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How to patch a patched record

I was wondering how I can patch a record that I already patched. From a dashboard I navigate to the edit screen and populate the fields with new info. I have this formula

 

Patch(Collection1, First(Filter(Collection1,Appointment=Dropdown1.Selected.Value&&Patient=Name.Text&&Procedure=Dropdown3.Selected.Procedure_x0020_List)),{Appointment:Dropdown1_1.Selected.Value,Patient:Name_1.Text}); Navigate to the dashboard screen

 

So take the first record...when I patch it, the record now becomes dropdown1_1. If I want to edit it again, I go back to the edit screen but the changes don't take. I think it's because the record is now Dropdown1_1. How can I adjust the formula to be able to patch the patched record?

 

Thanks

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