C+p Boy Am I Amd

[Jim MAC]

Well I had my C+P exam yesterday. A little background first a lot of you know I have been fighting with my R.O for over 3 years there are still three issues on the table.

Service connection for Asbestos. VA has admitted that my job is probably for asbestoses exposure.. Right shoulder pain in SMR’r .Back pain one notation in service record.

Ok that’s the background went to a DRO hearing in June. Got a call about 2 weeks ago that I would have a C+P exam on August 23 at 1 PM. Was told that I would receive a letter in the mail with a questionnaire in it. Was told that it was for asbestoses. Well did not receive any letter in the mail. Went to my C+P exam they gave me the questioners to fill out it was for all 3 items. Ok so far so good.

Here were it gets bad. Seeing the doctor he had none of my records at all. I asked him if he had the Xrays from the VA medical center for my claim he said no. I asked him if he had the MRI from the VA center he said no. They took x-rays but why was the MRI not available to the doctor? I was then given a PFI test? The one were you blew in the tube and they check your lung capacity? Nurse told me it was a 71 anybody know what that means? Then they gave me an inhaler 2 take two shots of medicine waited a half an hour and had me take the test again. Then it was normal. Anybody know why they did that?

Thanks,

Jim

[Boats]

Jim,

Sorry to hear it did not go well, it was a QTC contract right? The office in VA Beach? I have had two done there, the last one QTC did was a local Doc they have a contract with now in Williamsburg. Here is some info from 38 on those numbers. It is under Schedule of ratings--respiratory system

Boats

Interstitial Lung Disease

6825 Diffuse interstitial fibrosis (interstitial pneumonitis, fibrosing alveolitis).

6826 Desquamative interstitial pneumonitis.

6827 Pulmonary alveolar proteinosis.

6828 Eosinophilic granuloma of lung.

6829 Drug-induced pulmonary pneumonitis and fibrosis.

6830 Radiation-induced pulmonary pneumonitis and fibrosis.

6831 Hypersensitivity pneumonitis (extrinsic allergic alveolitis).

6832 Pneumoconiosis (silicosis, anthracosis, etc.).

6833 Asbestosis.

General Rating Formula for Interstitial Lung Disease (diagnostic codes 6825 through 6833):

Forced Vital Capacity (FVC) less than 50-percent predicted, or; Diffusion Capacity of the Lung for Carbon Monoxide by the Single Breath Method (DLCO (SB)) less than 40-percent predicted, or; maximum exercise capacity less than 15 ml/kg/min oxygen consumption with cardiorespiratory limitation, or; cor pulmonale or pulmonary hypertension, or; requires outpatient oxygen therapy 100

FVC of 50- to 64-percent predicted, or; DLCO (SB) of 40- to 55-percent predicted, or; maximum exercise capacity of 15 to 20 ml/kg/min oxygen consumption with cardiorespiratory limitation 60

FVC of 65- to 74-percent predicted, or; DLCO (SB) of 56- to 65-percent predicted 30

FVC of 75- to 80-percent predicted, or; DLCO (SB) of 66- to 80-percent predicted 10

[Jim MAC]

Jim,

Sorry to hear it did not go well, it was a QTC contract right? The office in VA Beach? I have had two done there, the last one QTC did was a local Doc they have a contract with now in Williamsburg. Here is some info from 38 on those numbers. It is under Schedule of ratings--respiratory system

Boats

Interstitial Lung Disease

6825 Diffuse interstitial fibrosis (interstitial pneumonitis, fibrosing alveolitis).

6826 Desquamative interstitial pneumonitis.

6827 Pulmonary alveolar proteinosis.

6828 Eosinophilic granuloma of lung.

6829 Drug-induced pulmonary pneumonitis and fibrosis.

6830 Radiation-induced pulmonary pneumonitis and fibrosis.

6831 Hypersensitivity pneumonitis (extrinsic allergic alveolitis).

6832 Pneumoconiosis (silicosis, anthracosis, etc.).

6833 Asbestosis.

General Rating Formula for Interstitial Lung Disease (diagnostic codes 6825 through 6833):

Forced Vital Capacity (FVC) less than 50-percent predicted, or; Diffusion Capacity of the Lung for Carbon Monoxide by the Single Breath Method (DLCO (SB)) less than 40-percent predicted, or; maximum exercise capacity less than 15 ml/kg/min oxygen consumption with cardiorespiratory limitation, or; cor pulmonale or pulmonary hypertension, or; requires outpatient oxygen therapy 100

FVC of 50- to 64-percent predicted, or; DLCO (SB) of 40- to 55-percent predicted, or; maximum exercise capacity of 15 to 20 ml/kg/min oxygen consumption with cardiorespiratory limitation 60

FVC of 65- to 74-percent predicted, or; DLCO (SB) of 56- to 65-percent predicted 30

FVC of 75- to 80-percent predicted, or; DLCO (SB) of 66- to 80-percent predicted 10

Hey Boats

Do you know what number they use? The first test number or the secound test after they gave me medication. Also it was the one in VA beach. They had the nerve to give me a check for 5 bucks and some change. You know I hit the HRBT at rush hour on the way home

Jim

[ronn]

Hate to tell you but,if your condition improved to normal with medication, you won't get any thing.

I think they also use the diffrence between the two to decide your.

Someone correct me if i'm wrong!

Hey Boats

Do you know what number they use? The first test number or the secound test after they gave me medication. Also it was the one in VA beach. They had the nerve to give me a check for 5 bucks and some change. You know I hit the HRBT at rush hour on the way home

Jim

[Wings]

x

x

x

Jim, Request a Copy of the C@P through the FOIA - - ASAP.

Go from there. You can appeal the C@P.

~Wings

[free_spirit_etc]

Sounds like a rough experience. 71 could have been your "raw" figure - or percentage. They have ways of calculating your FVC value as the percentage of your expected value (where they factor in age, height, gender). SO in that case - they would divide 71 into the expected value and come up with your figure.

One of the reasons they give you the post test is to test the severity of the disease (as in is it treatable or reversible). If your score improve they SHOULD prescribe you the inhaler - as it works for you.

My husband's tests didn't usually improve with the inhaler. But when he was in the hospital during his last illness they actually did find something that worked some.

So the "bad" news would be - as long as they can find something that works in improving your FVC - your disease won't be considered as disabling.

The good news is that being unable to breathe is a horrid experience - so having something that works in treating that is a good thing.

Free

:) Well I had my C+P exam yesterday. A little background first a lot of you know I have been fighting with my R.O for over 3 years there are still three issues on the table.

Service connection for Asbestos. VA has admitted that my job is probably for asbestoses exposure.. Right shoulder pain in SMR’r .Back pain one notation in service record.

Ok that’s the background went to a DRO hearing in June. Got a call about 2 weeks ago that I would have a C+P exam on August 23 at 1 PM. Was told that I would receive a letter in the mail with a questionnaire in it. Was told that it was for asbestoses. Well did not receive any letter in the mail. Went to my C+P exam they gave me the questioners to fill out it was for all 3 items. Ok so far so good.

Here were it gets bad. Seeing the doctor he had none of my records at all. I asked him if he had the Xrays from the VA medical center for my claim he said no. I asked him if he had the MRI from the VA center he said no. They took x-rays but why was the MRI not available to the doctor? I was then given a PFI test? The one were you blew in the tube and they check your lung capacity? Nurse told me it was a 71 anybody know what that means? Then they gave me an inhaler 2 take two shots of medicine waited a half an hour and had me take the test again. Then it was normal. Anybody know why they did that?

Thanks,

Jim

[Jim MAC]

Sounds like a rough experience. 71 could have been your "raw" figure - or percentage. They have ways of calculating your FVC value as the percentage of your expected value (where they factor in age, height, gender). SO in that case - they would divide 71 into the expected value and come up with your figure.

One of the reasons they give you the post test is to test the severity of the disease (as in is it treatable or reversible). If your score improve they SHOULD prescribe you the inhaler - as it works for you.

My husband's tests didn't usually improve with the inhaler. But when he was in the hospital during his last illness they actually did find something that worked some.

So the "bad" news would be - as long as they can find something that works in improving your FVC - your disease won't be considered as disabling.

The good news is that being unable to breathe is a horrid experience - so having something that works in treating that is a good thing.

Free

Tell you the truth they can Service connect me for 0 percent and I will be happy just as long as they sevice connect it.

Jim