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hypertension Post C&p Information Request
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jalexand
As I reported in another post a few days ago, I had my C&P exam on my AO IHD claim at the VARMC last week. At that time after answering the questions I was asked and providing the examiner with
copies of my latest test reports from my private cardiologist which showed diagnosis, mets, ejection fraction, etc. etc, and being asked to have the results of additional stress testing that I am scheduled for
next week be FAXED to the examining oficer I thought I had covered my bases. But..................apparently not!
Today I received what might be a normal letter on a claim (but new to me) asking me to provide additional information. I am a little stunned, to say the least. First thing they are asking for is:
"medical evidence that shows the diagnosis and earliest symtoms for each disabiity below that resulted from your exposure to herbicides (Agent Orange)
Ischemic Heart Disease"
"We need evidence showing that the following conditions(s) existed from militaty service to the present time:
Ischemic Heart Disease"
Well, to be truthful I have no evidence of the existence back to my military service because I did not have the onset of the disease until I was 37 and I retired at age 21. To make matters worse, all the records associated
with the onset of my disease at age 37 have been destroyed as my doctors office indicated to me that they only keep records 7 years. (I may have some records that go back almost that far, but have not been able to
locate them yet)
And as to the first request, I have no evidence other than what will become effective down the road with the initiation of the Presumptions that are forthcoming regarding the IHD and AO.
What really stuns me though is one of the things that comes next in this letter is:
"What have we received?"
Here they list the claim for benefits, VA FOrm 21-4142 (2), VA FOrm 21-256 (VONAPP). They make no mention of the medical evidence that I provided at my visit!
They follow this with "what have we done?" Here they list: VA Exam Cardiovascular Heart and Hypertension (if the C&P I had is supposed to be that, I'll eat my hat) and they go on to say: "We have requested
copies of treatment records or other evidence from: Dr. George B Bittar (my cardiologist) (again I state that I personally handed them these records, which now they don't even mention in this letter)
They also state that while they have asked for these records, it is up to ME to make sure they get them. I don't know what would be more effective than my having personally carried them to them, which as I say again
is not mentioned in this letter.
Then they state that they have asked the VA Medical facility nearest me to schedule me for an examination with the claim. They will notify me of the place and time. What would this be all about?
They have also included in this packet explanations on what I need to provide to prove the claim, etc., as well as a VCAA Notice Response that I am supposed to sign and return which gives me the option of
including the info now and asking to have my case decided immediately or ask for a 30 day extention of the time to respond.
So, I am totally confused about what is happening here. They give me a phone number to call if I want to contact them, should I try a phone call to see if I can get this cleared up?
I hope I can get some good advice on this, cause I don't know what to do at this point, especially regarding the evidence they are requesting.
Jim
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