20 September, 2023
Ms Catherine Flanagan
Diabetes Nurse Specialist
Oakville General Hospital
Dear Ms Flanagan,
Re: (1) ______ (Miss / Ms) Fiona Carwell; DOB: 06 December, 2011
This is to update the health status of Miss Fiona (2) _______ (Carwell, Carwell) who requires (3) ______ (further / x) (4) ______ (monitor / monitoring) and (5) ______ (modify / modifying / modification) of lifestyle. She has (6) ________ (suggesting / suggestive) symptoms of type 1 diabetes mellitus secondary to stress.
Under our care for the past two years, Miss Fiona (7) _______ (was complained / complained) of blurred vision, polyuria, polydipsia and (8) _____ (weight lost / weight loss) on 08 July, 2021. Following (9) _____ (the / an) episode of loss of (10) _______ (conscious / consciousness), she was referred to your facility and (11) ______ (diagnosed / was diagnosed) with (12) _____ (type 1 diabetes mellitus / diabetes mellitus). Seeing her blood sugar and HbAIC (13) ______ (were high / high), Novolin N and Solostar (14) ______ (have been / were) commenced.
Miss Fiona (15) ______ (was re-presented / re-presented / was represented) on 11 November, 2023 for lifestyle management and follow up care. (16) ______ (On 18 July / On 18 July 2023), she was recuperating from blurred vision, (17) ______ (and / hence / so / therefore), she was (18) ______ (advised / recommended) to see an ophthalmologist under whose treatment she (19) _____ (was started / started / has started) to wear spectacles.
Today, Miss Fiona presented with complaints of dizziness, headache, and (20) ______ (feeling sleepy / sleepy) (21) _______ (while / during) class. Based on the most recent pathology report her random blood sugar and urine ketones are high. (22. After which word is a comma required in the last sentence above?)
Please (23) ______ (note that / note), Miss Fiona’s father (24) __________ (was died / died) recently in a motor vehicle accident. The family reports that Fiona (25) _______ (is / has) extreme stress and worries about the future in the absence of her father to whom she (has been / had been) (26) _____ attached.
Considering Miss (27) ______ (Fiona / Fiona’s) present condition it would be appreciated if you could monitor diabetes mellitus and modify her lifestyle. (28. Where is a comma required in the previous sentence?)
Please contact me for any further information about Miss Fiona while she was under our care.
(29) ______ (Yours / Your’s) (30) _________ (sincerely / faithfully),
School Health Nurse.