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Phoenix&Ruby

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About Phoenix&Ruby

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  1. Thank you -feedback helped me a lot. filed a timely NOD- made appt to get IME with ortho specialist. couldn't get appt before the NOD had to get in they only gave me 60 days. . VA did not send proposal to reduce so included this in NOD. They also printed the reduction decision on back of a spouse notification (spouse notification was dated 4 days later) will keep you posted really appreciate the feedback.
  2. Thanks for your response. FYI VA examiner determined that the DC should be changed from DC 5202 to DC 5010-5201 was on shoulder injury - VA cited decision based on XR evidence of traumatic arthritis, none of humerus.  Meanwhile, also appealing  prior decision on gout…..so odd that they would even mention arthritis.   I read  VA made proposal to change DCs (was in Federal Register) and it looks like this DC is one that they are targeting to change.  Getting assistance to get Ortho Eval to fight it now.  Thanks.

  3. Got my decision letter Christmas Eve. TDUI had been rated at 70% - 2 separate conditions - VA decision determined that my shoulder SC had improved resulting in cut to 60% …… have 60 days to appeal…..any advice?
  4. I submitted paperwork to VA to notify of dependent - and at same filed appeal on claim decision from previous year. I called VA a week ago and was that they only process one claim at a time, and since I filed TDUI and an on the original claim decision (decision received in 2017), I needed to wait to receive response until the TDUI was processed expected in Feb/Mar 2019. Is that true? Why wouldn't dependent issue just be processed separately - it was sent to VA in July 2018. Thank you.
  5. Hi,  wanted to ask your opinion on this.  I see that you are very knowledgeable and have helped so many Vets. 

    Appealing va decision on gout secondary heart transplant.  Lawyer hired to help with appeal.  Provided draft IMO letter but the doctor in an internal specialist, not endocrinologist or cardiologist or transplant doctor.  The IMO doc advised he cannot support heart only kidney.

     Feel that the IMO should address the cardiac issues, too.  Had gout diagnosed while in service. Also SMR show complaints of severe headaches, gallop beat and separation exam notes prior complaints of chest pain and tightness in chest.  IMO draft also does not provide any argument to original denial of gout made by adjudicator 20 years ago. Your recommendations?

    1. Berta

      Berta

      I  suggest you post this in the main forum.

      You need, in  my opinion, an IME from a cardio doctor.

      The IMO/IME forum holds the criteria for a strong IMO.

      If an IMO ( probably you need an IME- a one to one medical exam)

      does not follow the IMO criteria, the VA will reject it.

      There is certainly a association between heart disease and gout:

      https://www.webmd.com/heart-disease/news/20060815/gout-boosts-heart-attack-risk

      But a real cardio doctor would have more updated info.

      Others will help in the main forum if you post this there.

       

       

    2. Phoenix&Ruby
  6. 8/1/18 Hi, I reviewed forums and blogs for help on IMO.......and it seems there are only 2 names appearing - Dr. Bash and Dr. Anaise for IMOs. Postings seem to be from a few years ago. Any other suggestions/recommendations? Thanks
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