C&p Exam Results Not Good

[Rockhound]

I picked up my C&P exam results today and it wasn't good, they said I had all the secondary issues I claimed to have, but the they were less likely than due to my SC condition.

They said I had chronic sinisitis and Rhynitis, but that neither was due to my SC nasal fracture with deviated septum due to trauma, that their was no correlation between the nasal fracture and the deviated septom and that their is no definitive medical rationale to support the cause being the fractured nasal bone and the deviated septom.

I don't understand how they can say that when I gave them supporting medical literature that shows the rationale to be at least as likely as not.

I also applied for painful scars on my nose, but I am not clear as to whether or not they even plan to rate them, since I believe they may be rating the scars under the wrong diagnostic code, but I'll have to wait until the decision to find out.

It appears I am going to have to get a IMO with evidence/research/treatese, that supports the ENT specialist results, I get.

I am not in a very good mood, to say the least. I got the impression from the C&P examiner that her findings would be favorable, boy was I dubt. I'd go an call her out if I didn't think it would get me in deep doodoo or a private room with padded walls.

Got to go, using computor at VA to write this. they have a time limit so others can use it too.

Rockhound Rider :P ;) :(

[Hoppy]

Rock,

I remember from research I did years ago that vasomotor rhinitis was caused by a pre-frontal head trauma that injured the nerve conduction to the nose. If you keep searching I am sure you can find more on this. If you had no pre injury symptoms a doctor would need to address the likely hood that your symptoms are related to an injury. How frequently do people without any history of head injury develop this condition mid life? It sounds like allergic rhinitis has not been identified in your case.

http://www.brookwoodent.com/vasomotor.html

The cause of vasomotor rhinitis remains obscure despite its recognition for many years. We do know that the lining inside an affected nose overreacts to anything that irritates it. Blood vessels enlarge (vasodilate) and this results in chronic swelling and nasal obstruction. There is some evidence that individuals with vasomotor rhinitis have an imbalance in the nerve supply to the nose which leads to the dilated blood vessels.

[Rockhound]

As I try to reply to this post from Hoppy, my new house member is getting in the way, so if my typing seems a bit irratict, blame it on a fisty 9 week old kitten named Tammy. LoL I hope to have some pictures to post as soon as I can find a white bed sheet for a contrasting back drop to her brown and gray tabby markings.

My own research has come up with a number of different types of Rhinitis and it seems that any number of these types can either be caused by truama or by a deviated septom and even if their is an allergic response type Rhinitis, it doesn't exclude any of the others from occuring at or with the the allergic Rhinitis. So as I said before, their is no definitive way to differentiate which is caused by the trauma, the deviated septum, or from an allergy.

The C&P Examiner should have found it as likely as not instead of less than likely as. The evidence for or against SC should have been shown to be equal and their fore SC'ble.

Rockhound Rider :D

Rock,

I remember from research I did years ago that vasomotor rhinitis was caused by a pre-frontal head trauma that injured the nerve conduction to the nose. If you keep searching I am sure you can find more on this. If you had no pre injury symptoms a doctor would need to address the likely hood that your symptoms are related to an injury. How frequently do people without any history of head injury develop this condition mid life? It sounds like allergic rhinitis has not been identified in your case.

http://www.brookwoodent.com/vasomotor.html

The cause of vasomotor rhinitis remains obscure despite its recognition for many years. We do know that the lining inside an affected nose overreacts to anything that irritates it. Blood vessels enlarge (vasodilate) and this results in chronic swelling and nasal obstruction. There is some evidence that individuals with vasomotor rhinitis have an imbalance in the nerve supply to the nose which leads to the dilated blood vessels.

[Hoppy]

Rock,

This link explains differential diagnosis beyween allergic and non allergic rhinitis. It is a acrobat file and I cannot copy and paste the text.

If it won't copy and paste into the URL locator I found it by first doing a google search for esonophils then a search within the search for rhinitis.

I had a vague recollection that esonophils were part of the diagnosis. The link below is clickable. I just tried it and it worked

http://books.google.com/books?id=Iobv6-Zay...lt&resnum=6

Edited July 6, 2009 by Hoppy

[Rockhound]

It appears my PCP is on my side as to what the C&P Examiner should have said and when I ask if she was willing to give an opposing statement with supporting documentation, she told me to give her a few days to research the matter and shw would do what she could do. Of course now I will have to wait a bit of time before I find out how much in my corner she really is, but I am feeling better than I was after reading the C&P examiners opinion.

The only thing that has me a bit upset, is that my new room mate, the near 10 week old kitten, she put up such a fuss while I went in to the VAHA for my Dr's appointmen, that someone thought someone in the house was calling for help and I guess the sheriff did a welfare check on me, Now because of the condition in which they found my house, along with one of my nosey neighbors, I may be getting a call from one of the agencies in town, me being disabled and all and unable to do all the cleaning chorse inside and outside my home, I may be stuck with the cost of a clean up, I have no funds to pay for, but may be required to do so, for health and safety reasons.

As much as I would like a spotlessly clean house and yard, I don't have the means or the extra containers to haul everything aware at one time and hince I am barely keep up with some of it.

With the economy the way it is, the programs that I would otherwise be elligible for, these programs have been shut down till better times.

Anyway, at least I got my pain meds increased due to my new bad numb thigh and some muscle relaxant meds, I hope they will work, I can't do much of anything untl I get relief from the pain in my lower back and numbness in my left thigh.

All in all, it was a fairly productive day I think.

Rockhound Rider B) :)

[Wings]

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Rock, Does your State offer "Home Health Services" for social security disabled? Sounds like you need a housekeeper once a month, unless you can train the kitten! Can you find a babysitter for the kitten when you need to leave the house? BTW, if your PCP has your back, make sure to send her a dark chocolate candy bar ;-) ~Wings

Edited July 10, 2009 by Wings

[Pete53]

The VA sends me a aide 2 times a week for an hour. She helps me with some stuff I have problems doing including limited household help making bed and changing linen and a few chores. She usually stays about 45 minutes and we have become friends. They also send a nurse and he takes my vitals and keeps a record for VA.