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Rules On C&p-can You Get A Different Doc


ruby
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Question

I have a comp exam on the 13th its with a PA-

I am afraid that I will lose this claim due to the fact that what I have is not common and I don't this guy will know anything about it and suspect he will write "speculative".

How do I get the VA to give me a comp exam with a RHEUM doc.

Thanks

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Since the decision maker orders the C&P exam

I do not know of any way for you to do this.

Maybe call your local VARO or the 800 know nothings

and tell them that a PA will not be able to evaluate

this specialized condititon and a Rheum doc is the

only type doctor familiar with this disease process.

carlie

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  • HadIt.com Elder

I went to a C&P and much to my surprise it was with a PA who filled in for my primary doctor for a short period of time. The PA was doing a knee exam. I had two previous knee surgeries and had what was called a drawer test about 20 times. The PA did not know how to do the test. He was blowing it.

The next day I went to ortho and told one of the guys I had seen working in the clinic for many years that I had a C&P and the guy did not know how to do a drawer test. I asked for an exam with one of the ortho surgeons. He talked to someone in the clinic and came back and scheduled an appointment for me. When I went to the appointment the head of the clinic did the exam. I submitted the exam as evidence in support of my claim.

Edited by Hoppy
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I went to a C&P and much to my surprise it was with a PA who filled in for my primary doctor for a short period of time. The PA was doing a knee exam. I had two previous knee surgeries and had what was called a drawer test about 20 times. The PA did not know how to do the test. He was blowing it.

The next day I went to ortho and told one of the guys I had seen working in the clinic for many years that I had a C&P and the guy did not know how to do a drawer test. I asked for an exam with one of the ortho surgeons. He talked to someone in the clinic and came back and scheduled an appointment for me. When I went to the appointment the head of the clinic did the exam. I submitted the exam as evidence in support of my claim.

Hoppy,

That's what I am afraid of my primary is an ARNP and she didn't have a clue either. I will keep that in mine I know some clerks on a friendly basis maybe I can see if they can do anything. I don't have any more appts for at least 2 more months so I can't get my doctor to do anything.

I have 2 VA Rheum doctors who have stated I have HD and the HD probably caused the arthritis, but the more I look at what they wrote, they didn't say the infected cyst was HD. (which is what I am rated for).

Thanks for the suggestion.

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Since the decision maker orders the C&P exam

I do not know of any way for you to do this.

Maybe call your local VARO or the 800 know nothings

and tell them that a PA will not be able to evaluate

this specialized condititon and a Rheum doc is the

only type doctor familiar with this disease process.

carlie

Carlie,

I tried to tell the person that made the appt that a non specialist would not be able to do the exam. Sure they can do the range of motion stuff but they won't know anything about the connection between the 2. According to my rheum doctor I am one of 3 pts they know that have these diseases.

I think they do this crap on purpose knowing they will say more than likely not or speculative.

This sucks!

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Hoppy, You were fortunate. I have been fighting with them( actually with kindness for about 5 yrs) but now I ned to find out how to be more DIRECT and not nicey nicey with them. I just want them to do what they are suppose to with me at least once!

Good luck Ruby. The VA even fired the np from doing anymore exams at my VA but still never allowed us who were shafted to receive a new C&P!

I went to a C&P and much to my surprise it was with a PA who filled in for my primary doctor for a short period of time. The PA was doing a knee exam. I had two previous knee surgeries and had what was called a drawer test about 20 times. The PA did not know how to do the test. He was blowing it.

The next day I went to ortho and told one of the guys I had seen working in the clinic for many years that I had a C&P and the guy did not know how to do a drawer test. I asked for an exam with one of the ortho surgeons. He talked to someone in the clinic and came back and scheduled an appointment for me. When I went to the appointment the head of the clinic did the exam. I submitted the exam as evidence in support of my claim.

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  • HadIt.com Elder

ruby,

The use of the word probably has come up on the board before. It is my recollection that probably is not a word that wins claims. If the doctor offered an opinion of probably try and ask him to write the old "more likely than not" phrase.

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