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oldtimer92

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About oldtimer92

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  1. Thanks everyone . I was wondering the same thing in regards to her writing the statement but she volunteered to do it so I’m assuming she isn’t afraid of any backlash from VA. I do know one thing she really wanted to address was the fact that they denied the secondary claim based on the exam findings and the secondary condition was not listed anywhere to be evaluated by her. But she did address it due to our conversation and put on the medical opinion that the secondary condition was at least as likely as not (50% or greater probability) due to or the result of the service connected condition and they still denied the secondary condition. Diagnosis, connection and favorable findings. So I don’t know what really happened here.
  2. First let me apologze for this long post. I had a NOD that was submitted in 2016, I opted into RAMP in 2018. I had a c&p done in my hometown by an outsource company called LHI. Exam was very detailed and i think that was due to the fact the examiner was prior military and she suffered the same conditions i filed on my claim. i thought the exam was for both claims because we discussed both conditions. I was requesting an increase for migraines and the other was for a secondary condition from the botox injections given for the migraines. i thought it went ver well, the examiner asked me to keep in touch and let her know how everything came out. I was estatic because I felt like I was finally getting heard. Fast forward, I get my decision and both claims are denied. The letter listed all evidence reviewed, all favorable evidence with diagnosis for each condition. The denial letter said the increase was denied because examiner only stated one episode per month and the secondary was denied because examiner did not find a connection to migraines. I was baffled and lost. But I also know how exams can go great and denials come later, so my next step was to get VSO to file an appeal. Fast forward again, Im in out at the grocery store one day and the examiner seen me and walked up to asked how things were going. I wanted to say a few choice words, but I politely told her the claims were denied and the letter stated due to VA exam findings. She told me that she remembered me and my claims because she had the same conditions. She said that was not what she put on the forms and she receiving nothing in regards to the secondary condition. She said she received a questionnaire to evaluate the migraines and a medical opinion for the migraines only. She told me to request a copy of the exam and to come see her once I received it. When I got the copy, i took them to her and she read them and wrote a statement on my behalf concening both conditions. I also had VSO to help me with my statement to include with her statement. I was told by an ex-claims rater that this may not be considered new evidence. So my question: will this be considered new evidence under the supplemental lane? Or should I have done an appeal?
  3. Update: Went in for 2nd mental health exam. I was thinking it was another one for the claim for anxiety or a followup on the noncombat ptsd. I get there and she tells me it is for a new claim for depression. So now, I am totally lost because again my claims were for 2 other conditions. Now my question is, did VA change the condition and requested a medical opinion and will they automatically deny the other claim and I have to reapply for the new claim that I went for?? by the way, the mental health doctor did service connect me for Major recurring depression with anxious distress due to traumatic event that occurred in service. Now just waiting to see what VA can come up with now!!!
  4. Some exams are just for the fun of it for VA. I am getting sooooooooooooooooooooo frustrated right now I can just scream!!!!!!!!!!!!!!!!!!!!!!!!! Put in claim for anxiety and another claim for Ptsd (didnt know they rated under one) ONLY after speaking with VA psychologist the first time. He eventually recommended me to speak with VA Psychiatrist for medicines to help me. Now i am seeing both of them I personally sent in my medical records with dates and hospital stay of stressor/ Buddy statements, etc. Went for exam with contractor. Spent 2 hours with him, he stated that he couldnt decide if I suffered from Ptsd with anxiety disorder and depression or more anxiety and depression. As I looked back at my sessions, I have been diagnosed with as Generalized Anxiety Disorder and Adjustment DO with depression from psychologist, but never PTSD. From VA Psychiatrist it states Insomnia, other trauma related anxiety, mood disorder, panic disorder, but AGAIN, never has written ptsd. First time ptsd was said to me was during the c&p exam by the VA contractor BUT, I am assuming the doc for the Ptsd wasnt clear enough in his wording because after all these months claim went back to gather evidence for a medical opinion and/or 2nd ptsd exam. I had requested my C-file and C/P notes in February, I am told they are behind and it could be 3-6 months before I get them. What on God's green earth could possibly be the hold up now?
  5. Thanks Buck52 and Berta, I have copies of my medical and the event, with dates are in there along with some of the info. But my reports does not got into detail regarding the things that occurred while I was in ICU, like the hemorraging, blood transfusions, etc at the hospital. I did send in a Buddy statement from my roommate that was there with me thru the whole thing.
  6. UPDATE: This is what the status of my claim changed to as of this morning. 

    I submitted SMR, lay statements and VA clinic medical records, also had a C&P exam thru QTC for anixety and PTSD. Now they are wanting this, what gives? Are they trying to help me or give more reason to deny claim.

     

    We need specific details of the stressful incident(s) in service that resulted in post traumatic stress disorder (PTSD). It is important that you read the following information and respond to our request within 30 days from the date of this letter. If you do not respond, VA may deny your claim. 

    * Complete and return the enclosed questionnaire. If you are not able to provide the exact date of the incident, please indicate the location and approximate time (a 2-month specific date range) of the stressful event(s) in question. 
    * Provide reports of private physicians, if any, who have treated you for this condition since discharge. The reports should include clinical findings and diagnosis. 
    * If you have been treated for this condition at a VA medical facility, furnish the date(s) and place(s). We will obtain the report(s).

     
  7. UPDATE: This is what the status of my claim changed to as of this morning. I submitted SMR, lay statements and VA clinic medical records, also had a C&P exam thru QTC for anixety and PTSD. Now they are wanting this, what gives? Are they trying to help me or give more reason to deny claim. We need specific details of the stressful incident(s) in service that resulted in post traumatic stress disorder (PTSD). It is important that you read the following information and respond to our request within 30 days from the date of this letter. If you do not respond, VA may deny your claim. * Complete and return the enclosed questionnaire. If you are not able to provide the exact date of the incident, please indicate the location and approximate time (a 2-month specific date range) of the stressful event(s) in question. * Provide reports of private physicians, if any, who have treated you for this condition since discharge. The reports should include clinical findings and diagnosis. * If you have been treated for this condition at a VA medical facility, furnish the date(s) and place(s). We will obtain the report(s).
  8. Ok, in Nov '16, I sent in a letter requesting a reconsideration with new material and evidence on a decision that was denied in Dec '15. I sent this information to the Intake Center, well Dec 23, I finally just sent information again on ebenefits so I would not lose my 1 year date, but on Ebennie, I also included new claims that I was told I needed to submit. I completed the NOD form and included it with documents for the claims I disagreed. At the beginning of March claimed moved to prep for decision, then 2 weeks later it was sent back to review of evidence, the next day it moved back to review of evidence. They hadn't rated any of the claims, but they sent me a letter stating they needed a NOD form from me, but I had already sent one. So now I am waiting in Gathering of evidence. So any ideas as to why they requested that form again?
  9. So what is going on for the claim to get stuck in prep for decision if no other documents are needed?
  10. My claim status went to prep for decision on 3/3 but estimated date changed from April to May. I was confused on this too because no more documents needed. So why move the date further out? Thanks
  11. I went online and googled the VA ROI form and faxed it to the intake center. It will give you the fax number to send it to. Hope this helps.
  12. Gastone, No sir, I had a QTC exam with Psychiatrist for my claims. I have been seeing VA Psychologist for last 8 months, he has referred me to VA Psychiatrist for mental health counseling and medication regulation. Never done PTSD screenings. During the evaluations with the QTC Psychiatrist and the VA Psychiatrist, both made the statement that I have PTSD symptoms but dont fit all the criteria to be diagnosed with it totally. QTC doctor stated he couldnt make a opinion if I was suffering more from PTSD or depression.
  13. ok, so I went to 1st mental health appointment with psychiatrist yesterday. He also said symptoms of PTSD but not full criteria. Don;t see his notes on HealthVet yet. He also wants to study mt sleep habits and feel like I may have sleep disorder. Gave me sleep diary to do for 2 weeks. Will decide on my next visit in a month if I need to do sleep study. I sent in ROI for QTC exams, I was told it could take up to 30 days to get them and claim maybe already decided by the time I get them.
  14. Thank you both. The exam was for both claims. I do have current diagnosis from Va mental health psychologist of generalized anxiety disorder which also includes depression diagnosis. He has also referred me to see psychiatrists to get correct medicine. Both stressors have to do with near death event while an active duty and the psychologist is the one that really pointed out to me that I keep living in the past and can't get past it and the trigger was the death or my sister(my best friend) and then her husband 2 months later and coping with that because we live right across the street from one another.
  15. Hello All, Put in 1 claim for anxiety and depression and 1 for ptsd(noncombat). Had QTC exam today.. Doctor said I have signs of ptsd but dont meet full criteria for it. Definitely have anxiety and depression. But he couldnt say if my issues are more of the ptsd or the depression, but I needed to continue counseling. So is this good or bad?
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