21st October 2025 from David Halpin FRCS

Dear Adel,

I write in gratitude to Torbay Hospital. I went to the Acute Medical Unit at 6.30 pm last evening. I found none of the chaos of the ordo ab chaos - the motto of free masonry. There were 2 ambulances waiting, one of which had a febrile lady on the couch. The waiting room in A&E was almost full - gross obesity in some, cell phones being twitched. and a feeling of distress and resignation.

But in the AMU I found  a very kindly and professional nursing staff. Mary was in no 33. Seemingly asleep, and sitting half up. She opened her eyes and said 'hello Day and where is Sue?'. There was some paranoid delusion. She looked her gaunt self - no orbital fat nor masseter to feel - indications of chronic carbohydrate and protein deficiency. Well hydrated, BP 138 over 82 and pulse good. I was with her for 20 minutes. At the end I kissed her goodbye and she said 'Give my love to Sue'!

Further.  Our lady tenant Eva saw her at Mulberry House CH for the fifth time last Friday. She had a good and normal conversation with her. The only muddle - transposing our children's names with her two step children.

We have felt for a long time that she has a most unusual dementia. The physicians looking after her might be considering a pituitary deficiency given the verbal report I had from the RSCH. A meningioma 'over the/a basal cistern' - this in February 16 2023. Admitted as an emergency having fallen on to the stem of a tap in her bath - laceration over R brow - and fortunately not into the frontal sinus.

Please transmit this to Matthew. SHO in the medical firm caring for Mary with my respect.

I thank you and leave you with this. One nurse in the AMU said this as I left. 'We are a good team'

for truth

David Halpin