((((((( ToeJam! )))))))
It's a hard-hitting letter, and so probably exactly what your GP needs to see. As possible, update it just before the appointment.
Your post was probably sitting right there in front of my eyes, but I never saw it. Why didn't I notice? Depressive apathy infecting my mind? I don't know.
You are not going to that appointment alone...
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My dog

mastered the "fetch" command. He would communicate he wanted something, and I would fetch it.