[Siavash Zare]

 

▇ Errors     ▇ Suggestions   ▇ Rephrased

Dear Dr Lovelace,

Re: Frank Marsden, aged 46

I am writing to refer Mr Marsden, a heavy smoker and alcoholic (with alcohol dependency) patient regarding (for evaluation of) his general and dental health conditions and the possibility of changing his blood pressure medication.

• Alcoholic مشکلی نداره ولی with alcohol dependency مودبانه تره

During the past year, Mr Marsden has been presenting (experiencing/suffering from) persistent severe oral and dental conditions (issues) including inflammation and bleeding of the gums, dental caries, calculus accumulation (buildup), and halitosis (particularly alcohol breath).

• کلمه “condition” بیشتر برای وضعیت‌های کلی پزشکی استفاده می‌شود، در حالی که “issue” برای مشکلات خاص (مثل التهاب لثه یا پوسیدگی دندان) مناسب‌تر است.

The patient has a history of elevated blood pressure (hypertension) since 2016 and has been taking Diltiazem for the past year which is a medication known to be able to (potentially) initiate gingivitis or worsen an existing one.

I would highly appreciate your assessment and management of this patient (,) and regarding what mentioned above (and based on the above), considering (kindly consider)a change in his blood pressure medication if possible.

• Considering > consider (دستوری)

• در زمان نگارش requestهای نامه باید از حالت دستوری فعل (مودبانه) استفاده شود.

Best regards,

Words Count: 160 Words

نامه مختصر شده است و برخی اطلاعات در آن ذکر نشده‌اند، از جمله:

• بیمار یک سال است که نقل مکان کرده و هنوز پزشک عمومی ندارد.

• به عوارض جانبی دارو اشاره شده است، اما به‌طور مستقیم ذکر نشده که مشکلات دندانی بیمار احتمالاً ناشی از این عوارض است.

• موضوع توصیه به ترک سیگار و الکل در متن گنجانده نشده است.

• Purpose 2/3

• Content 3/7

• Clarity 4/7

• Genre & Style 4/7

• Organization and layout 5/7

• Language 5/7

  C Overall score: (300) 

@El.A

[Siavash Zare]

 

▇ Errors     ▇ Suggestions   ▇ Rephrased

Dear Dr Manfred

Re: John Barradine, age 52

✅ Thank you for seeing Mr Barradine, a businessman and a father of three, who is suffering from severe pain of (in) tooth 36 which does not respond to analgesics. The patient has a history of type 1 diabetes since childhood, is allergic to sulfonamides, and he (“can be omitted”) is also a smoker. 

✅ Initially, he presented to my office (1/1/2018) with tooth 36 being sensitive to cold. At that time, the tooth was restored using (treated with) GI dressing and amalgam. About a year later, the patient was referred to a surgeon for surgical removal of the impacted lower right molar.

• Rephrased: with sensitivity in tooth 36 to cold

✅After missing several check-up appointments, he presented at my office on 1/7/2019, with a swelling around tooth 36 and evidence of bone loss of (in) the lower left molar area which could be originated (have originated) from tooth 36. Antibiotics were prescribed and an improvement of the condition was seen after two months. However, on 4/10/2019, the patient was presented (returned) to my office with pain and swelling around tooth 36. An RCT was performed during (over) three sessions and a crown was placed on 10/11/2019.

✅Unfortunately, today, the patient presented again with pain in tooth 36 and requested (its) extraction. Although (while) he is informed of the possibility of extraction, he agreed to be visited by an endodontist to assess the tooth for other possible treatments. (alternative treatment options)

✅I would greatly appreciate (it) if you could assess the tooth 36 for further treatments (,)such as apicoectomy(,) as you feel appropriate. If you have any questions, please do not hesitate to contact me.

Sincerely,

Dentist

• Avoid overusing ‘the patient.’ Instead, use ‘he,’ ‘she,’ or the patient’s name.

• Use ‘returned’ or ‘Revisited’  instead of ‘presented’ when referring to a patient coming back for the second time.

   

• Purpose 3/3

• Content 6/7

• Clarity 5/7

• Genre & Style 4/7

• Organization and layout 5/7

• Language 4/7

  B Overall score: (380)

@El.A

[Siavash Zare]

▇ Errors     ▇ Suggestions   ▇ Rephrased

Dear Dr Lovelace

Re: Mr Frank Marsden , DOB 10.03.1973 

Thank you for seeing (refer/introduce) Mr Marsden, a 46-year-old electrician who needs (requires) a change in his hypertensive medication.

• از اونجا که این یک نامه معرفی بیمار جدید به GP هست، فعل refer یا introduce مناسبتره چون پزشک هنوز بیمار رو ندیده.

• فعل need در رایتینگ پزشکی فرمال نیست.

In terms of his medical condition, he was diagnosed with hypertension on (in) 2016, for which he has been taking Diltiazem 180-240 mg/day for 1 year (for the past one year). He is a heavy smoker and has alcoholic dependency (alcohol dependence) (,) and attends alcoholic anonymous. Please note that he is allergic to penicillin.

• این پاراگراف بک گراند بیمار است و نه مشکل اصلی یا دلیل اصلی مراجعه بیمار پس بهره اخر بیاد (قبل از درخواست پایانی)

Mr Marsden first presented to my surgery last year with a generalized gingival swelling and halitosis. On all his dental visits(,) oral hygiene instructions has (have) been provided and scaling has been performed. However, his gingival enlargement didn’t subside(,) as it is a side effect of Diltiazem.

• در کیس نوت نوشته possible side effect، پس شما باید با احتمال و نه قطعیت مطرح کنید.

• “I suspect this may be a side effect of diltiazem.”

• “It is likely that this is a side effect of diltiazem.”

• “This appears to be a side effect of diltiazem.”

Today(,) I advised him to stop smoking and reduce alcohol consumption(,) as alcohol could be smelled on his appointments, but he seems to need more support from a GP.

• as alcohol odour was evident at his appointments. (more formal)

• استفاده نادرست از But

Mr Marsden has recently moved to Brisbane and doesn’t (does not)  have a local GP. Therefore, I recommended (that) he come and see you to assess if it is possible to change Diltiazem to another effective medication.

Your support and management regarding his medical condition would be greatly appreciated.

Yours sincerely.

Dr Setareh Salehi

• Purpose: 2/3

• Content: 5/7

• Clarity & consciousness: 3/7

• Genre & Style: 4/7

• Organization and layout 4/7

• Language 4/7

  C+ Overall score: (300)

@Setisal

[Siavash Zare]

▇ Errors     ▇ Suggestions   ▇ Rephrased

Dear Dr. Harrison,

Re: Ms. Christina Hollins, DOB: 20 Mar 1955

✅ I am writing to refer Ms. Hollins, a 64-year-old teacher, who requires further investigation regarding her oral mucosal lesions.

✅Ms. Collins is (has been) a regular attender at my practice for 10 years. She has been always (always been) reluctant to undergo periodontal scaling due to gingival bleeding and sensitivity associated with episodes of dry mouth. 

• چون for the last 10 years آوردید باید has been بیاد، اما is هم درست میشد در صورتی که نشانگر زمانی نداشتید.

✅Two weeks ago, she reported pain in her gums, for which she was advised to rinse with Oral-B mouth wash. The pain initially subsided. However, it recurred later.

(وصل بشه به پاراگراف قبل)I suggested (that) she use Biotene Dry Mouth toothpaste and mouth wash (mouthwash) and avoid spicy foods for two weeks.

✅Today, she presented with ulcerated lesions on her left buccal mucosa and (the) side of the (her) tongue (,) associated with shiny(,) red raised patches on both sides of (the) buccal mucosa and (the) dorsal surface of the tongue. She reported that she could only have soft bland diet. (he could only tolerate a soft, bland diet)

(وصل بشه به پاراگراف قبل)I considered (that) the condition could be related to Oral Lichen Planus.

In terms of her medical history, she was diagnosed with heart palpitation in 2017, for which she takes Noten 4mg daily (1/2 tablet am and pm) and Zocor 10 mg daily in order to lower her cholesterol level. Her blood pressure level is in (within) normal limits.

It would be greatly appreciated if you could assess and treat her condition as you feel appropriate.

Yours sincerely,

Dr. Setareh Salehi

 

• Purpose: 3/3

• Content: 6/7

• Clarity & consciousness: 5/7

• Genre & Style: 5/7

• Organization and layout 4/7

• Language 4/7

  B Overall score: (390)

@Setisal

[Siavash Zare]

▇ Errors     ▇ Suggestions   ▇ Rephrased

Dear D. Rosenberg,

Re: Ms. Taylor Hawking, DOB: 24, Mar,1999

✅ I am writing to refer Ms. Hawking, a 20-year-old university student, (Unnecessary comma) who requires your assessment regarding her dental crowding.

✅ Ms. Hawking has been a patient at my clinic since 2016 and has received restorations and routine scaling and cleaning on a regular basis. In July.2017, the patient presented with an acute pericoronitis on tooth 38 (,) which was managed by an in-office hydrogen peroxide irrigation. She was also advised to take Erythromycin 250 mg 4 times daily and Metronidazole 200 mg 3 times daily, and (to) rinse with a Chlorhexidine mouthwash. On the 2-week and 1-year recall appointments, no signs and symptoms of inflammation were observed at the site of the wisdom tooth.

• ❌ July.2017 ✅ July 2017 

✅Today, she presented with a complaint of “an ugly smile”. On examination, there was a severe 9-mm crowding on the maxillary arch and a moderate 6-mm space deficiency on the lower dentition, associated with a rotation of teeth 13 and 23 and a 5-mm lower midlineshift to the left. The patient was referred to take an OPG.

• ✅ She presented with concerns regarding the appearance of her smile.

✅In terms of her medical history, she has asthma and allergy to penicillin and peanuts(,) for which she uses a Ventolin inhaler and carries an EpiPen. Your assessment and management regarding her condition would be greatly appreciated

Yours sincerely,

Dr. Setareh Salehi

• Purpose: 3/3

• Content: 6/7

• Clarity & consciousness: 6/7

• Genre & Style: 6/7

• Organization and layout 6/7

• Language 6/7

⭐Well Done!⭐

  A Overall score: (450)

@Setisal

[Siavash Zare]

▇ Errors     ▇ Suggestions   ▇ Rephrased

Dear Dr. Williams

Re: Ms. Gwen Brown, DOB: 22. Apr. 1975

✅ I am writing to refer Ms. Brown, a 44-year-old married woman, who requires your assessment regarding a periodontal lesion on tooth 22.

✅On 5. April. 2018, Ms. Brown first presented at my clinic with a generalized periodontal attachment* loss(,) for which a cleaning and scaling was performed,* and she was (then) referred to a periodontist for a flap surgery on tooth 22 (,) which had a 5-mm attachment loss and bleeding on probing associated with a developmental groove.

• کل این پاراگراف یک جمله شده که خیلی طولانی هست. به وصل کردن جملات و عبارات اصرار نکنید و سعی کنید 2 و نهایت 3 عبارت رو متصل کنید. جاهای که ستاره گذاشته شده بهتره نقطه بیاد.

• On 5 April 2018, Ms Brown first presented to my clinic with generalised periodontal attachment loss. Scaling and cleaning were performed. She was then referred to a periodontist for flap surgery on tooth 22, which exhibited a 5-mm attachment loss and bleeding on probing associated with a developmental groove. 

•  “On 5 April 2018” 

• “Surgery” is usually uncountable.

✅ There was (were) no significant findings on reviews in 6-month intervals.

“There were no significant findings” : Use the plural findings

✅On examination today, there was a 4-mm probing depth on tooth 22(,) accompanied by bleeding on probing. There was no conclusive response to cold stimuli due to connected crowns on tooth 22 and 23. I suspected a pulpo-periodontal lesion on tooth 22.

• Passive: A pulpo-periodontal lesion affecting tooth 22 was suspected. 

Please note that she was diagnosed with alopecia areata on her left temporal region in October 2019, and had experienced  an exudative tonsillitis in 2014.

• affecting her left temporal region 

• No article (an) is needed before the disease name 

It could (would) be greatly appreciated if you could assess and manage tooth 22 as you feel appropriate, and assess (x2, determine) if there was (is) any inflammatory relation(ship) between her dental condition and the onset of the (her)  alopecia areata.

Yours sincerely,

Dr. Setareh Salehi

 

• Purpose: 3/3

• Content: 5/7

• Clarity & consciousness: 4/7

• Genre & Style: 4/7

• Organization and layout 5/7

• Language 4/7

  B Overall score: (370)

@Setisal