{"text":"_oraspuiL . . \n. . \u2014 \"E \nMiss Patricia Hunt ) 12\/09\/1982 Female 509\/82\/411 . Permanent \n11\/08\/2025 Administration NOS EDL asked for Hp monitoring, asked to book in for bloods,Hb 69 fiom normal last year, \u2018 \nNo mention of investigations\/follow up on letter. I note previous oesophagitis and low weight. Likely to need Q-fitand endoscopy. T will review ina \n16\/07\/2025 Letter encounter from patient Discharge NHS Lanarkshire General Medicine Arlene WallaceMINTS Nurse Ms Sharon Scott \nOOH Mrs Karen Routledge \n15\/07\/2025 Consultation Tel call - Hb 69g\/I with Low MCV . No active bleeding. No haematemesis or malaena . No PY \nbleeding . No pregnancy No CP . Phoned Flow navigation and they will arrange assessment likely tomorrow - Patricia happy with this and WSM \nDr Anne M Megregor ' : \n10\/07\/2025 Consultation Leg swelling Last few weeks, did have this in termittently previously but settled by itself. Slight \nSOBOE, thinks related to heavier legs. No cough\/CP, Denijes facia} swelling. No change in urine output. No bioating\/bowel change. No w\u00e9ight loss. \nUnder renal and on K+, not had bloods since April. O\/E: Looks well, thin.SpO2 99% HR 94 BP 110\/60Lungs clear with nil added. Wwp Hs \nbure.Slight pitting oedema upto knees, nil above this.Imp: 9Renal refated ?from warm weather.Plan: Bloods Urine dip and send for PCR.Given advice \non raising legs and I wil be in touch if anything on her bloods, Dr Stuart Howargd \u2018 \n10\/04\/2025 ~ Letter encounter from patient Clinic NHS Lanarkshire Renal Medicine Dr Azhar Khan LAT ST7Renal Medicine Ms Sharon Scott \n19\/12\/2024 Consultation - Likely LRTI - note 2022 \u2018eiphysema\u2019, cough\/sob (needs to stop going up hill on enilmuije \nview'\/wheeze\/g'reen sputum. Some headaches\/muscie aches esp in the morning. Appetite down. Sx started at w\/e. o afebrile. sats9( (?true reading as \ndoesn't feel breathiless in room and speaking full senterices) - no cyanosis. p88reg. chest nil focal, RR20. Flu rremains a possiblitiy, Rx as px - see if \n1o better after course of AB\/steroids or sooner if deteriorates Dr Mark Hudson \n10\/10\/2024 Letter encounter from patient Clinje NHS Lanarkshire Renal Medicine Dr Claire NolanConsultant Nephrologist \n. and Physician \u2018Mrs Tracy Leishman ) ' \n10\/09\/2024 Consultation tel calf (grey slot ) contacted ptand advised reduce to 10mls potassium and repeat bloods 2 weeks \n- Dw renal re magnesium - no treatment \/concern Dr Anne M Mchegor ) \n09\/09\/2024 [D]Prediabetes - prediabetic letter and info sent repeat hbalc in 12mths time . Mrs Tracy \nLeishman \n05\/09\/2024 Blood withdrawal for testing Bloods sent to Jabs SM Ms Samantha \nMckirdy ' ' \n03\/09\/2024 Consultation Tel review - feeling better - repeat bloods end of this week - Still taking 10ml BD potassium Dr Anne M \nMecgregor ' \n29\/08\/2024 Blood withdrawal for testing bloods requested to labs, s, - - DrAnneM \nMcgregor \u2018 : \n23\/08\/2024 Consultation see Bloods - DW renal on call re calcium . Advised 10m] BD potassium citrate and repeat bloods \nincl ca and Mag nect week . Push fluids and RINb\/WSM Dr Anne M Megregor \n22\/08\/2024 Consultation FTF worried kidney function hag dropped . 1 week hx TATT and nausea - no vomiting No : \nsymptoms UTI Wt stable . No Resp or GI Symptoms Temp 36.7 RR norinal p= 72 reg BP ok . No Lns Bloods checked .If bloods normal suggest \nreview if persistent symptoms Dr Anne M Mcgregor . . \n12\/07\/2024 Consultation Struggling withi panic attacks at present, unable to identify trigger. had episode Sat where panicked \nand then almost pre syncopal - was warm and wearing jacket\/lifting h eavy bags. no LOCDiscussed management of anxiety - try low dose bblocker. on \nmirtaz 45mg, Dr Karen Finlay . o \n26\/06\/2024 Blood withdrawal for testing Blood sample for Monklands Hospital Renal , sample sent for analysis.DH Ms Diane Haggart \n25\/03\/2024 Letter encounter from patient Clinic NHS Lanarkshire Renal Medicine Dr Claire NolanConsultant Nephrologist \nand Physician . Ms Deborah Clarkson , ) \n14\/03\/2024 Failed encounter DNA bloods, Imeg +. DrAnneM \n- Mcgregor . : \n01\/03\/2024 Consultation cough 2 weeks. recent chest infection in hospital. green spit. smoker. note CKD, OF t36p 100 reg \n. 26\/01\/2024 Letter encounter from patient Clinic NHS Lanarkshire Gastroenterology Dr Adam WimpressSpeciality Doctor \nfor Gastrocntero[ogy GMC 7585148 Mrs Jean Lang \n\" 25\/01\/2024 Letter \u20acncounter from patient JAC Lanarkshire Health Board . . ) Mrs Jean Lang \n18\/01\/2024 Letter encounter from patient Clinje NHS Lanarkshire Repa] Medicine Dr Claire NolanCounsultant Nephrologist \nand Physician Mrs Tracy Leishman . \n18\/01\/2024 Letter encounter from patient Emergency Discharge Letter NHS Lanarkshire Emergency Department Senior \n* Consultant Mrs Jean Lang - \n29\/12\/2023 Letter encounter from patient Discharge NHS Lanarkshire General Medicine Elizabeth SmithMINTS Nurse Ms Deborah \nClarkson ' \u2019 \n19\/12\/2023 Post hospital dischrge med reconciliation with medical notes UHM, ward 1, 18\/12\/23 Ms Alison Lane \n19\/12\/2023 Drug therapy discontinued - potassium citrate Ms Alison Lane \n19\/12\/2023 Medication changed - colecalciferol reduced to 400units OD Ms Alison Lane \n19\/12\/2023 Medication commenced - ferrous fumerate 210mg OD . Ms Alison Lane \n18\/12\/2023 Letter encounter from patient JAC Lanarkshire Health Board Ms Jennifer Cairney \n. 13\/12\/2023 Atrisk of chronic kidney disease Acute of chronic kidney disease - Miss Mhairi \nMcgregor \n13\/12\/2023 Hypercalcaemia NEC - . Miss Mhairi \nMecgregor ! \n04\/12\/2023 Letter encounter from patient Clinic NHS Lanarkshire Rena] Medicine Dr Claire N olanConsultant Nephrologist \nand Physician Ms Jennifer Cairney . \nEilsyth Medical Partnership, Kilsyth Community Health Centre, Airdrie Road, Kilsyth, \nTel: 01236 801677 \nPage 4\/46 Printed by CAOIMHE on 28\/07\/26 13:02.38 \nGlasgow, North Lanarkshire, G65 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