TAKE A NOTE

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Many of you opt for OET because its writing is comparatively easier than IELTS Writing. However, there are many aspects you need to be sure about in order to write an OET referral letter. Read each letter below and understand the corrections. For your improvement, all these letters are written by the same person.

READ THESE OET RULES BEFORE YOU PROCEED TO CORRECTIONS

  1. The following words are followed by a comma:
    1. So,
    2. Also
    3. However,
    4. Besides,
    5. Overall,
    6. In addition to that,
  2. And the following words are GENERALLY not followed or preceded by comma:
    1. Who “This is the patient who has requested home visit.”
    2. Whose
    3. Whom
    4. That
    5. Which
    6. While
  3. Use simple present for Social History
    • Ms Alnet lives with her husband and two children.
    • Mr Joy is a social worker.
  4. Use present Perfect for nursing management:
    • The patient has commenced ib
    • uprofen 20 mg.”
  5. Use
    • Ms Patient will have a review appointment with Dr Stenson.
VERB FORMSV1 VS V2 V3 VING

Verb forms are very similar to tense and when you write your letters in incorrect grammar, you surely score badly. In this section, let’s have a better grammar sense.

The most important thing is, each verb has 5 forms and they are base form, S form, past form, past participle form and continuous form. Let’s understand that with the following examples:

  1. Inhale – inhales – inhaled – inhaled – inhaling
  2. Apply – applies – applied – applied – applying
  3. Admit – admits – admitted – admitted – admitting
  4. Improve – improves – improved – improved – improving
  5. Consume – consumes – consumed – consumed – consuming
  6. Commence – commences – commenced – commenced – commencing
Now let’s see where we use all these 5 forms:
  1. V1 or base form comes after:
    1. To + V1
      1. “I like to go abroad.” “She likes to go abroad.” “They liked to go abroad.” “She will go abroad.”
    2. D Family or Do, Does, Did + V1
      1. Do
        • “Do you live here?”
        • “The patient’s relatives do not have any communication with her.”
      2. Does
        • “Does he live here?”
        • “The patient does not tolerate heavy meals.”
      3. Did
        • “Did he live here?”
        • “Ms Alnet did not have any problem till Monday.”
    3. M Words + V1
      • Can “I can do it.” “Many youngsters can get educated.”
      • Could “The patient could not stand upright.”
      • May “The patient may get discharged today.”
      • Might “It was feared that the patient might die.”
      • Should .
      • Would
      • Must
  2. Vs comes after:
    1. He, she, it + Present Simple
    2. “Ms Alnet lives in a rented house.”
    3. “Mr Kapil works as a radiologist.”
    4. “The patient needs to receive a packet of RBC immediately.
  3. V2 or Simple Past (Completed actions)
    1. With all actions that are complted on a time.
    2. “Ms Emily drank three ounces sof poison yesterday.”
    3. Last year, the patient suffered from serious burning sensation in the throat.
  4. V3 or Perfect tense:
    1. With Present Perfect – Have / has + V3 (Incomplete actions)
      1. “She has requested to send a nurse to her home.”
    2. With Past Perfect – Had + V3
  5. Ving – Continuous Tense
    1. After:
      • For “She has come for treating her angina.”
      • By “We have managed to stop her bleeding by medicating.”
      • Before “The patient needs to undergo MRI before doing surgery.
      • Without
10 COMMANDMENTS
  1. Do not begin any sentence with:
    1. But > However
    2. And > Besides
    3. Because – Because of
    4. Hence – As a result
  2. Do not end any sentence with
    1. Also
    2. Only
  3. Do not use the before:
    1. A group as a whole.
      1. The Women are very careful in making plans.”
      2. The Old people are always talkative.”
  4. Use “the” with:
    1. The poor
    2. The rich
    3. The public
    4. The Nile, the Thames, the Amazon
    5. The Indian Ocean, the Atlantic
    6. The Bible, the Quaran
    7. Same
    8. First, second, third…
    9. Last
    10. Fastest, sharpest, cutest, most important, most
  5. Every and Each are singular.
    1. The patient has followed every instruction given to him.
  6. No need of prepositions before:
    1. Today – “Today he showed more interest in talking to his wife and a few friends.”
    2. Yesterday
    3. Earlier
    4. Before
    5. Tomorrow
    6. Later
    7. After
    8. Worldwide
    9. Abroad “The patient’s
    10. Out of state
PASSIVE VOICE

Passive voice is very important for OET writing. Let’s see the rules here:

  1. The doctor diagnosed Ms Stella.
    Ms Stella was diagnosed.
  2. The hospital admitted Ms Stella on 12th May.
    On 12th May Ms Stella was admitted to the hospital.
  3. Her dietician advised Ms Stella to include low-fat food.
    Ms Stella was advised to include low-fat food (by her dietician) > Better not to mention “by her dietician)
    Ms Stella was advised to include low fat food in her diet.
  4. She has requested me to provide home care for her son for three weeks.
    I have been requested to provide home care for her son for three weeks.
  5. We cannot convince the patient.
    The patient cannot be convinced.
  6. We have not contacted the patient’s husband.
    The patient’s husband has not been contacted.
  7. The doctor has not diagnosed the patient yet.
    The patient has not been diagnosed yet.
  8. The hospital may not discharge Mr Patient for a week.
    Mr Patient may not be discharged for a week.
  9. The physiotherapist has advised Ms Patient to forego evening meals for a while.
    Mr patient has been advised to forego evening meals for a while.
  10. I request you to take over the care of Ms Patient.
    You are requested to take over the care of Ms Patient.
  11. The doctor is planning to discharge the patient tomorrow.
    The patient’s discharge is being planned for tomorrow.”
  12. At the time of admission, we found the patient’s BP very low.
    At the time of admission, the patient’s blood pressure was found very low.
  13. We have advised the patient.
    The patient has been advised.
  14. The patient left a suicide note before committing suicide.
    A suicide note was left before committing suicide.
  15. We have made much attempts to resuscitate the stillborn.
    Much attempts have been made to resuscitate the stillborn.

TENSE – SIMPLE PAST & PRESENT PERFECT. STARTING IN 5 MINUTES

  • Past tense and present perfect tense are very much similar.
    • The patient requested a wheelchair to be sent to his home. Simple Past
    • The patient has requested a wheelchair to be sent to his home. Present perfect.
  • Simple Past means “done and completed at a time.”
    • She went home in the evening. (Look at the time!)
    • He consumed poison on 31st April. (look at the time!)
  • Present Perfect means “action started but not yet completed.”
    • Remember, in present perfect there are 2 parts.
      • We have invited her to the party.
        • Part 1 – Inviting part
        • Part 2 – Her arrival at the party
      • The patient has commenced on aspirin.
        • Part 1 – Commencing, or, taking the first course of aspirin.
        • Part 2 – Completing 0the course.

SUPPLY SIMPLE PAST OR PRESENT PERFECT.

  1. The patient ……….. (succumb) to the injuries.
  2. Yesterday, Ms Patient ………. (complain) of extreme pain in the abdomen.
  3. The patient’s friend Amana ……… (agree) to pay the hospital bills.

CORRECTED LETTERS

LETTER 1

Dr Helen Wir
South Melbourne
Rehabilitation Services
123 Emerald Street
South Melbourne 3205

20th January, 2007

Dear Dr Wir,

  • “Dear Doctor” is better than “Dear Dr + Name”

Ref: Mr Jack Wojovski, 43 years

  • A hundred times I told you there is no need to use aged and years.
  • An OET student is awarded marks for
    • Professional Knowledge
    • English
    • Sensibility

I am writing this letter to refer the above-mentioned patient to your care as he requires your expert assessment and care to cope with his lower back strain due to work-related back injury.

  • No error at all

Initially, Mr Wojovski presented to our hospital with complaints of persistent pain and muscle spasm that radiates to his lower back. Consequently, he has been prescribed with analgesics which reduced his pain. However, he often complains of pain when he returns to work or lifts heavy weight at work as he works as a factory worker for the past 18 years.

  • “Radiated” because it is past tense. The patient may still have those symptoms but e have said that “it was at the time of admission.”
  • Past is used to indicate it was a past symptom.
  • As you have used “has been” you should be sure that the analgesics are still taken.
  • Have and has are very dangerous when used unprofessionally.

On 17/01/2007, an x-ray lumbar spine was done which revealed the current diagnosis as exacerbated lower back strain for which physiotherapy sessions were continued. Despite the efforts made, there were no significant differences as he remained complaining of pain with reduced frontal flexion and extension along with limited movements.

  • No! We don’t use abbreviated date format
  • “17th January, 2007”
  • “Sessions continued”
  • All elements of this letter are perfectly woven.

In view of the above circumstances, it would be highly appreciated if you could assess and provide him with the required care as deemed appropriate. Kindly encourage him to return back to routine activities.

  • It is important to use the patient’s name when it occurs at the start of the paragraph

Thank you for taking over this patient’s case. Please do not hesitate to contact me if you have any queries pertaining to the patient.

Yours sincerely,
Registered Nurse.

LETTER 2

The Admission Officer
Peter MacCallum Cancer Centre
305 Grattan St
Melbourne VIC 3000

11 July, 2017

Dear Sir/ Madam,

Ref: Mr Bruce Brew, 36 years

  • C+

I am writing to request an emergency u with stage 3 gastroesophageal junctional cancer for which he has commenced on oxycodone intravenously 1mg/ml in 0.9% saline and 5% dextrose as needed. At present, Mr Brew is not able to do daily activities because of the weakness. His weight loss is noted as 10kg for past 6 months.

  • Good.
  • C+
  • Changed has been to was diagnosed because once diagnosis is done,it is usually not repeated.
  • Has is used for an incomplete action.
  • k sir
  • Next

Mr Brew lives with his wife Mrs Nancy Brew. He has a family history of cancer and he has had heartburn for which he underwent some tests such as endoscopy, biopsy .and barium swallow in 2016. Also, Mr Brew is alcoholic.

  • “She lives with her husband Mark”
  • “He lives with his wife Nancy”
  • Just examples
  • K sir
  • Because when you say husband or wife, no need of repeating Mrs or Mr
  • k sir
  • Look at that Also! This is something what OET doesn’t like. They say that it is an unnecessary connector.
  • The sense side is, when you start a sentence with “Also,” it must be a continuation of the previous one.
  • In this case, the prev sentence is about some tests while the “Aslo” sentence is about his being alcoholic.
  • Both do not go along.
  • All you need to do is delete Also
  • k sir understud
  • Hope clear to all.

In the view of the above circumstances, it would be greatly appreciated if you could arrange an emergency admission for Mr Brew as he needs further tests and treatments. I think my enclosing all relevant medical records will be an added advantage for you to start his treatment.

  • In view of the…
  • C+

Please feel free to contact me for further queries.

Yours sincerely,
Charge Nurse
Seymour District Memorial Hospital Nurse

  • Overall C+
  • Next Assessment in 1 minute.
  • k thank you sir

LETTER 3

Dr Miriam Shah
Consultant Obstetrician
Royal Hospital – Lowtown

6 April, 2019

Dear Doctor,

Ref: Ms Olivia Hawthorne, 40 years

I am writing this letter regarding Ms Hawthorne who presented to our hospital for the removal of IUD. It was an unsuccessful attempt probably due to its misplacement. She is being referred into your facility for further investigations and evaluation.

  • Okay. Good.
  • C+

In view of her medical history, on 21 April, 2009, Ms Hawthorne came with the complaints of menstrual bleeding which she had for 10 days prior to admission. She has been diagnosed with menorrhagia and dysmenorrhea so she was prescribed Cerazette. However, her condition worsened by next year. Consequently, she was commenced on combination of Cerazette and Cilest.

  • Good.
  • C+

On 2 June, 2013, Ms Hawthorne stopped taking the medication in order to conceive her second child. After two years, she experienced painful menstrual cycle and so IUD Mirena coil was placed. Although her condition improved as evidenced by no complaints of painful bleed, four days back, she reported to the hospital with spotted bleeding along with increase in hair growth and skin turning greasy. As a result, she was advised for IUD removal. Unfortunately, it was an unsuccessful attempt as the strings could not be located by the patient.

  • You have good observation yet need to frame sentences on your own.
  • Hmm..pUnder the above enumerated conditions, it would be greatly appreciated if you could perform an ultrasound and any investigations for revealing the location of IUD. There is a high presumption that it must have either been misplaced or dropped out. May I remind you that the pregnancy test was negative.

Please do not hesitate to contact me for any further queries.

Yours sincerely,
Nurse

  • It is a very complicated task yet you did for B
  • I observe that you have skipped some notes which were not very relevant
  • Yes, thrush could have been mentioned
  • You are writing to a doctor
  • Sir..i did not mention..thrush..
  • iron deifiency ..was it needed?
  • That too. After all, OET is not word-count specific in the first place

LETTER 4

Dr Maria Jones
128 Blacks Roads
Lin’s dale – SA 1523

20 November, 2016

Dear Doctor,

Ref: Mrs Susan Mathews, 76 years

I am  writing to refer Mrs Matthews who requires follow up care at your facility regarding her mental health, weight and wound as she has been under our care for the last five days.

  • C+

Mrs Mathews was brought to the hospital by her neighbour with complaints of laceration to the right thigh, bruised and grazed legs and disorientation followed by a fall. During hospitalization, ten sutures to the right thigh, wound dressing and tetanus injection were performed.

  • I changed “have been performed” to “were performed” because they are not probably going to be repeated.
  • Please remember, “have / has” are used when the action is expected to repeat.
  • Hope that’s clear.
  • Yes sir

On the next day, Mrs Mathews wound site became red and swollen and her temperature was elevated to 38 for which she was treated with oral penicillin and paracetamol 500 mg fourth hourly. Additionally, she was visited by a physiotherapist and a dietician.

  • Possession
    • Mrs Mathews’
    • Mrs Reena’s
    • Mr Sam’s
  • A dietician or dietician?
    • A dietician when there is only one
    • Dieticians when the number is not specific.

On discharge, Mrs Mathews was recovered well as evidenced by reduced swelling,independent mobility and non febrile as well.However,she was advised to take paracetamol if needed and oral penicillin for seven days at home.

  • One of the biggest errors – “He was recovered” “She was improved”
    • Write “He recovered” or “She improved”
    • Never use passive voice here.

In view of the above circumstances, it would be greatly beneficial if you could do follow up care for Mrs Mathews. It is important to note that she has to be monitored for weight improvement as her weight is below the normal range. Kindly evaluate her mental health and wound condition too. Please note that her sutures have to be removed in a week.

  • Something not correct here. You need to cut the sentence here are start a new one with, “Besides” or something else.
  • All well.

Should you require any information regarding this patient, please do not hesitate to contact me.

Yours Sincerely,
Community Nurse.

  • C++ or B
  • Well written

LETTER 5

Dr Maria Jones
General Practitioner
128 Blacks Road, Lonsdale
SA 5123

20 November, 2016

Dear Dr Jones

Ref: Me Susan Mathews, 76 years

I am writing this letter to refer Ms Mathews who is recovering from an accidental fall from the a ladder. As we are concerned regarding her mental health, weight  and wound, she needs follow up care from your service.

  • C+

As you know, Ms Mathews was presented to the emergency department with right thigh laceration with bruised and grazed legs. Subsequently, suturing has been was done with ten sutures and the wound was dressed with antiseptic solution. In addition to this, she was immunized with tetanus injection.

  • C+

During hospitalization, Ms Mathews was found to be disoriented and was not interested to take food. Besides this, she was not interested in shower or dressing by herself. She was recommended with high protein diet and ambulation as per the dietician and physiotherapist respectively. She was referred to community nurse following her discharge.

  • C+

On assessment by the community nurse, initially Mrs Mathews was found to be moody and lonely. She was not able to cope with new diet regime and she was mobilized with frame. Her wound was dressed with antiseptic solution. She has been recommended with meals on wheels and a social worker’s reference to improve her participation in social support groups. Presently her condition is stable with independent mobilization and healthy wound site.

  • C++

It would be greatly appreciated if you could take over her for further care. Please note that her sutures have to be removed in a week.

Please feel free to contact me if you have any further queries.

Yours sincerely,
Community Health Nurse.

  • Very close to B
  • Next starting Shortly
  • Dear participants, please write only one letter at a time.
  • And write your names above the letters.
  • Sorry, we are stopping for today.
  • Will start with fresh letters tomorrow
LETTER 6

LETTER 11

Mr Scott and Mrs Susan Murray
4 Pemberton Street
Tarra Hill

27 August, 2012

Dear Sir/Madam,

Subject: Information about Kate’s treatment summary and management

I am writing to inform you regarding the immediate care and rehabilitative management of your daughter Kate as she had an unexpected leg fracture while doing gymnastics in the school.

Kate was brought to the hospital by a staff member from her school on 27 July, 2012 with the complaints of pain, swelling and difficulty in standing. X-ray revealed a spiral fracture in her lower leg bone for which she was managed with backslab and bandage. Thereafter she was commenced on tablet Panadol 250 mg for pain as per the requirement. In addition to that, a crutches was provided for walking.

  • I have just added a few connectors and combined two sentences.

In order to reduce swelling, kindly elevate her affected leg on a pillow. Please observe (“look for”) symptoms such as excessive swelling or inability to move toes, numbness or loss of feeling, tingling or burning sensation, pins and needles. If  you observe any of the symptoms, elevate the limb for twenty minutes and encourage toe movements. If the symptoms do not subside, please contact the hospital. Kindly make sure that Kate does not scratch under the cast with sharp objects to avoid skin ulcer or injury. Please keep in mind do not dampen, cut or heat the cast at home.

  • “Wet” is also okay.
  • We don’t use “to” with “contact, arrive, reach,” etc
  • I think that first sentence is also out of place.
  • Let’s go back.
  • I have moved it to the next paragraph.
  • C++
  • Next

The usual recovery time is six to ten weeks without any long term effects. Kindly note that Kate must be avoid impactful activities such as gymnastics, skateboarding and horse riding for at least four weeks. Worthy to note, there may be stiffness, weakness and balance impairment but it can be managed with physiotherapy. After the cast removal, please provide her complete rest for another month  for her complete bone healing. As the mother, I specially recommend assisting your child in gaining confidence to walk. May I remind you, as per the treatment plan, Kate has an appointment for fiberglass cast application on 03 September, 2012 at fracture clinic in our hospital.

  • With “Be” always use either:
    • V3 form “Can be managed / will be discharged”
    • Ving form “Will be doing better…”
    • Ok sir
    • All done.
    • Well attempted
    • Overall C++ (330)
  • Sir my letter size is big
  • No big issue. The letter is sensible.
  • You didn’t write anything unnecessary.

If you require any further information,please do not hesitate to contact me.

Yours sincerely,
Registered Nurse, Fracture Clinic
Brisbane Childern’s Hospital

Letter 1
Original Letter
After Correction
Ms Anna D Souza
Senior Nurse at Old Age Home
155 Commercial Street, London
Correct
15 June, 2013 Correct
Dear Ms Anna D Souza, Correct
Ref: Mrs Emily Ryan, 59-Year Old. Correct
I am writing this letter to introduce the above mentioned patient who had splenectomy. She needs postoperative care and support from your facility as she is being discharged today. I am writing this letter to introduce the above mentioned patient who underwent splenectomy a week ago. She needs postoperative care and support from your facility as she is being discharged today.
Mrs Ryan was admitted to our hospital on 4 April, 2013 with the complaints of enlarged spleen due to viral infections and high blood pressure. She underwent splenectomy and no complications have been noted. Mrs Ryan was admitted to our hospital on 4 April, 2013 with the complaints of enlarged spleen due to viral infections and high blood pressure. After the successful completion of splenectomy, the patient showed signs of improvement and no complication has been noted.
During the postoperative period she was commenced with Aspirin 100 mg,pneumococcal, meningococcal and haemophilus influenza type B vaccines. In addition to this, daily surgical dressing has been doing followed by strict aseptic technique. During the postoperative period, she was commenced with Aspirin 100 mg, pneumococcal, meningococcal and haemophilus influenza type B vaccines. In addition to this, daily surgical dressing is being done followed by strict aseptic technique.
 
At present she is in good condition. No signs of infection or bleeding  have been noted and blood pressure is also normal . However she needs support for walking and also she has to avoid travelling and  vigorous exercise. At present, she is in good condition and no signs of infection or bleeding have been noted. Besides, her blood pressure is also found normal. However she needs support for walking and also she has to avoid travelling and  vigorous exercise.
Mrs Ryan medical history reveals that she is a hypertensive patient since 2006 and she has had food poisoning  in 2009. Mrs Ryan’s medical history reveals that she is a hypertensive patient since 2006 and she has had food poisoning  in 2009.
As per social history she is widow and she has one daughter .Her brother Mr J Perera is very supportive and has been visiting regularly. She likes to do painting and reading. As per her social history, Mrs Ryan is a widow and she has a daughter. Her brother Mr J Perera is very supportive and has been visiting her regularly. It may be worth noting that she likes to do painting and reading.
It  would be greatly beneficial if you could take over the patient for follow-up care. I request you to again monitor the patient for medication compliance, any signs of infection and please remind the patient to follow up FBE test. If you want any more informations do not hesitate to contact me. It  would be greatly beneficial if you could take over the patient for follow-up care. I request you to monitor the patient for medication compliance. Please remind the patient to follow up FBE test in case of any signs of infection. If you want any more information do not hesitate to contact me.
Yours Sincerely
Charge Nurse
New Life Hospital.
Yours Sincerely,
Charge Nurse
New Life Hospital.

Letter 2
Original Letter
After Correction
Mr Steven Hummings
Community Nurse
Community Health Centre
18 Gannon Parade Newtown

24 January, 2015

Dear Sir,

Re: Ms Belinda Hoyle, 37-Year Old

Mr Steven Hummings
Community Nurse
Community Health Centre
18 Gannon Parade Newtown

24 January, 2015

Dear Sir,

Ref: Ms Belinda Hoyle, 37 years

I am writing this letter to introduce Ms Hoyle who has had  fracture 3 days ago as he needs continued care at home from your facility. She has been discharged today. I am writing this letter to introduce Ms Hoyle who has had  fracture 3 days ago as she needs continued care at home from your facility. She has been discharged today.
Ms Hoyle was admitted to our hospital on 21 January, 2015 due to a type 1 fracture 1mm above the left elbow and minor displacement with humerus aligned as a result of scooter accident.On examination , she had disorientation, dizziness and nausea for which she has been made to wear splints. Ms Hoyle was admitted to our hospital on 21 January, 2015 due to a type 1 fracture 1 mm above the left elbow and minor displacement with humerus aligned as a result of scooter accident. On examination, she was found with disorientation, dizziness and nausea.
Ms Hoyle has no evidenced medical history . Nevertheless, at present she has the problem with weight loss and poor appetite. Ms Hoyle has no evidenced medical history. Nevertheless, at present she has the problem with weight loss and poor appetite.
Ms Hoyle is married and she has a daughter 4-year old who has been hearing problem and has weekly consultation with Speech pathologist. Her husband is not helping for the childcare and housekeeping works and also she has some marriage problems.However ,she has been  doing home based business in partnership with husband and also she likes to do gardening. Ms Hoyle is married and she has a 4 year old daughter who has __ hearing problem. The child has weekly consultation with a speech pathologist. Sadly enough, her husband is not fond of helping her with childcare and housekeeping works owing to marriage problems. However, she has been  doing home based business in partnership with husband.
 
Upon discharge she is stable and she can do independently self care activities. However , she needs rest and helps for the child care and lifestyle assistance. Moreover, she needs counselling for the marriage issues. Upon discharge, she is stable and she can do self care activities independently. However, she needs rest and help for the childcare and lifestyle assistance. Moreover, she needs counselling for the marriage-related issues.
It would be greatly appreciated if you could sent home care nurse for helping Ms Hoyle. I request you to please remind the patient regarding appointment. Please do not hesitate to contact me for further queries It would be greatly appreciated if you could send a home-care nurse for helping Ms Hoyle. I request you to remind the patient regarding her future appointments. Please do not hesitate to contact me for further queries
Yours Sincerely
Charge Nurse
Yours sincerely,
Charge Nurse
Overall Score
C+

Sample Answer 2 
Dr Tiana
Head Of The Department
Brain Center, Alphon Star Hospital
Reserve Rd – St Leonard’s
NSW 2065 Australia

14 September 2016

Re: Mr Wayne Tucker ,aged 27

Dear Doctor,

Thank you for accepting the aforementioned bachelor who requires continuity of care from your service . He underwent craniotomy in view of his cystic mass lesion and is recuperating well.

On 4th September 2016, Mr Tucker was presented to our hospital with an intense occipital headache associated with unstable gait and dizziness.He has been suffering  with the same headache since 1 year and multiple irregular episodes of vomiting since 5 months respectively.Subsequently, physical examination was performed in which no significant abnormality was found. However, to rule out exact diagnosis, certain diagnostic investigation like MRI and CT of brain were done which revealed the current diagnosis.Therefore,he underwent surgery and his cystic  mass was removed.

Mr Tucker’s post-operative phases were satisfactory. Besides, he made a good progress without any complication. Besides,a CT was repeated after a month and no lesion was identified in his study. Hence,he is scheduled to be discharged today.

In the light of the above, it would be greatly appreciated if you could examine Mr Tucker and manage his condition as deemed appropriate .All pertinent documents obtained during his confinement is enclosed. Of note, he lives on his own.

Please do not hesitate to contact me for further details.

Yours sincerely,
Charge Nurse.

Sample Answer 3
Dr. Tiana
Head of the Department
Brain Center – Alphon Star Hospital
Reserve Rd, St. Leonards NSW 2065
Australia

Dear Dr. Tiana,

Re: Mr. Wayne Tucker

I am writing to refer Mr. Wayne Tucker, 27 years of age, for your further treatment and care. He was admitted for 10 days due to his severe occipital headache which he has been suffering for a year and has presented which he suffered for a year and has presented (is it better this way sir?) a non- steady gait due to extreme headache and dizziness. In addition, prior to admission, he had a 5 months irregular bout of vomiting. During his admission, a clinical examination was conducted and revealed no abnormality.

However, the CT Scan report showed intra 4th ventricular cystic mass lesion and the MRI showed fairly marginated non enhancing mass lesion (60 mm) which required him to undergo a surgery. A Cz midline incision from the external occipital protuberance and a midline posterior fossa craniectomy were performed and the cystic mass was removed. His hemostasis was achieved and his dura was closed.

After the surgery, a CT scan was done showing nil presence of residual lesion. Upon discharge, his condition was normal and was advised to be referred under your care.

Please do note that the patient lives alone and has only one elder brother, Mr. Melvin Tucker who also lives in Sydney. Kindly contact him in case of emergency.

I firmly believe that you will be of great assistance to Mr. Tucker’s speedy recovery. Please do not hesitate to call me if you have any inquiries pertaining to the patient.

Sincerely yours,
Nurse Bridge

Sample Answer 4
The residential care nurse
Alvin Myon
ATK care home
58 spencer Hill Rd, Wimbledon – UK

27 August,2016

Dear Nurse,

Re:Mr Alfie coleman

I am writing to refer Mr Coleman who requires further support and management from your facility  to improve his condition. He is being discharged today.

Mr Coleman was admitted to the hospital on 17 August, 2016 with the complains of extreme abdominal pain after a slight cough. During hospitalisation, physical examination and CT scan were revealed left side abdominal mass, pitting edema on lower abdomen, severe hypersplenotrophy, hepatocirrhosis.Therefore, he was advised to administer fresh frozen plasma, injection vitamin K, low oxygen and red cell concentrates.Inaddition,he was recommended to continue somatostatin,hemocoaugulase and abdominal bandage compression.Mr coleman is on medications such as human serum albumin,furisemide,20mg,daily,combined spirolactone,60mg,daily.Also started antibiotics before pleural effusion.The patient’s breathing difficulty was incresed and pleural effusion done.Currently,he is stable and ready for discharge.

Mr Coleman lives with his wife,Mrs Makoff colly.They have two children.

It would be greatly appreciated if you could provide continue care to Mr Coleman, as he needs  continue 3 months home stay care.Kindly note that,his haemoglobin was 81g/L at the te of discharge.All medical records are enclosed along with this.

If you have any queries,please do not hesitate to contact me.

Yours Sincerely,
Charge Nurse

Dr Tiana
Head Of The Department
Brain Center, Alphon Star Hospital
Reserve Rd – St Leonard’s
NSW 2065 Australia

14 September 2016

Re: Mr Wayne Tucker ,aged 27

Dear Doctor,

Thank you for accepting the aforementioned bachelor who requires continuity of care from your service . He underwent craniotomy in view of his cystic mass lesion and is recuperating well.

On 4th September 2016, Mr Tucker was presented to our hospital with an intense occipital headache associated with unstable gait and dizziness.He has been suffering  with the same headache since 1 year and multiple irregular episodes of vomiting since 5 months respectively.Subsequently, physical examination was performed in which no significant abnormality was found. However, to rule out exact diagnosis, certain diagnostic investigation like MRI and CT of brain were done which revealed the current diagnosis.Therefore,he underwent surgery and his cystic  mass was removed.

Mr Tucker’s post-operative phases were satisfactory. Besides, he made a good progress without any complication. Besides,a CT was repeated after a month and no lesion was identified in his study. Hence,he is scheduled to be discharged today.

In the light of the above, it would be greatly appreciated if you could examine Mr Tucker and manage his condition as deemed appropriate .All pertinent documents obtained during his confinement is enclosed. Of note, he lives on his own.

Please do not hesitate to contact me for further details.

Yours sincerely,
Charge Nurse.

Sample Answer 3
Dr. Tiana
Head of the Department
Brain Center – Alphon Star Hospital
Reserve Rd, St. Leonards NSW 2065
Australia

Dear Dr. Tiana,

Re: Mr. Wayne Tucker

I am writing to refer Mr. Wayne Tucker, 27 years of age, for your further treatment and care. He was admitted for 10 days due to his severe occipital headache which he has been suffering for a year and has presented which he suffered for a year and has presented (is it better this way sir?) a non- steady gait due to extreme headache and dizziness. In addition, prior to admission, he had a 5 months irregular bout of vomiting. During his admission, a clinical examination was conducted and revealed no abnormality.

However, the CT Scan report showed intra 4th ventricular cystic mass lesion and the MRI showed fairly marginated non enhancing mass lesion (60 mm) which required him to undergo a surgery. A Cz midline incision from the external occipital protuberance and a midline posterior fossa craniectomy were performed and the cystic mass was removed. His hemostasis was achieved and his dura was closed.

After the surgery, a CT scan was done showing nil presence of residual lesion. Upon discharge, his condition was normal and was advised to be referred under your care.

Please do note that the patient lives alone and has only one elder brother, Mr. Melvin Tucker who also lives in Sydney. Kindly contact him in case of emergency.

I firmly believe that you will be of great assistance to Mr. Tucker’s speedy recovery. Please do not hesitate to call me if you have any inquiries pertaining to the patient.

Sincerely yours,
Nurse Bridge

Sample Answer 3
Dr. Tiana
Head of the Department
Brain Center – Alphon Star Hospital
Reserve Rd, St. Leonards NSW 2065
Australia

Dear Dr. Tiana,

Re: Mr. Wayne Tucker

I am writing to refer Mr. Wayne Tucker, 27 years of age, for your further treatment and care. He was admitted for 10 days due to his severe occipital headache which he has been suffering for a year and has presented which he suffered for a year and has presented (is it better this way sir?) a non- steady gait due to extreme headache and dizziness. In addition, prior to admission, he had a 5 months irregular bout of vomiting. During his admission, a clinical examination was conducted and revealed no abnormality.

However, the CT Scan report showed intra 4th ventricular cystic mass lesion and the MRI showed fairly marginated non enhancing mass lesion (60 mm) which required him to undergo a surgery. A Cz midline incision from the external occipital protuberance and a midline posterior fossa craniectomy were performed and the cystic mass was removed. His hemostasis was achieved and his dura was closed.

After the surgery, a CT scan was done showing nil presence of residual lesion. Upon discharge, his condition was normal and was advised to be referred under your care.

Please do note that the patient lives alone and has only one elder brother, Mr. Melvin Tucker who also lives in Sydney. Kindly contact him in case of emergency.

I firmly believe that you will be of great assistance to Mr. Tucker’s speedy recovery. Please do not hesitate to call me if you have any inquiries pertaining to the patient.

Sincerely yours,
Nurse Bridge

 
  1. Unfortunately, he complaints of short diarrhea due to the anti-gout medications. (complains)
  2.  

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