Dear Mr Hooper,

Thank you for the message, as I said on the 'phone I do remember the case
well, even though it was a long time ago.
Srila Prabhupada first presented to me in the emergency room of Watford
General Hospital in 1977.
He was in obviously poor health and showed signs of renal failure and was
found to be diabetic. These diagnoses were made on clinical suspicion
confirmed by blood and urine analysis.
Unfortunately his renal failure was by that time well advanced
and irreversible, caused by a combination of diabetes and phimosis.
I hope this is of some help,
My best wishes,

Andrew J McIrvine FRCS
Consultant Surgeon