{"text":"~ Full Report - \n509\/82\/411 \nMiss Patricia Hunt 12\/09\/1982 Female Permanent \\ \n23\/11\/2025 Acidosis renal tubulay acidosis Ms Clare Devanney i \n70\/11\/2025 Arteriotomy approach to organ using image guidance with CT showed bilateral hydronephmsis with left ureter : \\ \nobstructing stone and pycloncphritis of lefi kidney. Left ureteric stent insertion Ms Clare Devanney l \n2071172025 Consultation FTF ( duty ) Past few days feeling very unsteady on feet and generally weak \/ lethargic . Feels C \nspeech is also bit stutred at times No headache \/ No vertigo . Had some LBP but now settled . Temp 36.1 P= 88 reg BP 122\/78 Unsteady gait . looks \nfrail and pale . No neuro deficit but heel toe gait abnormal . Admit medics Dr Anne M Mcgregor \n19\/11\/2025 Failed encountet \u2018 ~ DrStuart Howard \n27\/10\/2025 Letter encountet from patient Hospital Letter Mental Health Service Mental Health . \u00a9 Mrs Karen \nRoutledge , . \n27\/10\/2025 Patient tyecall\" admin. NOS recheck iron levels \/ jan 2026 | Mrs Tracy \nLeishman : . . \n22\/10\/2025 Blood withdrawal for testing hospital and doctors bioods obtained, ppe wort , consent given verbaily, seit to \n{abs for analysis, lcc. Dr Anne M Megregor \u2018 _ - \n21\/10\/2025 Failed encounter . . Dr Stuart Howard \n13\/10\/2025 Letter encounter from patient Result Glasgow Royal Infirmary Microbiology Mrs Tracy \nLeishman ' \n12\/10\/2025 = Letter encounter from patient Clinical Letter Stobhill Hospital Gastroenterology Dr Gillian Leggett Mrs Tracy \nLeishman : : \n10\/10\/2025 Telephone encounter patient very upsette being told re positive gfit is concerned may have bowel cancer and \nfelt last night was going to end life as couldnt wait for an op appt\u2018 to find out, then reports wants me to cancel appt as doesnt want to get checked. \nwould rather just not know. is upset re being called at 555pm and felt left with thoughts racing overnight\/wortied sick\/not sleeping\/has triggered \nanxiety. has PCMHLN next week re anxiety. tearful and upset on the phone.wishes that i cancel her referrat as shed rather not 10 and doesnt want to \n\" go to the appt _advised best to await letter coming through and if she wishes to cancel do it then as she may change her mind in the meantime \nregarding investigations so better a referral remains in place. tried to reassure that positive gfit is not definiticty a cancer Jjust was needing to rule out \nthings but lots of other causes for anaemia which she has had on off for some titne including low dietart iron (has eating disorder) and periods can \nmake people anaemic, and positive gfit not necessarily from a cancer, other bengin causess to0, offered diaz to help her over the weekend. offered SH- \nto phone next week, she doesnt want to speak to him but if changes mind will call back next week 0 chat further. patient apologetic to me re her \nreaction at start of phone call and was calmer by end of phone calk: Dr Liz Stafford \n09\/10\/2025 Administration NOS PC to discuss +ve Q-fit and concern of Gl cancer. Explained would need camera fests and \n{ am referring urgently for these. Patrica understanding. RE: haematuria, this is fongstanding and her tenal consultant has been monitoring this. \nDr Stuart Howard . \n01\/10\/2025 Telephone triage encounter Situation-telephone call following referral from Gp due to anxiety. Background- \nLives with dad and has good suppott from brothet who lives nearby. Currently unemployed. Assessment- Describes symptoms of arixiety\/low mood \nfor several years, feels same has worsened in recent months, unable to identify trigger for same. Describes vaiiable sleep pattern, reduced appetite, \nfeeling overwhebmed, avoiding going out due to feeling anxious, nil suicidal thoughts\/intent. Nil alcohol, admits to fong term cannabis use, stopped \nsame 2 months ago as recognised was not beneficial, recommendation- discussed anxiety\/mood management and recommended setting daily \nachievable goals. Discussed benefits of exercise and encoura ged to incorporate walk into daity routine. Advice also given on cating little and often. \nDiscussed illeffects of cannabis on mental health and encouarged to continue to abstain from same. Advice given on challenging avoidance ) \nbehavioures and directed to Daylight via lanarkshire mind matters for furthet information\/self help. Agreed referral to LAMb for 1:1 support around \nanxiety\/mood management. Agreeable to engaging with discussed resources and no further input required at this time. Advised to contact Gp if \nrequiring further support. Linda thomson primary care mental health and welibeing team. Ms Linda Thomson \u2018 \n30\/09\/2025 Administration NOS Still not handed in Q-fit. Has been reminded twice by myself and each time said she would \ndo so. Had explained the urgency of this when I called on 15\/09. As still not handed in and delaying further Ix. [ have asked reception to book her i to\u2019 \nsee me to discuss. Dr Stuart Howard ' \n17\/09\/2025 Failed encounter telephone call on 2 occasions during allocated appointment time, however no answer received. \nMessage left t contact practice. If patient contacts within 3. weeks appointment can be rescheduled, outwith this timeframe please refer back to gP. \nLinda Thomson primaty care mental health and wellbeing tean. ~ Ms Linda Thomson \n15\/09\/2025 Telephone encounter Called to discuss Q-fit. Stili not handed this in. Explained test for blood and important t0 \nrule this out as potential sinister cause of anaemia. Pafricia understanding and will get the Q-fit handed in. Dr Stuart Howard \n05\/09\/2025 Consultation FTF came about swelling RHS face but infact dental abscess - advised to contact dentist today , \nTemp 37.1 Discussed recent anxiety . Mood irritable . No obvious stress other than health concerns . Refer PCMHN . No SI. Dr Anne M \nMcgregor ) ) \n25\/08\/2025 Telephone encountet Called RE: Response from gastro, Hasnt handed in Q-fit yet, will do this tomorrow and \nonce T get the result will rerefer back to gastro. Dr Stuart Howard \n22\/08\/2025 Letter encounter from patient Back To Referret Letter Stobhifl Hospital Gastroenterology Professor Daniel R \nGaya Ms Sharon Scott o \n21\/08\/2025 Consultation TO discuss ploods. Last month was admitted due to anemia and had transfusion. No planned \nfollow up on discharge and recent bloods show Hb static. Patricia has soticed an increase in her heartourn and had doubled up her PPL to cotnpensate \nNo weight loss. Denies haematemesis, swallow {ssues.or melaena, Periods regular\/not heavy. Explained bioods show ongoing anaemia and looks Fe \ndeficient suggested we need to Ix. for other causes and explained potential sinister cause. Patricia agreeable to start Fe replacement and with plan for \nUsOC gastro referral.For repeat bloods in 1\/12. Dr Stuart Howard \n18\/08\/2025 Cervical smear defaulter - Dr Anne M \nMcgregor : \n14\/08\/2025 Letter encounter from patient Clinic NHS Lanarkshire Renal Medicine Dr Claire NolanConsultant Nephrologist \nand Physician Mis Tracy Leishman \nKilsyth Medical Partnership, Ki rdrie Road, Kilsyth, Glasgow, North Lanarkshire, G65 9 \nTel: 01236 801677 \nPage 3\/46 Printed by CAOIMHE on 28\/07\/26 13:02.37 \n{syth Community Health Centre, 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