Medical Appeal questions

Sorry to add to the list of millions of medical questions but please bear with them.
I had my medical and the doc told me that I have been given a P8 for having Rheaumatoid arthritis in my big toe, (first i've heard of this). I get home and ring the specialist (a pediatrist) that apparently gave me the the diagnosis. He says that he did not diagnose me with arthritis and the only mention of arthritis in the report he sent the doctor was in the preliminary diagnosis (i.e. the list of things they guess could be wong before proper diagnosis) and that upon investigation they found nothing wrong. I now have a letter from the pediatrist and a senior pediatrist saying that there is nothing wrong with my toe, however it says that the evidence of there being nothing wrong is in an x-ray I had.

So 1st question: Do I need to get an actual copy of my x-rays for the appeal or can I just give them an address to send for the x-rays?

2nd question: Will the people the appeal is sent to still have access my medical records as the doctor did, or will I have to aquire the preliminary diagnosis notes myself?

3rd question: In the letter from my AFCO explaining the appeal it says I need to write a letter to request an appeal. I've done this and the basic structure is this: I wish to appeal, why I wish to appeal, what happened in my point of view. I that good enough? I'll post it if it helps but it'd take up alot of the page.
Any answers are greatly appreciated.


You need the radiologist's report on your X-ray. Your GP should have this.

Podiatrists arn't doctors so, again, your GP notes will be required.
All my GP did was refer me to an 'advanced muskoskeletal podiatrist' to investigate the cause of pain in my toe. The involvement of the GP ended there so his notes would only be a referral.


An advanced podistrist is still a podiatrist. Your GP should have a copy of the XR report as well as a letter from the podiatrist. See your GP and ask for photocopies of relevant bits of your record. You may have to pay for this.
Sorry again but I've got more questions. I contacted my GP and inquired about the things you said. I was given a copy of the radiologists report (which said there were no abnormalities). However there was no report sent by the podiatrist to the GP. I contacted the podiatrist to see if there was such a report or something similar and he told me that he had no knowledge of any such report being sent to the GP. I assume this is because nothing was found to be wrong, but I'm obviously not sure. Looking at the documents that were sent to the Navy doctor there was another thing that the GP had no record of; That is when i was 10 i had cellulitis and was treated in A&E - The GP holds no records of this event for some reason. So should I proceed with the appeal without this report or is it a matter of having the GP agree with the report to prove it's validity? (It was an NHS pediatrist that I was referred to if thats any clarification)
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This sounds like a great example of everything that is wrong with the current NHS thing of people making up job titles for themselves and pretending they have a clue about anything.

Podiatrists look after feet, although without a medical degree. Why a GP has to refer so done with foot pain to a podiatrist instead of an orthopaedic surgeon is down to the daft NHS commissioning processes. I don't know what an advanced musculoskeletal podiatrist is. Podiatrists look after feet, musculoskeletal means muscles and bones - there isn't much else in the foot! Sounds like a made up title.

Rheumatoid arthritis is diagnosed by typical story from patient, typical examination by someone who has half a clue about what they're doing, and with XR or blood tests. Your XR was normal, I doubt if you had bloods, and the story you have told doesn't sound like arthritis.

You had pain but now don't and are not on medication for it. You didn't have rheumatoid arthritis - you had a sore toe which has now got better.

I ****ing hate people who throw quite serious diagnoses around without any consideration for the consequences for the patient. Grr.

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lol you live up to your name. "you had a sore toe which has now got better" - Yeah thats what I want to get accross to them, but i didn't think it would as much of a problem as this. So would it be worth it to get a doctor to just look at it and confirm 'yup theres nothing wrong with you, now stop wasting my time'?
Go to your GP and insist on an orthopaedic opinion. Orthopods are quite sensitive to career limiting diagnoses and you are likely to have the necessary blood tests to exclude (or otherwise) the diagnosis of rheumatoid arthritis (RA), and you will at least have the necessary x rays and blood tests.
Why the RN should pay any attention to podiatrists when it comes to a diagnosis of RA I really can't imagine.


Don't "insist" on seeing orthopaedics - it's completely unnecessary and you'll just piss off your GP. Even an orthopod can't prove a negative. If you are symptom-free without meds then there's nothing wrong with you. Your med docs don't say arthritis anywhere because the only good thing the podiatrist did was to not commit his musings to paper. Ergo, it's a nothing.


War Hero
One thing I've learned in recruiting is that once you have a medical "label" glued to an ailment, the glue is difficult to shift and we appear to be a nation of hypochondriac...until we want to join the armed forces.