St George’s Hospital Medical from 1989 to 1996 and since then I have held the post of Honorary Senior Lecturer in Diabetes, Endocrinology and General Medicine. I was Sub-Dean at St George’s Hospital Medical School with particular responsibility for years 3 and 4 of the undergraduate medical course from 1999 to 2005.

I have a made significant contributions to our knowledge of polycystic ovary syndrome and have extensive clinical experience in this and other related conditions. My clinical interests also include all aspects of endocrinology, including pituitary, thyroid, parathyroid and adrenal disorders, male and female hypogonadism, as well as diabetes mellitus, hypertension, hyperlipidaemia and obesity

Clinics: Tuesday am,Alt Wednesday evening

Contact details
Private Secretary (Debby Davies): 07894 201694
Fax: 020 8644 4377

Email: andrew.rodin@esth.nhs.uk

Clinic: Wednesday evening

Clinic:By appointment

Dr Sameer Zar has been a consultant in gastroenterology at Epsom and St Helier University Hospitals NHS Trust since 2005. He is also the Upper G I cancer lead for the Trust.

Undergraduate training
MBBS 1989 (Pakistan)

Postgraduate training

• MRCP (UK) 1996
• CCST in Gastroenterology and General Medicine 2004
• PhD (University of London) 2005

Professional career
Dr Sameer Zar completed his specialist training in general medicine and gastroenterology through London Deanery, and trained in various teaching hospitals including Kings Liver Unit. He was awarded a PhD by the University of London for his research work at St George's Hospital Medical School, London. He researched the role of food hypersensitivity in Irritable Bowel Syndrome and its effect on gastrointestinal motility. He has published several peer-reviewed articles in leading international journals.

Prizes, memberships and fellowships
Member of American Gastroenterology Association
Member of American Society of Gastrointestinal Endoscopy

Conditions treated

• Dyspepsia and acid reflux disease
• Irritable Bowel Syndrome
• Inflammatory bowel disease (colitis and Crohn’s disease)
• Gastrointestinal motor disorders
• Upper Gastrointestinal and colon cancers
• Pancreatobiliary disorders
• Acute and chronic liver diseases including viral hepatitis
• Iron deficiency anaemia
• Investigation of unexplained weight loss
• Chronic constipation
• Anorectal diseases
• Procedures performed
• Diagnostic and therapeutic Gastroscopy
• Colonoscopy including removal of polyps
• Therapeutic ERCP
• Push Enteroscopy
• Endoscopic Mucosal Resection (EMR) of precancerous lesions
• Oesophageal functional studies (oesophageal manometry and ambulatory pH studies
• Videocapsule Enteroscopy

Clinic: Monday & Thursday evenings

Procedures performed:

• Gastroscopy 
• Colonoscopy
• Therapeutic endoscopy including polypectomies, dilatations and stent insertions.
• Enteroscopy
• Endoscopic Mucosal Resection (EMR) of precancerous lesions
• Capsule endoscopy
• Liver biopsies

Conditions treated:

• All aspects of emergency medicine and general internal medicine
• All aspects of Gastroenterology and Hepatology including:
• Inflammatory bowel disease (Crohn’s and ulcerative colitis)
• Irritable bowel syndrome
• Bowel cancer screening
• Acid related disorders
• Functional gut disorders
• Chronic liver disease
• Gastrointestinal cancers
• Pancreatobiliary disorders
• Acute and chronic liver disease
• Viral hepatitis 
• Iron deficiency anaemia
• Weight loss
• Chronic constipation
• General medicine
• Clinical nutrition.

University College London (MBBS; BSc 1st Hons in Immunology)
MD London (King’s) 2011
General Medical Council - CCT (Certificate of Completion of Training) in both Gastroenterology and General Internal Medicine 2011
South West Thames Specialist Registrar rotation
Hammersmith Hospitals SHO Medical Rotation

Research was carried out at King’s College London and Guy’s & St. Thomas’ NHS Foundation Trust. This was based in the Nutritional Sciences and Immunobiology departments. Potential causes and novel treatment options in oral Crohn’s disease were examined in detail. Alongside this, the role of allergy in inflammatory bowel disease was looked at. Numerous abstracts at National meetings and publications in peer reviewed journals.

Tertiary centre experience in the inpatient and outpatient care of complex inflammatory bowel disease patients. Also enteral and parenteral nutrition experience in teaching Hospitals.

Member of the British Medical Association, British Society of Gastroenterology and Royal College of Physicians (London). 

BSG selection to attend the 8th ECCO IBD intensive advanced course
Research grants from National Association for Colitis and Crohn’s disease (NACC) and Foundation for Allergy Information and Research (FAIR)
Poster prize at British society of Gastroenterology national meeting 2011.

Clinics: Alternate Thursday afternoons

Dr Chua is the lead clinician for the interstitial lung disease (ILD) service at St George's Healthcare Trust. The ILDs are complex conditions that may affect a wide range of individuals, including those with rheumatological conditions or those who have been exposed to certain drugs or environmental agents.

There is also a large group of entities for which a cause has not been identified. The common link amongst all these diseases is their tendency to form lung scarring, a complication known as pulmonary fibrosis. My job is to secure an accurate diagnosis, ensure prompt treatment and closely monitor these patients over time.

Special Areas of Interest

The clinical aspects are the most satisfying, particularly when patients are well managed and a successful clinical outcome is achieved. This is especially so when the clinical situation is complicated or still evolving. In such situations, I am reliant upon and enjoy engaging with highly knowledgeable and dedicated colleagues from diverse specialties and clinical backgrounds.

Clinic Time: Alternate Thursday am