Effective treatments exist for the acute management and prevention of stroke, but their uptake depends upon public awareness of stroke symptoms and risk factors. A recent study by Julia Slark and colleagues published in the Journal of Stroke and Cerebrovascular Disease assessed both types of knowledge amongst patients who had suffered a stroke and who were therefore at high-risk of suffering another stroke. The study found that knowledge was poor amongst many patients in this group. This is concerning as they are at high risk of stroke and other cardiovascular diseases.The findings suggest that more effective methods are needed about educating stroke patients about their risk factors; and how they can reduce their risk of a subsequent stroke, as well as recognising the symptoms of a new stroke should one occur.
Dear Dr, I am writing to refer a 28-year-old male patient of mine, Mr [Patient's Name], for assessment for the diagnosis and treatment of Attention Deficit Hyperactivity Disorder (ADHD). After a thorough clinical assessment, I believe that Mr. [Patient's Name] meets the criteria for adult ADHD as outlined in NHS guidance for primary care teams in SE London. Mr [Patient's Name] has been under my care for XX years and, during this time, he reports several symptoms (greater than five symptoms in total) consistent with ADHD in adults that have been present for more than six months. These symptoms include difficulties in focusing, following through on tasks, hyperactivity, forgetfulness, impulsiveness, restlessness, and irritability. Mr [Patient's Name] also reports being easily distracted, struggling with time management, organisation, and completing tasks efficiently. Many of Mr [Patient's Name]'s symptoms have been present since he was under 12 years old; and have
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