Documente Academic
Documente Profesional
Documente Cultură
Some problems with this paragraph starting with a word like Although is problematic because
nd
although sets up the sentence to be a 2 conditional one.
st
nd
This is the 1 condition
This is the 2 condition
th
COMMENTS: The letter is dated 10 June 2009 that is the reference point. If the 10 June 2009
is today (last paragraph) what date would you put on ..two weeks later in paragraph 2 /
five months later paragraph 3 /
In Paragraph 4: October 2007 is the reference point so what date is two weeks later ?
Final paragraph: Four months ago would this be March 2009 ???
I think it is really very very very very important that you SPECIFY the PRECISE DATE if it is in the case
study. Dont be vague about it quote the exact date.
As a divorced elderly lady , who lives alone with no one to take care after her, I believe that she needs
to be visited two times a week to monitor her compliance with the diet plan and medication (
Amitriptyline 25 mg t.i.d). Therefore , I would be grateful if you could visit her at home to
monitor her compliance with the diet plan and medication.
Please do not hesitate to contact me for any further information.
Yours truly,
COMMENTS Overall an excellent letter.
1. Make sure you put in a date
2. Take care not to put past-participles together with a past-tense verb no need for this over kill !
3. Events that are happening here and now On review today and she is drinking more
alcohol. need to be all in the continuous tense. Mrs V____ is suffering from
4. Skeletal is the adjective describing the noun survey - however - urinanalysis is a kind of
what? - a test - so you need to put in that noun word.
Your letter is 18-19 lines long. It is tightly written just the facts which is what the OET Center
want. Well done. Is certainly not too long. If anything its a bit short!
Marg
THIS LETTER HAD MANY PROBLEMS: No date / no specific recipient just the Nursing Centre /
Continuous form of to be / preposition with / singular verb form missing (para 3) /
Adverb and pronoun missing near her / noun form treatment / last sentence was not a
sentence as it lacked subject me
11 March 2011
AN ALMOST NEAR-PERFECT LETTER FROM SOMEONE WHO THOUGHT THEIR WRITING WAS VERY
SUBSTANDARD. THIS CANDIDATE PASSED THE FEBRUARY 2010 OET TEST !
230 instead of 220 words is not a problem. Anyway this is only 21 lines long. You have written an
excellent letter - clearly worth a B - however, you do occasionally leave out the article a an or
the. Subjects / nouns usually have an article before them . unless they are the generic form ..
otherwise you would be getting an A for a letter like this. I am confident you are going to pass.
rd
23 January 2010
Dear Dr. Smith
th
Bank Manager
I am writing to refer Mrs C________ ,who is suffering from a Barettes oesphagus and needs a
gastrointestinal assessment for further management (fundoplication).
She initially presented to me on 18.08.2009, complaining of difficulty in swallowing of solid foods.
She also reported discomfort and a burning sensation in the upper abdomen since her early 20s. The
clinical examination was unremarkable except for an increased blood pressure (135/85 mmHg).She
seemed to have dysphagia,due to either hiatus hernia or other organic lesions. She has been smoking
20 cigarettes daily for the past 30 years. She was advised to quit smoking and some life style
1
modifications. Her past medical history includes mild hypertension.
She re-presented on 20.11.2009 with complaints of persistent worsening of her symptoms along
with regurgitation of undigested solid foodstuffs. She was concerned about her weight loss (5 kgs in
2
three months). At her review on 25.11.20009 she reported cough production of clear sputum at
night. At that time, certain investigations were done which were unremarkable except for a biopsy and
3
an endoscopy indicating an oesphagitis and a stricture at 56 cm from incisor teeth showing a small
hiatus hernia. She was diagnosed to have a Barettes oesophagus and was commenced on Gavison
and Omperazole. She was also advised regarding the possibility of an operation if the repeat
endoscopy suggested malignancy. She is an occasional alcohol drinker.
Today, she is asymptomatic and wishes to stop her medications. In my opinion, she needs a further
assessment for an operation.
30 July 2010
Dr Nathan Helliwell
Mental Health Unit
Alice Springs Hospital
NT 0870
Mrs. Marika is 22 years old, recently married, a smoker (4-5 cigarettes per day), and drinks alcohol (45 beers per day). Her previous medical history is significant for chronic otitis media (4 years old) and
pneumonia (6 years old). She also has a mild degree of deafness. 2 months ago she underwent wound
debridement and skin grafting for an infected wound on her right foot. Both her parents have diabetes
and hypertension. She has no allergies. Please note that Mrs. Marika is not fluent in English.
th
I have seen her on the 12 of July. She was brought in by a community health worker chiefly
complaining of numbness and tingling in her feet of 1 months duration, severe headaches and nausea.
Nothing remarkable was found on examination. The community health worker reported that she Mrs
Marika has a poor home situation and an aggressive husband who bullies her. She was diagnosed to
have tension headache and prescribed mild painkillers. An Advice about healthy life style was also
given.
th
On the 19 of July she came back for a follow up. She was still complaining of the same symptoms plus
a colicky abdominal pain. She also had an attack of chest pain that was associated with shortness of
breath. She admitted inability to do household chores due to lack of concentration. Nothing remarkable
was found on examination. Anxiety disorder was suspected and the plan was family counseling, life
style education and social support.
Today she was brought in by her sister who reports that the patient had a 5 minutes fit (jerky
movement in all limbs, no incontinence, no tongue biting) after a quarrel with her husband. On
examination I found that she had bruises and scratch marks on her face and forearms. However, her
neurological exam was normal. She was given painkillers and advised to use ice compressions. I also
contacted the social worker to arrange for a safe sheltered accommodation.
I think she is having a conversion disorder associated with domestic violence, and I believe she needs
further psychological assessment and psychotherapy.
Please do not hesitate to contact me if you require any further information.
Yours truly,
DOCTOR
*