Dear Dr Newland (new line) Re Mrs Connor (comma) We saw your patient Mrs Connor who presented in a coma And we think that what was wrong is a subdural haemotoma (comma) Her history's a mystery, her GCS was 9 And she was on ventilation, now she's stable (stop, new line) She had a broken neck of femur, broken neck and broken nose She's now in neck fixation (open brackets) brackets (brackets closed) We noticed her colostomy, her temporary nefrostomy We did a laparoscomy 'cause we thought that (apostrophe) 'd be necessary to elucidate any problems underlying (Underline, uh... "underlying", please, Angela) She had trouble with her colon 'cause they found a ma** had grown on it However (semicolon) 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 (new line) She has dysdiadokokinesis (that's spelt d-y-s-d-i-a-d-o-k-o-k-i-n-e-s-i-s, comma) I should also really mention that she went into retention With a urinary infection and her leg stuck in extension (Correction, "flexion" - sorry, Angela) She has a cerebellar tremor (comma) possible rubella Dyspepsia, dyslexia and fractured left patella (comma) We learned that she was burned so bad she had to have a graft Now we're very happy how it looks (full stop, new paragraph) (Oh, Angela, can you add that she's on warfarin in case she has another mini-stroke... stroke, stroke) We organised an ECG and BCG quite recently Her TSH and FSH were not yet back today But her ESR and CRP should rea**ure us So we'll see her back here in my clinic Yours sincerely, Adam Kay