No I don't the letter has been tampered with it all. Completely normal for consultants to refer to each other by their first name. You wouldn't mention every single chemo dose or supportive medication on a clinic letter. That info is stored on the chemotherapy system. If he was referred to you and you needed to know the exact details your pharmacist would get it for you. Have never heard of PRSB. 'Quite depressed' is a much better description than 'suffering emotional distress'.
As much as I don't warm to Richard and his leopard print, from the medical side most of what he has said makes sense. There's a lot of misconceptions on this thread - he should be jaundiced, he should have severe liver pain, steroids aren't used for bowel obstruction. None of these are true. I even think it is possible that someone told him his prognosis could be as short as 3-6 months without treatment . He obviously went on to have chemo and is alive and kicking today.
The letters could be genuine, yes. Comparing them with clinical letters I’ve received from a private consultant this year, Richard’s do still feel off…but I accept those of you working in this environment will have better knowledge than me...and of course, consultants are human, they can be vague, and even if things are unusual (like the multiple font colours) that is no guarantee they wouldn’t occur.
However…the letters are just one part of a catalogue of signs which paint a picture of someone whose actions and claims are inconsistent and questionable.
1. Registering a limited company ‘Bowel Bro’ on the same day he started chemotherapy treatment for stage four bowel cancer
2. Raising money specifically for treatment and not using it as promised, misleading donors
3. Bragging about wealth with no evidence to back up his claims – the deeds show he doesn’t own the house he lives in, and Companies House records show he frequently creates and dissolves limited companies without filing accounts. Is that financial mismanagement or deliberate concealment of business activities?
4. Buying a luxury item like a Ferrari,after raising funds for treatment - misuse of funds or misrepresentation of need?
5. Aggressive outbursts when questioned or doubted – an indication there’s something to hide?
6. Lying to followers about police investigations in attempt to silence or intimidate the people questioning him
7. Misleading followers by claiming his weight loss is due to cancer when it was the result of gastric sleeve surgery
8. Keeping his PICC line in for months, even after all treatment has ended
9. Claims to be in terrible pain and sleeping for 16+ hours a day due to the effects of cancer and previously chemo, but has completely avoided many of common symptoms and side effects (e.g. jaundice from liver mets, losing hair from chemo etc)
10. Putting his forever home up for sale in the last weeks of his life and giving a mixed answer about their reasons for this when asked by his followers
On Comment Café or Reddit (can't remember which) other people have also spotted that Richard’s NHS letters are printed on white paper. I thought the NHS switched to a cheaper recycled copier paper to save costs and this paper is off-white (this is my experience but I accept could be different at different trusts)
Yes all of these things could be unusual but legit...but what are the chances of them ALL being so?