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Can you help me read this gp note see pic

130 replies

Youagain2025 · 01/07/2025 20:32

I have been trying to find out why I went to SEN school so asked for my GP notes incase there was anything cant find anything but coming across other stuff. The notes in the pic seem to be from 1977 -80s can anyone read them ? Thank you

Can you help me read this gp note see pic
OP posts:
Steelworks · 02/07/2025 13:31

Youagain2025 · 02/07/2025 13:01

I asked gp reception about the rest of my records. She said this

The only other thing you can do is go on the website for NHS England and enquire to see if they have any more records for you.
Hope this might be of help.

Im going to take a look

That’s not true. Your gp will have your notes. The old physical notes (Lloyd George notes) may be archived somewhere, but someone should have coded them onto your records. It may not have the full information but may be summarised. Eg 1970 - flu, 1972 - broken wrist etc.

Under gdpr, you’re allowed a copy if all your notes (it can take a couple of weeks to retrieve notes from an archive storage). However, in the mean time, you can get either a summary of everything on your records, or a full print out from your gp surgery. Usually best to put the request in writing (and specify dates if you only want your formative years).

Nb That’s not one central database so your gp won’t have your hospital notes etc.

Frenzi · 02/07/2025 13:35

Response here from someone who deals with the movement of patient records.

The best thing to do is to contact your GP practice and speak to the patient services manager (if they have one) or Practice Manager. You may need to put your request in writing.

Although they no longer legally have to a huge number of GP practices still keep the old paper notes (Lloyd George's) but summarise everything electronically. Some people have more than one Lloyd George record due to either poor record management or simply having a huge paper record that doesn't fit into one wallet and then get mistakenly separated from each other. It looks like your GP practice has already sent you a copy of the record that they hold for you but that doesnt mean there isn't another paper copy floating around out there!

If you move Practices your paper notes are sent off to a central holding place by your old practice and then forwarded to your new practice. It is amazing how many never reach your new practice! And the more times you move from one GP practice to another the more chance there is of them going astray. Your current practice will be able to contact the PCSE (Primary Care Service England) who will then try and track any more paper records down (in theory if they are not with your current GP they should be with the PCSE).

If you have always been at the same GP practice there should be no need for your records to have been sent off and therefore your current surgery should have all your records. If this is the case I would be pressing the Practice Manager to find out what has happened to the rest of your notes and if they dont come up with a decent response be taking it to their Caldicott Guardian.

There is no guarantee that they will find your missing notes and they may then decide to class them as lost - not much use to you I know but at least you know that you have exhausted everything to try to get them back.

Missing or incomplete records | PCSE

The Caldicott principles and guardian roles explained - The MDU

Missing or incomplete records | PCSE

https://pcse.england.nhs.uk/services/medical-records/missing-or-incomplete-records

NaranjaDreams · 02/07/2025 13:39

I know ChatGPT is in vogue and everyone here loves it, but it makes a lot of bollocks up. I’m on a work trip at the moment and for fun asked it for things to do after work - 70% of it doesn’t exist. 15% more is from old reviews and the places are long, long closed.

It has absolutely invented its analysis of the note.

Interested in this thread?

Then you might like threads about this subject:

Miyagi99 · 02/07/2025 13:40

Youagain2025 · 02/07/2025 11:54

Why was i being sedated at 18 months old 😅. Was around 3 years the 2nd time.

My mum had 8 kids by then maybe she needed a break /me to sleep 😴

It was used for minor ops like dental treatment. Or for car sickness.

BeansBeforeBedtime · 02/07/2025 13:44

theDudesmummy · 02/07/2025 12:40

It is risky and not kind to offer clearly wrong AI generated answers when someone is trying to find out about their medical history. It could have a real bearing on all sorts of things in their life. AI "hallucinates" all the time, with sometimes serious consequences.

@Youagain2025 I've asked Mumsnet to remove my post. I hope you manage to find the answers you're looking for xx

Youagain2025 · 02/07/2025 13:49

Steelworks · 02/07/2025 13:31

That’s not true. Your gp will have your notes. The old physical notes (Lloyd George notes) may be archived somewhere, but someone should have coded them onto your records. It may not have the full information but may be summarised. Eg 1970 - flu, 1972 - broken wrist etc.

Under gdpr, you’re allowed a copy if all your notes (it can take a couple of weeks to retrieve notes from an archive storage). However, in the mean time, you can get either a summary of everything on your records, or a full print out from your gp surgery. Usually best to put the request in writing (and specify dates if you only want your formative years).

Nb That’s not one central database so your gp won’t have your hospital notes etc.

Edited

I have done this already they gave me alot of papers but they only thing from a baby is the pic that I posted then it skips to the mid 90s .

They have missed out from 80-mid lower 90s and skipped all my kids births apart from 1.

OP posts:
Miyagi99 · 02/07/2025 13:52

Youagain2025 · 02/07/2025 13:49

I have done this already they gave me alot of papers but they only thing from a baby is the pic that I posted then it skips to the mid 90s .

They have missed out from 80-mid lower 90s and skipped all my kids births apart from 1.

Your children’s births will be in your hospital notes, I don’t have any birth notes in my GP records. I have the red book for the health visitor but the GP just sent a referral to the hospital, I did request those and received them from Access to Health records at the hospital.

Frenzi · 02/07/2025 13:57

The delivery of your children should still be recorded on your GP notes.

theDudesmummy · 02/07/2025 13:58

@NaranjaDreams in the legal field in which I work, ChatGPT is potentially career-ending! Ask it for case law in a certain area and it literally makes up cases that don't exist and never have. And makes them look completely real, with reference numbers, judges' names, page numbers, years etc. Often listed along with actual real cases. If you don't check you can be in a very sticky situation. (A lawyer in USA got into a lot of trouble for citing a case which did not exist). I am very very sceptical of all AI.

I asked it about some (real) involvement I had had in a legal case and it told me that I am Australian and the case was one in which I had gone on trial for killing one of my patients (!). Another time it told me that I was married to a woman and we had adopted a child and were fighting for custody in the family court. None of which is true but it all looked completely legit if you hadn't known it was rubbish. It is very chilling indeed.

Youagain2025 · 02/07/2025 13:58

Miyagi99 · 02/07/2025 13:52

Your children’s births will be in your hospital notes, I don’t have any birth notes in my GP records. I have the red book for the health visitor but the GP just sent a referral to the hospital, I did request those and received them from Access to Health records at the hospital.

Edited

Then how comes i have one of their birth notes. ?

OP posts:
Frenzi · 02/07/2025 13:59

Youagain2025 · 02/07/2025 13:49

I have done this already they gave me alot of papers but they only thing from a baby is the pic that I posted then it skips to the mid 90s .

They have missed out from 80-mid lower 90s and skipped all my kids births apart from 1.

There’s definitely a chunk of your records gone astray. As per my earlier post - get your GP to chase the PCSE to see if they have them. They have to contact your previous surgeries in case they still have them.

Youagain2025 · 02/07/2025 13:59

BeansBeforeBedtime · 02/07/2025 13:44

@Youagain2025 I've asked Mumsnet to remove my post. I hope you manage to find the answers you're looking for xx

💐

OP posts:
Miyagi99 · 02/07/2025 14:02

Youagain2025 · 02/07/2025 13:58

Then how comes i have one of their birth notes. ?

Probably depends on your GP and storage.

monicagellerbing · 02/07/2025 14:03

I’ve worked in a surgery and sent these notes out for patients. A previous poster is right in that we don’t receive extensive notes about births, these would be in your hospital records. They maybe have recorded ‘birth of female/male’ when they were summarised but that would be about it. If you want to see them notes you need to contact the hospital. Also, I wouldn’t hold out much hope for your medical notes saying why you went to a SEN school. You’d probably have more luck in contacting the local authority there or the school itself

theDudesmummy · 02/07/2025 14:12

Apart from the GP records clearly being very incomplete, as @monicagellerbing says you may well find more from other records anyway. If you were known to CAMHS, for example, that may be only be in the mental health service records and not mentioned in the GP ones (it should be but that does not always happen). You would have probably had an educational psychology and/or psychometric assessment before being placed at an SEN school, and this record could be in a number of places including mental health records, Social Services records and/or school records.

Keepingittogetherstepbystep · 02/07/2025 14:13

Youagain2025 · 01/07/2025 22:00

Oh yeah that's odd 🤔

It might seem odd for today but there are exceptions my mum has been with her GP surgery since 1955. In that time she's had 3 different main doctors. Her current GP has been there for well over 30 years. Helps with continuity.

Youagain2025 · 02/07/2025 14:24

theDudesmummy · 02/07/2025 14:12

Apart from the GP records clearly being very incomplete, as @monicagellerbing says you may well find more from other records anyway. If you were known to CAMHS, for example, that may be only be in the mental health service records and not mentioned in the GP ones (it should be but that does not always happen). You would have probably had an educational psychology and/or psychometric assessment before being placed at an SEN school, and this record could be in a number of places including mental health records, Social Services records and/or school records.

Edited

Maybe im wording it wrong. The birth
Information i have are dischage records. But regardless the information is still there but missing for the other children. I had 3 children i hospital and 3 home births to be honest im not overly bothered about the birth information. It just makes ne thibk what else is missing.

I dont thibk it would be CAMH back in the 80s -early 90s but I was thinking something simlar

I dont know how to ask gp to look further into things without sounding rude. She already advised in looking on an NHS site that I mentioned a few posts up. But that doesn't look helpful at all .

OP posts:
theDudesmummy · 02/07/2025 14:37

You won't get the mental health records via the GP, you need to get them from the mental health service. If there is a different local mental health Trust now from when you might have seen them (possibly the case, there have been lots of rearrangements) the new Trust should still have the old records, so it is definitely worth looking into this.

CinnamonCinnabar · 02/07/2025 14:40

Pen V (illegible) 62.5gm - means Penicillin V 62.5 grams
(illegible) ?twinrex - might be a vaccine name
Phenytoin elixir
Mos-thyd (not sure on that) syrup
Ilegible
Phos phenytoin 5ml mouth
Illegible
Illegible
Pen (illegible) ?ear infection
Phldmold Phv 125 (not sure on that)

Did you gave epilepsy? Looks to be meds given including Phenytoin which is an anti-epileptic. Wouldn't surprise me if someone was sent to a special school in the 1970s purely because they had epilepsy

Steelworks · 02/07/2025 14:48

TwinRex is for Hep A and B

Youagain2025 · 02/07/2025 14:50

theDudesmummy · 02/07/2025 14:37

You won't get the mental health records via the GP, you need to get them from the mental health service. If there is a different local mental health Trust now from when you might have seen them (possibly the case, there have been lots of rearrangements) the new Trust should still have the old records, so it is definitely worth looking into this.

I dont want mental health records. I just need records from. Age 6/7 to 16 /17 really and they are the ones missing.

OP posts:
CinnamonCinnabar · 02/07/2025 14:52

Steelworks · 02/07/2025 14:48

TwinRex is for Hep A and B

I think I'm probably wrong on that one, I only know that name because I got it as a medical student! Unlikely to be given to a young child. But might be worth googling the brand names of childhood vaccines in the 1970s. I used to be in a research role pulling vaccine data from old GP records and it was pretty pointless due to the poor legibility.

OP did you have a son in 1981? The last line looks a bit like 'son illegible'

The lines saying phenytoin are pretty clear so I'd be asking your relatives if they recall you being treated for seizures. Children can grow out of them so may not have continued into adulthood. Not sure if chloral hydrate was used for epilepsy in 1970s

CinnamonCinnabar · 02/07/2025 15:00

Quick bit of googling (I'm not a paediatrician so not up to speed on commonly used meds for kids) - chloral hydrate is currently used for sleep disorders, sedation for EEG (brain wave recording to investigate seizures) and as a rescue medication for seizures in kids (Alder Hay website) . Old drug and definitely available in 1970s - can't find literature on whether they were using it for the same reasons though.

Are you in the UK? Has an impact on brand names of meds.

Also important to point out that a 1970s/1980s special school will have had very different admission criteria to now a days. If you know the school name do some generally googling and see if you find any accounts for teachers or pupils there or a history of the school

Lifelover16 · 02/07/2025 15:16

CinnamonCinnabar · 02/07/2025 14:40

Pen V (illegible) 62.5gm - means Penicillin V 62.5 grams
(illegible) ?twinrex - might be a vaccine name
Phenytoin elixir
Mos-thyd (not sure on that) syrup
Ilegible
Phos phenytoin 5ml mouth
Illegible
Illegible
Pen (illegible) ?ear infection
Phldmold Phv 125 (not sure on that)

Did you gave epilepsy? Looks to be meds given including Phenytoin which is an anti-epileptic. Wouldn't surprise me if someone was sent to a special school in the 1970s purely because they had epilepsy

It doesn’t appear to me as phenytoin (epilepsy drug) but looks like phenergan elixir, a sedating antihistamine often given for travel sickness or to sedate children who couldn’t sleep. Very common in 1970s/80s and seen as a quick and easily solution by some GPs.
The one beginning with M looks like merbentyl, again common in 1970s/80s, an antispasmodic given for colic - again, a quick and easy solution, not necessarily the best one.

Lifelover16 · 02/07/2025 15:21

29/11 choral (hydrate) paediatric - another sedative, now withdrawn
Last entry is LOM pen V (Left otitis media ear infection, penicillin V

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