DD12, probably doesn't matter at this point, have you ever been referred to a VMC Neurologist or you PN?
It's been about 6 yrs, but before I could get in to see the VA Neurologist, my VA PCP had to order a complete Blood workup for all STD, Aids Etc. Also, an EMG had to be completed.
In my case, the DX arrived at by the MD Specialist that reviewed the EMG & Blood-work results, was Idiopathic PN. When I finally got to see the VA Neurologist, the IPN DX was in place. The Neurologist just addressed treatment options, refused to discuss a possible AO Nexus. He was 65, about to retire and Toed the VA DENIE Line. Took seeing 3 different VA Neurologist to find (1) that would write a supportive DBQ.
An MD/DO with no "Dog in the Fight," writing in his Clinician Treatment Notes or actually completing a DBQ or providing a Vet with a Written IMO, supporting the Vet's claimed Nexus, can often become the "Award Factor."
However, the Dr's Credentials will come into play. Is he a Board Certified Specialist, a GP, ER Dr, Psychiatrist, etc. If the VA's C & P Dr is a Specialist, Board Certified in the Vet's DX, his DBQ will Trump any "MO" of a Non-Specialist.
Just my Lay opinion here, IMOs provided by Drs that are Professional IMO Suppliers, are viewed more harshly by Raters, DROs and BVA Judges. That being said, I would think their Medical Credentials are of extreme importance.
If a Vet is going to pay $1500 to $2+K for an IMO, he should seriously attempt to find a Dr "Board Certified," in his condition.
I did have some other tests done, but an EMG was not one of them. Had a test done where they hooked me up to a machine to check reflexes. Not sure what it was called, but it wasn't and EMG. Then had the monofilament test by a private doc. The C&P examiner also did the monofilament test. Is the mono test sufficient for rating purposes? The examiner said that they are used all the time. Regardless, I will complete any exam that they ask me to. The more proof the better. Loosing feeling in a hand, arm, or leg is horrible! I just hope that I don't lose all feeling completely one day. If I do hit 100% schedular, could I file for IU or SMC in future? Or would that be a can of worms that I don't want to open?
The decision they send will tell more...P & T awards Chapter 35 (DEA) edu bennies for the dependents and CHAMPVA can be applied for with the award letter.
If they dont award P & T, and you are getting some retro, some of it would be good to invest into an independent medical opinion that could award the P & T...
Awarded TDIU back to 2009- it would surprise me if they didn't award P & T....but we can never really know what they are going to do.
yeah, they can determine an analogous code.
This involves CUE Buck , this vet needs help, but his CUE is good.
A Cue can occur if the VA uses the wrong diagnostic code to a veteran's detriment but I think this change of diagnosis might involve the same analogous disability they rated in the decision he is cueing, and then it might be OK, the way the CUE stands.
More input from others is needed here.