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Failed Medical - Appealing against doc's decision

#1
Hi,

Just had my medical today (PULHEEMS) and passed all of the tests etc as you would expect. However, I was in a serious RTA when I was 9 and broke/fractured my hip and right leg.

Doc said he would fail me before he did the checks but I could carry on and appeal against his decision if I wished.

He did the tests and was surprised at the flexibility of my limbs etc and he didnt encounter any resistance. However, he states that there is a chance in 20 years or so I could get arthritis so there was no way he could pass me.

I disagree with his decision as this is not certain. My bones healed fully over 10 years ago and have never encountered any problems since.

I've invested a lot of time in preparation and I've had numerous meetings with OC, regimental 2i/c and CO about joining as a TAPO and it's all I've been thinking about recently

Is it worth appealing, or am I fighting a lost cause?

Any info appreciated!
 
#3
Why would he fail you for something you "might" get in 20 years. **** me that's a possibility for all of us. Sounds like a right nice bloke.

Civvy or military doc?

I agree with appealing though. Can't hurt.
 
M

Mark The Convict

Guest
#5
Appeal by all means, but accumulate as much supporting documentation beforehand as possible. I got pulled off a Subject 2 Cpl because of a surgical procedure performed (with great success) when I was 11! (long story) I ended up having to go back to the specialist who'd performed it, to get a written opinion in support of my case. No problem at all after that.

HTF could a doctor fail you over something that he hadn't even assessed yet?
 
#6
Thanks for your comments guys.

It was a civvy doctor. I had the hearing/sight and bmi checks with the nurse. I was called in and before he even started to assess me he told me he would fail me. I was devastated. Anyway, he performed the medical and all was fine (P2 on PULHEEMS for all) but had to put down I was P8 - fail; he said I could appeal but wouldn't get very far. Does anyone think it is likely thy might refer me to a specialist?

I'm not giving up hope because my unit have invested a fair amount of time readying me as a Potential Officer (the numbers are short!!) and technically, I've not even joined yet. Do you think I'm in with a chance?

I have a good civvy career, so it wouldn't necessarily be the end of the world for me. However, this is something I have wanted for a long time and don't want to give up because of one man's opinion (I appreciated he's a doctor, but not necessarily an orthopaedic specialist)

Cheers,
 
#7
I think he should have referred you to a specialist for a decision rather than fail you. There are many people who fail their medicals, then post on here asking about whether or not they should appeal, most haven't got a hope, but yours seems to be a strong case. Appeal asap.
 
#8
The Armed Forces should instigate a policy of shooting everyone who fails a medical...

There would be no threads on ArRSe asking about appealing with such a policy in force.
 
#10
Am I the only one wondering about this doctors ability? To say he's going to fail you before he even took a look warrants him being given the biggest **** off pill ever by your unit. I agree that he should have referred you to a specialist.

What is it with these doctors who do medicals for the TA? Do they come from a special place? I had a fit to attend just over a year ago where we all travelled a significant distance only for the doctor to turn up 2 and a half hours late. She then kicked off saying my unit had too many guys for her to medical (10 of us) and only done 3 of us before ******* off. Mind you, this was after her stating to my PSAO that she "would" still get her money.
 
#11
The arthritis part of your doctors statement is utter dog toffee, however depending on the injuries you received and the treatment given you may fall foul of this

Previous fracture with internal fixation. One year must have
elapsed since the fracture/surgery in all cases. Candidates with upper limb
fractures whose union is confirmed, without deformity, lack of tenderness over
the area of metal work and who are asymptomatic with exercise comparable
with military training and have full function of the joints above and below the
injury may be graded P2; the same conditions apply for candidates with lower
limb fractures. However, because of weight-bearing concerns, referral to
confirm full functionality is recommended in these latter cases. If surgery has
resulted in reconstitution of anatomy (e.g. minor or simple intra-articular
fracture fixed with screws), the candidate may be acceptable provided he/she
is symptom-free with activity comparable with military training for 3 months
and has been referred for specialist assessment. However, candidates who
have received complex surgery involving joints or internal fixation of major
upper and lower limb joints should always be graded P8
taken from JSP 346 (which has changed since this edition, but the basics are still the same)
if you had any screws/plates/rods etc then you are unfit for service.

http://www.arrse.co.uk/regular-soldier-recruitment/88755-medical-info-recruiting-jsp-346-a.html

give me a day or two and I will check for any changes to the rules.
 
#12
Am I the only one wondering about this doctors ability? To say he's going to fail you before he even took a look warrants him being given the biggest **** off pill ever by your unit. I agree that he should have referred you to a specialist.
Does this sound like a Doc?

I can't remember the last time I went to a Doctor and they didn't just come out with some off the cuff comment without properly diagnosing...
 
#13
I just hope it goes in my favour.

Will be in the blower in the morning to speak to the unit (and GP) try and get some clarification on the issue.

Thanks again
 
#15
if your serious about getting in speak to your gp, get refered to othopedics for xray/mri of ht eaffected areas and a proper report of your condtion, it hte joint(s) are going to pop into arthritus in the future chances are there would already be signs of htis on the scans

if you get the all clear then your appeal will be far more likely to suceed (also since an appeal will likely insist on the above and require access to the scans as well as the reports before they hear the case you would likely be saving time)

anyhow hope you get an answer that makes sense to you.

although the JSP ruling is there for a reason (like the fact that after 10+ years of the exigencies of service most people develop some form of joint problem from perfectly healthy bodies never mind those who have pre existing weaknesses casued by such events)
 
#16
Am I the only one wondering about this doctors ability? To say he's going to fail you before he even took a look warrants him being given the biggest **** off pill ever by your unit. I agree that he should have referred you to a specialist.

What is it with these doctors who do medicals for the TA? Do they come from a special place? I had a fit to attend just over a year ago where we all travelled a significant distance only for the doctor to turn up 2 and a half hours late. She then kicked off saying my unit had too many guys for her to medical (10 of us) and only done 3 of us before ******* off. Mind you, this was after her stating to my PSAO that she "would" still get her money.
There's a Dr in the 2XX area that's actually a pyschologist! Not sure how he get's the gig but he does..

OHSAS are a right pain in the arse, although I'd blame more the people that put the contract in place.
 
#17
Does this sound like a Doc?

I can't remember the last time I went to a Doctor and they didn't just come out with some off the cuff comment without properly diagnosing...
... and *never* give the slightest hint that one has any idea whatsoever what the problem might be. Absolutely, cast-iron, racing certainty that that is the one thing instantly dismissed. Also, if the symptoms aren't in the Ladybird "Peter and Jane" Book 1A of Illnesses, then it's stress and/or hypochondria. Disputing the "diagnosis" is deeply frowned upon and labelled as "avoidance". If the patient should actually manage to prove that the symptoms and signs (including x-rays and MRIs) are not consistent with the diagnosis, then it will be the patient's fault and they will be treated as if they were "pulling a fast one".

(Having said that, there are actually some very good doctors out there.)
 
#18
Hi,

Just had my medical today (PULHEEMS) and passed all of the tests etc as you would expect. However, I was in a serious RTA when I was 9 and broke/fractured my hip and right leg.

Doc said he would fail me before he did the checks but I could carry on and appeal against his decision if I wished.

He did the tests and was surprised at the flexibility of my limbs etc and he didnt encounter any resistance. However, he states that there is a chance in 20 years or so I could get arthritis so there was no way he could pass me.

I disagree with his decision as this is not certain. My bones healed fully over 10 years ago and have never encountered any problems since.

I've invested a lot of time in preparation and I've had numerous meetings with OC, regimental 2i/c and CO about joining as a TAPO and it's all I've been thinking about recently

Is it worth appealing, or am I fighting a lost cause?

Any info appreciated!
He (or She) who does not try will not succeed.

At a similar age, I fractured both hips and my pelvis, cracked a few ribs, collapsed a lung, dented a few vertebrae, scapula, clavicle and split my skull in half. Went on to break a few more minor bones prior to joining up. Mind you, I did go for a commission, so the brain-addling head injury probably helped - saved the cost of removing it.

You may well get arthritis in 20 years time, but from my observations that's pretty common particularly with sporty types and a bit of physio / surgery usually gets round the worst of it. My hips haven't been a problem over the intervening decades.
 
#19
Phoned my unit this morning. They are outraged at the decision (particularly the fact he had the mindset to fail me before the assessment). Anyway, they told me it gets audited by the army medical team and the decision may be overruled. However, if not then there is a chance I can appeal. They have advised me to book an appointment with my GP to gather any supporting documentation (pretty much what some of you guys said) and also document my version of events in the event of getting to the appeal stage.

Cheers,
 
#20
Phoned my unit this morning. They are outraged at the decision (particularly the fact he had the mindset to fail me before the assessment). Anyway, they told me it gets audited by the army medical team and the decision may be overruled. However, if not then there is a chance I can appeal. They have advised me to book an appointment with my GP to gather any supporting documentation (pretty much what some of you guys said) and also document my version of events in the event of getting to the appeal stage.

Cheers,
It gets audited by the Occupational Health (NHS not Army) team, who check that the correct boxes are ticked etc. Get your appeal bits together and go for it.
 

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