Page 1099 - 10. 2nd half 2018 New 26-05-21 No Table

Platelet Count 298 x 10‘9/L (130 - 450) F
Basophils 0.1 x 10‘9/L (0.0 - 0.1) F
Mean Corpuscular Volume 88.4 FL (78.0 - 100.0) F
Impression
Slighted raised WCC and Neuts with very minimal rise in CRP. Physical exam and
observations do not show any signs of infection, however.
Noted that patient does have history of Crohn's (will not take medications for it), which
would explain results.
Plan:
Only for repeat bloods if patient becomes systemically unwell/appears to show any signs of
infection
Await rest of bloods

9
The Doctor’s Folder / pub Book Issue: 1!
Stage 4
Folder 4
Originator Details: 26 Oct 2018
Last Amended by Details: 01 Nov 2018
Maria Bruce
Page Numbers: 37 + 38 + 39 + 40 + 41
38
Dorset Ward Admission meeting CORDELL, Simon P (Mr)
Present: Dr Choudhury (CT1) Dr Bruce (FY2)
MHA: Section 2
PC:
17 Oct - referred for MHA due to history of physical and verbal aggression towards his
neighbours. EANLT MDT agreed that he is a risk to others and his behaviour could also put
him at risk from others. Simon refused to engage with MHA. Application for 135(1) was
made - Judge found insufficient evidence for 136. Forensic referral sent on 17/10
25 Oct - Simon was arrested as the police called to his flat re him breaking a harassment
order and he assaulted the police who attended. He was taken to Wood Green police
station. Found to be him thought disordered, hypomanic with flight of speech and grandiose
delusions. Detained under MHA.
Past Psychiatric Hx:
1. Disrupted childhood: CSE in paedophile ring, violent father, adolescence in care, under
CAMHS
2. Self-reports (from Rio) to have tried to hang himself twice at the age of 16 when in a
young offender’s institution; He was moved to a high security hospital and kept in
seclusion on a number of occasions.
3. Denies any contact with MHS between that point and 2014
4. March 2014 - Adjustment reaction “anxiety and suicidal thoughts over the last nine
months in the context of having a pending court case” offered Sertraline 50mg OD
5. November 2014 - Simon’s mother called the HTT. Paranoid psychosis - not deemed
sectionable under MHA
6. November 2015 - Simon’s mother called the BEH HUB. Simon not eating, not sleeping,