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LAKSMI JUST CORRECTED NEXT LIVE WILL APPEAR ABOVE THIS POINT
10 March 2018
The Pharmacist
Dear Sir/Madam
I am writing an account of the above mentioned client who requires a re education regarding the inhaler usage in
order to improve her breathing pattern.
Mrs Luke has been suffering from chronic obstructive pulmonary disease for which she is on salbutamol and
ipratropium inhalers. Presently, she exhibits increased shortness of breath, especially during the daytime
activities which she resolves by with rest. In addition to that her treatment with salbutamol was also f ound to be
ineffective therefore she was commenced with ventolin inhaler. Moreover her inhaler usage was observed to be
inappropriate which results her worsen situation.
Mrs Luke was educated regarding the use of an inhaler with spacer but she was not ready to follow that. She
claims that her pharmacists was had taught her a different method of administration.
● Pharmacists or pharmacist?
● “Pharmacist was taught” is passive so the pharmacist was taught by someone else!!!
● Next and closing!
In view of the above, it would be greatly beneficial if you could teach Mrs Luke the exact method of using inhaler
with spacer. Kindly make sure that she uses the inhaler in a proper way in order to control her breathing
problems.
Should you have any queries, please do not hesitate to contact me.
Yours sincerely,
District Nurse
Dr Kelly Feenandez
148 Douglas Ave
South Perth WA
Australia
14 August 2019
● The case note does not provide a date so you can write today’s date.
Dear Dr Kelly
Mr Gardiner presented to this hospital on 17 October with the complaints of pain, anterior chest tightness and
discomfort suggestive of cardiac problem. Hence for which a myocardial perfusion scintigraphy was performed
which confirmed the diagnosis. For which this Mr Charles underwent operation.
Me Gardiner Gardiner’s medical history reveals that he is has been hypertensive since 2010. Moreover he has
been suffering from incontinence of bladder, mild Dysphasia and hearing impairment I n addition to that, he uses
walking aids. However, he ambulates independently and his speech is clear. Of note his body weight is 177lbs.
● Look at the errors.
● Me > Mr
● Charles > Charles’
● Has been is used with since and for.
● There should be a comma after “Moreover/ However / So, Also (when they come first in a sentence.
● Full stop after “impairment”
● Comma after “Of note”
● Be careful!!!
Socially, Mr Gardiner resides with his son hence he is the primary caregiver. He does not have special habits.
In the light of the above circumstances described above, it would be greatly appreciated if you could provide
necessary care and support for his Mr Gardiner’s speedy recovery.
● Remember, we need to use the patient’s name when it is needed first time in a new paragraph.
● Next
Please do not hesitate to contact me for further information. All relevant documents are attached within the
letter.
Yours sincerely
Charge Nurse
Mount Lawley Private Hospital.
● Dear nurses and doctors, it has been noticed and reported that someone is giving live corrections in my
name.
● Please beware of them.
● My live correction is absolutely FREE and the link to my page is shared on my telegram group and 4
whatsapp groups.
● Ready for the next correction?
● Take a break and come back in 5 minutes.
●
16 September, 2016
I am writing regarding Mr srivatava’s your son’s future care requirements after he has been i s discharged. His
recovery has been encouraging so far but continued car at home will be is necessary.
As you know, during hospitalization of your son, a chest X-Ray and CT scan were performed which confirmed t he
presence of two large cysts with parenchyma in his left lung. Therefore, he underwent fibre-optic bronchoscopy
and left thoracostomy. Moreover, an intercostal tube was inserted successfully postoperatively and both the cysts
were removed and sent for histopathological studies. pleural effusion along with broncho- alveolar lavage were
sent for histopathological studies.
I am glad to inform that, Mr Srivastava made significant progress in his condition during his stay. However,
compliance with medication needs to be monitored. Kindly, continue Albendazole 200 mg twice a day orally for
the next 30 days and Cefuroxime 250 mg every 12 hourly for 10 days. It is worth noting that, in the next 4 days
Mr Srivastava has an follow-up appointment in the OPD for intercostal tube and the removal of stitches.
I would be happy to get involved in the care for of your son by furnishing any vital information that would help
you render appropriate care for him.
Yours sincerely,
Registered Nurse.
● Please remember! All the green words are added by me. That means you miss out many words.
● Red words and lines indicate serious errors.
● Orange means “not recommended”
● We are starting the next correction in 1 minute.
BINU’S LETTER
CORRECTED | SCROLL DOWN FOR OTHER CORRECTED LETTERS | VISIT WWW.ENGLISHMELON.COM
Ms Nita Robetrs
In-Home Nursing Service
79 Beachside Street
Bayview
15 July, 2017
Dear Ms Roberts,
I am writing to refer Mrs Thompson, an elderly widow who is being discharged today following a total right
shoulder replacement due to osteoarthritis. She requires in-home care and assistance.
Mrs Thompson’s postoperative phase has been unremarkable and her wound is clean and dry. She has been
compliant with physiotherapy regimen and her bloods were in normal limits. Her postoperative pain was managed
with analgesia and cold compresses, and Panadine forte has been prescribed if required to control her pain.
● What’s “bloods”?
● Binu, you are here?
● Please reply on whatsapp.
● Okay, let’s move on.
Following discharge, Mrs Thompson will wear a right arm sling for four weeks during which time she is not to do
any lifting. She will be attending physiotherapy twice a week at our outpatient department and hydrotherapy
once a week. In next 10 days a follow-up visit has been arranged to have her staples removed. In the event of any
concerns, an Orthopedic Joint Replacement nurse specialist can be contacted.
In addition to monitoring, it would be greatly appreciated if you could assist Mrs Thompson with showering and
administration of Clexane subcutaneously for four days as deep vein thrombosis prophylaxis. Please note, her
daughter will be staying with her for the next month.
Yours sincerely,
Registered Nurse
● Score is definitely B
● All the Best Binu. You are here, please say!
● About that deep vein issue
MAYOOKHA’S LETTER
LIVE NOW | SCROLL DOWN FOR OTHER CORRECTED LETTERS | VISIT WWW.ENGLISHMELON.COM
22 June, 2011
Dear Sir/Madam,
I am writing to furnish an account of Mr Walters who underwent an insertion of continuous peritoneal dialysis
catheter secondary to chronic renal failure. He requires ongoing care and management from your facility as he is
being discharged today.
● Nothing to correct.
● Next
On 16 of this month June, Mr Walters was admitted for the above mentioned procedure which was performed
successfully. During hospitalization, hyperkalemic managements were done. At present, he is has recuperated
well and his potassium level is back to normal.
● Remember? No need to repeat month or year if the events are happening in the same month/year as the
letter is composed.
●
A disability pensioner for schizophrenia, Mr Walters lives with his supportive wife and children. Currently, his
mental status is stable and it is confirmed by the mental health liaison. Please note, he has been a known case of
diabetes.
● Good. Next
In view of the above circumstances, no word would amply express my gratitude towards your willingness to be
involved in the ongoing care of Mr Walters and to do the needful for his speedy recovery. Kindly monitor him for
signs and symptoms of peritonitis and psychosis. Please educate them about Catheter care and importance of
minimising potassium intake in diet. It is a good idea to link them with a community health worker for further
education. It is worth noting that his medications will be forwarded by the medical officer.
● All good.
If you have any queries regarding Mr Walters, I will be most obliged to provide you with speedy information.
Yours sincerely,
Registered Nurse
● Score - 360+
● All Safe.
LIVIA’S LETTER
JUST CORRECTED | SCROLL DOWN FOR OTHER CORRECTED LETTERS | VISIT WWW.ENGLISHMELON.COM
Alvin Myran
ATK Care Home, 58 Spencer Hill Rd
Wimbledon, London, SW19 4EL,UK
27 August 2016
I am writing to introduce Mr Coleman who was admitted to our hospital on 17th of August with complains of
extreme abdominal pain. He is scheduled for discharge today and he will need you to provide continued care at
your nursing home.
● As the dates are in the same month, never repeat the month.
● Next
Upon admission, Mr Coleman’s physical examination showed an abdominal mass on his t he left side of his
abdomen and mild pitting edema on his both lower extremities. A CT scan was performed which confirmed a
hematoma with unclear border and a maximal diameter of 5.5. In addition to that, a severe hypersplenotrophy,
peritonitis, hepatosteatosis and seroperitoneum were observed.
Mr Coleman’s treatment straight away commenced on concentrated red cell, low flow oxygen, 2 types of
antibiotics, combined spironolactone 60mg a day and his oral intake was reduced to 1 litre a day. Additionally,
fresh frozen plasma, vitamin K and human serum albumin with furosemide were injected daily. Moreover, a
paracentesis of the chest was performed.
Four days later, Mr Coleman’s breathing difficulty increased and his overall condition continued to deteriorate.
Moreover, a large area of ecchymosis could be observed in his left part of the abdomen and for that reason a
chest puncture was used to relieve the symptoms.
● Next.
On 22 of August, Mr Coleman was showing signs of improvement in his hemoglobin level but he was still having
pleural effusion as a preventive measure.
● Good. No errors.
Two days prior to discharge, Mr Coleman’s laboratory test showed great improvement with no obvious edema of
the lower limb and he hardly had any parapneumonic effusion and pyoperitoneum. For that reason, today, Mr
Coleman is ready for discharge and he will need a 3 months stay at your nursing home as per doctor’s suggestion.
Socially Mr Coleman lives with his wife and his two children with whom he runs a roofing company.
● The social history is not important here. If you decide to include social history, add that to the previous
paragraph or to the request paragraph.
If you have any further questions, please do not hesitate to contact me.
Yours sincerely,
Nurse
LIVIA’S LETTER
CORRECTED
Dr Sharka Evan
Head Doctor, AVTS Hospital
503 Chapel St, Prahran
VIC 3181, Australia
15 March 2010
Dear Dr Evan,
I am writing to request further assessment and care for Atul, a nine -month-old boy who was born with
microcephaly from a consanguineous marriage. He was admitted to our hospital with failure to thrive, extreme
irritability and intermittent fever.
During hospitalization, Atul underwent a series of investigations like urine organic acid test, liver function test,
acylcarnitine profile and plasma lactate test and all result came back out into normal range.
● Good. Next
Considering the normal results of the above investigations, Atul underwent further investigation like CGH that
showed a 2,31 Mb microdeletion at xp 22, 11p21,3 , containing 15 genes including the ARX gene. Moreover, Atul
had an MRI of the brain that showed microcephaly, moderate ventriculomegaly, diffuse and decreased caliber of
the brain stem and a thin corpus callosum. He was also having an increased amount of CSF signal in the posterior
fossa represented by a prominent cisterna magna. Furthermore, an extensive abnormal hyperintense signal on
the frontal, parietal, temporal and occipital lobes were seen through the periventricular and subcortical white
matter. In addition to the above tests , Atul had also the molecular test for AGS which showed an apparent
homozygous deletion of exons 14 and 15 in the SAMHD genes.
● Ahhhhh! What was that, Livia!!! You did marvelously! Could not find error (although I am not a Med)
● Next!
Atul has a past medical history of hypertonia and a global development delay. It is important to know that Atul's
mother is an aicardi-goutieres syndrome (AGS) carrier and his father has the mutation but is asymptomatic.
The patient's genetic counselling and symptomatic management were done and this letter will accompany Atul to
the AVTS Hospital upon his discharge tomorrow.
Yours sincerely,
Nurse