Rachael received a follow up letter from Dr P. He wrote that Rachael had mentioned her constipation and stomach ache at their meeting and that he had prescribed Movicol as a softener.
They had then discussed her medication and bolus feeds. He also discussed the Salbutamol nebulisers with Rachael and advised on frequency of use as she felt that they were too effective in that they make mucus come up in chunks.
He had then suggested using an anti-depressant to relieve Rachael's anxiety, she was keen to try this when her stomach feels better.
He mentioned that Rachael is due to see her physiotherapist soon regarding her knee and neck pains.
Dr P will see Rachael again in six weeks time.