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Template 6 week follow up LAVH

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<title>Consult Template</title>

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<p style="margin-bottom: 0in;"><font face="Edwardian Script ITC, cursive">
<font style="font-size: 20pt;" size="5"><b> Dr. John G.M. Robertson</b></font><font size="4"> </font>
BSc, MD, CCFP, FRCS(C), FSOGC</font>
<br>
John G. M. Robertson M.D.
Inc.
<br>
Obstetrician
Gynaecologist
<br>
</p>
<hr>
<p style="margin-bottom: 0in;" align="right">45779
Luckakuk Way
<br>
Chilliwack, B.C.
<br>
V2R 4E8
<br><br>
(604)846-4477
<br>
Fax 846-4480</p>

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<p>
##today##
<br></p>
<br>##referral_name##
<br>
<br>
<u><b>   Re:##patient_name##   DOB: ##dobc##</b></u>
<br><br>Dear Dr. ##referral_name##
<p> &nbsp This is a follow up note on ##patient_nameF##.I am seeing her six weeks after her Laparoscopically Assisted Vaginal Hysterectomy and Bilateral Salpingectomy.  She reports she is healing well.</p>
<p>ON EXAMINATION: Her abdominal incisions are healing well, and the vault of the vagina is healing well.</p>
<p>DISCUSSION:  I reviewed with her a graduated return to full activity.  I also talked about the possibility of pain or bleeding with intercourse.  This is likely to be a short term issue, and positions where she is control of the activity for the first few times would likely be helpful to avoid this.  I also discussed the differences in terms of muscular contractions with orgasm and the fact that there would no longer be the sensation of the uterus contracting.</p>
<p>I am discharging her back in to your care. If there are further concerns she is welcome to return.</p>
<p>Once again, thank you for this kind referral. </p>


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<td valign="top" >Yours Sincerely,</td>
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<td valign="bottom" >John G.M. Robertson, MD</td>
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<p>cc</p>

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