Medical technology has developed rapidly in recent in recent decades and there is now real potential to apply these technological developments to improve the quality, safety and efficiency of healthcare worldwide. In a report published in the leading medical journal, The Lancet, Peter Howitt and colleagues from Imperial College London examine how medical technology should best be used to improve health in low- and middle-income countries. The report concludes that in many cases, medical technology — almost exclusively developed in rich countries— is not appropriate for use in poorer nations. Although medical technology is making a substantial contribution to global health, there is much more that it could do if developed and applied correctly for low and middle income countries.
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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