Amc Rating Supervisor Wants Treatment Records From Dr. P

[Josephine]

Hi to all,

I spoke to Lidel again and this is the scoop. I have a letter coming pertaining to:

The Rating Supervisor wants treatment records from my Board Certified Internist from the last few years. I shall assume not from 1979 to date, but from 2004 to date. This we will have to wait and see.

An opinion has been made by the " Rating Specialist" and it was thought that my file was waiting for the signature of the Rating Supervisor, but at this time, she wants my last few years of treatment records from Dr. P, my Internist of 30 years.

I had told them of my illnesses over the last years, but no one requested his records.

I made an appointment with him for this Wednesday, so that we can review together.

August 17, 2006 - CAT SCAN - Results - Lesions to both lungs, lesions to upper left liver lobe, lesions to left and right kidney, suspicious area to right thyroid.

Sept 14, 2006 - PET - Lungs no Malagancies - Liver fine, Kidney's fine. Glucose tracer went to colon and right thyroid.

November Colon test - pulps removed- no cancer

December - Removal of right Thyroid - no cancer

Blood pressure on the rise.

Increase of Valium

Asthma attack three last week. Placed on nebulizer.

Do you think the chronic anxiety has knocked out my thyroid, raised my blood pressure and I know that my adrenal glands are exhausted due to ortostatic- hypo tension.

Would she go to this much trouble for a denial?

thanks,

Josephine

(Betty)

comments Please

[hurryupnwait]

Hi to all,

I spoke to Lidel again and this is the scoop. I have a letter coming pertaining to:

The Rating Supervisor wants treatment records from my Board Certified Internist from the last few years. I shall assume not from 1979 to date, but from 2004 to date. This we will have to wait and see.

An opinion has been made by the " Rating Specialist" and it was thought that my file was waiting for the signature of the Rating Supervisor, but at this time, she wants my last few years of treatment records from Dr. P, my Internist of 30 years.

I had told them of my illnesses over the last years, but no one requested his records.

I made an appointment with him for this Wednesday, so that we can review together.

August 17, 2006 - CAT SCAN - Results - Lesions to both lungs, lesions to upper left liver lobe, lesions to left and right kidney, suspicious area to right thyroid.

Sept 14, 2006 - PET - Lungs no Malagancies - Liver fine, Kidney's fine. Glucose tracer went to colon and right thyroid.

November Colon test - pulps removed- no cancer

December - Removal of right Thyroid - no cancer

Blood pressure on the rise.

Increase of Valium

Asthma attack three last week. Placed on nebulizer.

Do you think the chronic anxiety has knocked out my thyroid, raised my blood pressure and I know that my adrenal glands are exhausted due to ortostatic- hypo tension.

Would she go to this much trouble for a denial?

thanks,

Josephine

(Betty)

comments Please

[hurryupnwait]

Maybe they are looking for secondary issues?

Happy Trails

Paul

[Berta]

This might help you a lot Josephine- odd that they did not request the records sooner---

They might be trying to establsh "current" disability-dont know ---it seems that they are being thorough.

[Josephine]

Thanks Berta,

I was told that they wish to see if I still have the current disability that I had in 1978?

The Anxiety with Depression was diagnosed as Chronic at that time and it sure hasn't improved.

I did tell one of the couselors, to please tell the " Rating Supervisor" to please sign those papers before I die.

I have never went to the emergency room three mornings in a row for breathing treatments and do fill that I am on my last leg.

This claim has been going on for what seems like my life time.

God Bless,

Josephine

(Betty)

[Josephine]

Paul,

I am going to see Dr. P and I do so dread it again. I am so sick of having this poor doctor write and write letters to the VA.

From what I have researched, the chronic anxiety is most likely the reasons for my high blood pressure, inner ear conditon, exhausted adrenal glands, thyroid condition, asthma and most likely the heart disease.

God Bless,

Josephine

(Betty)

[Berta]

Yes- Josephine- I think that is what they have to determine-

a successful claim rests on the Hickson elements-

1. current diagnosed disability

2. inservice nexus

3. medical evidence establishing the nexus as causing the disability.

The VA determines current diagnosed disability with current treatment records showing continuous treatment of the disability.

The nexus is established by SMRs or buddy statements etc.

A medical opinion must give full medical rationale as to how the inservice nexus caused the current disability.

Medications alone do not support a claimed disability that is a current disability- it is the continuous treatment records that support that.That is what they need in your situation.

I guess my husband is a good example of what I mean.

He had extensive ongoing treatment records from the VA for his PTSD.

He had established his nexus in 1983 and received an SC award at that time-the same year VA recognized PTSD. His PTSD therapy and treatment records at VA are 'voluminous'as VA has stated.

He was never medicated at all for PTSD until late 1994 just prior to his death.So he had no medication records to show continuous treatment due to medication.

He did have the extensive documentation of his 6 years of PTSD therapy and continuous psychiatric treatment.

His stressors were clearly documented as prevalent and continuously causing him great stress and anxiety from 1983 up to the PTSD inhouse treatment program,where they were documented again- weeks before his death,13 years ago this month.

The effect of his stressors continued to be- as his VA psychiatrist stated to VA- catastrophic-thoroughout his PTSD treatment with the VA since 1983 and rendered him unable to work.Rod always said he wished he could have brain surgery that could eliminate them so he could finally be the normal 17 year old kid he was when he joined the USMC.

My long point is VA I believe is only attempting to see if your nexus is within those records from Dr P and that he continuously treated you for a condition that began due to an established inservice nexus.

I think the doctors records would certainly help you. I wish they had gotten these records sooner.