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diabetes Getting An Independent Medical Opinion
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Question
Berta
I cannot find prior IMO posts I made as to this important criteria-
I also find I am repeating to vets what I already posted weeks ago----
This is the last time I will post this-
I copied it from what I posted yesterday here at hadit under IMO post
HadIt.com Elder
Group: HadIt.com Elder
Posts: 13,150
Joined: 29-March 06
From: Beautiful hills of NY
Member No.: 868
Old WebBoard Name: Berta
Service Connected Disability: widow of 2 vets, 2 HD each and mother of USAF vet-my daughter
I just spent quite a bit of time looking for that post-I cannot find it-and it was fairly recent-
here it is again:
An Independent Medical Opinion from a private doctor should contain certain elements:
1. The doctor must state that he or she has reviewed the SMRs (if needed)they arent needed if presumptive disability-and all available clinical records- and in my case and sometimes others- other VA documents pertinent to the claim.
The doctor needs to have a background and expertise consistent with the claimed disability.
2. The doctor should provide a statement as to this expertise.
Such as I will use what my IMO says" I have interpreted thousands of CT and MRI scans on patients with this patient's type of disorder (meaning my husbands undiagnosed DMII) and have correlated my findings with the clinical record." (Dr. Craig BAsh)
Also he attached a 9 page Curriculum Vitae.
3. Competency: He expands here on his knowledge of VA case law and regs, as well as in the second IMO- knowledge of the VA's recent expert opinion and also states he used current medical data, conversations with me, the veteran's lay statements in the clinical VA records( such as "They are killing me- I am dying of thirst"nurses note during hospitalization etc.as well as the autopsy , MRIs, ECHO etc.
4.
Discussion: here Dr. BAsh lays out 5 specific very strong points to prove his statement that the VA doctor's statements in the SSOC were "medically inaccurate".
5.Nexus statement: He then provided the Nexus statement.
The veterans exposure to Agent Orange was confirmed and the veteran had no other etiology for DMII but for his service in Vietnam.
"It is my opinion that his demise, due to cardiovadcular disease and infarcts (meaning the strokes Rod had) was caused by his Agent Orange induced diabetes."
He then referred to his initial IMO in which he made seven additional specific points in that IMO to service connect Rod's death-he also incorporated a former VA Neurologists opinion I had obtained in support of his first IMO.
Also in both IMos he used references to medical treatises and ADA literature.
Along with these IMos I sent the VA ADA info and clear medical association of Rods heart disease and Brain trauma due to dmii-undiagnosed and untreated.
Also in my initial claim- and in anything else I submitted I clearly reminded VA that the VA already admitted to multiple incidents of malpractice that all caused Rods death and that I state that the DMII was one of those initial multiple deviations in care and it was therefore "more then likely" they failed to diagnose DMII when they failed to diagnose heart disease, strokes, and his HBP as well and did admit to that.
I also sent Dr, BAsh significant medical info regarding another issue but I intend to get a pathologist for that IMO. If needed.
My long point- and I hope this post can be found be search-
is that this is the criteria for IMOs.
A clear medical rationale for the opinion supported by medical fact and experience and a strong Nexus statement.
To add- this is the "more than likely", or "at least as likely as not" statement you need for the nexus factor.
And keep in mind -if a doctor opines that it is more then likely that your present disability is related to your service-the doctor in 99.9 case was not an eyewitness to your stressors or inservice injury etc that caused your disability.
They must fully refer to the SMRs in this statement-or to something that would show your disability is consistent with the diagnosis as due to service.
PTSD vets getting IMOs must still fully provide a stressor that can be verified unless they have PH or combat awards that denote stressor is consistent with combat-and then the VA will usually still verify the stressor.
--------------------
When thousands of Americans faced annihilation in the 1800s Chief Osceola's response to his people, the Seminoles, was
simply "They(the US Army)have guns, but so do we."
Sameo to us -They (VA) have 38 CFR ,38 USC, and M21-1- but so do we.
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Berta
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Find Member's Posts Apr 30 2007, 04:47 PM Post #3
HadIt.com Elder
Group: HadIt.com Elder
Posts: 13,150
Joined: 29-March 06
From: Beautiful hills of NY
Member No.: 868
Old WebBoard Name: Berta
Service Connected Disability: widow of 2 vets, 2 HD each and mother of USAF vet-my daughter
There is an IMO format here at hadit under Getting an IMO-
the nexus statement should be part of it-meaning
a good medical rationale as to why the disabilty is due to service-
--------------------
When thousands of Americans faced annihilation in the 1800s Chief Osceola's response to his people, the Seminoles, was
simply "They(the US Army)have guns, but so do we."
Sameo to us -They (VA) have 38 CFR ,38 USC, and M21-1- but so do we.
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noelmc
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Find Member's Posts Apr 30 2007, 04:31 PM Post #4
Seaman
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Joined: 27-November 06
Member No.: 1,591
Berta,
Would you be willing to look at an IMO to see if it contains "all the right moves" ? If you will could we do it off the forum because of all the private information.
Thanks
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Blue Original IPB 2.2 Patriot_Games (Import) header English Lo-Fi Version Time is now: 2nd May 2007 - 07:04 AM
Edited by BertaGRADUATE ! Nov 2nd 2007 American Military University !
When thousands of Americans faced annihilation in the 1800s Chief
Osceola's response to his people, the Seminoles, was
simply "They(the US Army)have guns, but so do we."
Sameo to us -They (VA) have 38 CFR ,38 USC, and M21-1- but so do we.
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