24/7/2018

Admissions Officer
Cabrini Hopetoun Rehabilitation
2-6 Hopetoun Street
Elsternwick, Vic 3185

Dear Admissions Officer,

Thank you for accepting this 68-year-old man who has recently undergone post
left total knee joint replacement for rehabilitation and assessment for suitability
to return to his home.

His background medical issues include obesity, hypertension,

hypercholesterolemia, gout, cigarette smoking and excess alcohol intake. As a
child he experienced a rash when given penicillin.

Mr McDonald underwent a routine joint replacement with specialist Mr B

Mossley on 20/7/18. Postoperatively he experienced significant analgesic issues,
and a possible catheter-related UTI which has been treated. In addition, we
noted signs consistent with sleep apnoea.

His discharge medications are Zyloric, Karvina, Lipitor, paracetamol, ibuprofen,

and a Nicabate patch. Included the opiates Targin and oxycodone. (Please see
the attached list of dosages)

Please provide Mr McDonald rehabilitation including physiotherapy as needed,

as well as preparation for his return to living at home in a caravan. We anticipate
his rehabilitation may be slow given the pain issues, and his isolated home
situation will be problematic. Occupational therapy home visits and some social
work input will be needed, as well as the possibility of drug and alcohol
counselling and sleep studies arranged while an inpatient with your team.
Please note, Mr McDonald’s sutures need removal on 30/7/18 and an
appointment has been made to see Mr Mossley 6 weeks postoperatively on
7/9/18.

Please contact us with any enquiries.

Sincerely,

Doctor