Dr D Kurac
The Weight Centre
393 Victorian Road
Dear Dr Kurac,
Re : Mr Andy Williams, aged 65
I am referring Mr Andy William,who has been diagnosed with obesity, requires thorough assessment and recommendations regarding bariatric surgery from your service.
Mr Williams, a radiologist, has family history of obesity. He got divorced recently;therefore, he is depressed. He reported binge eating as well as fast food consumption. His BMI is 46.6kg/m2,for which he was advised regarding surgical implications, but he was reluctant due to concerns of complications. He has had type 2 diabetes mellitus,hypertension, gout as well as sleep apnea. His medications are insulin NPH 30 and 70 units, metformin 850mg, atorvastatin,lisinopril, nefidipine and Allopurinol.
Today, Mr Williams presented the clinic with concerns regarding his health status and wants to bring life under control. He expressed wishes to obtain more information about surgical options. Although he had participated in commercial and medical weight loss programs along with a dietitian's
consultation, nothing was successful.
Pertaining to the above details, it would be appreciated if you could perform a detailed evaluation and provide appropriate suggestions for his surgical management.
In case, any additional information is required, please do not hesitate to contact me.