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Hi,
I used to work in the NHS and the irony always tickled me that they are cr*p when it comes to being off sick!!
Regardless of HR asking you for the note, I would call them, speak to a HR manager (not an advisor) and explain the situation. You've proved you've been the one initiating the return to work, so you really have nothing to worry about. Please don't feel you are being a nuisance. You are not. It is the system which appears to be at fault here and you won't be putting the cat amongst the pigeons at all.
Unfortunatly in my experience HR advice varies greatly, I'm not HR bashing, my role sat in the same directorate as the HR department so I got to know first hand how good and how bad some members of staff were!
Anyway, I hope you get this sorted out. Please don't worry, you aren't being difficult at all!
As for your palpatations, i hope you are seeing your GP again as being on beta blockers should be a short term thing for someone your age.
TC Jools x
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