I was at the RCGP in Euston (London) this morning where I a gave lecture on diabetes (Achieving diabetes management targets in primary care – impact on mortality and hospital admissions) at the RCGP City Health Conference. Diabetes is becoming increasingly common across the world because of lifestyle changes such as more sedentary lifestyles and an increased intake of high-calorie foods (such as refined carbohydrates). Prevention is clearly the best option but once diabetes becomes established, it is important that doctors and patients work towards meeting key management targets for glucose, blood pressure and cholesterol control.
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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