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Dr. Fullard Secretary +44 ( 0 ) 1442 287060

13/03/2013

Re: Mr Ivor Catt DOB: 19/12/1935

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I saw Mr. Catt in my clinic in St Albans today. As you know he has had a long history of oesophageal problems since a spontaneous rupture in 2007. He was under the care of Jeremy Livingstone for a long time and has now drifted over to be looked after by myself and Tony Leahy in Watford. He has had numerous oesophageal dilatations and steroid injections and a couple of weeks ago we inserted his second biodegradable stent.

I saw him in clinic today to check how he is doing and I am pleased to report his swallowing is now perfect since the stent went in. One cold be very optimistic and suggest that this might represent a cure to his 6 year long problem, and I certainly hope that would be the case, but we do have to bear in mind he has had a stent before and numerous dilatations and he often experiences short-term relief of his symptoms before his swallowing deteriorates again.

I have arranged to have another look down just before he goes on holiday to Italy for 6 weeks with a view to dilatation him if necessary, but if he is completely well before then he can cancel his appointment.

Yours sincerely,

Dr. Mark Fullard

Consultant Gastroenterololgist.

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Croatian

Dr. Fullard tajnik +44 (0) 1442 287060 13/03/2013

Re : g. Ivor Catt DOB : 19/12/1935
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Vidjela sam gospodina Catt u mojoj klinici u St. Albans danas . Kao što znate da je imao dugu povijest jednjaka problema od spontanog pucanja u 2007 . Bio je pod skrbi Jeremyja Livingstona za dugo vremena i sada je lebdio nad se brine mene i Tony Leahy u Watford . Izlagao je na brojnim jednjaka dilatacije i steroidnih injekcija i prijepar tjedana smo umeće svoj drugi biorazgradivi stenta .
Danas sam ga vidio u klinici kako bi provjerili kako on radi i drago mi je da izvješće njegovo gutanje je sada idealno jerstent otišao u. Jednog hladnog biti vrlo optimistični i ukazuju na to da bi to moglo predstavljati lijek za njegov šest godina dugoj problema , a ja se nadam da će bititako, ali mi moramo imati na umu da je imao stenta prije i brojne dilatacije i on se često doživljava kratkoročno olakšanje od svojih simptoma prije nego što mu je gutanje opet pogoršava .
Sredio sam da ima još jedan pogled prema dolje prije nego što ode na godišnji odmor u Italiji za 6 tjedana s ciljem da ga dilatacije , ako je potrebno , ali ako je on sasvim dobro prije toga on može otkazati sastanak .
S poštovanjem ,
Dr. Mark Fullard
Konzultant Gastroenterololgist