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