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Door Handle Conversations

Dr Pixie McKenna and Dr Sera Shoukru, private GP Partners at ‘Pixie and Sera’ based at The London Clinic, have over 30 years of combined experience.

In this feature, they list the top 10 conversations they've had with male patients, who ask these questions as they're about to leave the consulting room.

About Dr MCKenna

Dr McKenna specialises in all aspects of General Practice, lifestyle screening, sexual and reproductive health care and dermatology. 

Dr Pixie McKenna

Dr Pixie McKenna

About Dr Shoukru

Dr Shoukru specialises in all aspects of General Practice. She is a GP specialist in sexual and reproductive health care and complex contraceptive needs.

Dr Sera Shoukru

Dr Sera Shoukru

What's a 'door handle conversation'?

Most men don't like seeing the doctor, it's a fact. 

When faced with a medical dilemma they often favour the option of doing nothing over that of finding out what's wrong. 

Bottom line is: men don't like asking for help and even when they do finally brace the door of the GP surgery it can take them a while to tell us why they are really there. 

This classic male manoeuvre is what we call 'the door handle conversation'. 

Man's hand on a door handle

Essentially this means that they will often initiate their consultation with a fairly innocuous complaint and only blurt out why they are really there when they're on the brink of going through the door.

The parting shot of "Can I just ask..?" or "Just one more  thing, doctor" is GP code for "I have a serious concern". 

We are trained as doctors to anticipate these door handle conversations.

Once the ice is broken and the real reason for attendance is broached, we can finally get to the bottom of why the patient made the appointment.

Most importantly, we can work with them to sort it.

Our Top 10

Here are the top 10 door handle conversations we encounter with male patients.

The purpose built Endoscopy Unit at The London Clinic offers a range of investigations to ease your concerns.  

Endoscopy Unit

A colonoscopy, for example, is used to investigate potential bowel cancer.

Colonoscopy treatment

The Men's Sexual Health service at The London Clinic has a team of experts in sexual health.

These experts can provide a wide range of assessments, advice and treatments to help you identify and deal with your sexual issues in a sympathetic setting.

Men's Sexual Health

The London Clinic has a number of highly experienced consultant dermatologists, who will be able to assess your symptoms.

Dermatology consultants

Dr Pixie and Dr Sera offer bespoke, specialist medicals here at The London Clinic.

Your detailed consultation comes as part of a personal service aimed at making you as healthy as possible.

Blood tests and other detailed information (e.g. body fat analysis, muscle mass) will be backed up by expert nutritional advice. 

Nutrition and lifestyle medicals

If first option treatments such as lifestyle changes and breathing devices do not help to alleviate snoring, surgery may help to treat the issue.

Snoring treatment

The London Clinic has a dedicated Ear, Nose & Throat (ENT) team, who form part of our Head and Neck Services.

Head and Neck Services

The Men's Sexual Health service at The London Clinic has a team of experts in sexual health.

These experts can provide a wide range of assessments, advice and treatments to help you identify and deal with your sexual issues in a sympathetic setting.

Men's Sexual Health

Our consultant urologists offer a range of treatments for male urinary incontinence. 

The benefits are:

  • Immediate, visible result
  • Rapid symptom relief
  • No tissue removal or ablation
  • Minimal downtime
  • Preservation of sexual function

Urology services

The London Clinic provides access to the latest developments in the diagnosis and treatment of liver disease. 

One test is a FibroScan® test. This can reveal any fibrosis (stiffening) within the liver. It is a non-invasive test, so you do not need a biopsy or an injection. The Fibroscan® works using ultrasound and gives an immediate result.

Fibroscan®

Our specialist liver disease consultants work within large multi-disciplinary teams to offer the best care to patients, their family and friends.

Liver services

The London Clinic provides a number of procedures to assess the health of your heart. 

Our diagnostic services facility at 5 Devonshire Place offers a range of heart investigations, helping your cardiologist to develop a treatment programme tailored to your needs.

Heart and chest services

If you are feeling tired all the time, then you may like to have a Nutrition and Lifestyle medical.

Dr Pixie and Dr Sera offer these bespoke, specialist medicals here at The London Clinic.

Your detailed consultation comes as part of a personal service aimed at making you as healthy as possible.

Blood tests and other detailed information (e.g. body fat analysis, muscle mass) will be backed up by expert nutritional advice. 

Nutrition and lifestyle medicals

Disclaimer

Any views expressed in this article are those of the featured consultant(s) and should not be considered to be the views or official policy of The London Clinic.

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Treatment enquiries: +44 (0) 207 616 7693Consultant appointments: +44 (0) 207 616 7693 Prices for self funding patients: +44 (0) 203 219 3315Physiotherapy appointments: +44 (0) 207 616 7651X-ray and scan appointments: +44 (0) 207 616 7653Invoice and payment enquiries: +44 (0) 207 616 7708

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