C & P Review of all your "Med Evidence of Record" by a NP seems in my Lay opinion to not quite "Cut the Mustard."
It's not unusual for the Rating Dept not to require an Actual C & P Exam with the Veteran present, if it is determined that the "Evidence of Record" is adequate and no additional C & P Exam is necessary, just a Qualified Clinician's review.
Keep your NOD Locked & Cocked, give some quick consideration to filing an Immediate "Official Request for a CUE Review" of your recent Decision based on your Medical Evidence of Record.
That worked for me recently 05/16 File the "CUE Review" of a 12/15 Decision, New EED Award Date issued 07/16. I was getting ready to file my NOD.
Check local Hospital Sleep Dept for MD Neurologist Board Certified Sleep Specialist. One appointment could seal your DEAL. Don't actually need a DBQ, just his Clinician Notes addressing your SA Nexus should do the trick. Of course, that presumes he agrees with Yours and Dr Anaise's Etiologic theories.
We will discuss the California Guard members having to pay back $15000 each back to the government and other current issues with the Department of Veterans affairs. James was the first CONUS AO awarded veteran based on exposure inside the US.
The call in number is 347 237 4819 for anyone wanting to speak to James, Jerrel or John.
To listen: http://www.blogtalkradio.com/haditcom/2016/10/27/haditcom-com-blog-talk-veterans-radio-show-with-guest-spealer-james-cripps
I have posted extensive here on this type of claim.
Here is a brief run down from the VA.
VA says they have a 1151 form on line now:
But this is all I get from VA and this separate link:
None appears at any link. I never used a form for my 1151 claims .
The Order of the Purple Heart gives a clear explanation of these types of claims:
There are many nuances to 1151 issues, so best to read all that is here in this topic.
Buck, you are missing a point I have been making here lately---you mentioned me helping her three or four times in the same post ...guess what...others here will have to help her too..................
Everyone here with a spouse they love should try to get up to the DIC regulations and make sure they have that info available for their spouse. I get flashbacks of what VA did to my husband every time I get involved with these DIC claims, particularly DIC claims that could also hinge on malpractice too.
I am willing to make one more post here ,regarding about an hour of research I did, but that depends on Pdiddy's reply...and then all she needs to do is read over the DIC topic right under this one, and all the info on 38 Section 1151 claims.....and others can help her too if they read those topics.
I don't mean to sound abrupt but I am pressed for time, this time of the year, and would rather focus on any AO issues, TDIU, PTSD, or CUE claims so that others have chance to learn more about DIC....and 1151.
I get shocked when I read DIC denials at the BVA when I could see the survivor didn't have a clue, even when the denial clearly stated the veteran had a long relationship with VA as far as SC claims go, and most of them had no VSO or a lousy VSO....or maybe a very good VSO but they probably didnt take the advise to get an IMO when it was absolutely the only way they could succeed.
But also ...since I have been involved with 1151 claims for over 20 years the bad part is that there often is not basis for them.I saw a lot of that at the local VAMC when the vets there found out I had FTCAed this same VAMC.Many contacted me with stories that had no basis in documented medical fact.
If a claimant is unwilling to get an IMO, for 1151 issues, there is not much point in trying to help them (unless they succeed right away without an IMO/IME- possible but highly unusual) I only know of one vet I helped ( a friend of mine) and myself who did that. I think we might have some here too
who got 1151 awards with no IMO/IME but I dont know.