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Writing an OET Letter in Natural Language 1

Suppose you are in charge of Mrs Rita, a 74-year-old woman. You work in a small suburban clinic in South England. She has been under care for the last three weeks. She has no known relatives. She has had a good history since admission but an hour ago Mrs Rita’s condition suddenly worsened. Her GP (the duty doctor at the clinic) is on leave today. Since you are not very sure about the next move, you decided to talk to the GP over phone.

First let’s complete this telephonic conversation:

You: Doctor, I am Nikia, on duty at the clinic now. I am sorry to disturb you at this time but is kind of emergency, Doctor. This is regarding Ms Rita, your patient. I hope you know her records.

Doctor: Yes, Nikita. Please go on!

You: Her conditions were remarkably good till this evening, but, Doctor, there is a situation I have no idea how to deal with. You know, she was found semi unconscious at 8.00 and I thought that it was a case of overdose. I found two empty ampules of a medicine that has labels in Spanish. I have no idea what that was and who injected the medicine. Yes, Ms Rita is herself a nurse, I mean, she was and she had discussed euthanasia a day ago. Now she is heard breathing faintly and I cannot rush her to another facility because I am in charge of three other patients. What should I do?

Doctor: Nikita, there is nothing to worry. Just take a photo of the ampules and send them to me on telegram. I will do all arrangements for her emergency transfer to Hilston Hospital. Is that okay?

You: Thank you, Doctor!

Doctor: Listen, Nikita. One thing! Please prepare a transfer letter to the hospital with all the relevant details about Ms Rita’s past, present condition. Okay? Do not write anything that the emergency doctor there, Dr Mona, my colleague, doesn’t need to know. You got me?

You: Yes, Doctor. I will do the best I can.

Now, as Nurse Nikita, convert the conversation into a letter.

Written by Biju John

Love for English begins with understanding its unknown rules. Biju John lives on the internet, teaching OET, IELTS and PTE. More than a million students have thanked him from their heart.

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  1. I am writing to refer Mrs Rita ,who requires immediate assessment and management as her condition got worsened.

    Mrs Rita’s condition was remarkable today . At 8.00pm she was found semi unconscious which was considered as a case of overdose. But , 2 empty ampolues of a medicine was found there . Yesterday, she had discussed about euthanasia and she is a nurse . Hence ,she is suspected to take the injection by herself for being unconscious

    Kindly consider this as an emergency case and provide urgent and further management

  2. I am writing to refer Ms Rita who is under our care is being found semiconscious at 8 .In addition to this , two empty ampoules of some medicine was found near her , which was labelled in Spanish language .Subsequently, her GP has been informed and he has suggested for an urgent evaluation of her present condition at your facility .

  3. Dear Dr Mona,
    I hereby refer Ms Rita for further assessment and management owning to her semiconciousness probably because of medication overdose.
    Today,during morning assessment Ms Rita was found semi conscious and her breathing was shallow .In addition,2 ampoules were found next to her bed which were labelled in spanish.She seems to have self harm as she was concerned about euthanasia. The doctor on duty has been informed about the same and as instructed photographs of the ampoules has been taken.
    In view of the above,it would be appreciated if could evaluate her condition and provide treatment as appropriate
    Thanking you in anticipation

    Yours sincerely,
    Ms Nikia
    Registered nurse

Melons™ N1 – The “Number” Method

OET Letter that scored 400