bariatric

(Today’s date)

Dr D Kurac
Surgeon
The Weight Centre
393 Victorian Road
Richmond, Melbourne

Dear Dr Kurac,

Re: Andy Williams, aged 65 years

I am referring this patient to you, a long-term sufferer of obesity, for evaluation

and treatment including the possible option of weight-loss surgery.

Mr Williams has been obese since childhood and has experienced a steady
increase in weight throughout his life. His current weight is 155.5kg with a BMI of
46.6kg/m2. On investigation today, his BG levels (morning) were 100-130mg/dl,
and triglyceride and serum insulin were 201 mg/dl and 19uLU/ml respectively.
There is also a strong family history of obesity.

In addition, he is currently diabetic and hypertensive, for which he is taking 30

and 70 units of NPH insulin before breakfast/before or after dinner, 850mg
metformin twice daily, atorvastatin 10mg, lisinopril and nifedipine.

Mr Williams’ diet includes no alcohol and only occasional fast-food. However, he

does binge-eat when stressed and, after a recent divorce, he reports that work
and financial pressures are apparently causing him some depression. Please
note that despite advice from a dietician and attendance at various weight-loss
programs, there has been no improvement.

In view of the above, kindly evaluate Mr Williams’ condition and discuss with
him the best course of action for control of his weight, including the possibility
of surgery.
Thank you for keeping me informed of his progress.

Yours sincerely,

Doctor