hypertension C&p Exam Results Seem Favorable.

[OldDave]

I filed for SC for DMII with CAD and hypertension secondary to DMII. I was diagnosed with DMII in 1989 and had a heart attack in 1998. I had my C&P exam on Nov 12th. The exam covered other potential complications of DMII which I hadn't listed in my application. I requested a copy of the exam which I revieved on Nov 28th.

The report comfirmed that I have DMII related to my Viet Nam service. The answer to the question '"Is This a Complication of Diabetes?" was "YES" for the following conditions: CAD, Peripheral Neuropathy to Upper & Lower Extremities, and ED. The answer for Hypertension was "NO". The rational for that conclusion is that I was diagnosed with Hypt at about the same time I was diagnosed with DMII.

This would seem to be good news. However, I realize this is not the final ruleing. Does the RO ever over rule the C&P examiners? Also, could I be compensated for conditions that I did not include in my orginal application?

Thanks for any help with these questions.

[timetowinarace]

I filed for SC for DMII with CAD and hypertension secondary to DMII. I was diagnosed with DMII in 1989 and had a heart attack in 1998. I had my C&P exam on Nov 12th. The exam covered other potential complications of DMII which I hadn't listed in my application. I requested a copy of the exam which I revieved on Nov 28th.

The report comfirmed that I have DMII related to my Viet Nam service. The answer to the question '"Is This a Complication of Diabetes?" was "YES" for the following conditions: CAD, Peripheral Neuropathy to Upper & Lower Extremities, and ED. The answer for Hypertension was "NO". The rational for that conclusion is that I was diagnosed with Hypt at about the same time I was diagnosed with DMII.

This would seem to be good news. However, I realize this is not the final ruleing. Does the RO ever over rule the C&P examiners? Also, could I be compensated for conditions that I did not include in my orginal application?

Thanks for any help with these questions.

It sounds to me the C&P was good, although I don't know much about the condition.

The RO will make a decision based on the exam. With this exam having a clear diagnoses and nexus it would be very difficult for a rater to deny the claim unless they have other evidence that says otherwise. The RO cannot dispute a medical examiner's opinion unless they have evidence from another medical examiner. That said, the VA is full of weird people.

If the exam diagnoses other ratable conditions you can request that the exam be considered an informal claim for those conditions. The effective date would be the date the RO recieved the exam.

Those here that know more about the condition and claims proccess may correct me on this if I'm wrong.

[purple]

I'd really hate to 2nd guess what a RO might or might not do. From reading some things that have happened to other vets here....you just never know.

All you can do at this point is hope for the best and wait. You know the deal.....hurry up and wait.

[SouthernBelle]

The RO denied my husband's increase even though his VA doctor stated he was 70-100% disabled. They do what they want to. I'm fighting this now.

The RO will make a decision based on the exam. With this exam having a clear diagnoses and nexus it would be very difficult for a rater to deny the claim unless they have other evidence that says otherwise. The RO cannot dispute a medical examiner's opinion unless they have evidence from another medical examiner. That said, the VA is full of weird people.

[john999]

I would appeal the denial of HBP secondary to DMII. Depending on your rating percentages you could appeal all the ratings.

[Chuck75]

I would appeal the Hypertension. Authoritative Medical References, including those from NIH have recognized a condition called "prediabetes" that precedes the "formal" diagnosis of diabetes. In general, the blood sugar levels,etc that are used to make a formal diagnosis of diabetes are preceded by other symptoms,and various conditions such as hypertension are among them. I used this to gain retroactive payment of part of the increase from 10 to 20%. Still working on other diabetes related compensatable problems, waiting for the next round with the VA over them.

I filed for SC for DMII with CAD and hypertension secondary to DMII. I was diagnosed with DMII in 1989 and had a heart attack in 1998. I had my C&P exam on Nov 12th. The exam covered other potential complications of DMII which I hadn't listed in my application. I requested a copy of the exam which I revieved on Nov 28th.

The report comfirmed that I have DMII related to my Viet Nam service. The answer to the question '"Is This a Complication of Diabetes?" was "YES" for the following conditions: CAD, Peripheral Neuropathy to Upper & Lower Extremities, and ED. The answer for Hypertension was "NO". The rational for that conclusion is that I was diagnosed with Hypt at about the same time I was diagnosed with DMII.

This would seem to be good news. However, I realize this is not the final ruleing. Does the RO ever over rule the C&P examiners? Also, could I be compensated for conditions that I did not include in my orginal application?

Thanks for any help with these questions.

[timetowinarace]

The RO denied my husband's increase even though his VA doctor stated he was 70-100% disabled. They do what they want to. I'm fighting this now.

This is often the case with the percentage assigned. But it seemed to me the question was directed toward SC. While it's possible he could be denied SC, I find it doubtfull SC would be denied with a C&P exam confirming diagnoses and nexus.

You are correct that RO's tend to lowball ratings regardless of medical opinion.