Second opinions
A second look at what you have already been told.
Bring the letters, the tracings and the reports you already have. Dr Jogiya reads them alongside your symptoms and your history, then explains what he makes of it and whether he would suggest anything different.
What he reviews
The material you already have.
Most people asking for a second opinion are not starting from nothing. There is usually a letter, a set of results, a diagnosis and a plan. What a consultant can add is to read all of it together, in the light of what you actually feel, and say whether it hangs together.
He will go through whatever you have, including any of the following.
A second opinion is not a criticism of the team already looking after you, and Dr Jogiya will say plainly when he agrees with them. Quite often the useful outcome is being told that the plan you already have is the right one, and why.
It sits alongside the care you are already getting rather than replacing it. Keep the appointments you already have, and keep taking what you have been prescribed unless the doctor looking after you tells you otherwise.
- Previous cardiology letters and medical records
- ECGs
- Holter and ambulatory monitoring
- Echocardiograms and other cardiac investigation reports
- Previous diagnoses
- Proposed investigations and treatment plans
- Cardiovascular risk and cholesterol results
If you are not sure whether something is relevant, keep hold of it anyway. It is easier to set aside a report he does not need than to work around one he has not seen.
Watch and monitor recordings
Apple Watch, Kardia and other home recordings.
People often arrive with a recording now. An Apple Watch that flagged an irregular rhythm, a Kardia trace taken during palpitations, a reading from another home device that captured something and left you none the wiser. Dr Jogiya will review any of them.
What he does not offer is a trace reading service. A recording on its own does not mean very much. It means something once it is read next to what you felt at the time, what has happened before, what you take, your family history and what an examination shows. The same tracing can be reassuring in one person and worth investigating in another.
So a recording is reviewed inside a consultation rather than instead of one. Sometimes the honest answer is that a longer monitor, an echocardiogram or another investigation is needed before anybody can tell you what your recording means, and he will say so rather than guess.
If you have symptoms now, do not wait for an appointment. Chest pain that does not settle, sudden severe breathlessness or a collapse needs emergency care, so call 999. For urgent advice that is not an emergency, call 111 or speak to your GP.
Where he can see you
Across the United Kingdom, and in person near home.
Dr Jogiya provides second opinions for patients anywhere in the United Kingdom. Where it is clinically appropriate the review is done by video or by phone, so you do not have to travel for it.
He also sees people in person at his clinics in and around Kingston upon Thames and London. If you would rather be seen face to face, choose the clinic you want in the booking form rather than the second opinion option, and say in your message that it is for a second opinion.
Whether remote is the right way to do it depends on what is being reviewed. If he needs to examine you, or a test needs repeating properly before it can be relied on, he will tell you that rather than work around it.
International enquiries are considered individually, subject to the relevant clinical, regulatory and indemnity requirements.
Sending your records
Ask first, then send.
Please do not send records, tracings, reports or scan images through the form on this website. It is an enquiry form and not a secure clinical channel, and keeping clinical material off it is deliberate rather than an oversight.
Tell us instead, in a sentence or two, what you have and what you would like looked at. Something like a cardiology letter from last year, a seven day monitor in March and a watch recording from last week gives him plenty to go on.
A second opinion request goes to Dr Jogiya himself rather than to a clinic booking desk, so the reply comes from him or from the team who manage his appointments. If anything needs to reach him before the appointment, the reply will explain how.
The simplest thing is to bring it all with you. The folder of letters, and the recordings still on your phone.
If it cannot wait
This page is about a planned review. Chest pain that does not settle, sudden severe breathlessness or a collapse needs emergency care rather than an appointment.
Call 999.
For urgent advice that is not an emergency, call 111. For anything else, we reply to enquiries within two business days.
How we look after what you send us is set out in our privacy policy.
Next step
Ask for a second opinion
Choose "Second opinion, by video or phone" in the form and your request goes straight to Dr Jogiya rather than to a clinic booking desk. Tell him what you have and he will come back to you.