Complex medical problems

Dr David Richardson


The way Dr David works in  dealing with complex medical problems is in essence very simple.

By spending adequate time with his patients, carefully listening to their stories and considering all the factors in their lives which may be contributing to their current health, plus relevant medical tests and physical examination, he comes up with a written plan to improve things.

Then 'working in partnership' with the patient the plan is put in place.

After 6-8 weeks at a review the plan is discussed - what has worked, what has not, what needs modifying. This process is repeated as necessary.

What is different about Dr David is that he breaks down the complex medical problems into all the following subgroups:

a) Illness, infection and physical disease - early diagnosis of problems or potential problems can have enormous impact on our long term wellbeing. e.g. Insulin Resistance,  sub clinical hypothyroidism or other thyroid problems. Candida of the gut.

b) Mental state - depression, stress levels, personality type e.g driven perfectionism, obsessive traits, past trauma and childhood abuse, psychiatric problems - bipolar disease is often undiagnosed for years and thereforepoorly treated.

c) Relationship issues - problems with spouse, children, parents, workmates including supervisors or bosses

d) Nutritional factors - even in Sydney many people are relatively low in iron and Vit D, and often zinc, magnesium, and B12 are also suboptimal. This despite a so called 'healthy diet'

e) Hormonal factors

  1.  Even 15 -20 years before the menopause women can battle with hormone imbalances which can have major impacts on their mood, energy and sexuality for example.

  2.  Depression in men is often made worse by suboptimal levels of testosterone or DHEA.

  3.  Post menopausal women and men often feel far better when their hormones are replaced in a balanced way.

  4. Thyroid problems are often treated in a way that leaves people feeling a long way from their best.

  5. PCOS is often undiagnosed and impacts on acne, hirsutism, obesity, sexuality, self esteem and reproduction.

f) Social issues - financial state, social isolation, and support networks can have a vast impact on how well people feel and how they cope with adverse situations.

g) Lifestyle issues - level of exercise, obesity, fitness impact on almost every aspect of our health

h) Levels of smoking, alcohol and other substance use, gambling or other addictive behaviours obviously impact on our wellbeing.

j) Motivation to make necessary life changes, preferably in partnership with competent therapists is essential in bringing long term improvements to the way we feel.

h) Interpretation of blood tests - most doctors only worry about results that are asterisked as outside of the normal range. Yet for many tests there is an Optimum part of the normal range, and certainly if results borderline abnormal, particularly if there are multiple results which are suboptimal your health and well being may be compromised.


Dr David attempts to bring all these factors together and uses a wide variety of treatment to help people feel content with their health. Given well motivated patients willing to address  the above we feel our patients usually do well, learn a lot about themselves and find the path to greater overall wellbeing  a captivating chapter in their lives