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Imo- Nurse

Guest Berta


I have 2 IMOS that the VARO has failed to read or consider.

I was talking to my ex-husband- it is my birthday and he always calls me-

He is a retired Nurse-he had quite a situation that I need to ask about in SSA forum here-

The VA in their VACO review in 1997 said that (documented) the nurses notes were more comprehensive than the doctors entries - they sure did have a better comprehension of the veteran's disabilities.

He suggested-if needed-he could give me an IMO with Rod's records.He came to my last two weddings -obviously he is still a close friend.

I said well we should state that you are in fact my ex husband and the VA has a copy of our divorce papers anyhow- as part of the DIC award- and the VA has no problem with a relative in that respect for an IMO-

that part is ok- but has anyone ever asked a nurse for an IMO?

He immediatly agreed with the other IMOs based on a chem report I read to him-

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As I read this, the nursing notes were for daily observations made by the Nurse over a periond of time.

Doctors conclusion are in part, based on the observation and findings made by the Nurses who have direct contact with the person on a daily and nightly basis, where as the Dr may visit once a day, if that. If the Dr did not consider the Nurse's notes and observations, and based his/her diagnostic opinion solely on his/her own observations, then he/she isn't much of a Dr and some one noting that the Nuse's notes and obaservation, in fact better show an understanding of the patient, then I can see how their written records would be of more probative value than the Dr's.

On the otherhand, if the nerse is only writing his/her observations and opinions based on what someone else has witten, Then they would have to support their own opinion based on seperate evidence, such as would be accepted by the average medical community and/or medical studies or treateses to support their IMO.

If your Ex had direct contact in a medical capacity, with your prior husband, then this would only help his opinion.

Of course, he could give his IMO and hope the VA doesn't just ignore it, as being biased, given your relationship to him.

Good luck,

Jim S. :)

p.s. Had to make some political correct corrections, he/she, him/her, I don't want to anger a male person refering to them as her and vise verses. LoL :D

Edited by Jim S.
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Guest Morgan

HAPPY BIRTHDAY, BERTA! And happy New Year!

So nice to hear exs can be friends. :D

I think an IMO from him would be great. The regs say all "competent medical evidence" must be evaluated.

I'm sure you have read this before, but just as a reminder:

§3.159: Competent medical evidence means “evidence provided by a person who is qualified through education, training, or experience to offer medical diagnoses, statements, or opinions.”

He's an ex and a friend, but that doesn't diminish his competence to render a medical statement or opinion. I think it would be similar to having skilled care provided by a relative...no problem with that, so I don't think this would be a problem either. Of course, the weight of any evidence is always at VA discretion anyway; even a board certified physician's diagnosis, statement, or opinion might not cut it with VA. The way I understand it, all the rater has to do is say the supporting doctor's rationale was not as persuasive as a conflicting one.


Edited by Morgan
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Thank you both-

I am not sure if I will even ask him to do this- he said he would- but under SSA yesterday I posted what he is dealing with-

I already have two excellent IMOs- these weigh the scales in my behalf-

I have taken positive steps to get the VARO to read them-they have never been considered yet in over a year-

and I medically have broken down their so called expert opinion- that made me angry-

to think a claimant has to write in medical lingo and refer to medical records and explain to VA what they say and mean- it is just ridiculous-my ex said I sounded like a doctor when we discussed Rod's records -

I can rattle off creatine,CO2,hyperlipedia, nystagmus- etc------

why should ANY claimant have to learn all this stuff---

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Guest Jim S.




Edited by Jim S.
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Guest Morgan

You not only sound like a doctor but a lawyer too.

One thing for sure, I'm glad you were born! And I'm sure everyone at hadit.com would chime in on that! :D


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Hi Berta..

Josh here wishing you a belated Happy Birthday and New Year to you. :D

Please take the best of care for yourself.


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The VA 'doctor' tape-reader said that my sleep problem was obstructive apnea but not treatable in 1986, roughly.

My oldest daughter was about 10 years old.

By the time I was basically unemployable she was 15.

When she hit 22 she was qualified to write an opinion on my sleep apnea.

She did.

They tested me again.

I was immediately issued a CPAP in 1999.

After a second test, this one well after the CPAP was issued, I still need the machine.

The VA has never questioned my daughter's opinion.

Actually the VA is being smart in her case.

She can rip them a new one within her specialty.


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