{"text":"then I think it would be reasonable to switch back to Celecoxib as long as she understands that this \ndoes carry with it a slightly increased cardiovascular risk. \u201cGiven that she is a non-smoker, female \nand her blood pressure is currently well controlled I would have thought that this would be a \nreasonable course of action so long as she is happy to accept this small risk. I have not suggested \nany further rheumatology investigation or follow up at this time and discharged her back to your \ncare. : \nYours sincerely \nDavid McCarey i \nConsultant 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