Sample English Paper on a Memo to George A. Soper

MEMORANDUM

TO: Dr. George A. Soper

FROM: [Student’s Name]

DATE: 12 January 2018

RE: Treatment for Mary Mallon

The discovery that Mary Mallon is a typhoid career presents unique health issues in the country. She not only pose a great health danger to many people she comes in contact; she also provide a unique case study that many in the field of medicine can gain very valuable insight on typhoid and the various bacteria that cause them. Additionally, she provides a unique opportunity for health care policymakers to make critical policy decisions that will impact both current and future generations. The health risks she poses to the greater population makes treating her an important step towards help her while also safeguarding the safety of others including medical practitioners who come in close contact with her. I recommend that you put her on a dose of Amoxicillin.

Administration

Treatment of typhoid is primarily centered on administering antibiotics to treat typhoid fever. Since you diagnosed her with typhoid, Mary Mallon must have shown a variety of symptoms of typhoid fever including headaches and migraines, fever and unexplainable loss of appetite. She might have also been lethargic, complained of pain including on the joints and diarrhea.

To treat Mary Mallon, I recommend that you use Amoxicillin due to its bactericidal capabilities. Moreover, I recommend it because it is a broad spectrum antibiotic capable of killing various bacteria species and even various strains of the typhoid causing bacteria.

Amoxicillin acts on susceptible bacteria by targeting by their cell multiplication. This it achieves by actively inhibiting cell multiplication in the bacteria by disrupting the cell wall development. Without their protective cell walls, bacteria are usually vulnerable to attacks and destruction by even immune cells of the patients. Additionally, Amoxicillin specially suits Mary since she has shown signs of relapse on several occasions. This is because it has low relapse rate and can be used against a broad range of bacteria associated with typhoid or other gastrointestinal diseases and are susceptible to the bactericidal activities if Amoxicillin.

Putting her on a daily dose of Amoxicillin through oral administration for fourteen days will help in relieving the typhoid symptoms including diarrhea, lethargy and pain. In particular, Amoxicillin is very effective when it comes to alleviating fever which is commonly associated with typhoid. To further alleviate the pain, I recommend that you administer painkillers.

Precaution

One of the challenges in using antibiotics in treating bacterial infections is development of resistance by the targeted disease causing bacteria. They bacteria evolve and adapt to their antibiotic environment and produce strains that are resistant to the bactericidal activities of the antibiotics. In severe cases, the bacteria can develop resistance to multiple antibiotics which makes the diseases they cause difficult to treat. One of the leading causes of single-line or multiple-line drug resistance in bacteria is poor dosage. Failing to stick to the prescribed drug regime gives the bacteria the opportunity to develop drug resistant strains. Additionally, resistance can also be caused by taking multiple antibiotics at the same time. This is sometimes as a result of over-prescription or failure to follow the prescription instructions given by the medical practitioner. Therefore, even as you plan to administer the recommended antibiotics ensure that Mary Mallon adheres to the prescribed drug regime and avoid prescribing different antibiotics at the same time.

Thank you for your time,

 

[Your Name and certs]