Reflective exercise

Dr Who, Universe Drive , Edmonton 

TEL : xxxxxxxxxxx Fax :ccccccccccc

Dr Smiley – Ideal referral 

Happy Women’s Clinic 

Edmonton 

Re: Flashing, Bernice, 

100 Long Road 

Edmonton 

Tel xxxxxxxxxxx 

DOB: 01/01/ 1972 

Dear Dr Smiley,  

Thank you for seeing Mrs Flashing, who at 52yrs of age  is struggling with symptoms of perimenopause . Her menstrual cycle  is irregular, with bleeding occuring every 2-4 weeks lasting for up to 8 days at a time. She reports 3-4 days of flooding and clots which leave her exhausted . We have trialled hormonal manipulation and she is taking tranexamic acid as per attached medication list  on her heavy bleed days. Unfortunately she was not able to tolerate insertion of a Mirena.   

She has had 2 normal pregnancies and all PAP tests are normal. There is no other significant gynecological or surgical history  

She cannot tolerate the birth control pill and her CBC shows iron deficiency anaemia( copy Attached) A pelvic ultrasound shows large fibroids ( copy attached) 

Medical History : nil significant  

Allergies : none  

FH; Both her mother and sister had total hysterectomies aged 48 and 42 respectively for menorrhagia and fibroids. 

I think she would also benefit from a hysterectomy . 

Thank you for seeing her, 

Yours 

Dr Who

Dr I Consult – referral for ADHD assessment  – omissions:-

Dr Smiley 

Happy Women’s Clinic 

Edmonton 

Re: Flash, Bernice, 

100 Long Road 

Edmonton 

Tel xxxxxxxxxxx 

Dear Dr Smiley,  

Mrs Flash is struggling with her menstrual cycle that is irregular and causes heavy bleeding.  

She has had 2 normal pregnancies and all PAP tests are normal.  

She cannot tolerate the birth control pill and her CBC shows iron deficiency anaemia. 

No medications 

No Allergies  

I think she would benefit from a hysterectomy – her mother had fibroids.  

Thank you for seeing her, 

Yours 

Dr Who