Refusal Of Examination By Nurse Practitioner

[dwragon]

? Is there anything out there (ie Reg) that says a person who shows up for a cnp cannot refuse the examination when they find out it is to be done by a nurse practitioner instead of a real doctor. (I dont want to waste any more time going to real doctors outside of the va to refute someones incomplete knowledge.)

[John46]

My two C&P exams were done by PA's and they were the best. Exams were for knees and heart.

[john999]

I don't think anyone can point to regulation that says a NP cannot do a C&P exam. I had a heart exam done by a NP. I was not happy, but if I had refused my claim would have died. I like what Pete992 is saying. That is what I did when I got a crummy exam from a NP. I got my PCP to send me for about 10,000 bucks worth of tests. I won on appeal with reams of evidence from the VA.

If you want to kill your claim just refuse the exam even if it is by the janitor.

[Testvet]

I promise you even if the NP does the exam it WILL be signed by a supervising MD that you will never see and you might not even know the name I had a cardiac exam done by a NP and it was signed by the regular C&P doc for the local hospital. The VARO took the party line that there is NO literature than shows cardiac problems caused by PTSD despite all of the studies even on the NCPTSD site which is owned by the VA and they denied my claim I had to get the IMO's and they were worth it the VA paid me almost 40,000 in back pay and they pay SMC S every month so it was worth the 1000 for the IMO for the appeal to the BVA refusing an exam is an automatic denial we can't pick our doctors/examiners nor our raters all we can do is appeal

[SLEDGE]

In 1994 I asked for a pain clinic consult. I showed up. A shrink

showed up and tried to put me into the lock-down ward for detox.

The shrink also stated that my obstructive apnea did not exist.

That was 5 years before I had any sleep studies done.

Where the hell did my pain clinic consult go?

No travel pay.

I requested a Regional Office, PTSD related hearing back in 1996.

They did not schedule a hearing but, used the fact that I did not

show up for a hearing to put me on hold for several more years.

The Tiger Team caught that one in 2002.

They scheduled an appointment for a diagnosis of fibromyalgia but,

they forgot to check on the day of the week that the clinic saw

patients.

I showed up. The doctor, of course, did not.

No travel pay.

They used that MISSED appointment to deny my claim without any

consideration.

It took 12 years to clear that up.

They made me an appointment to see an orthopedic specialist.

I showed up.

The doctor showed up. The doc ordered an x-ray.

I hand carried the order for the x-ray to nuclear medicine.

The clerk looked at it, tore it up, and then dropped it straight

into the trash.

No x-rays without a doctors order. The doctor got tired of waiting

on the x-ray and went home.

They claimed that I did not show up for the exam.

No travel pay.

I pitched a bitch and they made another appointment.

I was x-rayed.

No travel pay after 4:30.

The x-ray went to yet another orthopedic doctor or radiologist.

6 weeks later they said that the results showed that my left knee

was completely shot to hell.

The PA asked me why I had waited so long to have it examined?

My records show that I started asking for an examination in 1979.

No travel pay after 4:30.

It was after 5 before they saw me.

23 years, after asking for it at least 96 times, I finally got that

ortho consult examination accomplished.

But, my knee is not really shot, it's loose. They had the wrong x-rays.

No travel pay after 4:30.

They told some other veteran that his knee is fine, don't pass GO

or collect 200 dollars.

Now I'm still waiting on another consult.

They scheduled my PTSD C&P. As always, I showed up at 3:45, 15

minutes early.

The address they gave me for the private sector examiner IS a vacant

parking lot.

No travel pay after 4:30.

The RO used that missed appointment to deny without consideration.

The PTSD claim lasted another 4 years before being resolved BY the

Tiger Team.

In 2006 I had x-rays done of my neck.

She sent me straight to an MRI a few days later.

No travel pay outside the VA.

The MRI results showed that I should be dead.

The ortho specialist sent me to the BIG hospital for surgery.

5 hour drive.

The BIG hospital said that all I needed was some therapy.

In the meantime don't drive that 220 miles to get home again!!

Come back in 2 months and therapy will get set-up.

Travel pay claimed that I lived to close to be eligible for travel pay.

Within the next week I had 3 more 'outside' consults.

The ortho-spinal doctor was worried that I might not survive the 8-hour,

60,000 dollar surgery.

I never went back to the BIG VA hospital for the therapy.

200,000 bucks and 7 surgeries later, Heeeere's Johnny.

Would somebody please tell me where I have not correctly played the VA game.

sledge

[Testvet]

sledge they just had your name on the hamster wheel from the get go and continued to stick it in you every chance they had and I bet they never even bought the vaseline did they? Has your lawyer got all of this straight yet? You have had one of the worst claims I have ever heard of and there have been a lot Berta's mess, Josephine's etc all for the really disgruntled veterans show up here along the way some show up early and get rated within 2 years and some of us take 5-9 years and then there are people like you and and some of the others that playe for 10, 20 and 30 years the worst I ever saw was in 2005 a guy had an eye claim going back to 1945 that was finally settled 20% or 30% he had been blind in one eye since WW2 now that was one determined man.......

[LarryJ]

In 1994 I asked for a pain clinic consult. I showed up. A shrink

showed up and tried to put me into the lock-down ward for detox.

The shrink also stated that my obstructive apnea did not exist.

That was 5 years before I had any sleep studies done.

Where the hell did my pain clinic consult go?

No travel pay.

I requested a Regional Office, PTSD related hearing back in 1996.

They did not schedule a hearing but, used the fact that I did not

show up for a hearing to put me on hold for several more years.

The Tiger Team caught that one in 2002.

They scheduled an appointment for a diagnosis of fibromyalgia but,

they forgot to check on the day of the week that the clinic saw

patients.

I showed up. The doctor, of course, did not.

No travel pay.

They used that MISSED appointment to deny my claim without any

consideration.

It took 12 years to clear that up.

They made me an appointment to see an orthopedic specialist.

I showed up.

The doctor showed up. The doc ordered an x-ray.

I hand carried the order for the x-ray to nuclear medicine.

The clerk looked at it, tore it up, and then dropped it straight

into the trash.

No x-rays without a doctors order. The doctor got tired of waiting

on the x-ray and went home.

They claimed that I did not show up for the exam.

No travel pay.

I pitched a bitch and they made another appointment.

I was x-rayed.

No travel pay after 4:30.

The x-ray went to yet another orthopedic doctor or radiologist.

6 weeks later they said that the results showed that my left knee

was completely shot to hell.

The PA asked me why I had waited so long to have it examined?

My records show that I started asking for an examination in 1979.

No travel pay after 4:30.

It was after 5 before they saw me.

23 years, after asking for it at least 96 times, I finally got that

ortho consult examination accomplished.

But, my knee is not really shot, it's loose. They had the wrong x-rays.

No travel pay after 4:30.

They told some other veteran that his knee is fine, don't pass GO

or collect 200 dollars.

Now I'm still waiting on another consult.

They scheduled my PTSD C&P. As always, I showed up at 3:45, 15

minutes early.

The address they gave me for the private sector examiner IS a vacant

parking lot.

No travel pay after 4:30.

The RO used that missed appointment to deny without consideration.

The PTSD claim lasted another 4 years before being resolved BY the

Tiger Team.

In 2006 I had x-rays done of my neck.

She sent me straight to an MRI a few days later.

No travel pay outside the VA.

The MRI results showed that I should be dead.

The ortho specialist sent me to the BIG hospital for surgery.

5 hour drive.

The BIG hospital said that all I needed was some therapy.

In the meantime don't drive that 220 miles to get home again!!

Come back in 2 months and therapy will get set-up.

Travel pay claimed that I lived to close to be eligible for travel pay.

Within the next week I had 3 more 'outside' consults.

The ortho-spinal doctor was worried that I might not survive the 8-hour,

60,000 dollar surgery.

I never went back to the BIG VA hospital for the therapy.

200,000 bucks and 7 surgeries later, Heeeere's Johnny.

Would somebody please tell me where I have not correctly played the VA game.

sledge

sledge,

That is an amazing recounting of events.

absolutetootely amazing!

You really should send this to your Senators and Representative, requesting that it be "read into the records", you know, leave a little "legacy" behind when you do get around to "checking out"!