File note

Dear Doctor,

Re: A and D

Diagnosis:
1. Fourth unsuccessful IVF cycle
2. Primary infertility secondary to azoospermia post vasectomy reversal
3. Hypertrophic obstructive cardiomyopathy, treated cardiac septal ablation, 1998 and 1999, second procedure complicated by vascular injury requiring double bypass graft
4. Allergy to aspirin and ibuprofen
5. Dysmenorrhoea, possibly due to endometriosis
6. Short menstrual cycle

Review appointment

Last Thursday we had our review appointment at the clinic with Dr C. It felt awful being there. While we were in the waiting room, I didn't want to stay. I certainly didn't want to talk about how we had failed again and how there was even less hope. Although we had always planned that this previous attempt would be our last, I am still not ready to let go of this dream, but I braced myself for a negative consultation.

Feedback invitation

Dear A and D

Thank you for choosing [clinic] for your care. As clinic manager I would really appreciate your feedback and I enclose our feedback questionnaire - and a couple of tea bags to help you slow down and take time to answer it! Thank you for your time.