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

[ruby]

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

[yoggie2]

Do you have any IMO's to present this PA with? I have seen this happen that the examiner go off of other reports. But on the same token I have seen NP carry more weight than 2 or 3 Doctors and Specialist. I hope someone chimes in with some good ideas for you... Good luck..Yog

Edited March 2, 2009 by yoggie2

[Berta]

If the PA exam is favorable to your claim-that is one thing- but if it isnt you can question the PA's credentials.

There is nothing better than having an IMO doctor whose expertise overrules the C & P examiner.

Even a VA doctor can be overruled and their opinion can be knocked down.I knocked down three in 1996 and didnt have an IMO.(I mean one internist -twice and then a cardio doc)

I used the clinical records themselves to defeat their opinions.And common sense.

The only problem I had was getting them to acknowledge my competent lay evidence.I filed a VACO administration review and then they did and my claims succeeded.

These days it is by far better to have a real doctor from the outside to do that in a well prepared IMO.

With the C & P results, the IMO doctor can punch holes into it if it is wrong.

[ruby]

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.

I finally found a letter I asked my Rheum doctor to read and sign. It's long but I am going to retype it for others to opine. It is not on letter head. I wrote it he signed it and I have abbr. some to shorten it for this post. I remember this letter was for my SSDI claim. I used it for my present claim also. I think it was over kill but he did read it and signed it.

I am writing this letter on behalf of my patient Ms Ruby. I first saw Ms Ruby in 1985-1986, then from 2006 to present

I have reviewed sections of Ms Ruby service medical records. Specifically, notes referring to a cyst in her groin area on 19 dec 1975, undated note from USAF Regional Hosp Macdill etc, 25 January 1976, 26 January 1976 along with VAMR's on 22 November 1978 and Phy exam for Compensation Haley on 1 March 1985. It is my belief this reoccurring cyst is a chronic condition called HD.

HD is a known cause of RA and this condition more likely than not is contributing factor to her RA. I also reviewed VCUG noted dated 3 Aug 77 which noted irregularity in the SI joints this findgs is consistent with RA.

It is my opinion that more likely then not the patients arthritis is service connected based on the information I reviewed.

Ms Ruby's symptoms have been steadily increasing in magnitude sine 1977 when it was noted she had reactive arthritis in her SI joints. Ms Ruby has progressively worsen over the past 2 yrs. It is my opinion the arthritis in all joints Ms Ruby suffers from is related. I would consider her to be permanently and totally diabled due to her arthritis as dicated in my notes.

Due to the magnitude, scop and complexity of this patient's condition it is unreasonable at this time to expect that she will be able to work at any time in the near or distant future. At best, medication can only decrease the rate of progression in this chronic arthitic disease. In my opinion, this patient would be a liability any employer and would be unable to sustain gainful employment of any sort, due to her physical, mental emotional and psychological limitations.

Any opinions?

[carlie]

Well I certainly feel Ms. Ruby needs to take a copy of this to

leave with her C&P examiner and I feel Ms. Ruby needs to provide

a copy of this medical evidence to her local VARO.

Sooooooooooooooooooo....

Ms. Ruby does need to drive herself across the bridge :)

carlie

[ruby]

Well I certainly feel Ms. Ruby needs to take a copy of this to

leave with her C&P examiner and I feel Ms. Ruby needs to provide

a copy of this medical evidence to her local VARO.

Sooooooooooooooooooo....

Ms. Ruby does need to drive herself across the bridge <_<

carlie

I may have submitted, I can't find my copy of this claim file. Crap, what happen to my lucky star.

[ruby]

If the PA exam is favorable to your claim-that is one thing- but if it isnt you can question the PA's credentials.

There is nothing better than having an IMO doctor whose expertise overrules the C & P examiner.

Even a VA doctor can be overruled and their opinion can be knocked down.I knocked down three in 1996 and didnt have an IMO.(I mean one internist -twice and then a cardio doc)

I used the clinical records themselves to defeat their opinions.And common sense.

The only problem I had was getting them to acknowledge my competent lay evidence.I filed a VACO administration review and then they did and my claims succeeded.

These days it is by far better to have a real doctor from the outside to do that in a well prepared IMO.

With the C & P results, the IMO doctor can punch holes into it if it is wrong.

Berta, I tried once to use common sense it didn't work. Then again I should have asked if that person could read that might have been the problem.

I'll bite what is a VACO review?