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How To Appeal A Doctor's Opinion

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kmajk | 18:31 Mon 19th Aug 2019 | Law
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Hi,

Last year I was arrested and evaluated by doctors and nurses at custody. Evaluation was no acute mental health symptoms, orientated, coherent etc... and this was consistent across two doctors and two nurses that came to visit in the end.

However, the very first doctor although she evaluated me and the bottom line was that I had no issues, she did write down "appears" to be very paranoid. Which i do not agree with. This evaluation was 20 minutes after I was booked into custody for crimes I did not commit and managed to apply and get them deleted off of the PNC. I was in shock at what I was being accused with and I don't agree with the evaluation 20 minutes after they booked me in. Throughout my time in custody there were no issues, and in the end I not only was found not guilty but then was able to get the records deleted by a chief police officer.

What options would be available to me with regards to appealing the notes that the very first doctor wrote down? Which is ("appears" to be very paranoid)... No symptoms listed other than "appears"...

Thanks in advance!
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Whats the problem? Doctor can only write an opinion of what they observed, dont think you will be able to get notes changed now.
There's the slightest hint of paranoia in your question.

What does it matter what some doctor wrote about something that in effect never happened?
Question Author
The problem is in my line of work this could end my career. The doctor observed me in shock 20 minutes after being accused for a crime i did not commit facing a potential life sentence. Innocence proven beyond just the courts, but name still tarnished.
The chance is virtually nil - doctors'notes are NOT meant to be infallible and dont have any hallowed status in law

Now - EVEN if the doctor has written down - "has six fingers" - and then you conclusively you only have ever had five - the correct course is to write later - "I have counted and recounted his fingers and there are only five" - ( sign and date)

possibly above 'six' - squeeze in 'five - see later note 19 Au 19) but I have to say I am not keen on decoration like this altho it may be wise in certain cases

in child protection - arm looks broken is an important statement and even if it is not should be be 'corrected' but a later entry saying arm OK

was appears really in inverted commas?

I think - pt 'appears' very paranoid
is different to
pt appears very paranoid

and You must later have had a normal psychiatric examination later on which is documented.

So you never get a great big black pen and cross out the bits you dont like - - that is not how the system works and is meant to work

so this is a very long entry for
thee doctor will say
but he appeared so at the time in my opinion

Hospital notes: you never ever see:
foreign travel - Dx Hep A hep B, malaria, TB, schisto

and then red lines thro them /yes, /yes /no /poss / stupid.......
Question Author
@douglas9401
Because in my line of work the investigations aren't DBS checks they are thorough government checks. It is a factual statement that medical records matter and have a severe impact to my career. I've asked for advice, not to be judged on assumptions of why things do not matter... They severely matter, unless you are saying careers don't matter either?
kmjak why were you arrested?
I'm afraid you're validating the observations you dispute.

Have a long and prosperous career.
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@TonyV
Misunderstanding and false allegations, proven in the end and the case is over.
@Peter Pedant
You actually provided a really negative answer when I asked a question a long time ago as to whether it was possible to get a certain PNC record deleted or if a certain thing (avoiding saying to remain anonymous) was attainable. The record was deleted and the "thing" was attainable, although you were certain that none of those things were possible.
I think all the above entries reflect the status of notes.

Make sure you have NOT waived confidentiality and so the notes cannot be circulated - certainly not to your employer

oops sorry I will get it deleted
I didnt realise that they were con
//There's the slightest hint of paranoia in your question//
Douglas, your sharp wit and quick quips often make me laugh...but not in this instance. This is someone who's career may be on the line and he/she is NOT validating anything that they dispute. They are showing a very real concern.
Kmajk If no charges were brought then they will not reflect upon you. I am sure you will be able to get copies of your police and medical records if you dont have them already.
//However, the very first doctor although she evaluated me and the bottom line was that I had no issues, she did write down "appears" to be very paranoid.//
Think I'd be 'paranoid' at been arrested for something which carries a life sentence as well!
Innocent OR guilty...
Question Author
@nailit
I really do appreciate what you have said.
Tony V Kmajk If no charges were brought then
lots more detail at the URLs given - including p[inions whether he can change doctors notes !
The problem is, is that once 'professionals'' get involved, they can write whatever the hell they like. Whether its 'factual' or not is not relevant, it still impacts on your life. Had many instances of it myself.
Question Author
@TonyV
Charges were brought, they lasted 20 minutes or so in court before the prosecution wanted to drop them, multiple lawyers said it was not a crime, and a chief officer (through ACRO) deleted the PNC records... It was genuinely shocking given the circumstances, and the maximum penalty was life for something that is confirmed to not even be a crime.

It is difficult to explain whilst trying to remain anonymous, but public sector careers sometimes don't just do DBS checks, they check every single aspect of your life and that includes thorough medical record checks. My concern is the statement "appears very paranoid" 20 minutes after being booked into custody whilst in shock of what was going on, is enough to say that paranoia represents a very serious underlying mental health condition. In my line of work a diagnosis is not necessary and suspicion is enough, the normal laws in regards to discrimination do not apply, similar to military standards but more strict in most cases (apologies for being vague, it is deliberate, but hopefully that explains the situation)

I have all my records at hand, I have everything they've written about me and case files and deletion letters.

I initially saw a doctor who said no acute Mental Health (MH) issues, and coherent, but said, however, appears very paranoid (this was 20 mins after being booked in).

A day later at the station, I was seen by another doctor, who said no acute MH issues, coherent and aware, polite and able to make decisions, no concerns.

A day later, I was seen by two MH nurses, both said good things about me and had no concerns at all.

I was observed at the cell door at the station for over a day, had a normal chat with every single officer who swapped over to observe me at the door, none had concerns, some wrote things in my favour. I have also got all custody records at hand (I have made quite a few subject access requests)
Kmajk You cannot re write the records that have been taken at the time by Police or Medical staff.

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