Since 2006, we have offered a specialist internal medicine referral service, based at our hospital. We can offer work-up of the most complicated cases. More routinely, we are able to offer gastroscopy (scoping for stomach ulcers), colour-flow Doppler echocardiography (determination of the size, structure and blood flow through the heart with ultrasound), respiratory work-ups (problems of the throat or lungs), neurological examinations and skin diseases.