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Written by a private patient at Oaks Hospital
13th August 2021


I am so grateful to Mr Howard. After getting nowhere with many other healthcare professionals, and suffering quite significantly for a few years, I had given up hope. Mr Howard was my last ditch attempt at trying to help my suffering. He listened and explained that he could indeed help me. He was kind, understanding and he had my absolute trust from the beginning. He has gone above and beyond when more complications arose before my treatment commenced.

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Written by a NHS patient at The Lakes (Colchester Hospital)
21st July 2021


Mr Howard was amazing so kind and professional, he always made me feel safe. My journey started back in February where my right arm swelled and went discoloured (bluish/purple except for my finger tips) and I went to A&E. A&E were unsure what it was so I was put on Clexane injections incase it was a blood clot and told to come back to the DVT clinic. When I came back an ultrasound scan showed I had a Subclavian DVT. It was here where things could have gone badly had it not been for Mr Howard. I was put on the vascular waiting list to come back in 2 or more weeks. I wasn't happy with this as I felt I didn't have any answers to any questions I had and asked to speak to the Medical Consultant in AMSDEC. He eventually called Mr Howard and Mr Howard asked to see me in the next 2 days in his clinic instead, double booking me onto his already extremely busy morning list. When I went to clinic he looked at my scans and arm and told me he wanted to admit me in immediately for thrombolysis of the removal of the blood clot, telling me these are time sensitive and we had only 14 days from when is first formed to remove it or it can solidify...I was day 10 by the time I went in and had it done. Mr Howard informed me I had Thoracic outlet syndrome which due to having a narrow space between my collar bone and 1st rib when I put my arms above my head it caused the subclavian vein to become occluded. I had stated weight lifting at the gym since covid and this constant squashing of the vein had damaged it to the point where it has formed a clot. 4 days later, 72 hours of thrombolysis and a venoplasty to stretch the vein and remove the clot and I had such relief. The 5cm clot had dispersed! And my worry of PE's and Stokes was almost gone. Mr Howard reassured me that by staying on the blood thinners the rest if the clot within the vein would disperse. However there was a lot of residual scaring to the vein. I was informed that the next thing to do was surgery to removed my 1st rib and to stay on blood thinners until then to prevent future clots. During this time I had worsening pain due to the thoracic outlet syndrome causing chest pain, tingling down my arm, headaches should pain and neck pain. I even had a CTPA done to check for clots in my lungs because i was feeling short of breathe which all turned out to be symptoms of thoracic outlet syndrome. Mr Howard came to see me when this happened and told me I would having surgery in the next few weeks. And reassured me that it was normal and was best to have rest. I stopped working completely at this point. I had my rib removed on the 11th of June and I am now 5 weeks post surgery and I am feeling much better! Beat thing I could have done was to have the surgery and would advice anyone who is nervous to get and have Mr Howard do theirs too! The procedure itself was over in 2 hours but I wasn't aware of anything until much later. I had a nerve block which helped me greatly with the pain. It last about 12 hours post op and I never needed a PCA, just had regular Oxycodone and the normal Ibuprofen and Paracetamol. It was painful in the following weeks but gets easier after the first few days. My arm felt very heavy and I had some numbness which was gone by about week 3/4. I had the stitches out after 3 weeks and the wound is healing so well. The cut went along my collar bone but I can already tell its going to heal and be very neat and very faint it doesn't bother me at all! I stated Physio after 2 weeks and the exercises help so much with my range of movement and stiffness. I struggled with being short of breath, very tired and some dizziness for the first few weeks but with gentle slowly increasing exercise that has now almost gone. I was able to drive after 5 weeks Mr Howard called me on the telephone to let me know I am now able to return to work. I am a ITU nurse and need to be able to return to moving and handling of patients which he says I can now do. I will be going back as a phased return as I have been non clinical since the blood clot happened in February. If I had an office job I would have been happy to return to work after 4 weeks. However for me it's actually been 6 weeks and a phased return but it's not as common to develop a blood clot and having been off for so long it's our policy to be phased back to work. I am now to continue on blood thinners until the next operation to remove my 1st rib on the left side as I occlude my subclavian vein on that side when I put my arm up too. It is expected to be in about 6 months time and I can't wait for it to all be over and done. Thank you for all you did for me Mr Howard, I am so pleased it will be you doing the next surgery too. I wouldn't have wanted anyone else.

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Written by a private patient at Oaks Hospital
9th July 2021


Mr Howard is absolutely incredible! He took such great care during my recent operation and reassured me the entire time throughout the procedure (I’m an anxious patient) he is also so lovely to deal with day to day. It’s rare to find a surgeon these days that actually cares for you not only as a patient but an actual person. Mr Howard was completely reassuring start to finish and his quality of medical care is beyond outstanding. I highly recommend Mr Howard along with his medical team.

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Written by a patient at Oaks Hospital
10th February 2018


Adam Howard After 6 months discomfort with a dvt issue after a long haul flight I was referred by my gp to Adam Howard. The first consultation on 2.1.18 was extremely helpful and thorough and I left The Oaks with clear and constructive advice of how to deal with the issue, a date for a scan and also received a letter a few days later outlining the content of said consultation. 20.1.18, duplex scan carried out by a colleague of Adam Howard, again first class as an explanation was given during the scan if you you asked a question. 30.1.18, assessment visit carried out by Adam Howard, again a good clear and factual conversation about the recovery process and the pro’s and cons of various surgery types going forward if deemed necessary in future. Again a few days after the assessment, I received a letter detailing content of said assessment, this included medication required for long haul flights in future and copy sent to gp so I can just request the medication if a long haul flight is necessary. Summary, after 6 months of pain and not really knowing what was right or wrong with regard to dealing with issue, lack of sleep, extremely difficult to carry out manual work, in the space of 28 days I had the answers, a plan and a summary going forward, I would like to thank my gp for referring me to Adam Howard, could not of expected more, a very good specialist who details the specific points in an understandable way and now I know exactly where I am at. Paul Myatt

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Written by a patient at Oaks Hospital
28th November 2017


I am still under Mr Howard's care and I can honestly say he is the most kindest man and nothing is to much trouble. Every procedure was explained to me. I had a reaction to one of the steps and was completely put at ease and just felt safe with his knowledge and experience. He has a very calming presence. I would recommend him eveytime.

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Specialises in

  • General surgery
  • Vascular and Transplant Surgery

Profile

Mr Howard's clinical interests are:
- Varicose vein treatments (minimally invasive endovenous laser, VNUS radiofrequency and foam sclerotherapy together with traditional surgery),
- Keyhole surgery for herniae and gallstones,
- Treatments for excessive armpit sweating (Botox & ETS),
- General surgery (including open hernia repair, in growing toe nails, lumps and bumps surgery),
- Aortic aneurysm repair (laparoscopic, open and stent grafting),
- Arterial bypass surgery,
- Diabetic foot surgery, l
- Leg ulcers and lymphoedema.

Mr Adam Howard acquired his MBBS and BSc at the London Hospital Medical College in 1994 and later graduated as Doctor of Medicine, Imperial College in 2005 studying ‘The prevention of deep vein thrombosis in surgical patients’. His surgical training was mainly in major London centres under Professor Thompson (St Georges Vascular Unit), Professor Greenhalgh (Charing Cross Hospital) and Professor Lumley (Royal London Hospital).

Mr Howard has been a consultant surgeon at Colchester (and Honorary Consultant at St. Georges Hospital, London) since 2007 and during this time has set up a nationally recognised Laparoscopic Aneurysm Surgery Programme, Endovenous radiofrequency varicose veins service, Fast track carotid surgery service, VTE (Venous Thromboembolism) Prevention programme and a Multidisciplinary diabetic foot vascular clinic.

Mr Howard is the Clinical Lead for the Regional Colchester and Ipswich Five Rivers Vascular Unit and Senior Lecturer in Minimally Invasive Surgery and Robotics at Anglia Ruskin University, Chelmsford and Cambridge

He is a laparoscopic vascular surgeon who specialises in laparoscopic and stentgraft aortic aneurysm (EVAR) repair at Colchester General Hospital, a renowned laparoscopic minimally invasive surgery and training centre. Mr Howard performed the world’s first total laparoscopic repair of cyclists’ pelvic arteries and leaking aneurysm stentgrafts (Type One Endoleak repair). He also pioneered robot assisted laparoscopic surgery for elite cyclists.

His other main interests are in the prevention of VTE and patient safety in hospitalised patients. Mr Howard and his colleagues have developed a new online VTE risk assessment programme for all admissions that was awarded the NHS Innovations Award 2010 for Patient Safety. In 2014, Mr Howard developed an infection control electronic iPad tool to use in hospitals that was shortlisted for the National NHS Challenges Innovation Awards Dragon's Den.

In addition to vascular surgery, Mr Howard regularly performs general laparoscopic surgery for all types of abdominal herniae and sympathectomy for hand/axillae sweating.