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COVER LETTER
February 29, 2013

532 davis street
Virginia beach va 23464
Dear Mrs. and Mrs.sims:
Please review the enclosed report, and of course feel free to ask for any additional information or explanations you may want. I will call you in about one week's time to arrange an appointment so that we can discuss your options in person. I look forward to a working with you.

Sincerely, keonte Yorkshire
I.M. Student
Genetic Counselor
Virginia Beach Genetics Counseling Service

* Cystic fibrosis is a life-threatening disorder that causes severe damage to the lungs and digestive system. An inherited condition, cystic fibrosis affects the cells that produce mucus, sweat and digestive juices. These secreted fluids are normally thin and slippery. But in cystic fibrosis, a defective gene causes the secretions to become thick and sticky. Cystic fibrosis signs and symptoms vary, depending on the severity of the disease. Even in the same person, symptoms may worsen or improve as time passes. In some children, symptoms begin during infancy. Other people may not experience symptoms until adolescence or adulthood. Symptoms can be : A persistent cough that produces thick spit (sputum) and mucus * Wheezing

* Breathlessness
* A decreased ability to exercise
* Repeated lung infections
* Inflamed nasal passages or a stuffy nose
* There is no cure for cystic fibrosis, but treatment can ease symptoms and reduce complications. Close monitoring and early, aggressive intervention is recommended. Managing cystic fibrosis is complex, so consider obtaining treatment at a center that specializes in cystic fibrosis. Things that can help are : Chest clapper, a hand-held device that mimics the effect of cupped hands clapping over the ribs * Inflatable vest, a device worn around the chest that vibrates at high frequency * Breathing devices, usually a tube or mask through which you exhale while performing breathing exercises Prognosis for patients...
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