Medical Services & Appointments

Medical Services.

Unfortunately Dr Marion Leighton is no longer offering private consultations. This type of complex diagnostics and management was not considered sustainable within the New Zealand health insurance model.

If you require general medical outpatients, please ask your GP to refer you to an alternative sub specialist (if appropriate) or to the local public hospital.

What does a Specialist Physician do?

A Specialist Physician is also known as an Internal Medicine Physician, a General Physician or an Acute Physician.

They are highly trained specialists who provide a range of non-surgical health care to adult patients. They continue to see the patient until the condition(s) have improved or stabilised. They work closely with the patient’s General Practitioner (GP).

They have a broad range of expertise and do not limit themselves to one organ system or body part. They excel at being able to take a global approach and understand how different conditions impact on each other.

These are some of the core skills of a Specialist Physician like Dr Leighton.

Specialist diagnostics – making sense of your symptoms

Diagnosing diseases can be tricky and sometimes takes time as the symptoms emerge and evolve. However, a physician is an expert at seeing patterns and understanding what may happen next. They can also help distinguish serious symptoms from benign ones.

Difficult, serious and unusual medical conditions

General Physicians have a broad knowledge and experience and can identify and manage the more unusual medical problems, or unusual presentations of common conditions.

Ongoing medical problems

This covers a huge spectrum of chronic diseases including polymyalgia rheumatica, chronic fatigue syndrome, chronic airways disease, atrial fibrillation, heart failure, fibromyalgia, certain infectious diseases, insomnia, metabolic syndrome, type II diabetes, venous thromboembolism.

Second opinions

General Physicians are often asked for second opinions. Sometimes medical problems are complicated and a fresh pair of eyes can help confirm the diagnosis. In some situations a diagnosis is so unusual it’s worth getting a second physician to help with diagnosis and management.

Multiple medical conditions

Many people have more than one medical condition and General Physicians know how combinations of conditions interact with each other and affect treatment choices. This is different to many physicians who only treat one organ system.

Patients with multiple drug therapy

Being on many different medications can cause side effects. General Physicians are specialists in how medications interact with the body, with different medical conditions and with each other. They can also advise on alternatives (including non-drug alternatives) or the risks of stopping medications.

Complex and ongoing symptom management

Some conditions cannot be cured and need ongoing symptom management. General Physicians are often experienced in managing symptoms as well as diseases in order to achieve the best quality of life for each patient.

Risk assessment for cardiovascular and other diseases

There are many risk assessment tools for cardiovascular disease, osteoporosis, certain cancers and general health and wellbeing. This can give you a snapshot of your current health and help you monitor your health over time. It can also prepare you for healthy lifestyle changes.

Pre-operative assessment

General Physicians are specialists in pre- and peri-operative care. This means they can help a surgeon and anaesthetist know that your medical problems are well managed and it is safe to have an operation. They can consult immediately after an operation if there are complications.

Advance care planning

A General Physician can help you plan for the medical treatment and care you want in the future. This may be a concern because you know time is limited, or because you or a family/whānau member has recently experienced a critical life event. They have the skills to help you work through what medications and treatments you may want at the end of life, or if you experience a severely disabling condition and can’t communicate. This process may take more than one consultation.

Recovery and rehabilitation after an acute illness

Many people feel drained and fatigued for a long time following a short illness. General Physicians can advise on how long the recovery period is likely to be and what to do to regain previous levels of function and fitness.

Integrative medicine

Integrative medicine is where a patient and doctor combine conventional Western medicine with complementary or natural therapies. Dr Leighton is aware natural therapies can work well alongside traditional medicine. She is also able to advise when complementary therapies may be dangerous for an individual such as during pregnancy or where there could be interactions with other medications.

Exercise medicine

Dr Leighton can advise you on exercise for general health and for your specific health problems. She specialises in prescribing physical activity for those with acute and chronic diseases, rather than sports medicine for athletes.

Health Psychology

We can offer psychological services from our registered psychologist, Mr Quentin Abraham. Please ask us if you wish to see him.

Medical Appointments

Unfortunately we are no longer accepting referrals or making appointments. Current patients will be seen until the close of the clinic on the 31st August 2017.