Differences between countries become less evident each year. Nowadays all over the world, people share the same fashions, advertising, brands, eating habits, TV channels. Do the advantages of this trend outweigh the disadvantages?

I am writing

this

letter to refer Mrs Johan a 25 weeks pregnant lady to your care, who requires a home visit and

further

management. She is being discharged today. During admission, Mrs Johan presented with generalised

edema

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oedema

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and palpitation. Upon examination, her tests revealed that she has high

blood

pressure, palpitations and diabetes mellitus.

In addition

to that, she is

anemic

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anaemic

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and has lost 8kg in the

last

3weeks;

therefore

, she was administered insulin and transfused 1 pint of

blood

. Socially, Mrs Johan is living with her husband. She has a sweet tooth that, she likes to consume cookies, chocolates, puddings and fruits. She does gardening and watches television programmes. She has a medical history of hypothyroidism, 1st pregnancy was

anemic

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anaemic

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and

blood

transfusion was commenced. In view of the above, kindly arrange for regular antenatal check-ups to ensure her

blood

pressure, urine and sugar level are controlled; advise and guide her on how to use self-administered insulin. It is worthy to note that, if she loss

further

weight, please refer her back to the hospital for

further

assessment; and her

next

scheduled appointment is on coming 28/07/19.