Hi Everyone!

This Is By Far Confusing To Me. How Does One Come Up With Less Than Likely...When The Evidence Is There? The Following Are Results From My C&P Examinations! Please Give Your Insights As To What You Think. Sorry For The Inconvenience, Had To Screenshot The Results. Thanks! 

So, Where I'm Very Confused Pertaining To Hysterectomy Is: I Gave The Examiner Multiple Documents Of My Uterine Fibroids, And She Had The Computer Screen Opened Where She Showed Me, Other Documents Of The Fibroids. But Yet, She Answered...Was The Veteran's VA Claim File Reviewed? She Said No! Also, The Rationale Portion Noted Fibroids Uterine/Recurrent Pelvic Cramps Were Documented While In Service. Duhhhh!!!

Vets, If I received an Inadequate comp and pension exam (no use of goniometer) for my knees and back....  Should I file an appeal? or request that the DRO look at my case?  Thanks in advance for any advice

This is extract from my recent C & P exam for ED. I filed claim in 2012 for ED as secondary to HTN. Denied in 2013 as not service connected, even though started have ED problems before i retired in 2005.

4. Erectile dysfunction

-----------------------

Does the Veteran have erectile dysfunction?

[X] Yes [ ] No

If yes, complete the following section:

a. Etiology of erectile dysfunction:

htn

b. If the Veteran has erectile dysfunction, is it as likely as not (at least

a 50% probability) attributable to one of the diagnoses in Section 1,

including residuals of treatment for this diagnosis?

[X] Yes [ ] No

If yes, specify the diagnosis to which the erectile dysfunction is as

likely as not attributable:

htn

c. If the Veteran has erectile dysfunction, is he able to achieve an

erection

sufficient for penetration and ejaculation without medication?

[ ] Yes [X] No

If no, has the Veteran used medications for treatment of his erectile

dysfunction?

[X] Yes [ ] No

If yes, is the Veteran able to achieve an erection sufficient for

penetration and ejaculation with medication?

[ ] Yes [X] No

5. Retrograde ejaculation

-------------------------

Does the Veteran have retrograde ejaculation?

[ ] Yes [X] No

6. Male reproductive organ infections

-------------------------------------

Does the Veteran have a history

DBQ GU Male reproductive system:

MEDICAL OPINION REQUEST

TYPE OF MEDICAL OPINION REQUESTED: Aggravation of a nonservice connected

disability by a service connected disability.

OPINION REQUESTED: Aggravation of a nonservice connected disability by

A service connected disability.

Was the Veteran's erectile dysfunction at least as likely as not

Aggravated beyond its natural progression by his/her service connected hypertension

with pulmonary hypertension?

Discussion of above question: The above question requires that the

erectile dysfunction exists prior to military service and be aggravated

by his hypertension. His erectile dysfunction did not occur until 2005,

occurring after his military service, and therefore this does not seem

to be the appropriate question. If we stay with the above question the

opinion is that his erectile dysfunction was not aggravated by his

hypertension and pulmonary heypertension.

The more appropriate question is whether the erectile dysfunction is

secondary to the hypertension with pulmonary hypertension.

Opinion: It is at least as likely as not that the erectile dysfunction

Is secondary to his hypertension and pulmonary hypertension.

Rationale: The veteran's erectile dysfunction occurred after many

Years of hypertension with pulmonary hypertension. Hypertension injures the

blood vessels in the penis contributing to erectile dysfunction. The

veteran's testosterone was normal in 2011 ruling out hypogonadism as

one major alternative cause of erectile dysfunction. Advancing age can also

be a major cause but the veteran was diagnosed with erectile dysfunction

or possibly 10 years ago when he was somewhat younger. Since the other

causes are somewhat less likely it increases the likelihood of hypertension being the most likely cause. Supportive evidence in the veteran's case also is that the urologist's opinion is that it is secondary to his hypertension.

This opinion is like several others, in that doctor goes beyond what the VARO is asking to reach a favorable opinion. I am not sure if this is good or bad. Has anyone else had similar experience?

Hi all, I'm new here. I was just wondering if raters usually pay more attention to the "description" or the "symptoms"

It seems as my description of

"

Vets:

I appears that the VA is proposing legislation that would require a Vet to prove an incident occurred in service first before a C & P Exam can be granted? I guess this would save the VA a pile of money from limiting CP exams  but I can't help from thinking that trying to get the claims service connected would be much more difficult. I know that the MOAA and the other Veterans Advocacy Groups are providing position papers to congress VA Oversight Committees today and there is congressional testimony starting today at around 2:15 PM EST Today to review the proposed policies. Who knows, maybe congress will reject it?

Rootbeer22

Vets:

I appears that the VA is proposing legislation that would require a Vet to first prove an incident occurred in service before a C & P Exam can be granted? I guess this would save the VA a pile of money from limiting CP exams and increasing the evidence standards. But, I can't help from thinking that trying to get the claims service connected would be much more difficult? I know that the American Legion, MOAA and the other Veterans Advocacy Groups are proving position papers today and there is congressional testimony starting today at 2:15 PM EST Today. From what I have seen so far during the testimony today, most don't support the change in the current legislation anyway. 

Rootbeer22

 I had my exam done today for a request of an increase on my knees, shoulder, neck. The examiner evaluated my shoulder and I told her I have frequent flare ups that last for weeks at a time. Commonly, I roll out of bed with a frozen shoulder which relieves slightly along the day. On today's exam which was early in the morning, my shoulder just so happened to have a flare up. I was confident this was a good thing so the examiner could see how my shoulder was on most days. We did an exercise for a measurement placing my hand to my side and raising my arm vertically. Well, I wasn't able to raise it past my chest and stayed pretty much even to my waist line where I was in pain. I looked at the examiner and said, that's it, this is where i'm in a lot of pain. She said, Really?? Well I need you to keep moving it until you cant. I again did the exercise and raised my arm, trying to push through the pain but I wasn't able to raise it much more. 

  Towards the end of the exam, she mentioned "most people" are able to lift their arm in that exercise. I don't know how to feel about this. I was kind of dumbfounded when she told me this. I feel as if she singled me out a little here.

  There is a long history of my shoulder injuries in my file. All with ROM measurements and complaints about flare ups. I guess i'll have to wait and see what the outcome is. 

  I'm not sure if this was the area of my evaluators profession.  Is there a way to evaluate the process if this is inaccurate? Can I contact the VA and speak to them about it and request another evaluation on my shoulder?

I lived I a VA hospital 6 months with failed pancreas surgeries.. yet they take the word of a screwy C&P examiner over the 6 months of VA records as an inpatient. The doctors and nurses write every move you make, every word you utter. 6 months of those records fill up those huge paper boxes used for zerox paper. You would think the VA would read those records. Instead they send you to some doctor who is only there to make you look bad at a C&P exam. Instead of a neutral doctor the ones they use for the C&P act like you are a fraud. They see you for a few minutes ask questions like a bad interrogation, trying to trip you up with statements. Those answers that are undeniable proof are in the records from your service and the 20 years of medical records plus the 6 months as an inpatient.

IMHO

A friend of mine who is a fellow Vet were talking about the C&P process. Like me he has a lot of inflammation issues in his shoulders. I told him how the examiner asked me if I was having a flare up when she examined my knee. We both became curious if that has any effect on a rating.

So if a veteran is experiencing a flare up during a C&P exam. Does the assigned rater take that into consideration and rate it at less of a percentage based on the restriction of movement due to a flare up? Or do they rate it as scheduled no matter what?

What type of increase do you think I will get? I am currently rated at 10% for Back, sciatica and depression. I have applied for an increase and unempoyability,

C&P Exam.pdf

Hi Everyone!

Would Like To Say Happy Memorial Day To My Fellow Comrades And All The Fallen Veterans For Paying The Ultimate Price Of Life!

I Went On Ebennie Friday, May 27, 2016 And Seen Where My Claim Went To PDA. I Originally Filed For Three (3) Contentions: hysterectomy, bilateral foot condition and cervical radiculopathy. I received both C&P examinations on May 13, 2016 for hysterectomy and bilateral foot condition, but have not received one for the cervical radiculopathy. Have there ever been a situation where the rater may possibly rate the cervical radiculopathy along with the other two, if I have sufficient evidence in my records?

In 2012 I EAS from the USMC and began a career in Law Enforcement. Like many of us I started the process of VA disability claims where I had issues which nagged me. Shoulder, knee, and back. I had 2 shoulder surgeries while active on my left shoulder and have been babying my right shoulder due to inflammation issues and restricted ROM. 

I met with the VA in Dec 2013 for my initial C&P examination where I explained the symptoms of my issues and conducted a ROM examination. I was provided with a 10% rating for Patello Femoral Syndrome in my Left and Right knee. 10% for my right shoulder and 10% for c-spine bulging disc. This is the minimum rating for pain. 

I just recently started a new claim for an increase and was examined a couple of days ago. My initial exam was as follows

Knee  Date 2013

a. Right knee flexion Select where flexion ends (normal endpoint is 140 degrees):  [X] 100

Select where objective evidence of painful motion begins: [ ] No objective evidence of painful motion  [X] 80

b. Right knee extension Select where extension ends: [X] 0 or any degree of hyperextension (check this box if there is no limitation of extension)

Select where objective evidence of painful motion begins: [X] No objective evidence of painful motion

No limitation of extension

c. Left knee flexion Select where flexion ends  [X] 90

Select where objective evidence of painful motion begins: [ ] No objective evidence of painful motion [X] 90

No limitation of extension

Shoulder

a. Right shoulder flexion Select where flexion ends (normal endpoint is 180 degrees):[X] 60 

b. Right shoulder abduction Select where abduction ends (normal endpoint is 180 degrees): [ ] 0 [X] 5

Based on the above, I should be at a higher rating for both shoulder and knee. But, I was provided the minimum of 10% for pain. My most recent exam is as follows. 

Knee Date 2016

Left Knee --------- [ ] All normal [X] Abnormal or outside of normal range [ ] Unable to test (please explain) [ ] Not indicated (please explain)

Flexion (0 to 140): 40 to 55 degrees

Extension (140 to 0): 55 to 40 degrees

Shoulder 

a. Initial range of motion Right Shoulder -------------- [ ] All Normal [X] Abnormal or outside of normal range [ ] Unable to test (please explain) [ ] Not indicated (please explain)

Flexion (0 to 180): 0 to 70 degrees

Abduction (0 to 180): 0 to 40 degrees External rotation

I don't know why I was provided the bare minimum. But it is extremely disturbing. I hope they make things right by increasing my percentage this time around. I may have to stop working because I am constantly out due to issues with my knees and shoulder. 

MY QTC exam on my heart led to the CARDIOLOGIST saying in her report , that it was more likely than not a condition that would be service connected.she was wrong and did a lousy exam.she never read my records and only performed an ekg.

When the hearing judge saw the report she could not believe it.

as i had a rebuttal letter from my private doctor who works closely with my heart doctors stating 3 times the my heart in his opinion was a injury acuired in military service requiring one and a half months in a NAVAL hospital CARDIAC ward while considering all the evidence and records

Before the hearing the judge gave me 100% combined with PTSD ,so now i do not have to drive 5 or 6 hrs to the in person hearing.

Watch the QTC examiners i feel the do not try to help the vet much , read your report carefully on any C& P exam it could make the difference

Greetings ladies and gentlemen,

I received a 70% rating for PTSD from last years increase when it was at 50%.  I've been unemployed for over a year since being fired for several aggressive angry outbursts related to stressors tied to my PTSD.  Filed for TDIU May 11th of 2016 and I have a C&P scheduled for June 10th of 2016.  What the heck can I expect at a TDIU c&p? I sent in all of my formal write-ups and suspension paperwork from my previous employer as well as buddy statements from coworkers who witnessed my behavior and how my work performance was affected due to PTSD.  I have tried multiple times to have HR from my previous employer fill out the VA-form requesting employment info but they have not cooperated with me. Won't return calls or emails. Even sent them the form but nothing gets back to me.  I fear that will hurt me and also be I'm clean shaven and well dressed (I'm ocd about my appearance by it seems as if it's the only thing I can control).  

I stay home taking care of my daughter but she goes to daycare a couple times a week to give me a break. It gets too much at times. Should that be mentioned ?

I just thought my claim is moving fast and not sure if that is good or bad 😕

Any thoughts? 

Thanks for all you do. It is greatly appreciated. 

I want to know if any of you have been forced for movement in your c&p exams by an examiner? I was. In fact, at my exam the examiner went through with me my MRI and showed me MS spots all over my lower spine and all sorts of other problems, I just had surgery for blown discs and paralysis... a several moths prior, it was hard for me to even drive to the exam not being able to hardly feel my feet and I had severe arthritis since it was winter (nerve roots all clumped together), I got around with a cane. So, the examiner had me do the motions and pushed me down, and at the sides, etc... it hurt (she literally threw her hand and pushed me and caused nerve damage, my back was extremely swollen from arthritis), I had no idea what she was doing and because of my problems I had some incontinence which was embarrassing. I had developed this from exposures to certain things in OEF (spots on spine). I was so mad, how bad the VA was screwing me any way they could and hell I just got back from war a year prior and this is how I was treated for sacrifice to the country. I left in tears and dirty drawers. I had no idea what to do, the VA hospital refused me c&p records from this and the VA only used it against me and then ignored as the exam didn't exist and the service reps with DAV, American Legion, all didn't give a damn and since I was a very young guy-they didn't care either; being first wave of guys back from war it was sparse to see young vets since not being in war for a long time-I am sure-but they didn't give a damn-USELESS SERVICE ORGANIZATIONS. I tried to fight back, I got nowhere, the VA was against me, in a demonic way. THIS WAS A VERY, VERY, VERY BAD EXPERIENCE I WANTED TO SHARE WITH YOU.  I realized the examiner was puppet for money, the VA and some demonic people within the VA wanted to screw me and that VSO's are worthless and YOU are all on your own. By the way, why is it if you have pieces of your spine removed it isn't considered like a loss of a body part is, losing a leg or an arm is paid out SMC, but if your missing parts of your spine how in the world is that now considered a loss of a body part and not entitled to SMC? It would be like saying, oh you use a prosthetic leg, so you leg is fine, no loss. Hence, segments of spine removed and replaced, fused, etc. I wonder why this topic hasn't caused more fuss in the VA community as range of motion is a joke, and that just all that is used to rate. 

March 2015, i filled out intent to submit quick claim

August 2015 I submitted claim with 9 contentions,  supplying dbqs and imes with each

March 2016 my claim was closed with all 9 contentions not awarded

I was then told that I had been scheduled for 5 c@p exams, which I never attended.

Ofcourse I was never notified of these exams prior to my claim closing!

I went through all the hoops and told them how I hadnt been notified of my c@p exams ect.

I then got my Dr to right new IMEs directly combatting what the Va wrote in the denial of my 9 contentions.

Low and behold, 2 months later the VA reopens the claim that closed in march with an estimated completion date of October 2016.

On May 28 just a few days after they reopened this claim, I submitted my Drs new imes via electronically on ebenifits

To my surprise ebenifits said this new claim was pending a decision!!!???

I submitted a query to Iris on May 28 to ensure that my evidence is considered before the claim closes

On June 1st I hand delivered the same new imes from my doctor to the Va and also wrote a statement saying I wanted this evidence reviewed as part of my claim prior to my claim closing.

Both were time stamped showing June 1st

Low and behold...I go on ebenifits today and my claim is closeno c@ps or anything...

So tired of this crap...

 I just had a C&P exam for fractured foot, deviated septum and bilateral lower extremity radiculopathy secondary to LOWER BACK.  I couldn't believe what the doctor wrote in the DBQ.  I'm not including the entire DBQ but enough to show what I believe to be incorrect information. I sent copies of my civilian doctors’ notes (sciatica), MRI results showing multiple nerve impingement, and the examination results from my first visit to the pain clinic with my claim but the VA doctor says it is due to a fractured foot.  The date of diagnosis of the peripheral neuropathy below is the date I fractured my foot.   Will the rater ask for clarification from the doctor doing the DBQ or decide the claim based this information?

1. Diagnosis
------------
Does the Veteran have a peripheral nerve condition or peripheral neuropathy?
[X] Yes [ ] No
Diagnosis #1: Peripheral neuropathy
ICD code: 302226006
Date of diagnosis: 11/16/19993. Symptoms
-----------
a. Does the Veteran have any symptoms attributable to any peripheral nerve
conditions?
[X] Yes [ ] No
Paresthesias and/or dysesthesias
Right lower extremity: [ ] None [X] Mild [ ] Moderate [ ] Severe11. Nerves Affected: Severity evaluation for lower extremity nerves
-------------------------------------------------------------------
a. Sciatic nerve
No response provided.
b. External popliteal (common peroneal) nerve
Right: [ ] Normal [X] Incomplete paralysis [ ] Complete paralysis
If Incomplete paralysis is checked, indicate severity:
[X] Mild [ ] Moderate [ ] Severe17. Remarks, if any:
--------------------
VBMS reviewed.
Medical opinion: veteran peripheral neuropathy CONDITION is at mild
severity and is least as likely as not due to injury incurred in from
Jones fracture in service as evidenced by numerous STR for same
complaints.

Hello,  I am currently SC and rated at 10% Tinnutis & 20% bilateral hearing loss.

Below is an examination and a review of that examination.  I am not sure how to interpret it?

Thanks for any help reading it.

Social Worker

Signed: 06/03/2016 17:04

Date/Time:

02 Jun 2016 @ 0824

Note Title:

C&P Audiology 13294

Location:

No CA Healthcare Sys-Martinez

Signed By:

BASS,ROBERTA

Co-signed By:

BASS,ROBERTA

Date/Time Signed:

02 Jun 2016 @ 0824

Note

LOCAL TITLE: C&P Audiology 13294

STANDARD TITLE: AUDIOLOGY C & P MULTIPLE EXAM NOTE

DATE OF NOTE: JUN 02, 2016@08:24:04 ENTRY DATE: JUN 02, 2016@08:24:04

AUTHOR: BA…ROBERTA EXP COSIGNER:

URGENCY: STATUS: COMPLETED

Hearing Loss and Tinnitus

Disability Benefits Questionnaire

Name of patient/Veteran m…..NICHOLSON 1234

Is this DBQ being completed in conjunction with a VA 21-2507, C&P

Examination

Request?

[X] Yes [ ] No

ACE and Evidence Review

-----------------------

Indicate method used to obtain medical information to complete this

document:

[X] Review of available records (without in-person or video telehealth

examination) using the Acceptable Clinical Evidence (ACE) process

because

the existing medical evidence provided sufficient information on which

to

prepare the DBQ and such an examination will likely provide no

additional

relevant evidence.

Evidence Review

---------------

Evidence reviewed (check all that apply):

[X] VA e-folder (VBMS or Virtual VA)

NICHOLSON, MARK

CONFIDENTIAL

Page 18 of 44

[X] CPRS

This exam is for: Hearing loss and/or tinnitus (audiologist or

non-audiologist clinician, using audiology report of record that represents

Veteran's current condition)

If using audiology report of record, date audiology exam was performed:

2.16.16

SECTION 1: HEARING LOSS (HL)

-----------------------------

1. Objective Findings

---------------------

a. Puretone thresholds in decibels (air conduction):

RIGHT EAR

+==============================================================+

| A | B | C | D | E | F | G |

|========+========+========+========+========+========+========+========+

| 500 | 1000 | 2000 | 3000 | 4000 | 6000 | 8000 | Avg Hz |

| Hz* | Hz | Hz | Hz | Hz | Hz | Hz | (B-E)**|

|========+========+========+========+========+========+========+========|

| 30 | 50 | 75 | 85 | 95 | 105+ | 100+ | 76 |

+=======================================================================+

LEFT EAR

+==============================================================+

| A | B | C | D | E | F | G |

|========+========+========+========+========+========+========+========+

| 500 | 1000 | 2000 | 3000 | 4000 | 6000 | 8000 | Avg Hz |

| Hz* | Hz | Hz | Hz | Hz | Hz | Hz | (B-E)**|

|========+========+========+========+========+========+========+========|

| 35 | 50 | 70 | 80 | 85 | 105+ | 100+ | 71 |

+=======================================================================+

* The puretone threshold at 500 Hz is not used in determining the

evaluation but is used in determining whether or not a ratable hearing

loss exists.

** The average of B, C, D, and E.

*** CNT - Could Not Test

b. Were there one or more frequency(ies) that could not be tested: No

c. Validity of puretone test results: Test results are valid for rating

purposes.

d. Speech Discrimination Score (Maryland CNC word list):

+=======================+

| RIGHT EAR | 56% |

|=============+=========|

NICHOLSON, xxxxxx

CONFIDENTIAL

Page 19 of 44

| LEFT EAR | 56% |

+=======================+

e. Appropriateness of Use of Word Recognition Score (Maryland CNC word

list):

Right Ear:

Is Word Discrimination Score available? Yes

Word Discrimination Score appropriateness:

Use of word recognition score is appropriate for this Veteran.

Left Ear:

Is Word Discrimination Score available? Yes

Word Discrimination Score appropriateness:

Use of word recognition score is appropriate for this Veteran.

f. Audiologic Findings

Summary of Immittance (Tympanometry) Findings:

+=============================================================================+

| | RIGHT EAR | LEFT EAR

|

|=====================+===========================+===========================|

| Acoustic immittance | [ ] Normal [ ] Abnormal | [ ] Normal [ ] Abnormal

|

|=====================+===========================+===========================|

| Ipsilateral | |

|

| Acoustic Reflexes | [ ] Normal [ ] Abnormal | [ ] Normal [ ] Abnormal

|

|=====================+===========================+===========================|

| Contralateral | |

|

| Acoustic Reflexes | [ ] Normal [ ] Abnormal | [ ] Normal [ ] Abnormal

|

|=====================+===========================+===========================|

| Unable to interpret | |

|

| reflexes due to | [ ] | [ ]

|

| artifact | |

|

|=====================+===========================+===========================|

| Unable to obtain/ | |

|

| maintain seal | [X] | [X]

|

NICHOLSON, MARK

CONFIDENTIAL

Page 20 of 44

+=============================================================================+

2. Diagnosis

------------

RIGHT EAR

---------

[ ] Normal hearing

[ ] Conductive hearing loss ICD code:

[ ] Mixed hearing loss ICD code:

[X] Sensorineural hearing loss (in the frequency range of 500-4000 Hz)*

ICD code: H90.3

[X] Sensorineural hearing loss (in the frequency range of 6000 Hz or

higher frequencies)** ICD code: H90.3

[ ] Significant changes in hearing thresholds in service***

LEFT EAR

--------

[ ] Normal hearing

[ ] Conductive hearing loss ICD code:

[ ] Mixed hearing loss ICD code:

[X] Sensorineural hearing loss (in the frequency range of 500-4000 Hz)*

ICD code: H90.3

[X] Sensorineural hearing loss (in the frequency range of 6000 Hz or

higher frequencies)** ICD code: H90.3

[ ] Significant changes in hearing thresholds in service***

NOTES:

* The Veteran may have hearing loss at a level that is not considered to

be

a disability for VA purposes. This can occur when the auditory

thresholds are greater than 25 dB at one or more frequencies in the

500-4000 Hz range.

** The Veteran may have impaired hearing, but it does not meet the criteria

to be considered a disability for VA purposes. For VA purposes, the

diagnosis of hearing impairment is based upon testing at frequency

ranges

of 500, 1000, 2000, 3000, and 4000 Hz. If there is no HL in the

500-4000

Hz range, but there is HL above 4000 Hz, check this box.

*** The Veteran may have a significant change in hearing threshold in

service, but it does not meet the criteria to be considered a disability

for VA purposes. (A signi

ficant change in hearing threshold may indicate

NICHOLSON, MARK

CONFIDENTIAL

Page 21 of 44

noise exposure or acoustic trauma.)

3. Etiology

-----------

[X] Etiology opinion not indicated as:

[X] Service connected condition

[X] VBA did not request etiology

4. Functional impact of hearing loss

------------------------------------

Does the Veteran's hearing loss impact ordinary conditions of daily

life,

including ability to work: Yes

If yes, describe impact in the Veteran's own words: DIFFICULTY

HEARING

5. Remarks, if any, pertaining to hearing loss:

-----------------------------------------------

PLEASE SEE PREVIOUS EVALUATIONS FOR FULL HISTORY.

SECTION 2: TINNITUS

--------------------

1. Medical history

------------------

Does the Veteran report recurrent tinnitus: Yes

Date and circumstances of onset of tinnitus: FROM 2.16.16 EVALUATION:

"Vet

describes a subjective, bilateral, constant tinnitus with an unsure

onset."

2. Etiology of tinnitus

-----------------------

[X] Etiology opinion not indicated as:

[X] VBA did not request etiology

3. Functional impact of tinnitus

--------------------------------

Does the Veteran's tinnitus impact ordinary conditions of daily life,

including ability to work: No

4. Remarks, if any, pertaining to tinnitus::

--------------------------------------------

No response provided

NOTE: VA may request additional medical information, including additional

examinations if necessary to complete VA's review of the

Veteran's

application.

NIC…., MARK

CONFIDENTIAL

Page 22 of 44

Hi all.

Did not get any feedback on my last post seeing if anyone had any knowledge on Ankylosing Spondylitis. Anyways fed ex jut delivered exam notice through a company named QTC Medical Services. Anyone had any dealings with these people? I filed for the AS with a secondary for arthritis because this condition is in my spine etc. but affects several other joint. I had dealt with VES for exams in the past and they did not go well as I have a pending appeal for A 30% rating that should have been 50 and another appeal for an exam done by the VA at the hospital that also resulted in a 30 that should be a 50. Needless to say I was shocked as hell when the doorbell rang because i submitted this claim just on May 19 and the exam is for June 15. I have not see the VA move this fast. All my treatments and diagnosis has been done at the VA hospital so to me it seems weird they do not trust their own doctors but this is the VA we are talking about. Any advice, questions, comments, or feedback would be greatly appreciated. Thank you all and god bless ya and best results for you fight with the VA!

 I had a C and P exam 2 weeks ago for an increase in my PTSD rating. Im currently at 30% and when I did my C and P exam, the examiner asked my 3 questions and pretty much rushed me out of there. I feel like the exam should have taken longer than 10-15 minutes with the 36 pages of evidence fro my therapist. Does this sound bad, in that my claim will be denied. Thank you