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SPO

Second Class Petty Officers
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About SPO

  • Rank
    E-5 Petty Officer 2nd Class

Previous Fields

  • Service Connected Disability
    70%
  • Branch of Service
    USMC

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  1. DAV ordered my c-file for me yesterday, so now I have to wait for that. Should I wait to look at that before I file the NOD? Any thoughts on all the documentation I posted?
  2. There was 2 separate exams. They requested a medical opinion which was done by VES in december, and an in person C&P in april. I thought the dbq would hold at least a little weight, at least for the diagnosis part, because he has been my treating physician for both psoriasis and psoriatic arthritis. I'll add the evidence list as an attachment. I can probably get my dermatologist to write an opinion, he has been very veteran friendly, just a matter of telling him the details and format that it needs to have. I don't have a copy of the exams yet, I have to get to the RO and request everything. added the evidence list as. Also i've never requested any documents from the VA. Is everything done through a FOIA request by fax/mail for the c-file information, or should I be able to get the pertinent exam results at the RO same day? evidence.pdf
  3. Berta, here is the full decision letter (redacted). Also something that just caught my attention is the decision for my right hip. "Favorable Findings identified in this decision: The evidence shows that a qualifying event, injury, or disease had its onset during your service. You reported symptoms of a right hip condition in service. You have been diagnosed with a disability. The prior VA examination diagnosed you with a right hip strain." They denied service connection on this all the way back to 2009, but I'll let you read the whole thing. For whats its worth I just added the DBQ I submitted, and my doc changed it to not answer the question about limitation of motion because he didn't actually test himself. decision.pdf 1444241425_DermDQB2_Redacted (2).pdf
  4. Can I include medical information (not specific to me) that says that the two conditions are connected. It seems the statement from my doctor wasn't enough proof for them. I've never had to deal with this so I'm not sure what I need to provide them, a full nexus letter in addition to the DBQ maybe?. What other information would be helpful to you? So far I think I can refute: 1. the presumptive condition issue, by saying its secondary to a service connected condition it doesn't need to have onset during active duty, or withing a certain period after discharge or be in my service medical record. (I also thought that there was a specific list of presumptive conditions, and this isn't one of them. let me know if I'm wrong. 2. They were provided a clinical diagnosis in my DBQ by a licensed doctor. 3. the first line says there was no event, disease, or injury in service. The primary is Psoriasis, which was incurred on active duty and already service connected I don't know how to refute the fact that they didn't chose my doc's opinion over the C&P exam yet, because I haven't read it yet. Please let me know if I'm on the right track. I will scan in the whole decision letter tomorrow. Thanks in advance for all the help
  5. Ok, so how should I go about refuting them. I already gave them a clinical diagnosis, its not part of a presumptive condition, and it developed well after I got off active duty (as a side note, its medically known that this condition develops, on average, between the ages of 30-50 (i'm 35) and about 10 years after onset of psoriasis. I first had psoriasis in 2005, and diagnosed with psoriatic arthritis in 2016) . Aside from filing a NOD I'm not sure what to actually provide or say in rebuttal. shrekthetank1, I did claim it as a secondary. My doc included a statement in the DBQ that said it was more likely than not caused by/connected to psoriasis.
  6. I posted this same info in another thread, longer, thread in C&P exams, but I'll put this here to see if anyone has any ideas. I apologize in advance for the length of this, but here is an excerpt from my decision letter, I'll try to upload the whole thing later. Most of my contentions have an explanation just like this, or very similiar. "Service connection for psoriatic arthritis of the left shoulder is not established. Service connection may only be granted for a chronic disability which began in military service or was caused by some event or experience in service. The evidence does not show an event, disease or injury in service. (38 CFR 3.303, 38 CFR 3 .30~). Your service treatment records do not contain complaints, treatment, or diagnosis for this condition. The VA medical opinion found no persistent disability. The medical opinion we received from the VA contract examination was more persuasive than your private physician's opinion because it was based on an in-person examination and a thorough review of your relevant military and /or personal history and contained a more convincing rationale. (38 CFR 4.6) The evidence does not show that your condition resulted from, or was aggravated by, a service-connected disability. (38 CFR 3.303, 38 CFR 3.304) The evidence does not show that your disease developed to a compensable degree within the specified time period after release from service to qualify for the presumption of service connection. (38 CFR 3.307, 38 CFR 3.309) The VA contract medical opinion dated December 15, 2018, was not based on a review of your claims file or an in-person examination. Service connection for psoriatic arthritis of the left shoulder is denied because the medical evidence of record fails to show that this disability has been clinically diagnosed. (38 cfr 3.303)" I can make sense of this. I submitted a DBQ from my doctor with a diagnosis, but the say its not clinically diagnosed. Also CFR 3.07 and 3.308 are presumptive conditions, I did not claim this as a presumptive condition, its a secondary to psoriasis. I don't have the copies of the opinion and exam yet. Also they say the medical opinion was not based on my claim file or an exam, how is that valid for anything? Also the VA got a medical opinion in December 2018, and an in-person C&P exam in April 2019.
  7. I apologize in advance for the length of this, but here is an excerpt from my decision letter, I'll try to upload the whole thing later. Most of my contentions have an explanation just like this, or very similiar. "Service connection for psoriatic arthritis of the left shoulder is not established. Service connection may only be granted for a chronic disability which began in military service or was caused by some event or experience in service. The evidence does not show an event, disease or injury in service. (38 CFR 3.303, 38 CFR 3 .30~). Your service treatment records do not contain complaints, treatment, or diagnosis for this condition. The VA medical opinion found no persistent disability. The medical opinion we received from the VA contract examination was more persuasive than your private physician's opinion because it was based on an in-person examination and a thorough review of your relevant military and /or personal history and contained a more convincing rationale. (38 CFR 4.6) The evidence does not show that your condition resulted from, or was aggravated by, a service-connected disability. (38 CFR 3.303, 38 CFR 3.304) The evidence does not show that your disease developed to a compensable degree within the specified time period after release from service to qualify for the presumption of service connection. (38 CFR 3.307, 38 CFR 3.309) The VA contract medical opinion dated December 15, 2018, was not based on a review of your claims file or an in-person examination. Service connection for psoriatic arthritis of the left shoulder is denied because the medical evidence of record fails to show that this disability has been clinically diagnosed. (38 cfr 3.303)" I can make sense of this. I submitted a DBQ from my doctor with a diagnosis, but the say its not clinically diagnosed. Also CFR 3.07 and 3.308 are presumptive conditions, I did not claim this as a presumptive condition, its a secondary to psoriasis. I don't have the copies of the opinion and exam yet. Also they say the medical opinion was not based on my claim file or an exam, how is that valid for anything? I'll probably also create new thread with this info in another area of the forum.
  8. I’m rated for psoriasis and I claimed psoriatic arthritis (which is medically linked and the result of the same underlying inflammatory autoimmune condition) I’d suggest googling if you’re interested for a better explanation than I can give. I had a diagnosis and supporting info from my doctor on my initial Dbq I submitted. I’m really curious what was missing for the va to approve this.
  9. Closed today and they denied everything, not service connected. I had diagnosis, my doctor had a statement saying more likely than not it’s connect to my primary psoriasis, and I believe the c&p went well. Don’t know how to deal with this now
  10. So it took QTC almost a month to get the info back to the VA. Now I'm not sure how long the VA will sit on the info before they move forward. I have a hardship in, but it doesn't seem to make a difference to them. Any suspense date that has been mentioned to me has been blown past.
  11. I think it went pretty well. I went to a contact nurse practitioner through qtc. She did measure some ROM with the tool (shoulders and forward flexion on my back.). I think she eyeballed the other joints which makes me nervous. I did ask if we needed to measure and she said she got it. All in all the doc was very nice, listened and had about 2-3 pages of notes by the end. I wasn’t having a great day but not a bad day either and I explained that. I also submitted my prescription history with a letter from my treating doctor to let them know what I was on and for how long (over 2 years). Qtc says they are still waiting for her to submit and they should have it by today. I also got a call from the va regional office and the guy says he thinks it will be done within a month. Fingers crossed.
  12. So I got scheduled for tomorrow morning with a QTC doctor for my exam. QTC sent me an email with the DBQs they are sending to the doctor, however, there is no mention of Range of motion test. The DBQ for all the different joints stops right before that point. So is the doctor supposed to know to test range of motion based on what I say, or am I set up for failure?
  13. This is a very specific question for those familiar with Psoriatic arthritis. How much weight does the VA put on blood work for c-reactive protein levels, in combination with diagnosis from my doctor and physical exam? I had my c-reactive protein level checked a while back, but they showed as normal (worried the VA will deny based on this if the case is still the same). However, there is information available that says c-reactive proteins are only elevated in about half of psoriatic arthritis patients, I found this in a study by the national institute of health. should i submit this with my claim just in case?
  14. Even pushing out 1 month won't help since my med cycle last for 3 months, I would have to push out to July to catch the end of the cycle.
  15. So after months of IT and other issues with the VA, they went from working strictly off medical opinion to asking for physical exam. The exam has been sent out to QTC. Since this is for Arthritis I know they will be doing range of motion. The problem is I just took my latest dose of meds to control this condition (I take it once every three months), and the meds do a pretty good job of controlling symptoms. So basically this C&P will not go well for me since my symptoms aren't going to be as bad. I don't believe for a second that they will take in to account what I say my worst day is like vs the day of exam. How am I supposed to handle this without getting screwed? Or am I going to have to go without meds and be miserable just to show them how bad it can be?
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