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    • VYNC said" "The C&P examiners surely must realize that they don't work at the VA of 20 years ago. Back in the 90's, I had no way to know if the examiner was being thorough or not. Now, we are empowered with knowledge here from Hadit and also are fortunate enough to have the DBQ's and C&P exam questionnaires available to us online." That is SO true! In the late 1980s I realized how much the RO could manipulate what a C & P actually said. They deliberately left out a final statement by a C & P examiner to deny my DIC claim.11997. He had speculated a ridiculous Cause of death , but what the RO failed to add was ,that he wrote, "that an autopsy could have ruled out."  They did have the doctor's name in the denial so I called him up and raised Hell...to learn that VA not only did  not give him the 6 page autopsy (which they had) but also what it revealed would have completely changed his opinion. He then got angrier than I was and I could tell the VA had pressured him for exactly what they expected from him.He sent me a copy of his exact opinion that they had and that gave me the evidence I needed to keep fighting them and draw them out on the autopsy. (They also removed it from the files they sent to the General Counsel. I fought back on that and when the VA  got the 12th copy of it , OGC awarded the FTCA case and then after another RO denial, the RO awarded DIC under 1151. It is the C & P exam that controls our claims. As Vync said, because we can get copies of it these days, the R0s cannot get too creative with the results. But the fact remains that C & P doctors are paid by the VA. If the APRN rule goes into affect, I guess AP nurses will be doing  the C & Ps. The 2 main reasons, in my decades of experience, that most claims are denied is that: the evidence does not establish a nexus ( this is really the claimant's responsibility) or that a C & P was done improperly or by someone with no expertise to adequately do it. One more reason...secondaries even if absolutely obvious, need a strong C & P opinion but  many of those claims need an opinion from a real doctor.(a non- VA doctor with expertise in the field) Unfortunately C & P exams do not fall under the malpractice regulations. I have fought back vigorously every bogus posthumous C & P exam they ever did on my claims. They knew the veteran could not speak for himself or have input into those C & P exams,because they killed him in 1994 with outrageous piss poor medical care. Pres.Clinton said months before he died that VA was the Best Government- run health care system in the world.My husband almost dropped his 1151 claim when we heard that on TV. Since then the malpractice stats of the VA have gotten much worse. Maybe the medical incompetence has not really gotten worse, but for sure, veterans and their survivors have gotten smarter because of the internet and their ability these days to file and prove malpractice claims, if it has occurred, and their willingness to get an opinion from a real doctor.(IMO/IME)              
    • Your Appeal is at the BVA, just no Docket # yet, right. You do have a copy of your husbands C-File? We need to see a redacted copy of the initial Denial and the "Statement of Case." What exactly is your "Evidence of Record?" Many vet's that get caught up in the VA Appeals process, get a negative attitude, right away. They believe that there is a VA conspiracy to Deny and/or limit their Comp Benefits. VA Raters base their Award/Denial Decisions on "Evidence of Record," if the provided Evidence doesn't substantiate the claim, you get a Denial. That's not to say Rater's don't make errors, but a conspiracy (takes more than 1 person) to Deny is hard to believe, these are mid-level VA Employees. What does your VSO say about your Evidence regarding the linkage to CAD or Kidney Disease? Which condition is most likely the causative SC for the Secondary issue? Could you post redacted Dr's Clinician Notes, or other Medical Evidence supporting your claim?  Semper Fi
    • Andyman is correct, i ALWAYS ask that all my issues are taken care of through the VA. I refuse to even accept the Choice program even though it is available to me. My C&P was done by a VA psychologist, i was literally approved the day after. For those of us who are not yet P&T 100%, it is wise to always use the VA's system, Rating Officers really don't listen to the opinions outside of the VA anyways. Make your case stronger by always using their system to get what is Owed
    • To add to Ham's intel, you also would get an additional 10% added to any bilateral rating, that is, if you have a SCD involving opposing body parts, L and R side, doesn't have to be both knees, could be L knee and R ankle...how that works is like this 10% + 10%...10+9=19, bilateral factor would be 10% of that, or 1.9, added to the 19 + 20.9, or rounded to 21. And more importantly, if you have dependents, 30% is the magic number because you get an allotment for each one, at that point.
    • Chris Not sure, off the top of my head I actually can't recall either way! But I do believe any in house C&P exam should be on there, however, if it was done by a contracted provider it will not be on there.  Anyone with better intel on this can speak to it. Semper Fi





Fire Courage

What Is P & T?

14 posts in this topic

I have searched the board, but can't find anything that actually says what the two letters stand for. I'm thinking it has something to do with unemployability though. Right?

I did find this link in another post here which breaks down a lot of common acronyms used on this board but P & T wasn't listed.

http://www.hadit.com/index.php?categoryid=33

Thanks

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P & T stands for Permanent and Total Disability, basically means that your conditions are not likely to get better but VA can still re-evaluate you from time to time.

Edited by pete992

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P & T stands for Permanent and Total Disability, basically means that your conditions are not likely to get better but VA can still re-evaluate you from time to time.

Pete,

how long did it take you to get this done and did you use your primary va doctor ?

Thanks,

loma linda bill

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It took 14 years, I think my file has every VA doctor you can think of: primary care, dermatologist, rhuematologist, neurologist, psychiatrist, gastroenterologist,urologist and maybe more that I can't think of over the years. My spelling maybe off but it took me a while.

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The VA does not use the term P&T, which as has already be stated means Permanent and total. A veteran knows he is P&T when they are awarded dependant chapter 35 benefits, or dependant medical care. Veteran may request they be considered P&T, but the va must consider it when any TDIU or 100% rating is awarded. In many cases P&T is granted with out a seperate request. P&T is not a VA term, but a term used by veterans to indicate they have or want dependent benefits.

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The VA does not use the term P&T, which as has already be stated means Permanent and total. A veteran knows he is P&T when they are awarded dependant chapter 35 benefits, or dependant medical care. Veteran may request they be considered P&T, but the VA must consider it when any TDIU or 100% rating is awarded. In many cases P&T is granted with out a seperate request. P&T is not a VA term, but a term used by veterans to indicate they have or want dependent benefits.

TEAC, If VA does not use the term P & T then can you please explain. Also I am 100% P & T and with my award I was sent a VA Form 21-8760 (ADDITIONAL INFORMATION FOR VETERANS WITH SERVICE-CONNECTED PERMANENT AND TOTAL DISABILITY)

Veterans get this term directly from the regulation and the forms provided by VA, it's their term not ours. Unfortunately I can not find this form on line and I can not scan and post it but other can verify that it does exist and it is where the term P & T comes from.

4.15 Total disability rating

The ability to overcome the handicap of disability varies widely among individuals. The rating, however, is based primarily upon the average impairment in earning capacity, that is, upon the economic or industrial handicap which must be overcome and not from individual success in overcoming it. However, full consideration must be given to unusual physical or mental effects in individual cases, to peculiar effects of occupational activities, to defects in physical or mental endowment preventing the usual amount of success in overcoming the handicap of disability and to the effect of combinations of disability. Total disability will be considered to exist when there is present any impairment of mind or body which is sufficient to render it impossible for the average person to follow a substantially gainful occupation; Provided, That permanent total disability shall be taken to exist when the impairment is reasonably certain to continue throughout the life of the disabled person.

Edited by pete992

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