In it, Woolf - using established letter-writing conventions - takes advantage of the timelapses between exchanges to recuperate, clarify, recast and take control of the argument.
The first thing I would like to do is to apologise on behalf of the Trust to those patients and their relatives for those lapses in quality of care that were uncovered at that time.
As the disease progresses, the liver has a hard time filtering out toxins, which can go to the brain and cause problems such as memory lapses, trouble sleeping at night and lack of coordination.