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15/06/2010Pri-Med InDepth Diabetes - London


Dr Mike Baxter - BSc, BMedSci, BM, FRCP, FRCPBM, PLD, BS
Consultant Diabetologist & Endocrinologist
I had a rather unusual start to my career in Diabetes obtaining a degree in biochemistry at Birmingham University in 1973 – 1976 followed by a PHD (1976 – 1979) where I was involved in fundamental research on the regulation of insulin action via covalent modification (specifically the phosphorylation of pyruvate dehydrogenase). By the end of this study, I felt that I wished to proceed to a career in medicine and studied at Nottingham University from 1979 – 1984. I immediately felt that diabetes and endocrinology was the career route that I would follow.

After conventional SHO jobs, I started at the Hammersmith where I was the Diabetic and Endocrine Registrar. I then went to Birmingham where I was a Lecturer (Honorary SR) in Medicine in the Department of Diabetes and Endocrinology. During this time I worked with Alex Wright, Malcolm Natrass and Tony Barnett, all prominent figures in the world of UK Diabetes. At this time I also led a small research group looking at the relationship of inositol and magnesium in the development of diabetic complications.

I took up my role of Consultant Diabetologist and Endocrinologist at St Peter’s Hospital NHS Trust in 1992 overseeing the development of the diabetic service. This has now been extended to include the Ashford Hospital in the newly aligned Ashford & St Peter’s Hospitals NHS Trust. We have tried to run a diabetic service based on the St Vincent ideology of specialist clinics directed towards specialist diabetic problems. We have also fostered strong links with primary care involving a number of local GP’s as clinical Assistance in the diabetic service. Locally we have articulated a vision of diabetic care which incorporates specialist GP’s delivering a PCT centred intermediate diabetic clinics. These provide at a local level, diabetic expertise, by facilitating primary care access to more specialised opinion and providing a safety net for the discharge of patients from secondary care. I would wish to develop this model further. I feel that a seamless division between primary and secondary care is essential if we are going to manage the ever-increasing problem of diabetes and that models of care which move us away from a single patient doctor interface as the sole means of care delivery need to be developed.

At Ashford & St Peter’s Hospitals NHS Trust, we have been committed to a programme of patient education. Recently, we have been in discussion with Kings to develop a local DAFNE satellite service and a local insulin pump service.



 
Mr Jerry Gore
Climber, Public Speaker, Writer, Consultant
Born in the UK in 1961, and married with two children, Jerry has enjoyed two very diverse and contrasting careers throughout his life, the first as a businessman, the second as a professional expedition mountaineer, involved in the world of extreme climbing, over a 30 year period. The third major element to Jerry’s life is Diabetes. Jerry was diagnosed as a Type 1 insulin-dependant diabetic on January 31st 2001. Though new to diabetes, Jerry continues to live his life to the full and has not let this chronic condition stop his active outdoor, family and business lives.

Jerry Gore crossed the Iceland Icecap in 1977 when he was 16, summitted Mont Blanc at 17 and climbed a 7000-meter giant Manaslu North in the Himalayas at 22. After leaving school he worked as the Mountain Co-ordinator for the Alberta Province, the aim of which was to climb the 75 classic peaks of the Alberta Rockies. Following this he undertook a Short Service Commission in the Royal Marines, during which he spent three winters developing major ice climbing areas in Arctic Norway, as well as succeeding on military expeditions to the Nepalese and Indian Himalaya. He was awarded the Commandant General’s personal commendation - the most outstanding Royal Marine - in 1984 for his rescue of Norwegian civilians. He has climbed abroad on an expedition every year since 1977 including remote mountain ranges in the Alps, the Himalaya, South and North America, and Patagonia. But his enduring passion is for Big Walls, sheer rock walls over 1000m. in vertical height. He first fell in love with the sport during a visit to Yosemite Valley, California in 1980, and his enthusiasm for the World’s largest rock faces have remained to this day.

Jerry has climbed Big Walls in Norway, Pamirs, Greenland, Patagonia, Baffin Island, Borneo and the Bugaboos. He has climbed on expeditions with the World’s best including Warren Hollinger, Mark Synnott, Silvo Karo, and Sir Chris Bonington and has been exposed to all the various types of Big Wall experiences, from fast lightweight ascents to lightning strikes, through to opening up whole new Big Wall playgrounds. He has climbed numerous walls in Yosemite including The Shortest Straw, currently the most technical aid route achieved by a British team. Jerry is the UK’s most experienced Big Wall climber, and has achieved climbs of World class significance.

Jerry’s other key career direction has been in the world of marketing. A senior management professional with 15 years experience in the Outdoor Industry, Jerry has held key positions including Marketing Director for Cotswold Outdoor, and Head of Marketing at 9feet.com. A member of the Institute of Direct Marketing and Chartered Institute of Marketing he has a proven track record of work within Commercial, Voluntary and Military sectors including extensive work with outdoor organizations such as the BMC, MLTB, PYB, Sports Council, and the MEF.

A public speaker since 1994, Jerry has developed his role as an inspirational speaker across Europe to Business, Outdoor and Diabetic communities. Key clients and conferences include Hewlett Packard, Expedition Logistics, BMC Festival of Climbing, Camping and Outdoor Leisure Association (COLA), Operation Raleigh, The Royal Geographical Society, Eton College, St Paul’s College, The Mount Everest Foundation, Mountains for Active Diabetics 2003 and 2004, l'Association Nationale des Médecins et Sauveteurs en Montagne ’09 (France), Roche Diagnostics GmbH (Germany), and “The Lilly/IDF Congress - 2005” (Bulgaria).

SHEER7 CHALLENGE: Started in 2001 this is Jerry’s personal version of the seven summits challenge (the highest summit on each of the 7 continents) -The Sheer7 Challenge is to climb the hardest alpine rock wall on each of the 7 continents. This project is the equivalent of climbing Mt Everest seven times and all by different routes! Jerry has four more climbs still to go.

ALPBASE.COM: Since 2003 Jerry has lived in the Southern French Alps together with his wife Jackie and their two children, Elizabeth and Charlotte, where they run AlpBase.com. They offer chalets and apartments for weekly rentals, and bespoke school, business and diabetic courses year round.

Dr Sarah Jarvis - MD, FRCGP
GP and GP Trainer
Sarah Jarvis is a GP, GP trainer, fellow of the Royal College of General Practitioners and Women’s Health spokesperson for the RCGP.
She is also a medical writer and broadcaster, and is currently the BBC Radio 2 doctor and doctor to the One Show on BBC1, Good Housekeeping, My Weekly and Pregnancy magazines, as well as spending 10 years as ITN lunchtime News doctor. She also contributes regularly to GMTV, Sky News, The Wright Stuff on Channel 5 and BBC Radio 5 live. She has been a regular contributor to a variety of medical magazines and journals including Update, Doctor, Practice Nurse, the British Journal of Cardiology and Cardiology News.
She has a particular interest in Women’s Health and children, and has been the Women’s Health tutor for the University of Bath/Royal College of GPs course on women’s health, as well as the author of Pregnancy for Dummies and Children’s Health for Dummies. She has also authored Diabetes for Dummies, The younger woman’s Diagnose-It-Yourself guide to Health, Women’s Health for Life (winner of the BMA popular medicine book award) and The Welcome Visitor, a book on ethical dilemmas at the end of life co-authored with the broadcaster John Humphrys.

Dr John Steyn - MD
General Practitioner, Edinburgh, Clinical eHealth Adviser, NHS Lothian
John Steyn has been a General Practitioner in Edinburgh for over 26 years, having trained in Aberdeen. The practice is an urban practice with 6 GPs caring for 6,600 patients. With 25% of the patients being over 65, and 13% aged over 75, the unsurprising area of specialism is supporting patients with (often complex) co-morbidity in their home environment. In addition, he has been Clinical eHealth (IM&T) Adviser for NHS Lothian for over 20 years. This role involves ensuring that IT developments support, and deliver improvements to, patient care. The remit extends not only across Primary Care IT, and communications to and from Primary and Secondary Care, but also to IT in Secondary Care.


Pri Med Educational Programmes reserve the right to change this programme at any time without notice. *Pri-Med would like to thank Lilly for sponsoring this session. The speaker has been paid an honorarium and briefed by Lilly. **Takeda UK have supported this meeting with a financial grant. Pri-Med are responsible for the meeting organisation, content and selection of speakers. ***Pri-Med would like to thank Lilly for sponsoring this session. The speaker has been paid an honorarium and briefed by Lilly. ****Pri-Med would like to thank Lilly for sponsoring this session. The speaker has been paid an honorarium and briefed by Lilly.
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