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Another Shoulder CP Exam -Challenged Last One

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rootbeer22

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Folks:

Recently, I spoke about  a Cardiac Exam and Ear Exam that were done improperly than later to find major medical problems existed. The Cardiac CP Exam was completed by a local contracted Doctor whom is listed as a local "Family Practitioner"? The main issue is that none of the information on the Cardiac  pre-exam sheet  that I was required to fill out was ever  used? I would have thought that I would have at least been sent to a Cardiologist whom is a specialist in such things? Anyway, the final outcome was a lowball rating of 10% for Hypertensive Heart Disease? Unfortunately, that diagnosis disagrees with another diagnosis done in the Army 15 years ago which painted an entirely difference picture of advanced heart disease? Anyway, I had a Shoulder CP exam 2 years ago and challenged the results when I noticed most of the key information was absent? As a result, it was not used and that contention was put in limbo for a couple of years and is being reviewed tomorrow.  It appears that the Nurse Practitioner  who did it has been removed from CP exam duties now? Anyway, when I received the new shoulder exam sheet this week, I knew something was familiar? I noticed that it was the same contracted family doctor that did my previous Cardiac Exam, is now going to do my Shoulder exam?

Anyway, I've been struggling  with the idea of asking this same doctor since he's the same one for my Cardiac CP, "to ask why none of the Cardiac  pre-exam paperwork comments" was ever  used in my Cardiac rating decision?  Especially, when the A8 letter expressly says,"veteran denies, fatigue, chest pains, weakness, right arm & neck pain, shortness of breath" it was the exact opposite of what I said  in the pre-exam and is covered in my records"? I later learned that any one of those symptoms would have increased the rating, but that "all" of them were left off which really bothers me?  As a result, I've ordered a C-file  FOIA to see if the cardiac pre-exam sheet that I filled is there and to use it for my future NOD?  Currently, I'm filling out a similar pre-exam paperwork for my pending shoulder CP exam but from pervious experience, I know that  it's probably not going to be considered anyway for my contention which really disappoints me. I still don't understand why critical disability related information such as this can be selectively just left off if it is clearly consider "evidence"?  

Frankly, it's probably best not to say anything about the previous Cardiac CP exam to this doctor because he may not take it correctly and may effect my rating in a negative way?

 

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