Thanks I understand like an SOC laying out the facts down the line. My Nuerosurgeon said he would write it to include my SMR and his diagnosis of my back and the stages or degrees that my back went down health wise. I will run by and pick the letter up Tuesday I think that was all the VA was waiting on to get on with my Claim for P&T Shoot they will probally deny me but oh well. Thanks I will check out the IMO forum. I will e mail his nurse so she can submit it to him. Again have a good day and thanks