Dr Matthew Hind PhD FRCP Consultant Physician

Dr Matthew Hind PhD FRCP.
Consultant Physician Department of Respiratory Medicine.
Email: m.hind@rbht.nhs.uk

Secretary: 07394 478523
Email: secretary@drhind.co.uk

Clinic Date: 23 June 2023 Date Typed: 03 July 2023 Royal Brompton & Harefield Hospitals Specialist Care Sydney Street, London SW3 6NP Tel: 020 7351 8830 NHS No. Hospital Number. 4259439 OWS No. 1196770 Dr

Tim Lyons klyle@90sloanestreet.com
90 Sloane Street London SW1X 9PQ

Dear Tim Re: Mr Timothy Robarts.

DOB: 02/05/1952 57 Yeomans Row, London, SW3 2AL.

It was kind of you to ask me to see Tim Robarts, a 71 year old gentleman who has recently had a permanent pacemaker inserted under my colleague,Vias Markides, due to episodes of bradycardia on a background of atrial fibrillation and heart failure with a preserved ejection fraction. You asked me to see him for a respiratory opinion. He is an ex-smoker who smoked enthusiastically until the age of 35 when he quit. He describes exertional breathlessness such that he would struggle to climb up a flight of stairs. His breathlessness on the flat has improved since the pacemaker has been inserted. Prior to this he was limited at about 200 yards on the flat. Sleep has also improved since the pacemaker. He continues to describe episodic snoring and occasional apnoeas. He has never seen a respiratory physician in the past but I note he was admitted under the care of our colleague Inaki Bovil to the Lister Hospital a number of years ago and treated for an exacerbation of COPD. Clinical examination today revealed he is generally well. Resting oxygen saturations were 97%. Heart sounds were normal with a systolic murmur. Chest was clear. I agree with you I think a respiratory assessment would be helpful. I will arrange CT, lung function, and a home sleep study. I look forward to seeing him in due course with these results.

Once again, many thanks for asking me to be involved in his care. Royal Brompton Hospital Sydney Street, London SW3 6NP Harefield Hospital Hill End Road, Harefield UB9 6JH RB&HH Specialist Care Outpatients and Diagnostics 77 Wimpole Street, London W1G 9RU Tel: 020 7351 8830 | Fax: 020 7351 8535 | www.rbhh-specialistcare.co.uk With best wishes, Yours sincerely Dr Matthew Hind Consultant Physician.

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