bhoward422

whats the # to the VSO in DC?

This is my situation 4:16(b) is need to be consider for my case I am SSDI accepted according to my VA medical file this is where SSA get my approval from my VA file.

Please send me Dr. Bash Phone # Addressor email bhoward4222@gmail.com

must send it to Newnan Ga

just sitting here reading your progress on the remand well mine is similar now my case is up at the AMC just had my C&P Sept 9th 2014 just talked to my VSR he gave me his # directly to his desk and fax# he said he is moving my case forward and he said everything is up to date also I send him a copy of my SSDI benefit letter and a buddy statement, I hope this will help my case also I sent him a copy of my IMO result, just sharing some info:

this is so true

IMO - Individual Medical Opinion

Same here I am suffering from (PTSD) and hearing loss also 10% Tinnitus this is the merry go round my claim is remand because of my knees problem hope that everything work out for you hang in there dont give up the fight!

my case is also in remand and I hope and pray that the scandal against the VA speeds it up to me it has been a roller coaster in my BVA appeal the BVA found out that my evidence and file was not reviewed.

C N P TEST JULY 24 2014 WHAT TO EXPECT?

yes I agree my case was remanded back to the VA the VLJ stated that they didn't review the evidence all evidence will have to be considered before returning my file back to Washington, she also stated that the VA just can't say that it didn't happen during my service period also I have bee denied 5 times for my knees the just also stated that all denial will be thrown out because they didn't review the evidence so this means the initial appeal of 2009 will be used not those other denial up to 2013 I have met every criteria that was given me to by the VA. I was ordered by the VLJ to report to my RO on July 15th to meet with the DRO. what advice anyone have concerning this matter

I have had an IMO along with my C and P the rater has used the NP opinion this is what is bias about the VA I've decided to turn my claim over to my attorney , let them fight the loop holes I had and awesome C AND P exam it the NP opinion that I disagree with, the guys knows the law I dont. have any one have consult an attorney/

RATER: this is what the rater wrote please develop for the veteran service personnel records, in support of the re-opened claim for a thoracolumbar spine disability, the veteran submitted a statement from a private physician relating his disability to his in service jumps, a review of the veteran dd 214 shows his last duty assignment was the Airborne corps , please request the veteran complete personnel records upon receipt of personnel records , review for participation in any parachute jumps, if any involvement in parachute jumps or mission are identified, an exam and opinion will be necessary. The physician statement: To the VA this veteran is a patient here at our practice we are currently treating him for chronic knee and back pain this veteran has been evaluated for back pain through the VA Medical system, we feel more than not that these condition occurred while this Veteran was enlisted while in the military. This Veteran served as a paratrooper from 1980-83 during this time with constant parachuting and lifting , these condition got progressively worse at this time this Veteran condition have become such a problem he can not complete his daily activities or maintain gainful employment, he has been through physical therapy , home exercise program and multiple medication on examination this Veteran has decreased range of motion ,with severs crepitus upon movement ,his knees also has moderate effusion, with patella tendonitis with his back has abnormal gait with decreased range of motion with degenerated disc disease. This is what was presented by my IMO.

yes I have an IMO already in my records at the RO this is what the rater wrote please develop for the veteran service personnel records, in support of the re-opened claim for a thoracolumbar spine disability, the veteran submitted a statement from a private physician relating his disability to his in service jumps, a review of the veteran dd 214 shows his last duty assignment was the Airborne corps , please request the veteran complete personnel records upon receipt of personnel records , review for participation in any parachute jumps, if any involvement in parachute jumps or mission are identified, an exam and opinion will be necessary.

yes but my smr sick call documents are missing but i have a IMO nexus showing I was in the airborne and states on my dd214 that i was assigned in the airborne and my duty was air movement operation and parachuting also showed I re-enlisted for paratrooper duty. yes a nexus was done on my back. by a IMO.

Back (Thoracolumbar Spine) Conditions Disability Benefits Questionnaire Name of patient/Veteran: Self Indicate method used to obtain medical information to complete this document: [ ] Review of available records (without in-person or video telehealth examination) using the Acceptable Clinical Evidence (ACE) process because the existing medical evidence provided sufficient information on which to prepare the DBQ and such an examination will likely provide no additional relevant evidence. [ ] Review of available records in conjunction with a telephone interview with the Veteran (without in-person or telehealth examination) using the ACE process because the existing medical evidence supplemented with a telephone interview provided sufficient information on which to prepare the DBQ and such an examination would likely provide no additional relevant evidence. [ ] Examination via approved video telehealth [X] In-person examination Evidence review --------------- Was the Veteran's VA claims file reviewed? [X] Yes [ ] No If yes, list any records that were reviewed but were not included in the Veteran's VA claims file: Charleston CPRS record reviewed If no, check all records reviewed: [ ] Military service treatment records [ ] Military service personnel records [ ] Military enlistment examination [ ] Military separation examination [ ] Military post-deployment questionnaire [ ] Department of Defense Form 214 Separation Documents [ ] Veterans Health Administration medical records (VA treatment records) [ ] Civilian medical records [ ] Interviews with collateral witnesses (family and others who have known the Veteran before and after military service) [ ] No records were reviewed [ ] Other: 1. Diagnosis ------------ Does the Veteran now have or has he/she ever been diagnosed with a thoracolumbar spine (back) condition? [X] Yes [ ] No Thoracolumbar Common Diagnoses: [X] Other Diagnosis Diagnosis #1: lumbar spine disc disease ICD code: 799.9 Date of diagnosis: 9/7/12 2. Medical history ------------------ Describe the history (including onset and course) of the Veteran's thoracolumbar spine (back) condition (brief summary): Onset back pain many years ago with injury during parachute jump during service and went on sick call and had medication treatment for back. No surgery to the back, had steroid injections to the back which helps a little. Pain in the back is constant and radiates to the left knee and right foot.Has numbness and weakness in the legs with the pain. Medications for the back: naproxen, cyclobenzaprine, and tramadol which help a little. Uses tens unit for back condition. 3. Flare-ups ------------ Does the Veteran report that flare-ups impact the function of the thoracolumbar spine (back)? [X] Yes [ ] No If yes, document the Veteran's description of the impact of flare-ups in his or her own words: flares occur 4-5 times lasting up to 1 hour and he has to stand with the flare 4. Initial range of motion (ROM) measurement -------------------------------------------- a. Select where forward flexion ends (normal endpoint is 90): [ ] 0 [ ] 5 [X] 10 [ ] 15 [ ] 20 [ ] 25 [ ] 30 [ ] 35 [ ] 40 [ ] 45 [ ] 50 [ ] 55 [ ] 60 [ ] 65 [ ] 70 [ ] 75 [ ] 80 [ ] 85 [ ] 90 or greater Select where objective evidence of painful motion begins: [ ] No objective evidence of painful motion [ ] 0 [ ] 5 [X] 10 [ ] 15 [ ] 20 [ ] 25 [ ] 30 [ ] 35 [ ] 40 [ ] 45 [ ] 50 [ ] 55 [ ] 60 [ ] 65 [ ] 70 [ ] 75 [ ] 80 [ ] 85 [ ] 90 or greater b. Select where extension ends (normal endpoint is 30): [ ] 0 [ ] 5 [X] 10 [ ] 15 [ ] 20 [ ] 25 [ ] 30 or greater Select where objective evidence of painful motion begins: [ ] No objective evidence of painful motion [ ] 0 [ ] 5 [X] 10 [ ] 15 [ ] 20 [ ] 25 [ ] 30 or greater c. Select where right lateral flexion ends (normal endpoint is 30): [ ] 0 [ ] 5 [X] 10 [ ] 15 [ ] 20 [ ] 25 [ ] 30 or greater Select where objective evidence of painful motion begins: [ ] No objective evidence of painful motion [ ] 0 [ ] 5 [X] 10 [ ] 15 [ ] 20 [ ] 25 [ ] 30 or greater d. Select where left lateral flexion ends (normal endpoint is 30): [ ] 0 [ ] 5 [X] 10 [ ] 15 [ ] 20 [ ] 25 [ ] 30 or greater Select where objective evidence of painful motion begins: [ ] No objective evidence of painful motion [ ] 0 [ ] 5 [X] 10 [ ] 15 [ ] 20 [ ] 25 [ ] 30 or greater e. Select where right lateral rotation ends (normal endpoint is 30): [ ] 0 [ ] 5 [X] 10 [ ] 15 [ ] 20 [ ] 25 [ ] 30 or greater Select where objective evidence of painful motion begins: [ ] No objective evidence of painful motion [ ] 0 [ ] 5 [X] 10 [ ] 15 [ ] 20 [ ] 25 [ ] 30 or greater f. Select where left lateral rotation ends (normal endpoint is 30): [ ] 0 [ ] 5 [X] 10 [ ] 15 [ ] 20 [ ] 25 [ ] 30 or greater Select where objective evidence of painful motion begins: [ ] No objective evidence of painful motion [ ] 0 [ ] 5 [X] 10 [ ] 15 [ ] 20 [ ] 25 [ ] 30 or greater g. If ROM for this Veteran does not conform to the normal range of motion identified above but is normal for this Veteran (for reasons other than a back condition, such as age, body habitus, neurologic disease), explain: No response provided. 5. ROM measurement after repetitive use testing ----------------------------------------------- a. Is the Veteran able to perform repetitive-use testing with 3 repetitions? [X] Yes [ ] No b. Select where post-test forward flexion ends: [ ] 0 [ ] 5 [X] 10 [ ] 15 [ ] 20 [ ] 25 [ ] 30 [ ] 35 [ ] 40 [ ] 45 [ ] 50 [ ] 55 [ ] 60 [ ] 65 [ ] 70 [ ] 75 [ ] 80 [ ] 85 [ ] 90 or greater c. Select where post-test extension ends: [ ] 0 [ ] 5 [X] 10 [ ] 15 [ ] 20 [ ] 25 [ ] 30 or greater d. Select where post-test right lateral flexion ends: [ ] 0 [ ] 5 [X] 10 [ ] 15 [ ] 20 [ ] 25 [ ] 30 or greater e. Select where post-test left lateral flexion ends: [ ] 0 [ ] 5 [X] 10 [ ] 15 [ ] 20 [ ] 25 [ ] 30 or greater f. Select where post-test right lateral rotation ends: [ ] 0 [ ] 5 [X] 10 [ ] 15 [ ] 20 [ ] 25 [ ] 30 or greater g. Select where post-test left lateral rotation ends: [ ] 0 [ ] 5 [X] 10 [ ] 15 [ ] 20 [ ] 25 [ ] 30 or greater 6. Functional loss and additional limitation in ROM --------------------------------------------------- a. Does the Veteran have additional limitation in ROM of the thoracolumbar spine (back) following repetitive-use testing? [ ] Yes [X] No b. Does the Veteran have any functional loss and/or functional impairment of the thoracolumbar spine (back)? [X] Yes [ ] No c. If the Veteran has functional loss, functional impairment and/or additional limitation of ROM of the thoracolumbar spine (back) after repetitive use, indicate the contributing factors of disability below: [X] Less movement than normal [X] Incoordination, impaired ability to execute skilled movements smoothly [X] Pain on movement [X] Disturbance of locomotion [X] Interference with sitting, standing and/or weight-bearing 7. Pain and muscle spasm (pain on palpation, effect of muscle spasm on gait) ---------------------------------------------------------------------------- a. Does the Veteran have localized tenderness or pain to palpation for joints and/or soft tissue of the thoracolumbar spine (back)? [X] Yes [ ] No If yes, describe: pain to palpation lower lumbar spine paraspinal muscles b. Does the Veteran have muscle spasm of the thoracolumbar spine resulting in abnormal gait or abnormal spinal countour? [X] Yes [ ] No c. Does the Veteran have muscle spasms of the thoracolumbar spine not resulting in abnormal gait or abnormal spinal countour? [ ] Yes [X] No d. Does the Veteran have guarding of the thoracolumbar spine resulting in abnormal gait or abnormal spinal countour? [X] Yes [ ] No e. Does the Veteran have guarding of the thoracolumbar spine not resulting in abnormal gait or abnormal spinal countour? [ ] Yes [X] No 8. Muscle strength testing -------------------------- a. Rate strength according to the following scale: 0/5 No muscle movement 1/5 Palpable or visible muscle contraction, but no joint movement 2/5 Active movement with gravity eliminated 3/5 Active movement against gravity 4/5 Active movement against some resistance 5/5 Normal strength Hip flexion: Right: [X] 5/5 [ ] 4/5 [ ] 3/5 [ ] 2/5 [ ] 1/5 [ ] 0/5 Left: [X] 5/5 [ ] 4/5 [ ] 3/5 [ ] 2/5 [ ] 1/5 [ ] 0/5 Knee extension: Right: [X] 5/5 [ ] 4/5 [ ] 3/5 [ ] 2/5 [ ] 1/5 [ ] 0/5 Left: [X] 5/5 [ ] 4/5 [ ] 3/5 [ ] 2/5 [ ] 1/5 [ ] 0/5 Ankle plantar flexion: Right: [X] 5/5 [ ] 4/5 [ ] 3/5 [ ] 2/5 [ ] 1/5 [ ] 0/5 Left: [X] 5/5 [ ] 4/5 [ ] 3/5 [ ] 2/5 [ ] 1/5 [ ] 0/5 Ankle dorsiflexion: Right: [X] 5/5 [ ] 4/5 [ ] 3/5 [ ] 2/5 [ ] 1/5 [ ] 0/5 Left: [X] 5/5 [ ] 4/5 [ ] 3/5 [ ] 2/5 [ ] 1/5 [ ] 0/5 Great toe extension: Right: [X] 5/5 [ ] 4/5 [ ] 3/5 [ ] 2/5 [ ] 1/5 [ ] 0/5 Left: [X] 5/5 [ ] 4/5 [ ] 3/5 [ ] 2/5 [ ] 1/5 [ ] 0/5 b. Does the Veteran have muscle atrophy? [ ] Yes [X] No 9. Reflex exam -------------- Rate deep tendon reflexes (DTRs) according to the following scale: 0 Absent 1+ Hypoactive 2+ Normal 3+ Hyperactive without clonus 4+ Hyperactive with clonus Knee: Right: [ ] 0 [ ] 1+ [X] 2+ [ ] 3+ [ ] 4+ Left: [ ] 0 [ ] 1+ [X] 2+ [ ] 3+ [ ] 4+ Ankle: Right: [ ] 0 [ ] 1+ [X] 2+ [ ] 3+ [ ] 4+ Left: [ ] 0 [ ] 1+ [X] 2+ [ ] 3+ [ ] 4+ 10. Sensory exam ---------------- Provide results for sensation to light touch (dermatome) testing: Upper anterior thigh (L2): Right: [ ] Normal [X] Decreased [ ] Absent Left: [X] Normal [ ] Decreased [ ] Absent Thigh/knee (L3/4): Right: [ ] Normal [X] Decreased [ ] Absent Left: [X] Normal [ ] Decreased [ ] Absent Lower leg/ankle (L4/L5/S1): Right: [ ] Normal [X] Decreased [ ] Absent Left: [X] Normal [ ] Decreased [ ] Absent Foot/toes (L5): Right: [ ] Normal [X] Decreased [ ] Absent Left: [X] Normal [ ] Decreased [ ] Absent 11. Straight leg raising test ----------------------------- Provide straight leg raising test results: Right: [X] Negative [ ] Positive [ ] Unable to perform Left: [X] Negative [ ] Positive [ ] Unable to perform 12. Radiculopathy ----------------- Does the Veteran have radicular pain or any other signs or symptoms due to radiculopathy? [X] Yes [ ] No a. Indicate symptoms' location and severity (check all that apply): Constant pain (may be excruciating at times) Right lower extremity: [X] None [ ] Mild [ ] Moderate [ ] Severe Left lower extremity: [X] None [ ] Mild [ ] Moderate [ ] Severe Intermittent pain (usually dull) Right lower extremity: [ ] None [ ] Mild [ ] Moderate [X] Severe Left lower extremity: [ ] None [ ] Mild [ ] Moderate [X] Severe Paresthesias and/or dysesthesias Right lower extremity: [ ] None [ ] Mild [ ] Moderate [X] Severe Left lower extremity: [ ] None [ ] Mild [ ] Moderate [X] Severe Numbness Right lower extremity: [ ] None [ ] Mild [X] Moderate [ ] Severe Left lower extremity: [ ] None [ ] Mild [X] Moderate [ ] Severe b. Does the Veteran have any other signs or symptoms of radiculopathy? [X] Yes [ ] No If yes, describe: decreased sensation right lower extremity c. Indicate nerve roots involved: (check all that apply) [X] Involvement of L4/L5/S1/S2/S3 nerve roots (sciatic nerve) If checked, indicate: [ ] Right [ ] Left [X] Both d. Indicate severity of radiculopathy and side affected: Right: [ ] Not affected [ ] Mild [X] Moderate [ ] Severe Left: [ ] Not affected [X] Mild [ ] Moderate [ ] Severe 13. Ankylosis ------------- Is there ankylosis of the spine? [ ] Yes [X] No 14. Other neurologic abnormalities ---------------------------------- Does the Veteran have any other neurologic abnormalities or findings related to a thoracolumbar spine (back) condition (such as bowel or bladder problems/pathologic reflexes)? [ ] Yes [X] No 15. Intervertebral disc syndrome (IVDS) and incapacitating episodes ------------------------------------------------------------------- a. Does the Veteran have IVDS of the thoracolumbar spine? [X] Yes [ ] No b. If yes, has the Veteran had any incapacitating episodes over the past 12 months due to IVDS? [X] Yes [ ] No The total duration over the past 12 months: With incapacitating episodes having a total duration of at least one week but less than two weeks during the past 12 months. 16. Assistive devices --------------------- a. Does the Veteran use any assistive device(s) as a normal mode of locomotion, although occasional locomotion by other methods may be possible? [X] Yes [ ] No Identify assistive device(s) used: Assistive Device: Frequency of use: ----------------- ----------------- [X] Brace(s) [ ] Occasional [X] Regular [ ] Constant [X] Cane(s) [ ] Occasional [ ] Regular [X] Constant b. If the Veteran uses any assistive devices, specify the condition and identify the assistive device used for each condition: cane and brace for back condition 17. Remaining effective function of the extremities --------------------------------------------------- Due to a thoracolumbar spine (back) condition, is there functional impairment of an extremity such that no effective function remains other than that which would be equally well served by an amputation with prosthesis? (Functions of the upper extremity include grasping, manipulation, etc.; functions of the lower extremity include balance and propulsion, etc.) [X] No 18. Other pertinent physical findings, complications, conditions, signs and/or symptoms ----------------------------------------------------------------------- a. Does the Veteran have any scars (surgical or otherwise) related to any conditions or to the treatment of any conditions listed in the Diagnosis section above? [ ] Yes [X] No b. Does the Veteran have any other pertinent physical findings, complications, conditions, signs or symptoms? [ ] Yes [X] No 19. Diagnostic testing ---------------------- a. Have imaging studies of the thoracolumbar spine been performed and are the results available? [X] Yes [ ] No If yes, is arthritis documented? [ ] Yes [X] No b. Does the Veteran have a thoracic vertebral fracture with loss of 50 percent or more of height? [ ] Yes [X] No c. Are there any other significant diagnostic test findings and/or results? [X] Yes [ ] No If yes, provide type of test or procedure, date and results (brief summary): MRI, LUMBAR SPINE WITHOUT CONTRAST Exm Date: SEP 07, 2012@10:35 Req Phys: TORRES,ALBERTO LUIS Pat Loc: ZZZBPCC TEAM 03 TORRES (Req'g Img Loc: MRI Service: Unknown (Case 1599 COMPLETE) MRI, LUMBAR SPINE WITHOUT CONTRAS(MRI Detailed) CPT:72148 Reason for Study: severe chronic low back pain Clinical History: Clinical History:A 54 y/o male veteran that presents severe low back pain. Lumbosacral spine X-Rays are normal. No data available CREATININE,SERUM/PLASMA 3/29/12 12:46 1.07 2/6/12 08:20 1.02 12/10/10 07:55 1.10 EGFR 3/29/12 12:46 87.5 2/6/12 08:20 92.4 12/10/10 07:55 85.1 No Is patient weight greater than 300 lbs? Weight: 180.8 lb [82.2 kg] (08/07/2012 08:13) No Cardiac Pacemaker or wires left after pacemaker removal? No Automatic inplanted defibrillator? No Cochlear(ear) implant or stapes? No Metal in your eyes or history of being a metalworker? No Surgery or intravascular stent in past 6 wks? No Implanted nerve or bone growth stimulator? No Implanted infusion pump for drug delivery? No Aneurysm clips in brain? No Penile implant? No Heart valve? No Eye implant / band? No History of shrapnel,gunshot wound? No History of any Cancer? Type? No Known allergies or prior reaction to constrast/dye? No Skin patch medication? No First trimester pregnancy? No Lactating (breastfeeding)? No Is patient on dialysis or in renal failure? Name of Interviewing Medical Personnel? No Patient has claustrophobia? No Rides a shuttle bus? No Does the patient have sleep apnea and/or on home oxygen? No Uses prescription pain medication regularly? No Has patient received surgery on the same locations to be imaged? If Yes to surgery; What year? Report Status: Verified Date Reported: SEP 07, 2012 Date Verified: SEP 07, 2012 Verifier E-Sig:/ES/BRADLEY AMERSON, MD Report: MR lumbar spine without contrast Indication:severe chronic low back pain Comparison:Lumbosacral radiographs 5/24/2012 Technique:Standard adult HNP spine protocol MR images of the lumbar spine were performed without the use of gadolinium based contrast. Findings: There are 5 non rib bearing lumbar-type vertebrae (lowermost referred to as L5) with visualization from T11 to the sacrum. There is normal height and alignment of the vertebral bodies. Normal bone marrow signal. T1/T2 hyperintense signal within as to is compatible with an osseous hemangiomata. Conus demonstrates normal course, caliber, morpholgy, signal and terminates at L1. Visualized lower thoracic spine is within normal limits. Small bilateral renal cysts are present. There is disk desiccation at L3/L4, L4/L5 and L5/S1. T12-L1: No signifigant neuroforaminal or spinal canal narrowing. No signifigant facet disease. Sagittal images only. L1-L2: No signifigant neuroforaminal or spinal canal narrowing. No signifigant facet disease. Sagittal images only. L2-L3: No signifigant neuroforaminal or spinal canal narrrowing. No signifigant facet disease. L3-L4: There is a broad-based posterior disc protrusion causing mild bilateral neural foraminal stenosis. There is mild bilateral facet arthrosis. L4-L5: There is a broad-based posterior disc protrusion and bilateral facet arthrosis causing moderate bilateral neural foraminal stenosis. No significant spinal canal stenosis. L5-S1: There is a broad-based posterior disc protrusion without significant neuroforaminal or spinal canal stenosis. The disc protrusion contacts the traversing S1 nerve roots. Impression: 1. Degenerative disc disease described above, worse at L4-L5 where there is a broad-based posterior disc protrusion and bilateral facet arthrosis causing moderate bilateral neuroforaminal stenosis. No significant spinal canal stenosis. 2. Broad-based posterior disc protrusion at L5-S1 contacting the traversing S1 nerve roots. Primary Diagnostic Code: Primary Interpreting Staff: BRADLEY AMERSON, MD, ATTENDING (Verifier) /BA SPINE LUMBOSACRAL MIN 2 VIEWS Exm Date: FEB 03, 2014@13:12 Req Phys: OCONNOR,CATHERINE C Pat Loc: CHS C&P O'CONNOR (Req'g Loc) Img Loc: VAMC RADIOLOGY, CHARS Service: Unknown *** THIS IS AN AMENDED REPORT *** (Case 452 COMPLETE) SPINE LUMBOSACRAL MIN 2 VIEWS (RAD Detailed) CPT:72100 Reason for Study: C&P evaluation Clinical History:

Yes I have an IMO letter the VARO already has it, it's part of my record my 10% is for tinnitus I'll get a copy of this c&p from my VA medical center. my private doctor note these findings such as can't maintain gainful employment, he served his country as a paratrooper jumper he can't complete his daily activities he also has decreased ROM with severe crepitus, upon movement, his knees also has moderate effusion with patella tendonitus with his back has has an abnormal gait with decreased ROM with degenerative disc disease. during this time with constant parachuting and lifting these condition got progressively worse at time, we're treating him for chronic pain this veteran has been through physical therapy, home exercise program and are prescribe multiple medication on examination. we feel more than not that these condition occurred while this Veteran was enlisted in the military. this is what my IMO express to the VA Thanks Navy04.

I had my C&p exam today 02/03/14 at the Ralph H. Johnson VA Medical Center Charleston S.C. the issues and question were on my ROM, question also were asked about my knees, legs and foot I have answer every question to the best of my knowledge. I was very stiff on this exam because I was hurting badly, the examiner then asked when did my injuries occur my response was I was a paratrooper jumper in the military and as the years passed it progresses. the examiner also was up to date on my medical history I was told I have your MRI now I need for you to go to radiology to do and x ray. now at this time the exam is over, now I was told to get everything such as private doctor findings as soon as possible and get it to my RO, and was told to have a good day!

C&P Exam schedule for Monday 02/03/2014 at the VA Medical Center Charleston S.C. with doctor O'Connor has any one out there had this Doc if so please reply to what to expect Thanks!

Update just as posted in the past the RVSR had review my file in this matter the reason for the status of this letter because I know that my jumped status was over looked then at this point I had to direct their attention to my 201 file since then my file was request from St. Louis Mo. it shows when I re-enlisted for the 82nd Airborne Division also it showed when I attended jump school. now my claim was first denied because the VSR over looked in blocked # 7 on my DD 214 that I was assign to the Airborne Corps Foscom 82nd Airborne Division, Ft. Bragg N.C. now the rater has requested that the VA Medical Center look at my medical file in which to see if a C&P is needed or if I can be rated on the medical evidence in which he has,.this is the request of the RVSR to the VSR: It states In support of the reopened claim for a thoracolumbar spine disability, the Veteran submitted a statement from a private physician relating his disability to his in service jumps. a review of the veteran DD 214 shows his last duty assignment was the Airborne Corps. please request the Veteran complete personnel records upon receipt of personnel records, review for participation in any parachute jumps, if and involvement in parachute jumps, or mission are identified, an examination and opinion will be necessary. so this was the request of the RVSR, now how does plays out?

Update just as posted in the past the RVSR had review my file in this matter the reason for the status of this letter because I know that my jumped status was over looked then at this point I had to direct their attention to my 201 file since then my file was request from St. Louis Mo. it shows when I re-enlisted for the 82nd Airborne Division also it showed when I attended jump school. now my claim was first denied because the VSR over looked in blocked # 7 on my DD 214 that I was assign to the Airborne Corps Foscom 82nd Airborne Division, Ft. Bragg N.C. now the rater has requested that the VA Medical Center look at my medical file in which to see if a C&P is needed or if I can be rated on the medical evidence in which he has,.this is the request of the RVSR to the VSR: It states In support of the reopened claim for a thoracolumbar spine disability, the Veteran submitted a statement from a private physician relating his disability to his in service jumps. a review of the veteran DD 214 shows his last duty assignment was the Airborne Corps. please request the Veteran complete personnel records upon receipt of personnel records, review for participation in any parachute jumps, if and involvement in parachute jumps, or mission are identified, an examination and opinion will be necessary. so this was the request of the RVSR, now how does plays out?

I receive a development letter today 1/26/2014 it states we asked we asked the VA medical facility nearest you to perform a disability evaluation in connection with your claim. A disability evaluation includes a review of the medical evidence an sometimes examination. if a examination is necessary the medical facility will notify you of the date, time, place.now please someone with experience explain this one to me, Thanks! Quote MultiQuote Edit

I receive a development letter today 1/26/2014 it states we asked we asked the VA medical facility nearest you to perform a disability evaluation in connection with your claim. A disability evaluation includes a review of the medical evidence an sometimes examination. if a examination is necessary the medical facility will notify you of the date, time, place.now please someone with experience explain this one to me, Thanks! Quote MultiQuote Edit

I receive a development letter today 1/26/2014 it states we asked we asked the VA medical facility nearest you to perform a disability evaluation in connection with your claim. A disability evaluation includes a review of the medical evidence an sometimes examination. if a examination is necessary the medical facility will notify you of the date, time, place.now please someone with experience explain this one to me, Thanks!

just checked ebene claim went back to gathering of evidence development letter sent, I had no C&P exam as of yet, what's this letter/