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Wednesday, June 24, 2009

letter to doctor?

Dear Dr Angela
RE : Mrs Ruby,

We saw your patient Mrs Ruby who presented in coma and we think that was wrong is a subdural haematoma. Her history's a mystery, her GCS was 9. And she was on ventilation, now she's stable. She had a broken neck of femur, broken neck and broken nose. She now in neck fixation (brackets). We noticed her colostomy, her temporary nephrostomy. We did a laparoscopy because we thought that's be necessary to elucidate any problems underlying. She had trouble with her colon because they found a mass grown on it however ; it turned out to be benign. And yet they did a large resection from her flexure to her rectum. That excision's a decision i don't understand. She also has dysdiadokokinesis, i should also really mention that she went into retention with urinary infection and her leg stuck in extension. She has cerebellar tremor, possible rubella, dyspepsia, dyslexia and fracture left patella. We learned that she was burned so bad she had to have graft. Now we we're very happy how it looks. She's on warfarin in case she has another mini-stroke. We organised an ECG and BCG quite recently. Her TSH and FSH were not yet back today but her ESR and CRP should reassure us. So we'll see her back here in my clinic...

Yours Sincerely,
Dr 1189

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