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Progress Notes Page 7 of 53

I met with Simon
I had been informed that the section 3 assessment is delayed as the AMHP office has a number of section 2 assessments
to complete 8t as his section 2 is not near expiring he is at the bottom of the pile.
I explained this to Simon & that in the circumstances I feel it is important that he commences treatment
he became quite angry, he said he felt the tribunal made the wrong decision & that we were relying on evidence that
had been 'thrown out' as it had 'expired' (this was the list of complaints the council had compiled)

he then said he would appeal again & would complain about me and that as a result I would not be his doctor as this
would be 'a conflict of interests under the 1998 act' I asked him what the 1998 act was, he wasn't able to give a clear
explanation.
I told him that I felt he was confused about points of law, and that often he would refer to things incorrectly-l know
this in regards to his references around the mental health act in particular

at l/v
he was thought disordered (this is apparent much more when he is confronted about his beliefs/behaviour)
he continues to express paranoid views about the council & his neighbours, these haven't changed
he was paranoid about me and felt that I was persecuting him and trying to 'euthanase him' by prescribing medication,
which he told me he would refuse

I explained I would prescribe risperidone 2mg at night.
he remains insightless and whilst generally calmer his core delusional beliefs remain.

Plan

-risperidone 2mg nocte -d/w AMHP office
Originator Details: 13 Nov 2018 10:08 Debajyoti Choudhury Medical Originally Entered By
Details: 13 Nov 2018 10:08 Debajyoti Choudhury Last Amended By Details: 13 Nov 2018 10:08
Debajyoti Choudhury Validated By Details: (UNVALIDATED)
Significant: No Added to Risk History: No
Contains Third Party Info: No Conceal From Client: Not Concealed Dorset Ward - Chase Farm Hospital
Whiteboard meeting
CORDELL, Simon P (Mr)

Kept low profile on ward
Not happy that he lost tribunal
Was given leave to view dog; did not go yesterday

Plan:
1, Dr Greensides to discuss with patient with a view to start anti-psychotic ________
Originator Details: 13 Nov 2018 05:51 Gladys Osunsina Nursing Originally Entered By Details:
13 Nov 2018 05:59 Gladys Osunsina Last Amended By Details: 13 Nov 2018 05:59 Gladys Osunsina
Validated By Details: (UNVALIDATED)
Significant: No Added to Risk History: No
Contains Third Party Info: No Conceal From Client: Not Concealed

https://rio.beh-mht.cse.thirdparty.nhs.uk/rio/Reports/RiOReports.asp 08/01/2019
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