Jump to content
  • Searches Community Forums, Blog and more

  • Advertisemnt

  • 0
jalexand

Post C&p Information Request

Question

As I reported in another post a few days ago, I had my C&P exam on my AO IHD claim at the VARMC last week. At that time after answering the questions I was asked and providing the examiner with

copies of my latest test reports from my private cardiologist which showed diagnosis, mets, ejection fraction, etc. etc, and being asked to have the results of additional stress testing that I am scheduled for

next week be FAXED to the examining oficer I thought I had covered my bases. But..................apparently not!

Today I received what might be a normal letter on a claim (but new to me) asking me to provide additional information. I am a little stunned, to say the least. First thing they are asking for is:

"medical evidence that shows the diagnosis and earliest symtoms for each disabiity below that resulted from your exposure to herbicides (Agent Orange)

Ischemic Heart Disease"

"We need evidence showing that the following conditions(s) existed from militaty service to the present time:

Ischemic Heart Disease"

Well, to be truthful I have no evidence of the existence back to my military service because I did not have the onset of the disease until I was 37 and I retired at age 21. To make matters worse, all the records associated

with the onset of my disease at age 37 have been destroyed as my doctors office indicated to me that they only keep records 7 years. (I may have some records that go back almost that far, but have not been able to

locate them yet)

And as to the first request, I have no evidence other than what will become effective down the road with the initiation of the Presumptions that are forthcoming regarding the IHD and AO.

What really stuns me though is one of the things that comes next in this letter is:

"What have we received?"

Here they list the claim for benefits, VA FOrm 21-4142 (2), VA FOrm 21-256 (VONAPP). They make no mention of the medical evidence that I provided at my visit!

They follow this with "what have we done?" Here they list: VA Exam Cardiovascular Heart and Hypertension (if the C&P I had is supposed to be that, I'll eat my hat) and they go on to say: "We have requested

copies of treatment records or other evidence from: Dr. George B Bittar (my cardiologist) (again I state that I personally handed them these records, which now they don't even mention in this letter)

They also state that while they have asked for these records, it is up to ME to make sure they get them. I don't know what would be more effective than my having personally carried them to them, which as I say again

is not mentioned in this letter.

Then they state that they have asked the VA Medical facility nearest me to schedule me for an examination with the claim. They will notify me of the place and time. What would this be all about?

They have also included in this packet explanations on what I need to provide to prove the claim, etc., as well as a VCAA Notice Response that I am supposed to sign and return which gives me the option of

including the info now and asking to have my case decided immediately or ask for a 30 day extention of the time to respond.

So, I am totally confused about what is happening here. They give me a phone number to call if I want to contact them, should I try a phone call to see if I can get this cleared up?

I hope I can get some good advice on this, cause I don't know what to do at this point, especially regarding the evidence they are requesting.

Jim

Share this post


Link to post
Share on other sites

Recommended Posts

Remember the VA is not even considering IHD as a presumptive condition yet. That is why you got the wording in this letter.

They are asking you to prove the condition as it is rated under the current non presumptive criteria.

I beat this by connecting the HTN first as t he heart disease was secondary.

Just hang in there, eventually the reg will be updated. Just keep sending them what you have and make a trip to the RO to review your folder. You wouyld be surprised at the unopened cookies left in the jar.

J

Share this post


Link to post
Share on other sites

Ad


Remember the VA is not even considering IHD as a presumptive condition yet. That is why you got the wording in this letter.

They are asking you to prove the condition as it is rated under the current non presumptive criteria.

I beat this by connecting the HTN first as t he heart disease was secondary.

Just hang in there, eventually the reg will be updated. Just keep sending them what you have and make a trip to the RO to review your folder. You wouyld be surprised at the unopened cookies left in the jar.

J

As I stated, I assumed thismight be a pretty standard response letter to my claim. What I am most upset about is there complete lack of acknowledgement of the documents that I presented them with at my C&P.

I also figured that the reason for the request for the info back to my service period was because of the fact that the disease is not yet a presumptive condition. I guess I will just have to play the game? There should be absolutely no problem in establishing my IHD, that is a given, but of course I have no way to connect it to service as even I have only become aware of the nexus to AO in the last month or two.

So, am I to assume that what will happen here is that they will acknowledge my IHD, but deny my claim at this point because I cannot prove nexus to AO exposure? Since I am a 90%, service connected (combat wounds received at KHE SANH in '68) I do not have to go to the trouble of proving my Military service or should I fill out the form and list all this in my own words, ie. provide them a history of my service?

By the way I am not familiar with the term HTN?

Jim

Share this post


Link to post
Share on other sites

As I stated, I assumed thismight be a pretty standard response letter to my claim. What I am most upset about is there complete lack of acknowledgement of the documents that I presented them with at my C&P.

I also figured that the reason for the request for the info back to my service period was because of the fact that the disease is not yet a presumptive condition. I guess I will just have to play the game? There should be absolutely no problem in establishing my IHD, that is a given, but of course I have no way to connect it to service as even I have only become aware of the nexus to AO in the last month or two.

So, am I to assume that what will happen here is that they will acknowledge my IHD, but deny my claim at this point because I cannot prove nexus to AO exposure? Since I am a 90%, service connected (combat wounds received at KHE SANH in '68) I do not have to go to the trouble of proving my Military service or should I fill out the form and list all this in my own words, ie. provide them a history of my service?

By the way I am not familiar with the term HTN?

Jim

Jim: I have the same horse in the race and have a history of CAD/IHD, MI, Bypass surgery in 1994. I sent my medical information to the RO and provided a copy of my most recent Thallium Stress Test, past stress tests and private cardiologists letter indicating IHD. I also provided the same at my C&P in February. Sometimes there is a disconnect between the RO and the VAMC. I had an appointment last month for another purpose and the Counselor indicated that IHD was reflected on my record. I have the standard deferred till the rule is posted letter. All I can suggest is that you furnish the RO with the info you did at your C&P, many things go to who knows where.

Share this post


Link to post
Share on other sites

Jim: I have the same horse in the race and have a history of CAD/IHD, MI, Bypass surgery in 1994. I sent my medical information to the RO and provided a copy of my most recent Thallium Stress Test, past stress tests and private cardiologists letter indicating IHD. I also provided the same at my C&P in February. Sometimes there is a disconnect between the RO and the VAMC. I had an appointment last month for another purpose and the Counselor indicated that IHD was reflected on my record. I have the standard deferred till the rule is posted letter. All I can suggest is that you furnish the RO with the info you did at your C&P, many things go to who knows where.

Thanks, good information! Do you think it necessary for me to actually get a letter from my cardiologist stating the CAD/IHD, or is it enough that I let the records speak for themselves?

As I have suffered with CAD for over 25 years I actually have a file that is probably about 4 inches thick over at the medical facility where I have had almost all of my medical procedures done (St. Vincents Hospital, Indianapolis). In the last couple of years I was able to obtain the local services of a good cardiologist in my home town, so I stopped going to INDY for cardiology and I would think that just copies of my latest test reports would be enough to establish the claim and since they are not going to pay based upon when this disease began I would think it unnecessary to provide data that is up to 25 years old? But, if the consensus is to unload it all on them, I can and will.

Jim

Share this post


Link to post
Share on other sites

As I stated, I assumed thismight be a pretty standard response letter to my claim. What I am most upset about is there complete lack of acknowledgement of the documents that I presented them with at my C&P.

I also figured that the reason for the request for the info back to my service period was because of the fact that the disease is not yet a presumptive condition. I guess I will just have to play the game? There should be absolutely no problem in establishing my IHD, that is a given, but of course I have no way to connect it to service as even I have only become aware of the nexus to AO in the last month or two.

So, am I to assume that what will happen here is that they will acknowledge my IHD, but deny my claim at this point because I cannot prove nexus to AO exposure? Since I am a 90%, service connected (combat wounds received at KHE SANH in '68) I do not have to go to the trouble of proving my Military service or should I fill out the form and list all this in my own words, ie. provide them a history of my service?

By the way I am not familiar with the term HTN?

Jim

HTN is Hypertension.

J

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Ads


  • Advertisemnt


  • Latest News
  • Our picks

    • Survivors- a Must read
      If you are new to hadit and have DIC questions it would help us tremendously if you can answer the following questions right away in your first post.

      What was the Primary Cause of Death (# 1) as listed on your spouse’s death certificate?

      What,if anything, was listed as a contributing cause under # 2?

      Was an autopsy done and if so do you have a complete copy of it?

       It can be obtained through the Medical Examiner’s office in your locale.

      What was the deceased veteran service connected for in his/her lifetime?

      Did they have a claim pending at death and if so what for?

      If they died from anything on the Agent Orange Presumptive list ( available here under a search) when did they serve and where? If outside of Vietnam, what was their MOS and also if they served onboard a ship in the South Pacific what ship were they on and when? Also did they have any major  physical  contact with C 123s during the Vietnam War?

      And how soon after their death was the DIC form filed…if filed within one year of death, the date of death will be the EED for DIC and also satisfy the accrued regulation criteria.
        • Like
      • 17 replies
    • If you are a Veteran, represented by MOPH, you need to know that MOPH is closing down its offices.  This can have a drastic effect on your claim, and it wont be good for you.  You likely need to get a new representative.  

      This station confirms MOPH is closing its doors:

      http://www.kwtx.com/content/news/Waco--Purple-Heart-veterans-service-center-to-close-its-doors-480422933.html

       
      • 0 replies
    • Retroactive Back Pay.
      Retroactive Back Pay - #1Viewed Post Week of March 19. 2018

      My claim is scheduled to close tomorrow for my backpay.
      Does anyone know if it does close how long till the backpay hits the bank?
      Also does information only get updated on our claims whenever the site is down?
      • 44 replies
    • Examining your service medical records...
      * First thing I do after receiving a service medical record is number each page when I get to the end I go back and add 1 of 100 and so on.

      * Second I then make a copy of my service medical records on a different color paper, yellow or buff something easy to read, but it will distinguish it from the original.

      * I then put my original away and work off the copy.

      * Now if you know the specific date it's fairly easy to find. 

      * If on the other hand you don't know specifically or you had symptoms leading up to it. Well this may take some detective work and so Watson the game is afoot.

      * Let's say it's Irritable Syndrome 

      * I would start page by page from page 1, if the first thing I run across an entry that supports my claim for IBS, I number it #1, I Bracket it in Red, and then on a separate piece of paper I start to compile my medical evidence log. So I would write Page 10 #1 and a brief summary of the evidence, do this has you go through all the your medical records and when you are finished you will have an index and easy way to find your evidence. 

      Study your diagnosis symptoms look them up. Check common medications for your IBS and look for the symptoms noted in your evidence that seem to point to IBS, if your doctor prescribes meds for IBS, but doesn't call it that make those a reference also.
      • 9 replies
    • How to get your questions answered on the forum
      Do not post your question in someone else's thread. If you are reading a topic that sounds similar to your question, start a new topic and post your question. When you add your question to a topic someone else started both your questions get lost in the thread. So best to start your own thread so you can follow your question and the other member can follow theirs.

      All VA Claims questions should be posted on our forums. Read the forums without registering, to post you must register it’s free. Register for a free account.

      Tips on posting on the forums.

      Post a clear title like ‘Need help preparing PTSD claim’ or “VA med center won’t schedule my surgery” instead of ‘I have a question’.


      Knowledgable people who don’t have time to read all posts may skip yours if your need isn’t clear in the title. I don’t read all posts every login and will gravitate towards those I have more info on.


      Use paragraphs instead of one huge, rambling introduction or story. Again – You want to make it easy for others to help. If your question is buried in a monster paragraph there are fewer who will investigate to dig it out.



      Leading to:

      Post clear questions and then give background info on them.



      Examples:

      A. I was previously denied for apnea – Should I refile a claim?



      I was diagnosed with apnea in service and received a CPAP machine but claim was denied in 2008. Should I refile?




      B. I may have PTSD- how can I be sure?


      I was involved in traumatic incident on base in 1974 and have had nightmares ever since, but I did not go to mental health while enlisted. How can I get help?





      This gives members a starting point to ask clarifying questions like “Can you post the Reasons for Denial from your claim?” etc.

      Note:

      Your firsts posts on the board may be delayed before they show up, as they are reviewed, this process does not take long and the review requirement will be removed usually by the 6th post, though we reserve the right to keep anyone on moderator preview.

      This process allows us to remove spam and other junk posts before they hit the board. We want to keep the focus on VA Claims and this helps us do that.
      • 2 replies
  • latest-posts-activity.pngstart-new-topic.pngsearch.png

  • Most Common VA Disabilities Claimed for Compensation:   

    tinnitus-005.pngptsd-005.pnglumbosacral-005.pngscars-005.pnglimitation-flexion-knee-005.pngdiabetes-005.pnglimitation-motion-ankle-005.pngparalysis-005.pngdegenerative-arthitis-spine-005.pngtbi-traumatic-brain-injury-005.png

  • Advertisemnt

  • 14 Questions about VA Disability Compensation Benefits Claims

    questions-001@3x.png

    When a Veteran starts considering whether or not to file a VA Disability Claim, there are a lot of questions that he or she tends to ask. Over the last 10 years, the following are the 14 most common basic questions I am asked about ...
    Continue Reading
     
  • Advertisemnt

  • Ads

  • Can a 100 percent Disabled Veteran Work and Earn an Income?

    employment 2.jpeg

    You’ve just been rated 100% disabled by the Veterans Affairs. After the excitement of finally having the rating you deserve wears off, you start asking questions. One of the first questions that you might ask is this: It’s a legitimate question – rare is the Veteran that finds themselves sitting on the couch eating bon-bons … Continue reading

×

Important Information

{terms] and Guidelines