I've just returned from a visit to Kuala Lumpur in Malaysia after being invited to act as an external examiner for the Master of Family Medicine programme run by the UKM (National University of Malaysia), UM (University of Malaya) and USM (Science University of Malaysia). Although the core of medical practice is similar across the world, there are striking differences in the organisation and delivery of health services between the UK and Malaysia. As well as examining, I was also able to give several lectures during my stay in Malaysia.
Dear Dr, I am writing to refer a 28-year-old male patient of mine, Mr [Patient's Name], for assessment for the diagnosis and treatment of Attention Deficit Hyperactivity Disorder (ADHD). After a thorough clinical assessment, I believe that Mr. [Patient's Name] meets the criteria for adult ADHD as outlined in NHS guidance for primary care teams in SE London. Mr [Patient's Name] has been under my care for XX years and, during this time, he reports several symptoms (greater than five symptoms in total) consistent with ADHD in adults that have been present for more than six months. These symptoms include difficulties in focusing, following through on tasks, hyperactivity, forgetfulness, impulsiveness, restlessness, and irritability. Mr [Patient's Name] also reports being easily distracted, struggling with time management, organisation, and completing tasks efficiently. Many of Mr [Patient's Name]'s symptoms have been present since he was under 12 years old; and have
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