"From [Dr Woods'] referring letter, it seems clear that here was a 15 year old boy with some domestic conflicts complaining of headache and there was nothing to find on examination. Specifically, Dr. Woods felt that his fundi were normal, he saw an Ophthalmologist who presumably would have been concerned if there were any signs of raised intracranial pressure, but when Dr. Woods reviewed him at the time of referral, he felt that on fundoscopy, Oisin's discs were showing signs of raised pressure and so he referred him on for further treatment. I would say that on the information that I have, that this was a perfectly reasonable series of events. I do not personally feel there is any grounds to suggest for one moment, that Dr. Woods was negligent, this type of presentation and its timing for referral for neurosurgical care of brain tumours, is common. Eight years later, we probably see these patients a little earlier, that is only because of the greater availability of the CT scanner. I trust this answers your queries."