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    • I had my prostate removed in 2019 but I guess not soon enough. I have been getting PSA tests every six months since. Each test shows the antigens slowing increasing. A community doctor has been treating me since 2019. In 2021 I started urinating frank blood. It was determined I had a bladder tumor that had broken off of the bladder wall. Same doctor now treating me for both prostate and bladder cancer. I have had a cystoscopy done every 3-4 months since. I am now scheduled for my 7th bladder surgery in the last 3 years.  The same day I was told about the most recent bladder tumor. I returned home to be told I will be scheduled for another C&P. This I think is my 5th C&P, the last was last year in June. It seems for every C&P, I was either just recovering or awaiting another bladder surgery.  I understand that VA-B does not like to award 100% P&T for prostate/bladder cancer. But with my history of the bladder tumors returning numerous times. This is even after a 6 weeks of BCG treatments. My question is there a chance the 5th time may determine the P&T status? Or do I just continue with cystoscopy every 3 months and a couple of surgeries a year and yearly C&P's? Thanks for any advise. Paul  
    • Short answer:  C and P exams are at VA's discrection and we dont know.   However, its not that unusual the C and P exam is insufficient for rating.  Many things can be omitted or inaccurate.  Some examples:    1.  "If" already service connected, then symptoms need to be documented.      2.  A date needs to be given when symptoms began.  The VARO often uses the date of the c and p exam, but that may not fly with the BVA or above.  It does not take a rocket scientist to figure out if you have been treated for a disorder since 2002, and they gave you a c and p exam in April, 2024, your symptoms did not begin in April 2024.  They began Much earlier.  How much earlier?  That needs to be documented by a doctor for a real accurate effective date.   3..   Etiology.  "If" the examiner opined that your condition was at least as likely as not due to an event in service, they often want a medical rational as to why the examiner said same.   4.  There can be other things, too, such as it would be impossible to tell from the exam, which if any of the applicable criteria were met.  5.  Finally, the exam may be incomplete, may not be signed or dated.  Or, the exam may be ambigious, or may be in conflict with other exams.  
    • According to the VA website, you can get one or the other, but you can not switch: https://www.va.gov/education/survivor-dependent-benefits/#:~:text=If you're a dependent,%2C you can't switch. This said, you can not always trust what the VA employees, or even VA websites tell you.  Yes, I know its disappointing.  IRS is the same way.   You could call the IRS hotline for tax advice, then take their advice.  If the advice is wrong, you could still have to pay the applicable tax penalties or interest.   Neither the VA, nor the IRS permits a GS5, or whover, works on updating the website, to make "official" statements binding on the agency.   In law enforcement, its actually worse.  More than once, a sheriff or detective lies to the accused, for example, they may tell them that. "your brother already ratted you out", when that is not true.  Tricks (aka lies) often lead to arrests and or convictions.  While Im no expert on law, Im pretty sure that, even if you are convicted based on a lie the sheriff told you, you are still convicted.   The sheriff is not on trial..the accused is.  I can see how, in some peoples mind, at least, its okay to fight fire with fire, as many/most criminals will lie to prevent conviction.  Sadly, sometimes, it may even work, at least for a while. 
    • I know this is not what you want to hear but Memos are for internal use and more for VA personnel than to the veteran.
    • Well that one stumps me. 
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