I have the same question as Ruffcreek(hope you don't mind Ruffcreek). I have an appeal that is currently awaiting review of medical records by the DRO. My C&P report states "at least as likely as not" just as Ruffcreek's does. Also, the examiner wrote a very thorough and favorable report stating that my disabilities are service connected. Is this report enough are do you think I should have had another exam by a private doctor?