Summary From Primary Care Dr.

[walt]

Good Morning ,everyone,and thank you again,

I had asked my primary care Dr. to do this and she refused saying what the reply shows My intentions are to include this communication with her in more evidence I am sending in support of my claim. Should I? Or should I contact her again and point out that the cfr says she MUST? Or should I not use it at all?.

my claim was in decision on 3 Nov.and was sent back to developement on 8 Nov.I have called 1000 number several times and seems as who I talk to as to answer I get.last one said it read.........Request for mental exam with medical opinion for claim of anxiety. Please furnish opinion whether veterans curent anxiety is related to anxiety condition while in service.They say sent to va medical center.They then ask for the as likely as not and all the other terms on several more conditions I have claimed.The person I talked with at 1000 number yesterday mentioned it going to Richmond Va medical center.I told him I had never been to Richmond.My claim is being worked at Louisville Ky and I go to Murfreesboro Tn for VA care. I live in Scottsville Ky.65 milis to Murfreesboro and 100 miles to Louisville.They say I am not going to have to have another c and p exam.Problem is I can not determine who they are asking all this of.The man yesterday at 1000 number said my primary care Dr....I am assuming it is the c and p Dr. at Nashville where I had my exam.but I called them and the lady there said they were done with my exam and had sent the results to Louisville RO.

As I have stated before I have an IMO from a local phy asst on the chronic anxiety and LBP and she is getting the family Dr. to write one. I am also getting one from an RN who is a personal friend of about !5 years and is very familiar with the chronic anxiety.I have a" buddy"letter from in service that has written a very good letter and I have submitted it already..Then too, I have an appointment with a phychiatrist on 6 Dec. for an IMO on the chronic anxiety.I have avery good letter from a Dr.That works at a pain clinic in Fl. He and I were stationed together as enlisted OR techs . He went on to medical school after.discharge in 1974.The have his listed twice. once as letter from john doe and again as statement from Dr. John Doe III Md. I do not understand why twice unless maybe they are sort of considering his an IMO also.I also have several buddy letters concerning the chronic anxiety and LBP As allways thank all of you very much.Hoppy I will message you later today.I wish all of you and your family a happy and safe thanksgiving.Your advice ,comments ,suggestions please .Walt

[Capt.]

Hello Walt,

I hope you try and just let the VA do their thing without trying to pressure them. It kinda hurt me when I tried that approach of forcing evidence and reports down their throat. For example the Neurology dept wrote back to tell my PCP that he should try to determine what the etiology was for the Peripheral Neuropathy even when they had seen the AO reports from the post. I even called the Neurologist that sent it and faxed him the reports and his dept clerk hit the ceiling. It was like don't confuse me with the facts , my mind is already made up. It took me 3 more years of testing and meeting with doctors that finally saw the evidence and wrote favorable reports on my behalf , including an Ischemic Heart Disease IHD Disability Benefits Questionaire VA Form 21-0960A-1. My Podiatrist after reviewing records and environmental reports even wrote a favorable opinion using the 'as least as likely as not' statement linking the PN to AO/Herbicide.

My point here is , that I just quit being so Gung Ho and pushy with all the test , evidence and kinda did the force feeding with a baby spoon rather than with a pitch fork. And of course you always run into a doctor that is just not interested in anything to help you and will even write false statements to try and derail the Veteran. Being patient and choosing your battles , when to set evidence into play and lead him or her along with what you have and letting the doctors connect the dots on their own for you. I am still having problems with some but others have tried to help and have. So I just have to let the RO examine the evidence and then maybe go forward with the C and P exams. Then maybe from that with some needed decisions and then to the BVA.

Like John said spending money and getting IMOs is probably going to be needed and I have done that too. If you can get both VA doctors and IMOs helping you with connecting the dots exams and IMOs then that is even better. You sometimes have to counter with a hostile nexus from a VA doctor with one that will nullify it by another VA doctor or and IMO to trump their problemactic Doctor. That includes the weaker statements the VA doctors gave you and how to best combat them.

Anway please hang in there and be patient. The road is long and sticky but you have so many that have gone on without our help before us and we glean from those who have been victorious. Wishing you and your family a Happy Thanksgiving and above all....NEVER GIVE UP. God Bless, C.C.

Edited November 24, 2011 by Capt.Contaminate