DR MARY BROWN

NIXVILLE MEDICAL CENTRE

15 GREEN STREET
NIXVILLE

06 OCTOBER 2018

RE: MS BETTY WOOD,59 YEARS OLD

DEAR DR BROWN,

I AM WRITING TO REFER MS BETTY WOOD, WHO HAS A RIGHT BREAST LUMP WITH AN
UNIDENTIFIED LESION. SHE REQUIRES FURTHER ASSESSMENT AND MANAGEMENT.

FOR HER MEDICAL DETAILS, SHE IS POST-MENOPAUSAL, PHYSICALLY FIT AND ACTIVE. SHE
HAS A LUMP IN HER RIGHT BREAST IN THE LAST 6 MONTHS. NO FAMILY HISTORY OF BREAST
CANCER. SHE WAS TAKING A MIXTURE FORM OF NATURAL MEDICINE FOR 3 MONTHS AND
REFUSED TO SEEK MEDICAL ADVICE AND TREATMENT SUCH AS A MAMMOGRAM AS SHE
HAS DISTRUST ISSUES WITH THE TECHNOLOGY.

FOR HER CURRENT CONDITIONS, SHE HAS A LUMP ENLARGEMENT IN HER RIGHT BREAST
THAT MEASURES 5CM IN DIAMETER, FIXED, HARD AND NOT PAINFUL. TAKE NOTE THAT
THERE WAS A BLOODY DISCHARGE FROM THE NIPPLE. VITAL SIGNS ARE STABLE WITH
BLOOD PRESSURE SLIGHTLY ELEVATED.

IT WOULD BE GREATLY APPRECIATED IF YOU COULD EXAMINE HER CURRENT HEALTH

CONDITIONS. PLEASE ENCOURAGE HER THE IMPORTANCE OF SEEKING MEDICAL
TREATMENT. KINDLY PROVIDE OPTIONS SUCH PHARMACEUTICAL AND NON-
PHARMACEUTICAL MANAGEMENT. PLEASE REASSURE HER WELFARE AS SHE HAS SOME
TRUST ISSUES WITH THE MACHINES AND TECHNOLOGY.

FOR FURTHER INFORMATION, PLEASE DO NOT HEISTATE TO CONTACT ME.

YOURS SINCERELY,
CHARGE NURSE