{"text":"@ s \nPeripheral Vascular Unit \nGlasgow Royal Infirmary . \n. .o - 16 Alexandra Parade \nSURGICAL-SPECIALTIES DIVISION Glasgow G31 2ER \nL \no Telephone No. 0141 211 4000 \nMrD P Lelberman - - \u201c Fax.No.800 1974 \n. MrR P Teenan L .. \nMrD Orr. \u2019 \nMr G Trehame . \n! o Mr Leiberman\u2019s secretary \n* \u2018R Directline 0141 211 5504 o \n\u2018 Emdil:_Mcrie.Higgins@Ndrf(hGIosgoW,si:_oT.nhs.Uk\u2019 \n. - - A \n* \u00a3 : . o \n-~ _DateTyped M October 2008 \nRef DPL\/MH\/10338654X \nMr Leiberman GRI Clinic 1% October 2008 \n\u00a3 \nDr M Stephens . \nKilsyth Health Centre \nBurngreen Park o \n\u00a9 L Kilsyth \" .o . \nG650HU L \n\u2018 Dear'DrStephens - \nMs Clelland came back to the vascular clinic today. As we expected; her vascular laboratory medsurements: \nshowed that she has normal static pressure ratios and also normal pressures after exercise. This-essentially rules: \nout any significant peripheral arterial disease. | note that she is a young (32) diabetic who is very sngnmccm\ufb02y \u2018 \noverweight (119 kilos, 5ft 5). She tells me that, she is troubled with eorly arthritis. s \nI-tied to dlscuss with her the excess risks that she was running with her excess welghf and she tells me she finds \nit hard {0 manage., 1 also wondered whether she and yourself had discussed any formal assessment and \nattempt at 1recn\u2018ment perhaps in the Glasgow Weight management service2 From a vascular point of view \n\" she does not have any further oppom\u2019rmenfs - \n-Yours sincerely o . \n\u2018MR PAUL LEIBERMAN \nConsultant Vascular Surgeon 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