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GPs are 'missing opportunity' to prevent smoking-related illness

I just had to send you this consultant's letter. What was the secretary thinking and why on earth didn't she check out the last sentence?

Dr Adam Stern

London E1

Dear Dr Stern

I have seen this patient of yours today. His lower urinary tract symptoms have not

been resolved totally with the alpha-blocker Flomax. I think the time has come to suggest

that he have a cystoscopy and I have arranged for this to be done as an inpatient under a

general anaesthetic in view of his history of bonky ectasis.

Yours sincerely,

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