Letter With Corerctions
Letter With Corerctions
I am writing to refer Mrs. Susan Thompson, a 68-year-old patient who has visited our clinic
today for follow-up care. She has been complaining of shortness of breath and chest discomfort
for two weeks.
1. "has visited":
o Changed from "visited" because this is an event relevant to today’s letter,
requiring present perfect tense.
2. "has been complaining":
o Changed from "was complaining" because her symptoms are ongoing and
started in the recent past. Present perfect continuous is appropriate for actions that
began in the past and continue into the present.
3. "for two weeks":
o Changed from "since two weeks" because "since" is used with specific points in
time, while "for" is used with durations (e.g., "for two weeks").
Mrs. Thompson has experienced hypertension for several years and has been taking prescribed
medication irregularly. Over the past month, she has noticed episodes of dizziness and fatigue,
but she did not consult a doctor until now.
4. "has experienced":
o Changed from "has had experienced" because "has had" is redundant; present
perfect alone is sufficient to indicate a past action with relevance to the present.
5. "has been taking":
o Changed from "was taking" because this describes an ongoing habit (irregular
medication use), requiring present perfect continuous.
6. "has noticed":
o Changed from "has been noticing" because the emphasis is on the outcome
(awareness of symptoms), not the ongoing action, so present perfect is correct.
7. "did not consult":
o Changed from "did not consulted" because "consulted" is incorrect after "did"
(use the base form of the verb).
During today’s examination, her blood pressure was measured at 180/110 mmHg, and her heart
rate was recorded as irregular. An ECG and blood tests have been performed this morning,
and I have enclosed the reports for your review. Mrs. Thompson was also advised to begin a
low-sodium diet and regular light exercise.
8. "was measured":
o Changed from "was measuring" because the action (measuring blood pressure)
is completed. Passive voice in past simple is appropriate here.
9. "was recorded":
o Changed from "has been recorded" because this was a single completed action
during today’s examination, requiring past simple.
10. "have been performed":
Changed from "have performed" because the subject is the tests, not the nurse, so
passive voice is required.
This was correct in the original. It shows the relevance of the enclosed reports to the
current letter.
This is correct in the original because it refers to advice given earlier during today’s visit.
I kindly request that you evaluate her cardiac condition further and consider starting a tailored
treatment plan. Her non-compliance with medication in the past has led to uncontrolled
symptoms, which may require additional support.
This was correct in the original. Present perfect is suitable because the impact of past
non-compliance is still relevant.
Changed from "to contacting" because "to" is followed by the base form of the verb
(infinitive), not a gerund.
Summary:
Present perfect: Used for actions relevant to the present (e.g., "has experienced").
Present perfect continuous: Used for ongoing actions (e.g., "has been complaining").
Past simple: Used for completed actions at a specific time (e.g., "did not consult").
Passive voice: Used when the focus is on the action rather than the doer (e.g., "was
measured").
This breakdown will help your student understand when and why to use each tense correctly. Let
me know if you need further assistance!