Ahmed Gamal Sefn to Everyone 8:20
2024 sir

Ahmed Gamal Sefn to Everyone 8:24
Good morning sir
Sir, could u tell me please when the next work-shop for Listening and Reading

Kaur to Everyone 8:27
Selection of relevant information

You to Everyone 8:27
What are the problems that you are facing while writing a letter?

priscilla to Everyone 8:27
grammar

Ahmed Gamal Sefn to Everyone 8:28
article

Kaur to Everyone 8:28
Case notes Transformation into paragraph

Ahmed Gamal Sefn to Everyone 8:40
Mr X was commenced on an oral metformin for hypoglycemic.

Abhedya to Everyone 8:40
I am writing to refer Mr.Linken to your facility

Kanwal to Everyone 8:41
Thank you for seeing Mr Linkon,who was presented with gastrointestinal symptoms.

Ahmed Gamal Sefn to Everyone 8:42
Thank you for seeing Mr Gale, an 85-year-old retired man, who is being discharged following partial recovery from a urinary tract infection and disorientation due to a falling accident.
Your ongoing care and appropriate follow-up would be valued.

Rakhil Khurram to Everyone 8:44
Im introducing Mr Adam who is suffering in Chronic obstructive pulmonary disease.

Ahmed Gamal Sefn to Everyone 8:45
Thank you for seeing Mr Jon, an 80-year-old man who is being diagnosed with COPD.

Rakhil Khurram to Everyone 8:45
He is unable to perform daily activities because of weakness and fatigue

You to Everyone 8:45
SENTENCE 1

Ahmed Gamal Sefn to Everyone 8:49
Thank you for seeing Mr Mohamed, who is being transferred into your care for ongoing care and further follow-up. He was diagnosed with hypertension and type two diabetes in 2016. He is now ready to move to live with his daughter.

ROMASA to Everyone 8:49
Thankyou for seeing this 53 year old Mr.Jhon Smith with lower abdominal pain for 1 week along with nausea and vomiting with presumptive diagnosis of acute cholecystitis

You to Everyone 8:50
SENTENCE 2

Ahmed Gamal Sefn to Everyone 8:50
On 13/01/2010, She admitted with sleep disturbance, weight loss and mood swings.

ROMASA to Everyone 8:50
he needs urgent assessment of his symtoms with possible laproscopy

Ahmed Gamal Sefn to Everyone 8:50
On 13/01/2010, she admitted with sleep disturbance, weight loss and mood swings

ROMASA to Everyone 8:51
ok

Ahmed Gamal Sefn to Everyone 8:51
On 13/01/2010, she (was) admitted with sleep disturbance, weight loss and mood swings

ROMASA to Everyone 8:51
ok

Ahmed Gamal Sefn to Everyone 8:52
Initially on 13/01/2010, Ms Mona was brought with insomnia, weight loss and mood swings

Ahmed Gamal Sefn to Everyone 8:53
OK

You to Everyone 8:53
SENTENCE 2

ROMASA to Everyone 8:53
Today he presented with headache and vision problems .He also exhibit signs of difficulty in chewing .Moreover the use of over the counter medications were unhelpful
ok
ok

Rakhil Khurram to Everyone 8:54
I’m introducing Ms Marry 30 years old female who is suffering in myocardial infraction, Hypertension and type 2 diabetes, she requires further intervention and treatment.

Ahmed Gamal Sefn to Everyone 8:55
On 10 May 2021, Mr Alex was admitted with signs of confusion, pyraxia, and fatigue.
pyrexia

You to Everyone 9:00
SENTENCE 3

Ahmed Gamal Sefn to Everyone 9:00
I’m introducing Ms Marry 30 years old female who is suffering in myocardial infraction, Hypertension and type 2 diabetes, she requires further intervention and treatment.
i think before 30 years we need article right?

ROMASA 9:01
article?

Ahmed Gamal Sefn 9:01
a 30 years old

ROMASA 9:01
yes right

Ahmed Gamal Sefn 9:01
also suffering from NOT in

Kanwal to Everyone 9:03
She has the past history of postnatal depression.Her family history is significant for depression.

Ahmed Gamal Sefn to Everyone 9:04
In terms of Ms Eman's history, she has a family history of atrial fibrillation

ROMASA 9:05
In terms of Ms Eman's history??
is it right

ROMASA to Everyone 9:06
please note he lost 10 kg unintended weight loss in last 2 months

Samina’s iPhone to Everyone 9:06
She has a past history of postnatal low mood, and she has family history of depression.

Ahmed Gamal Sefn to Everyone 9:08
Following the death of her sister, I felt her problem was reactive depression and organised counseling with the local social worker.

You to Everyone 9:08
SENTENCE 4

ROMASA to Everyone 9:09
Mr.Jhon is loosing his interest in daily life activities and additionally he also incapable to attend his work place as well

ROMASA to Everyone 9:10
sir lous please
voice is so low
yes lost

Kanwal to Everyone 9:11
I arranged an appointment with social worker, following the death of her sister.

ROMASA to Everyone 9:12
ohh
sorry
its there
loose is there

Ahmed Gamal Sefn to Everyone 9:14
loss
lose
loose // are confused

ROMASA to Everyone 9:14
🙏

Ram KG to Everyone 9:15
Currently, I believe she has reactive depression following her sister's death; for which, organized counseling with the local social worker.

Kanwal to Everyone 9:16
He was advised to cut down his drinking.

Samina’s iPhone to You (Direct Message) 9:16
I believe that she is suffering from depression after her sister’s death. I arranged an appointment with the social worker.

Samina’s iPhone to Everyone 9:17
I believe that she is suffering from depression after her sister’s death. I arranged an appointment with the social worker.

ROMASA to Everyone 9:19
😊
right
my bad

You to Everyone 9:24
Do you agree with my quality?
Leader WHO?

Ram KG to Everyone 9:24
I will follow you sir
You are the leader

Samina’s iPhone to Everyone 9:24
Teacher

Ahmed Gamal Sefn to Everyone 9:23

Mr.John is lacking motivation in his daily activities and is not capable of going to the work.

Ahmed Gamal Sefn to Everyone 9:26
sir is the word (suffer) accepted in writing?

You to Everyone 9:28
SENTENCE 5

Ahmed Gamal Sefn to Everyone 9:29
On 22 February 2010, she has a recurrent worsening symptoms and weight
loss.

Samina’s iPhone to Everyone 9:31
She came back on 22 February 2010 with recurrent worsening symptoms and weight loss.

ROMASA to Everyone 9:33
Today he presented with worsening symptoms and also decreased insight ,anti psychotic prescribed as stat medication to control his symptoms
after today i should put comma

Ahmed Gamal Sefn to Everyone 9:36
On 22 February 2010, she was hemodynamically unstable, and the weight loss was noticed. Therefore, doxepin 100mg at night every day and supportive counselling were initiated.

ROMASA to Everyone 9:37
On 22nd June 2018, Mr.Jhon shows extreme anxiety and restlessness with pressured speech as well ,consequently antipsychotics was prescribed.

Rakhil Khurram to Everyone 9:38
On 22 February 2010, She returned to the hospital with more serious injuries and cognitive impairment accompanied by hallucinations and delusional episodes.

Ram KG to Everyone 9:38
On 22 February 2010, she came with worsened problems along with additional weight loss; therefore, she was imposed on doxepin 100mg every night with continued counseling support

ROMASA 9:39
continued or continues

You to Everyone 9:40
SENTENCE 6
continuous

Samina’s iPhone to Everyone 9:41
I prescribed doxepin 100 mg at night time daily and provided with supportive counselling.

ROMASA to Everyone 9:42
Despite of commencement of antiemetics ,he continues showing same symptoms therefore ,oral hydration solution was prescribed

Kanwal to Everyone 9:43
She was reluctant to eat and drink. Therefore, she lost 2 kg weight.

Rakhil Khurram to Everyone 9:44
On her Mini mental status examination nurse notice that she has suicidal thoughts and depression and anxiety. So she need continue monitoring and cognitive therapy sessions.
Ms Smith, again returned to the hospital after one with same complaints as she is not following her discharge instructions to the doctor.

Kanwal to Everyone 9:49
On 16 June, Mrs Smith was presented with the difficulty of walking. She was aided with a wheelchair ,and was counseled about its use.

ROMASA to Everyone 9:49
Despite of repetitive instructions on diet and medication compliance he failed to compliance with medications and diet restrictions.

Rakhil Khurram to Everyone 9:50
She is refusing to continue her medication and following dietary instructions that why she became weak and unable to daily life regime.

ROMASA to Everyone 9:53
Please follow up with his medications as non compliance may result in relapse of disease

Ahmed Gamal Sefn to Everyone 9:55
?

Kanwal to Everyone 9:56
Giving her history , I am thinking about depression.

Rakhil Khurram to Everyone 9:58
Sir I’m also

ROMASA to Everyone 9:59
considering her history ,i suspected depression

Rakhil Khurram to Everyone 9:59
Mr Alex
Mr John

Ahmed Gamal Sefn to Everyone 9:59
Ms Emma was commenced on an oral metformin for low blood sugar levels.

ROMASA 9:59
👍

Ahmed Gamal Sefn to Everyone 10:02
sir can i know why (a) before patrial

Ram KG to Everyone 10:00
Repeatedly, she was brought in on 16 March 2010 with family. On assessment, dehydration was noticed as she is reluctant to take medication and food.

ROMASA 10:03
👍

Ahmed Gamal Sefn to Everyone 10:04
ok

priscilla to Everyone 10:04
ON 02/02/2023, MR LINCOLN PRESENTED TO THE HOSPITAL WITH COMPLAINTS OF HEADACHE ,FEVER, PAIN ABDOMEN.
OK SIR

Ram KG to Everyone 10:10
Can we mention as veteran

ROMASA to Everyone 10:13
yes sir
right

ROMASA to Everyone 10:13
yes perfect

Ram KG to Everyone 10:15
Yes sir

You to Everyone 10:15
Are we on the right track?

Ahmed Gamal Sefn to Everyone 10:15
YES

Ram KG to Everyone 10:16
We are on the right track

priscilla to Everyone 10:16
YES

Ahmed Gamal Sefn to Everyone 10:16
NO , it's very helpful

ROMASA to Everyone 10:16
yes we are on right track
😍

ROMASA to Everyone 10:29
Please note he lost ten kg weight unintendedly in last two months .
wow nice
again sir

ROMASA to Everyone 10:30
was noted ??

Ram KG to Everyone 10:39
Can you dictate some oet writing words with connotation sir

Ahmed Gamal Sefn to Everyone 10:43
commenced

Rakhil Khurram to Everyone 10:44
Immediately given

ROMASA to Everyone 10:44
instituted to manage his symptoms

You to Everyone 10:45
WHAT DID YOU GAIN FROM THIS SESSION?

Ahmed Gamal Sefn to Everyone 10:46
Thank you sir , for this session
👋

priscilla to Everyone 10:47
sir can i leave now

Rakhil Khurram to Everyone 10:48
I really learned a lot from you ur a great teacher
Not boring at all

ROMASA to Everyone 8:06
ok

You to Everyone 8:06
Good day ladies and gentlemen!
Share your problems with writing

Victoria Perez to Everyone 8:09
Mostly where to put commas.
While commenting of family members concerns and expressing our medical view about the problem.
*on family members

Victoria Perez to Everyone 8:25
Diana has been seen for her cardiologist the last 5 years. However, she needs to be evaluated for a infectologist due to ongoing symptoms such as fever and increased high blood pressure.
an*

Farah to Everyone 8:29
1.Thank you for seeing Ms. Lima 40 years old who has been diagnosed with mitral valve prolapse.
2. Her mother is hypertensive.
3.She has been on her regular medication for last 3 months.

Kanwal to Everyone 8:33
Ms Sally was admitted to the hospital. She underwent laparoscopic surgery for endometrial cyst.

Victoria Perez to Everyone 8:36
In early April, Diana visited the emergency department complaining of shortness of breath and chest pain. After physical exam and labs results, we made the diagnosis of tuberculosis. After 3 days on observation, we decided to send the patient home with antibiotics.

Keval Shah to Everyone 8:43
Her physical examination was unremarkable; however, alcohol withdrawal symptoms were noticed. As a result, she was further managed with the required treatment.

Kanwal to Everyone 8:45
On chest examination, the apex beat was noted in 5th intercostal space. The crackles were heard at the base of the left lung.

Keval Shah to Everyone 8:59
It would be greatly appreciated, if you could provide Mrs Sharma with regular monitoring of the blood glucose levels.

Keval Shah to Everyone 9:01
Sir how you properly use "since" and "for" can you please guide?

Keval Shah to Everyone 9:02
yes sir understood now properly thank you so much

Ram KG to Everyone 9:03
Sir how to merge one positive and negative sentences

ROMASA to Everyone 9:20
glomerular filtration rate

Keval Shah to Everyone 9:20
glomerular filtration rate

ROMASA to Everyone 9:28
voice is low sir

ROMASA to Everyone 9:31
it would be appreciated if you could provide your expert advice

ROMASA to Everyone 9:31
ok sir
she requires counselling and cognitive behavior therapy for managing her condition
She needs assistance for managing her blood sugar levels.

Ram KG to Everyone 9:33
Your advice will be appreciated

Farah to Everyone 9:34
I would highly appreciate your guidance regarding her further management.

ROMASA to Everyone 9:34
It would be highly appreciated if you going participate in her ongoing care
super

ROMASA to Everyone 9:40
thanka alot sir

Victoria Perez to Everyone 9:40
Thank you

You to Everyone 9:41
https://wa.me/919877867360
CONTACT FOR SUBSCRIPTIONS

PRODUCTION OF QUALITY SENTENCES

1. Thank you for seeing this 43-year-old patient with right lobar pneumonia for assessment.

2. Mrs Hong has a past history of rheumatic carditis, with resultant mitral regurgitation and atrial fibrillation.

3. Her usual medications are digoxin 0.125 mg every morning and warfarin 4 mg every night.

4. She has no known allergies.

5. Her last prothrombin ratio taken on 09 February 2010 was 2.4.

6. Today, she presents with a six-day history of productive cough with associated fever and lethargy.

7. This was treated initially with oral amoxycillin (ineffective) and then chest physiotherapy.

8. However, today, she has deteriorated with tachypnoea and right pleuritic chest pain.

9. The right lower lobe is dull to percussion.

10. Crackles are present in both the lungs, worst at the right base.

11. Her temperature is 38oC, blood pressure 110/75, pulse 110 (irregular) and her usual pansystolic murmur is louder than normal.

12. Sputum for micro and culture specimen revealed gram-positive streptococcus pneumoniae.

13. The X-ray showed opacity in the right lower lobe.

14. I believe her rapid deterioration warrants inpatient treatment.

15. I would appreciate your assessment and advice regarding Mrs Hong.

16. I will be in touch to follow her progress.

17. Thank you for seeing Mrs Priya Sharma, who was diagnosed with type two diabetes mellitus.

18. I would be grateful if you would assist with her blood sugar control.

19. Mrs Sharma is 60 years old.

20. She has a strong family history of diabetes.

21. She was diagnosed with non-insulin-dependent diabetes mellitus in 1994.
She has had diabetes mellitus since 1994. [since  starting point of time  commencement]
She has had diabetes mellitus for the last three decades. [for the last  period of time  duration]

22. She is physically very active, but she does not participate in any physical activities or exercises.

23. She has been successfully monitoring her blood pressure and sugar levels at home since 1994.

24. She first attended my surgery on 29 December 2013.

25. She was concerned that her blood sugar levels were no longer well controlled.

26. On initial presentation, her blood pressure was 155/100.

27. She said that her blood sugars were running between 6 and 18.

28. Her medication at that time was metformin 500 mg twice every night and glipizide 5 mg every morning.

29. Mrs Sharma is allergic to penicillin.
Allergy to penicillin has been notified.

30. A pathology report on 05 January 2014 showed HbA1c levels of 10% and glomerular filtration rate [GFR] greater than 60 ml/min.

31. Her cholesterol was high (6.2).

32. On 29 December 2013, I instituted Atacand 4 mg 1tablet every morning.

33. Since then, her home-monitored blood pressure has been withing the acceptable range.

34. On 12 January 2014, I also prescribed Lipitor 20 mg daily, and her lipids have improved, with cholesterol falling from 6.2 to 3.2.

35. Mrs Sharma reports that her fasting blood sugar levels are in the 16+ range, whereas the other blood sugars are 7-8.

36. I am concerned about her fasting blood sugars, which remain high.

37. I would appreciate your advice.
I would be thankful to you if you could provide expert guidance and appropriate management.
She requires education to manage her blood sugar levels.
Relevant education should be provided to manage her blood sugar levels.

38. An appointment for the review of Mrs Lincoln’s health condition after two weeks has been scheduled.

39. Based on the aforementioned circumstances, ongoing care and implementing the follow-up action plan would undeniably be of utmost priority.

40. In case, any additional information is deemed extremely prominent, kindly do not hesitate to contact me.