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Dr M McLaren Neurologist Suite 3 67 Cresent Newtown 4 October 2022 RE: Mr Michael Weir, DOB: 20 September 1970 Dear Dr McLaren, Thank you for seeing Mr Michael Weir, who has recurrent left leg weakness. He was suspected of multiple sclerosis and will be needing your expertise and assessment. He intially presented on 29/06/2014 with complaints of feeling stress accompanied by sluggishness in his movements and tiredness. He has a long history of increased BMI. Apparently, his cholesterol level is 6.37 mmol/L.

In addition

, his CBC results shows that he had a low WBC, RBC, Hb, Hct, respectively. He was

then

advised to change his lifesytle

such

as smoking cessation, trimmings of his weight, cholesterol and saturated fat levels.

Further

, to execute regular exercise. Currently, there is still sensation of stress and had recent two blackouts, with few minutes apart. He has mood swings since his

last

visit at the clinic and had cascade of symptoms

such

as breathlessness, intermittent constipation and lack of energy.

Although

he was been trying to consume better foods and increase his physical activity, he still smokes cigarrettes. There is significant weight loss of 1.8kgs after a month ,

however

, there is upper extremitties senstational loss and dimished reflex particularly on left patellar. It is appreciated if you could do a thorough neurogical assessment to Mr Weir to rule out MS. Please order a head and lumbar spinal CT central or spinal to determined the cause of the aformentioned symptoms. Please consider

also

a MRI for definitive imaging. If you have any questions, do not hesitate to contact me. Yours sincerely Nurse