Good info there Bronco.......I am willing to wait longer for a BVA Hearing as getting two denials now since filing in 2015. I do not want to fool around anymore with DROs handling HLR or SCL as they just overlook or fail to recognize key evidences in Veteran's favor. I want to get in front of a Judge to plead my case with evidence. I am assuming whatever time an Appeal was filed that is the pecking order for when a VideoConference Judge Hearing will be scheduled. My appeal for Hearing was filed in early November 2018. I believe the time has come that IMOs are no longer an option but a necessity to get granted anything that deals with seeking s/c through secondary disabilities. One of my appeals is Sleep Apnea (moderate OSA). I have heard that even though Sleep Apnea was diagnosed at a VA Sleep Study with a CPAP prescribed that VA still wants a Physician or Specialist to specify in an IMO that a CPAP is a "medical necessity" to Veteran. I heard that if that's not stated as such VA can deny, deny, and deny as easy as a Physician not applying " as likely as not...." to an IMO or DBQ. If this is true, that would certainly require yet another updated IMO with a Physician or the same Physician stating that usage of a CPAP " is a medical necessity" even after already stating that Veteran was diagnosed and been prescribed and a CPAP for x-amount of years. Stop breathing in your sleep is certainly a medical necessity........go figure.