|
Incapacity For
Work Medical
Report Form
Surname BULFIN
Other Names EDWARD
National Insurance
Number YP 254870 D
Time
Examination and Interview Started
Time Examination
and Interview Ended 15:16
Total assessment
30 minutes for something that has taken two years to research and diagnose by a
number of doctors
Time Report Complete 15:20
Date of
Examination 24
October 2003
Place of
Examination Bristol
Doctor's Name Dr Martyn Peel
Further
information requested from this doctor on qualifications and numbers of
patients seen with this disorder.
Please note I have corrected the original poor spelling and the use of
upper case letters within sentences using Spellchecker, these are the only
changes made to the doctors original document.
Ref: 57753 Page l of 14 |
Report on EDWARD
BULFIN completed by Dr Martyn n 24 October 2003
Claimant Interview
Diagnoses |
Antiphospholipid syndrome
Psoriatic Arthritis
Claimant states no other problems
I did not; I
just did not mention others in the form, as it is only those above that are causing me to be unfit for work
Medication |
Warfarin
Aspirin 75mg
Tramadol 50mg daily 5-6 moderate
strength analgesic
Side Effects Due to Medication
No reported side-effects.
Hospital Treatment and investigations within the Last 12
Months
Please see
details in Diagnosis History section.
Where is this, or
does Dr Peel mean those in the completed form? No mention of visits to Stroke
rehabilitation courses or to the speech therapy clinic.
Mental
Therapy Received Within the Last 3 Months
None
Report
on EDWARD BULFIN completed by Dr Martyn Peel on 24
October 2003 Ref:
57753
Page 2 of 14
a disturbance of clotting the condition is likely to vary during the average
week and if the function can be carried out regularly and repeatedly taking
into account, fluctuation, pain, fatigue, stiffness, breathlessness, balance
problems etc, the description of functional ability is as follows: I have highlighted this as there is no mention of
the extreme fatigue that I mentioned in my form and the notes that Dr Peel
admitted he had not read. The Consultant at The Royal National Hospital for
Rheumatic Diseases advised me that both Psoriatic Arthritis and Antiphospholipid Syndrome (APS) will causefatigue. Dr. Cuadrado at the Louise Coote Lupus center at St. Thomas Hospital
London also advised me that I should not expect to be able to work with the
fatigue that is normal with Antiphospholipid Syndrome (APS or APLS). I really do need to see this
doctors qualifications and resume
Antiphospholipid syndrome - Diagnosed last year on
investigation for transitory neurological disturbances speech, balance mobility and cognition over last few years this condition is a disturbance of clotting (it is a lot more than that, which leads me to
believe this doctor has not followed the last 20 years of research into the
disease).
commenced on Warfarin last year 6.5 to 7mg daily INR level
4.2-4.4
believes stress of visit here has upset it
awaiting appt with Dr Hughes Special Clinic at
Psoriatic Arthritis - Diagnosed at Mineral
Hospital several years ago periodic reviews 6 monthly
Claimant states no other problems – That cause me to claim Incapacity Benefit
Lives in a second floor flat same level with wife
2 flights of stairs
Drives not informed DVLA – Nobody told me that it was reportable. If it is then
surely it is a lot more dangerous than this doctor is saying (in his terms a disturbance of clotting) – Which is it nothing
really or a dangerous disease?
Last worked as a coordinator of work
for Open world Ltd in
Involved computer s/
websites.
Oct02 – Unemployed due to
redundancy, and at this point the doctor had to move on quickly as I could not
work out when I finished work due to memory problems and my wife and I were
obviously taking too long to work it out.
Rises 8am
no particualr problem – Other than the pains from the feet, hip, knees,
hand, head
makes tea for self and wife
then showers and dress
without assistance (see next item)
cannot squeeze toothpaste tube easily wife puts on brush (in other words WITH assistance – OK minor, but
deteriorating rapidly)
wet shaves if cuts does not bleed - shows that even with high levels of
anti-coagulation I still clot more rapidly than is normal
shops several times a week takes car – I said TWICE not several times
Tesco or town separate days – That makes TWICE when I counted them
taken up photography – Returned to Photography to see if long term memory
has as many problems as the short term memory
flowers, waterfalls visits parks – I feel that I cannot give in to this disease, or I
would just sit and deteriorate quicker. Dr Peel did not finish the sentences;
only typing what he felt would help in the report. This inability to show
complete answers makes the end result look different. This was one visit to a
local park, not many as his short reply denotes.
stopped riding bike does not trust - Again did
not complete the typing of the words I used, as I said I did not trust my
balance as that had changed since the damage to my brain from the recurrent TIA’s,
and that I did not want to chance a fall which may aggravate my mental problems
with an intracranial bleed.
computer several hours most days – I did not use the word SEVERAL My wife and I agreed
on a couple (we had to discuss this as my memory is poor on details such as
this).
TV one hour in evening
will watch film
never been that sociable, This was in reply to going out with friends, I did
quantify this statement with I used to like going out with work colleagues and
to club, but not any longer.
two children with grandchildren see regularly and
keep me busy – I did not add AND keep
me busy . I said who keep me busy and used a hand gesture to infer confusion as
I said the word busy as this is how I feel when there is a lot of noise around
me.
wife cooks
No difficulty washing and drying dishes after a
meal. I said That Jen washes
and I dry (ususlly and then only what I can hold without pain
helps with making the bed. Once a week to help in changing the Duvet cover
stopped DIY finds holding tool hurt and he loses temper with
himself – when I could no longer do
simple tasks or follow simple instructions. Again he did not finish what I had
said.
Report on EDWARD BULFIN
completed by Dr Martyn Peel on 24 October 2003 Ref: 57753
Page 3 of 14
Medical Examination Findings
Lower Limbs
7(cont.)
Spinal Curves: Are normal Are you sure this is me as I have a curvature of the
spine that I was given exercises for by the Stroke Rehabilitation unit
Palpation : There is no tenderness or muscle spasm Hands feet and thighs are tender, but he did not
ask, nor did he check.
Forward flexion to : Mid
shin Are you sure the doctor
could get to mid shin I told him and demonstrated I can touch the floor.
Squat and rise : Is full While holding a chair, but he did not ask if it
hurt to do this.
Straight leg raising is:
More than 70s right and left Not Tested so where did this figure come from
Hip flexion is: 1309 (normal) Right,
130Q (normal) Left Not
Tested so where did this figure come from
Knee flexion is : 120s
(normal) Right, 1209 (normal) Left Not Tested so
where did this figure come from
Knee extension is: Full Right, Full Left Not Tested so where did this figure come from
External hip rotation :
459 (normal) Right, 459 (normal) Left Not
sure if this was tested, but both hips have a loss of rotation as noted by Dr
Cox Rheumatologist at The Minerals Hospital in
Lower limb : Power and
tone is normal Right, Power and tone is normal Left Not Tested so where did this comment on ‘
Upper Limbs
7(cont.)
Neck tenderness: None
Neck crepitus: None What is it
Chin to chest: No gap
Neck extension : 80Q
or more (normal)
Neck rotation : 80s
or more (normal) Right, 80s or more (normal) Left
Ear to shoulder: Yes Right, Yes Left
Shoulder external rotation :
70a (normal) Right, 70- (normal) Left
Hands behind neck: Fingers overlap mid-line Right,
Fingers overlap mid-line Left
Hands behind back: Finger to mid scapula Right,
Finger to mid scapula Left
Scapular movement from :
909 of shoulder abduction (normal) Right, 90s of shoulder
abduction (normal) Left
Shoulder abduction : 1709
(normal) Right, 1709 (normal) Left
Elbow flexion : 1309
(normal) Right, 130s (normal) Left
Wrist pronation : 70s
- 80° (normal) Right, 709 - 80° (normal) Left No question of pain – Should I have stopped
trying at the point of pain
Wrist supination : 70s - 80° (normal) Right, 709 - 80°
(normal) Left No question of pain
Wrist dorsi-flexion : 30s or more Right, 309 or
more Left No question of pain
Wrist palmar-flexion : 309 or more Right, 309 or
more Left No question of pain
Pinch-grip: Normal (thumb to index finger) Right,
Normal (thumb to index finger) Left Absolute
rubbish as he stopped pulling at exactly the moment my right forefinger and
thumb separated.
Power-grip :
Upper-limb power: Power and tone are normal Right, Power and tone are normal Left Not Tested so where did this remark come from.
Vision, Speech, Hearing 7(cont.)
Heard
conversation at normal volume without apparent difficulty. Normal intelligible speech.
Again not what I
said, not what was put in the notes and the form, and definitely not tested in
any way.
What I did say was
that when more than one person was in the conversation, I could not follow the
conversation, not because I couldn’t hear, but because the sounds became
muffled and I could not distinguish what was being said. I also mentioned that
if the TV was on I could not follow a conversation in the room and had to turn
off the TV.
Speech gets
effected when under duress or in times of stress, I felt relaxed and rested at
the time of this (I was going to use the word examination, but that is not what
it was) appointment.
Consciousness
7(cont.)
no history of altered consciousness
Had he read any of
the form or notes or asked for reports from the hospitals he would have seen this
for himself. I mention loss of understanding, loss of cognition, short term
memory problems …How many more ways should I have mentioned this, and should he
not have read the notes.
Continence
7(cont.)
Report
on EDWARD BULFIN completed by Dr Martyn Peel on 24
October 2003
Ref: 57753
Page 4 of 14
Claimant states
no problem with these activities.
Friendly and
cooperative. A good sign that I was
relaxed and open with my replies.
Made good eye contact
during the interview. A good sign that I was relaxed and being honest
Speech was normal A
good sign that I was relaxed
Did not appear to be
withdrawn. A good sign that I was relaxed, and trusted this
doctor who told me he knew all about Antiphospholipid Syndrome (APS or APLS)
The appearance was normal. A good sign that I was relaxed
Mood appeared to be normal. A good sign that I was relaxed
Appeared relaxed during
the interview. A good sign that I was relaxed
Normal behaviour during the assessment. A good
sign that I was relaxed and not under stress
Intellect appeared normal Again I was not under stress and not
being asked questions that would create problems for me. None of the questions
were of a technical nature, or contain words or phrases that were new to me and
give me cognition problems. Absolutely no test was carried out that could be
used to assess any change in intellect. What exactly is
Concentration appeared to be normal. I had to concentrate very hard to make sure I did
not miss questions or answer wrongly.
Report on EDWARD BULFIN completed
by Dr Martyn Peel on 24 October 2003 Ref: 57753
Page 5 of 14
Medical Opinion
I have
considered the possible PCA functional descriptors and my advice is that the
following apply:
Lower
Limbs - Sitting, Rising, Bending
Sitting
Activity 3
This means
sitting comfortably in an upright chair with a back, but no arms. Sitting comfortably
means without having to move because the degree of discomfort makes it
impossible to continue sitting.
Si f No problem with sitting
Disagree
To disagree to ‘No Problem ‘ =
A problem
Rising from Sitting
Activity 5
This means from
an upright chair with a back but no arms without help of another person.
R
d No problem with rising from
sitting to standing
Agree
Bending or Kneeling Activity
6
This means
reaching the posture from a standing position and not from sitting. Bending or
kneeling means that activity can be done by either bending or kneeling or by a
combination of both.
B
d No problem with bending or
kneeling
Agree
Medical
Evidence Used to Support Choice of Descriptors
Prominent Features of Functional Ability Relevant to Daily Living 8
Rises 8am
no particular problem
TV one hour in
evening will watch film Was asked on time of activity not on comfort. During this hour I get uop and walk around the room at least once to help with the
circulation, and reduce discomfort.
No difficulty
washing and drying dishes after a meal. Not
what I said, I said I helped by drying, not that I had no difficulty. I only
dry the light or easy to hold items, and those that require a grip will cause
pain.
helps with making the bed. Again not what I said -
Once a week I help put on a clean Duvet cover
Behaviour Observed During Assessment
9
Sat in an
upright chair during interview for 25 minutes and could clearly sit for longer.
Stood up easily in the waiting room and after interview.
Outright LIE the whole interview only lasted 30
minutes including the walk to the office from the reception. Check the times
entered by Dr Peel, he actually completed the report within 39 minutes of
collecting me from the reception and in that time he escorted me to the
reception area.
Also
to the question of sitting (Activity 3) Dr Peel has entered that he disagrees
with the comment ‘No problem with sitting’ so here he has actually contradicted
himself.
Relevant Features of Clinical Examination
10
No
abnormal findings on musculoskeletal overview examination. Dr Peel missed the Curvature of the spine, the swollen left foot (even
though I had told him I had to go up one complete size in shoe because of the
swelling), the fact that the right leg is shorter than the left, that there is
a distinct deformity of the right hip and finally missed the swollen right hand
that is over 1 inch larger than the left. There was no physical examination
other than the one I have reported as a complete and accurate list of tests.
Had a physical examination been carried out he may also have seen the reduced
rotation of both hips mentioned by Dr Cox at the Minerals in Bath, and included
in a written report to my GP.
Summary of Functional Ability 11
No
functional impairment.
With
so many anomalies and discrepancies in this form, I would question the
competence of this statement.
Report on EDWARD BULFIN completed by Or Martyn
Peel on 24 October 2003 Ref: 57753
Page 6 of 14
Activity 4 |
Lower Limbs - Standing, Walking,
Stairs
Standing
This
means standing without the support of another person or holding onto something except
one walking stick.
S g No problem with
standing
Disagree
Surely to disagree to No problem means there is a problem, so why am I
considered OK to find a new job when standing is a problem and so is sitting?
Walking
Activity 1
This means
walking on level ground with a walking stick or other aid, if normally used.
W
g No walking problem
Disagree
Surely to disagree to No problem means there is a problem, so why am I
considered OK to find a new job when standing is a problem and so is sitting
and now so is walking?
Walking Up and Down Stairs Activity
2
Walking
up and down stairs means both tasks can be managed.
St
f No
problem walking up and down stairs Disagree
Surely to disagree to No problem means there is a problem, so why am I
considered OK to find a new job when standing is a problem and so is sitting
and now so is walking And now the stairs – I knew I felt rough on all these
activities and the doctor agrees so why was my benefit stopped?
******* Has someone made a mistake and read this wrongly. I know my
cognition is poor, and I have had to read this a lot to make sense of it, but
in the English language 2 negatives make a positive (No problem + disagree = PROBLEM) *******
Medical Evidence Used to Support Choice of Descriptors 12
Prominent Features of Functional
Ability Relevant to Daily Living
13 |
Tesco or town seperate
days
then showers and
dress
flowers, waterfalls visits parks Plural makes me sound
active the reply was singular (one park one waterfall in the one park and not
many flowers this time of year).
This section is a
little disjointed(much like the examination).
Behaviour Observed During Assessment
Stood
easily and steadily during examination.
I had just had a
nice rest in the car park as I waited in the shopping centre round the corner
for an hour. I have to go everywhere early to stop the possibility of stress
causing me problems (getting delayed causes me real stress even one minute
makes me unreasonably anxious), so I was rested and relaxed at the time.
14 |
Appeared to walk
easily with normal gait to examination room, held stick in left hand The
stick is used as pain management tool not a walking aid. The pain in the left
foot is relieved by taking weight on the left hand, arm and shoulder. The right
hand is too painful to hold the cane. This test consisted of observing me
walking from the reception to his office 15 to 20 paces on flat carpeted floor.
Thjere is no consideration of concentration required,
pain tolerance nor for the ‘known’ fatigue that is a symptom of both Antiphospholipid Syndrome (APS or APLS) andPsoriatic Arthritis.
Relevant Features of Clinical
Examination
No abnormal
findings on musculoskeletal overview examination See
the comments on the lack of musculoskeletal examination and all the things that
would have been found had one been done (Item 10 Relevant Features of
Clinical Examination).
15 |
Summary of Functional Ability
No functional impairment To which function does this refer as
I have a lot of functional problems , sitting, standing, walking, pain,
fatigue, fear of accidents, stress from things not in my control (traffic jams,
queues, crowds, noise, conversations with more than one person, loss of
learning ability, loss of strength, difficulty swallowing and the absolute
dread of having another stroke or clotting event.
Ref: 57753 Page 7 of 14 |
Report on EDWARD
BULFIN completed by Dr Martyn Peel on 24 October 2003
Upper Limbs Manual Dexterity |
Activity 7 |
Statements referring to either hand means the customer cannot do these things with their left hand or right hand.
D h No problem with manual
dexterity Disagree
Surely to disagree to No problem means there is a problem, So I have a problem with Manual Dexterity!
Reaching
Activity 9
Statements
referring to either arm means the customer
cannot do these things with their left arm or right arm.
RS g No
problem with reaching Agree .
Lifting and Carrying
Activity 8
Statements referring to either hand means the customer cannot do these things with their left or right hand. This
means to pick up and move the object from a convenient place which does not
involve bending or reaching. The ability to walk with the object should not be
considered.
MHg No problem with lifting and carrying
Disagree
Surely to disagree to No problem means there is a problem, So I have a problem with Lifting and Carrying!
16 |
Medical Evidence Used to Support Choice of Descriptors Prominent Features of Functional Ability Relevant to
Daily Living
17 |
Tesco or town seperate days
taken up photography
flowers, waterfalls visits parks
makes tea for self and wife
wet shaves if cuts does not bleed
cannot squeeze toothpaste tube easily wife puts on brush
Already
covered once – Something wrong when all this is done twice – Waste of time and
effort as well as paper.
Behaviour Observed During
Assessment
stick used in left hand Already
covered once |
18 |
Relevant Features of Clinical Examination
No
abnormal findings on musculoskeletal overview examination
Already covered Twice, and no examination took place.
19 |
Summary of Functional Ability
No functional impairment. Already covered
once |
Ref: 57753 Page 8 of 14 |
Report on EDWARD
BULFIN completed by Dr Martyn Peel on 24 October 2003
Vision, Speech, Hearing
Vision
Activity
12
This means vision in normal
daylight or bright light with glasses or other aid if such is normally worn.
V f No problem with vision Problems some days when had a TIA in the night Agree
Speech Activity
10
Language and accent difficulties
should not be taken into account.
Sp f No problem with speech Thanks to hard work and concentration and speech therapy Agree
Hearing
Activity 11
This means normal hearing with a hearing
aid or other aid if normally worn.
H f No problem with
hearing Unclear
Lots of problems when in
3-way conversations or if concentrating on something other than the speaker.
This reply was given and was failed to be noted, the doctor seems to suffer
from selective hearing.
Medical Evidence Used to Support Choice of Descriptors
Relevant Features of Clinical Examination - Not done 22
Heard
conversation at normal volume without apparent difficulty. Normal intelligible speech.
Summary of Functional Ability
11
I have discussed this with the
claimant. The claimant states there is no problem in this area and I have no
evidence or opinion to the contrary. At
no time did I say I had no problem! I mentioned my hearing and understanding in
the (unread) notes, in the form and during the conversation.
Report on EDWARD BULFIN completed by Dr Martyn
Peel on 24 October 2003 Ref:
57753
Page 9 of 14
Consciousness
Remaining Conscious Without Having Epileptic or
Similar Seizures During Waking Activity
13
Moments
This includes epileptic seizures or
a similar loss, or change of consciousness occurring while awake. It does not include simple faints, dizzy spells, vertigo,
giddiness or fits of temper.
F g Has
no problems with consciousness
Unclear
Dr Peel obviously felt unable to answer this as he is unsure of the
disease and its symptoms, he therefore put ‘unclear’. The disease could cause a
TIA at any time, and the warning signs do come quite regularly. The pains cause
damage and the damaged cells can create a mood swing due to the lack of
understanding by others (including doctors) of the disease. The loss of
short-term memory and the loss of understanding could be classed as a ‘change’
in consciousness.
Medical Evidence Used
to Support Choice of Descriptors
Relevant Features of Clinical Examination
25
no history of
altered consciousness Not sure what is meant by altered consciousness, but the changes in my
short-term memory and the loss of understanding could be classed as a ‘change’
in consciousness.
Summary of Functional Ability
11
I have discussed this with the
claimant. The claimant states there is no problem in this area and I have no
evidence or opinion to the contrary. Does this just
mean functionality of the consciousness? If so what does it mean in plain
language?
Continence
Continence
Other Than Enuresis (Bedwetting)
Activity 14
Do not include conditions that may only
cause constipation, upset stomach or a need to use the toilet often.
Cn h No problem with continence
Agree
Medical Evidence Used to Support Choice of Descriptors
Summary of Functional Ability
29
Claimant has no
problem with these activities Not sure what is meant by
altered consciousness, but the changes in my short-term memory and the loss of
understanding could be classed as a ‘change’ in consciousness. No real conversation
on this subject (remembering that the whole interview lasted only 15 minutes).
Report on EDWARD BULFIN completed by Dr Martyn
Peel on 24 October 2003 Ref:
57753
Page 10 of 14
Mental Health
——————————
Evidence to Support the Decision Not to Apply the
Mental Health Part of the Assessment 31
Based on the medical evidence on
file, the history obtained and my assessment today, there was no evidence of
any mental health problem. What! There is a load of evidence in the notes
(unread), in the form (not sure if it was read or not) and during the
conversation, of changes in my learning ability, my memory, my levels of stress
changes, my inability to understand simple written instructions or verbal
instructions.
http://exess.virtualave.net/ime.htmlReport on EDWARD BULFIN completed by Dr Martyn Peel on 24 October
2003
Ref: 57753
Page 11 of 14
Exceptional Circumstances and
Prognosis
Non-functional
descriptors
My
advice based on the Personal Capability Assessment medical examination I have
carried out 58 as a doctor
approved by the Secretary of State, is that this person:
• Is not suffering from a
severe uncontrolled or uncontrollable disease. Only
the clotting is controlled by the Warfarin not the damage caused to the living
cells by the Antiphospholipid antibodies (every living cell is surrounded by a
layer of Phospholipids). This disease is therefore not controllable. Further
stress from the result of this report led to hospitalization as the INR became
uncontrolled and I suffered internal bleeding(999 call
• Is not suffering from some specific
disease or bodily or mental disablement and because of this there would be a
substantial risk to the mental or physical health of any person if they were
found capable of work. Due to the above comment and that the antibodies
could cause damage at any time the health of my wife (who has suffered anxiety
and depression since my diagnosis) would be compromised if I was in work and
able to be taken ill at any time.
• Is not suffering from a previously
undiagnosed potentially life-threatening condition. Does this doctor possess
some ‘sixth sense’ or is capable of foreseeing the future? If it is previously undiagnosed, how can a
doctor comment on it without testing and examining the patient? This comment
cannot possibly be substantiated without further tests for a great number of
Autoimmune related diseases, such tests
are still being carried out as the specialists believe that I may also have
Lupus, which is slightly more aggressive and life-threatening than Antiphospholipid Syndrome (APS or APLS).
• Will not, within three months have a
major surgical operation or other major therapeutic procedure.
As
the experts who have been studying this disease for the last 20 years cannot
make such a firm prognosis, I fail to see how this doctor (not a specialist in this
field of blood disorder) can do so!
Evidence Which Has Led to This Opinion
59
None of the exceptional circumstances appear to apply in this case. What
are the exceptional circumstances that Dr Peel mentions?
Prognosis
Expected Change
60
Functional
Problems:
I
advise the claimant's condition is unlikely to change in the longer term.
I
am still having TIA’s which effect the brain every time, making my problems a
little worse each time, these have been recorded in my medical notes by my GP,
so this prognosis is not accurate, As the experts who have been studying this disease for the last 20 years
cannot make such a firm prognosis, I fail to see how this doctor (not a
specialist in this field of blood disorder) can do so!
Reasons
for the Opinion Given 61
The condition is not causing
significant functional impairment and this is unlikely to change in the
foreseeable future.
I
am still having TIA’s which effect the brain every time, making my problems a
little worse each time, these have been recorded in my medical notes by my GP,
so this prognosis is not accurate, As the experts who have been studying this disease for the last 20 years
cannot make such a firm prognosis, I fail to see how this doctor (not a specialist
in this field of blood disorder) can do so!
Further
Medical Evidence on Re-Referral 62
If this case is
re-referred for medical scrutiny further medical evidence need not be requested
on the IB113.
Does
this imply that this doctor is infallible and cannot be contradicted with
better informed medical opinion?
Report on EDWARD BULFIN completed by Dr Martyn
Peel on 24 October 2003 Ref:
57753
Page 12 of 14
Declaration
This form has been completed by a doctor approved by the Secretary of State
for Work and Pensions.
I have completed this form in
accordance with the current guidance to Incapacity Benefit examining doctors as
issued by the Department for Work and Pensions.
With the discrepancies and contradictions of his own answers, I feel
that the other 57 patients that he has carried out ‘examinations’ on should be
investigated further with the view of removing him from the list of approved
Independent Medical Examiners.
I
can confirm that there is no harmful information in the report other than
indicated.
Doctor's Name Dr Martyn
Peel
Date
24 October 2003
Report on EDWARD BULFIN completed by Dr Martyn Peel on 24 October 2003 Ref: 57753
Page 13 of 14
Harmful Information
4
Harmful Information - Not to be Copied to the
Claimant OOPS I got a copy. 63
Report on EDWARD BULFIN completed by Dr Martyn Peel on 24 October 2003 Ref: 57753
Page 14 of 14
Page forms part of www.apls.tk, the information site on ANTIPHOSPHOLIPID SYNDROME (APS or ANTIPHOSPHOLIPID SYNDROME (APLS))
Medical Keywords: systemic antiphospholipid antibody syndrome, Antiphospholipid, Antiphospholipid Antibody Syndrome, Antiphospholipid Syndrome, APS, APLS, Hughes Syndrome, Sticky Blood, Clotting Disorder, Stroke, TIA, PE, death, Antiphospholipid Antibody Syndrome, Antiphospholipid Syndrome, APS, APLS, Hughes Syndrome, Sticky Blood, Clotting Disorder, Stroke, TIA, PE, death |