C&p Exam At Qtc For Lower Back And Extremeties

[Papa]

Well this past Monday, I had my exam done at the new QTC facility here in San An Antonio for my Back and Lowe Extrementies. The Back and LE are part of a claim that I put in back in 2/2010. However, I have been putting in claims since the early 1970s. The denial would be "No record of Back Injury during Military Service". The SMR was very clear that in fact I did injury my back in the military. Anyways about two months ago I got a generic letter from the Houston RO that I was to have a C&P, but did not say for what, only to check what my current condition was. I was then sent a letter informing me that they needed medical information from a Dr. Brown, a Foot Doctor. I sent that to them, return receipt. I then get a call from the Houston RO, and talked to this guy that told me that it was for my back and LE. I asked him has the VA finally acknowledged that I injured my back in 1969, and he said yes. He said that a Specialist would do the exam. Wrong.

Got the notification from QTC that a GP from Del Rio with a medical degree from Mexico would do the exam. But, she was a nice Lady. My wife ask her did she drive all the way from Del Rio just for this exam, and she wanted to know how we knew she was from Del Rio. I told her I check out any Doctor that I go see, and she was fine with it. I noticed that she had no records, but this time I brough copies from the time I injured my Back to my present medical care and gave to her. She broke off a wooden stick and started to poke around my legs, can not feel anything. Relexes nothing. She had me stand and bend forward, and I could for maybe 10%, and then she shoved me forward and I screamed. Same for my bending sideways and my knees. Also, had xrays done, but passed out trying to get off the table. In 1969, the Doctor did not think I was worth xrays or proper medical care, so they have nothing to compare.

Since, the VA has finally acknowledged that I injured my Back, what are the chances they will CUE themselves? About as much chance as me throwing an F350. Is there any chance they will go beyond 2010, if they give me any percentage?

Papa

[carlie]

Well this past Monday, I had my exam done at the new QTC facility here in San An Antonio for my Back and Lowe Extrementies. The Back and LE are part of a claim that I put in back in 2/2010. However, I have been putting in claims since the early 1970s. The denial would be "No record of Back Injury during Military Service". The SMR was very clear that in fact I did injury my back in the military. Anyways about two months ago I got a generic letter from the Houston RO that I was to have a C&P, but did not say for what, only to check what my current condition was. I was then sent a letter informing me that they needed medical information from a Dr. Brown, a Foot Doctor. I sent that to them, return receipt.

I then get a call from the Houston RO, and talked to this guy that told me that it was for my back and LE.

I asked him has the VA finally acknowledged that I injured my back in 1969, and he said yes.

He said that a Specialist would do the exam. Wrong.

Got the notification from QTC that a GP from Del Rio with a medical degree from Mexico would do the exam.

But, she was a nice Lady. My wife ask her did she drive all the way from Del Rio just for this exam, and she wanted to know how we knew she was from Del Rio. I told her I check out any Doctor that I go see, and she was fine with it.

Papa - not to be negative, just some thoughts.

The VA routinely acknowledges that an injury happened in service, yet the claimed issue may remain denied.

They need to verify that there is a current diagnosis of residual effect from that injury and have a medical

professionals opinion stating that, there is a relationship of the current diagnosis to the issue being claimed.

The criteria for a C&P examiner for a back issue, does not require that the exam be done by a specialist.

As long as the docs credentials meet VA's criteria to contract and perform C&P examinations, it is not

relevant where their degree is from.

I noticed that she had no records, but this time I brough copies from the time I injured my Back to my present medical care and gave to her.

Papa - it's great that you obtained and took copies of those records and gave them to her.

Hopefully this additional evidence shows continuity of care for the issue claimed.

IMO - this would be a plus in support of granting the issue, as at least SC.

She broke off a wooden stick and started to poke around my legs, can not feel anything. Relexes nothing.

She had me stand and bend forward, and I could for maybe 10%, and then she shoved me forward and I screamed.

Same for my bending sideways and my knees. Also, had xrays done, but passed out trying to get off the table.

In 1969, the Doctor did not think I was worth xrays or proper medical care, so they have nothing to compare.

Papa - If the VA grants SC for the issue, I believe the evaluation will be based on Range Of Motion (ROM)

and not much on the results of xray.

Since, the VA has finally acknowledged that I injured my Back, what are the chances they will CUE themselves?

About as much chance as me throwing an F350.

Is there any chance they will go beyond 2010, if they give me any percentage?

Papa - I doubt they will CUE themselves on the prior denial.

I understand that you have been submitting claims to VA since the early 1970's.

If the issue was not continually prosecuted on your part (followed thru) and in a timely manner,

and if SC is now granted with a evaluation for a compensable level, then there would be no avenue

to support an earlier effective date, other than the last date the issue was raised, which appears to be 2010.

JMHO - carlie

Papa

[Papa]

Carlie,

How does the ROM work? For instance, I could not bend forward very much and she pushed me forward, and I screamed in pain. Is it based upon how far you can move without pain?

I understand about the 2010 effective date, but my Lawyers will be trying for an earlier date.

Papa

[carlie]

Papa,

Perhaps others will chime in that are more familiar with this

area than I am. I don't study this condition very much.

I had a spine injury on AD, it was included on my original

request for SC - it was denied.

Twenty years later I reopened the issue and began being compensated

for the residual effect of the AD injury, go figure.

Here's a link to check out, click it and scroll down about 1/4 from the bottom

to the SPINE section.

http://ecfr.gpoaccess.gov/cgi/t/text/text-idx?c=ecfr&sid=18826277b2c3286a21f97b4c4c3d3570&rgn=div8&view=text&node=38:1.0.1.1.5.2.98.26&idno=38

Hope this helps a vet.

carlie