Follow-up and assessment of pituitary and adrenal conditions by video or phone with Dr Syed Kazmi, Consultant Endocrinologist — available to adults anywhere in Ireland, most weekday evenings.
What Can Be Reviewed Remotely
Who You'll See
Dr Syed Kashif Hussain Kazmi — MRCPI, FRCP Glasgow, CCT in Diabetes and Endocrinology, IMC 213626, GMC 6117450 — conducts online pituitary and adrenal consultations personally, with access to the established physical clinic in Naas whenever face-to-face assessment is clinically required.
A clinic letter is sent to your GP after your consultation, the same as after an in-person visit, and both self-referral and GP referral are accepted.
How It Works
Call 089 656 7597 or email the clinic. Self-referral and GP referral both accepted.
Share hormone results, any dynamic (stimulation or suppression) test reports, and pituitary or adrenal MRI or CT reports.
By video or phone, weekday evenings. Dr Kazmi reviews the diagnosis, replacement or suppressive treatment, imaging surveillance and safety education.
A letter goes to your GP; further bloods or dynamic testing are arranged through an appropriate service, and imaging follow-up is scheduled.
Scope, Tests & Prescriptions
Handled Remotely
Established pituitary and adrenal conditions are largely results- and surveillance-led, which suits a remote review.
Needs In Person or Local
Much of the diagnostic work-up in this area needs a hospital or day-unit setting.
Related Online Consultations
The endocrinology hub — full scope, contraindications and emergency exclusions.
Testosterone and pituitary-gonadal axis assessment by video, Ireland-wide.
Our clinical information pages on pituitary and adrenal conditions.
Frequently Asked Questions
Yes. Follow-up for known pituitary conditions (such as prolactinoma or growth hormone disorders) and adrenal conditions (such as adrenal incidentaloma follow-up), including review of blood test and scan results, is well suited to video or phone consultation with Dr Kazmi.
Yes, in principle — imaging can usually be arranged locally to you, with results reviewed at a follow-up video, phone or in-person consultation. Exact arrangements depend on the scan and your location.
No — dynamic endocrine tests (such as stimulation or suppression tests) require attendance at a hospital or clinical facility. An online consultation can discuss whether such testing is needed and help coordinate the referral.
An initial discussion of an incidental finding, your symptoms and any existing results can take place online. Dr Kazmi will advise on further investigation and whether an in-person visit is needed.
Ongoing hormone replacement follow-up and dose review can be discussed during a video consultation, at your consultant's clinical discretion — the same standard applied in person. Initial diagnosis and safety-critical situations may require closer or in-person assessment.
Yes. Once a prolactinoma is diagnosed, follow-up is driven by prolactin levels, symptoms, cabergoline tolerance and periodic pituitary MRI — all of which can be reviewed by video. Dr Kazmi adjusts the cabergoline dose, decides when imaging is due, and advises on pregnancy planning or a trial off treatment where appropriate. Blood tests and MRI are arranged locally or through an imaging service, and the reports are reviewed with you. Sudden severe headache with visual change or double vision needs emergency assessment, as it can indicate bleeding into the tumour.
For established adrenal insufficiency (Addison's disease or secondary adrenal failure), an online review covers your replacement regimen, how you feel through the day, sick-day dosing, your emergency hydrocortisone injection kit and technique, your steroid emergency card and bracelet, and coordination with your GP. What it cannot replace is the emergency response to an adrenal crisis: vomiting, collapse or profound weakness require an immediate intramuscular hydrocortisone injection and a 999 or 112 call, not a booked consultation.
Dr Kazmi identifies exactly which tests are needed for your pituitary or adrenal condition and provides a request. In most cases these are done locally to you — through your GP practice, a hospital phlebotomy service, or a private lab — and the results are sent to the clinic and reviewed with you at a short follow-up by video, phone or in person. Where a test genuinely has to be done at a specific facility, that is explained before you proceed. You do not need to travel to Naas simply to have blood drawn.
Yes, where it is clinically appropriate. After the consultation Dr Kazmi sends a detailed letter to your GP setting out the diagnosis, the plan and any recommended change to hydrocortisone, cabergoline or other hormone replacement or other medication, so your GP can issue or adjust the prescription as part of shared care. Where a private prescription is more appropriate, the arrangements are discussed with you directly. Some changes are deliberately held until a blood test or an in-person review is done first.
Follow-up intervals are individual to your condition, how stable it is, and Dr Kazmi's clinical judgement — they are not fixed for every patient. Many people with pituitary or adrenal condition settle into a pattern of one or two reviews a year once treatment is established, with extra reviews around any medication change or new symptom. A clinic letter goes to your GP after every consultation so your primary care team stays informed throughout.
Both. New-patient assessments are carried out online where a physical examination is not immediately required — Dr Kazmi takes a full history, reviews any results and referral information, and sets out an initial plan. If the assessment shows that a hands-on examination or an on-site test is needed to be safe and complete, an in-person appointment in Naas is arranged, usually as the next step after the video consultation rather than instead of it.
Book Today
Video and phone consultations with Dr Kazmi. Same fee as in-person. Weekday evenings, 16:00–19:00, Monday–Friday.