Firstly, an obvious prominent aortic aneurysm; a CT done in October done in 2009 suggests that llus has reached the size of 56mm and 1 would be most grateful if Mr Rachid would send him an early appointment please.
Secondly he remains anaemic with a haemoglobin which has fallen to 9.7 with a normal white cell count and slightly raised platelets, suggesting a blood loss.
I note that he has Barrett's oesophagus diagnosed 8 years ago and I would be very grateful if Dr Guy Chung Faye could send him an appointment with a view to upper and lower GI endoscopy to establish whether Lord Avebury is suffering from any significant blood loss. 1 am also taking the precaution of checking his PSA. direct antiglobulin test, liver function and paraproteins today. We will see him again in 6 weeks time.