OET Writing Practice: Letter# 11

Dr D Kurac

The Weight Centre

393 Victorian Road, Richmond

Melbourane

 

15/06/2018

Dear Doctor,

Re:  Andy William

I am referring this patient to you, who has a long term history of obesity, for further evaluation and management.

Andy William is 65 years old, having a weight of 155.5kg. His BMI is approximately 56.6kg/m2 despite participating in weight loss programmes and consulting dieticians.  

William is hypertensive and is type II diabetic. The patient is suffering from gout as well.  His Hemoglobin Aic is 6.1%, with morning blood glucose levels between 100 to 130 and triglyceride levels of 201mg/dl. His serum insulin is 19 IU/ml. For the management of diabetes, he is taking 30 units NPH before breakfast and 70 units NPH before and after dinner and metformin 850mg.  His other medications include Atorvastatin 10mg, Lisinopril, Nifedipine and Allopurinol.

The patient is obese since childhood and takes three meals each day, dinner being the largest of them.  Moreover, he visits restaurants weekly. The patient's partner is encouraging and is concerned about his health. He wants to learn more about the surgical options available for the treatment of obesity.

In view of the above, kindly recommend suitable treatment options including bariatric surgery if required.

Please, do not hesitate to contact me if you have any queries.

 

Yours sincerely,

Doctor