Marit And De Marit Of Science

HAEMATOLOGY DEPARTMENT 4th Floor, Southwark Wing 020 7188 2757 (Direct) 020 7188 2748 (Fax) Our ref: MK/AR/jem/1808156U Clinic date: seventh November 2008 Date typed: 10th November |Guys Hospital coarse Maze Pond London SE1 9RT Tel: 020 7188 7188 | | Dr E Cajeat Springfield amount of money 110 Union Rd SW8 2SH Dear Dr Cajeat RE:Abdul JABBARDOB14/10/33 22 Fenwick Place, Stockwell, SW9 9NN Diagnosis:Multiple myeloma, ISS stage III I reviewed Mr Jabbar in the Haematology Clinic forthwith. Unfortunately he was non alive(predicate) of his diagnosis of myeloma. He was not aware that myeloma is a backsidecer, nor of its implications. I reviewed Mr Jabbar with the help of our specialist nurse, Paula Stewart, and Mr Jabbars daughter was also present to serve in news report taking. Mr Jabbar has no specific problems at present. He denies bone pain. on that point is no accounting of leg weakness. There is no muniment of any abn ormal bruising or bleeding. He feels he has lost 1 to 2 kg in slant over the last six months. He has not designedly been trying to lose weight. His past wellness check history is of considerablestanding hypertension and type II diabetes mellitus. I generalize he takes medication for his blood pressure, diabetes and cholesterol.

He did not tally his tablets with him straight off and I have asked him to bring them with him when he returns to clinic conterminous week. He has not suffered any serious problems with his health in the past and has never required any operations. before long he lives w ith his daughter in a maisonette. He relie! s on his daughter for cooking and cleaning. Mr Jabbar spends most of his time in Pakistan where his married woman and sons are. He is a non-smoker. We had a long discussion today regarding myeloma. I explained that myeloma is a problem with an increased number of await cloth cells in the bone marrow. I have explained that these cells can go on to cause symptoms of pain in his study and call him anaemia. I have explained to Mr Jabbar that there...If you want to get a full(a) essay, order it on our website: OrderCustomPaper.com

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