Al Personally, I'd fire her but. She is feeding the same bs that the VA feeds the VSO when they "train" them. Of course you have to have new evidence if you go for an increase. Duh. She is back peddling on you. Look up diagnostic code for ischemic heart disease, dc 7005. Compare your symptoms now with the criteria for the next bump in ratings. Get your doc to say that he has treated you, and review of your current baseline you have "X" (ex MEt=5) that would equate to the next higher level, etc. He doesn't have to have a dbq for an increase in ratings. He can have an electrocardiogram, etc. an