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    You’ve just been rated 100% disabled by the Veterans Affairs. After the excitement of finally having the rating you deserve wears off, you start asking questions. One of the first questions that you might ask is this: It’s a legitimate question – rare is the Veteran that finds themselves sitting on the couch eating bon-bons … Continue reading

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    • How to get your questions answered...


      All VA Claims questions should be posted on our forums. Read the forums without registering, to post you must register it’s free. Register for a free account.

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Ray T

Agent Orange

Question

I am P&T and my new Doctor scheduled me for an initial Agent Orange exam. All my disabilites are tied to agent Orange and noted in my medical records. I have never had the exam but was part of the original regestry.

Should I have the exam anyway or pass?

Thanks

RT

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4 answers to this question

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That test I took for Agent Orange C&P was a joke. If you have the conditions of AO and you were Boot's on the ground and they want the test. Then waste there money or should I say our tax money.

I think if you don't do the test, they will find away to take your compensation!

Good Luck

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The exam I had was the most extensive exam I have ever received anywhere. It's up to you, if you take it, but if it were me I would. I doubt not taking it will reflect on any of your claims, as it is separate from claims or C&P exams. jmo

pr

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Do you have AO disabilities that are not part of your current comp?

Have you formally filed for those disabilities?.

If VA denied you comp in the past for anything that you seek com for now under the 3 new AO presumptives, (Ischemic Heart Disease, Parkinsons and Hairy Cell B ) make sure you check out the Nehmer Stipulation, under Footnote One here in the AO forum.

The AO registry exam is not a formal claim.

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When I took the exam the doctor identified three AO conditions. Of course, I had to file claims on all these conditions and go to C&P exams.

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  • Similar Content

    • By jon15805
      So I just got notices of my upcoming exams. I'm already really worried about them just because of all the horror stories I've read. But I was looking into my examiners, and the one for the mental health evaluation is very poorly rated on Google by other veterans that had him do their exam. They say he did not ask them any pertinent questions to their disability and wrote them off. Is there a way I can request someone different? Or should I just go ahead with it and take the chance?
    • By TJMarine
      This is my latest C&P what am I looking at? Can anyone break this down?
      Neck (Cervical Spine) Conditions
                              Disability Benefits Questionnaire
          
          Is this DBQ being completed in conjunction with a VA 21-2507, C&P
      Examination
          Request?
          [X] Yes   [ ] No
         
        
          Evidence Comments:
            BOARD REMAND
          
          1. Diagnosis
          ------------
          Does the Veteran now have or has he/she ever been diagnosed with a cervical
          spine (neck) condition?
          [X] Yes   [ ] No
          Cervical Spine Common Diagnoses:
            No diagnosis provided.
             Diagnosis #1:  CERVICO-OCCIPITAL NEURALGIA
             ICD code:  ==
             Date of diagnosis:  9/28/2015
             Diagnosis #2:  CERVICAL RADICULOPATHY WITH BULGING DISC
             ICD code:  ==
             Date of diagnosis:  2016
             Diagnosis #3:  MECHANICAL CERVICAL PAIN SYNDROME
             ICD code:  ==
             Date of diagnosis:  4/29/2015
             If there are additional diagnoses that pertain to cervical spine (neck)
             conditions, list using above format:
               CERVICAL VERTEBRAE(NECK MUSCLE SPASM), DATE OF DIAGNOSIS, 6/25/1996.
               CERVICAL HERNIATED AND BULGING DISC, MUSCLE SPASM, AND CORD CONTUSION
               WITH COMPRESSION MYELOMALACIA, 8/14/12
               CERVICAL SPONDYLOSIS AND DEGENERATIVE DISC DISEASE, 9/25/2014.
              
               On today's C&P examination, 11/21/17, Veteran reports several incidents
      in
             1992-1995 of blunt trauma including carrying 50 caliber machine gun
             barrels and ammunition.  Involved in ground defensive tactic also known
      as
             "Bull in the Ring" in which the marine is in full gear and is potentially
             tackled by several marines.  Following this , Veteran incurred
             concussion-1992 or 1993).  Also went to Bethesda for back school(approx.
             week).  Currently, Veteran reports daily neck pain.  Denies neck surgery.
             Denies no recent physical therapy.  Uses Flexeril, Ibuprofen, Oxycodone,
             and Tens unit for pain relief.  Last treated by chiropractor in
      2016(Tampa
             Bay, Florida).
            
          b. Dominant hand:
             [ ] Right   [ ] Left   [X] Ambidextrous
          c. Does the Veteran report flare-ups of the cervical spine (neck)?
             [ ] Yes   [X] No
            
        
       d. Does the Veteran report having any functional loss or functional
             impairment of the cervical spine (neck) (regardless of repetitive use)?
             [X] Yes   [ ] No
            
                 If yes, document the Veteran's description of functional loss or
                 functional impairment in his or her own words:
                    Can't do much of any type of physical activity, that's really
                    limited.  Obviously a hindrance, job related stuff.  Multiple days
                    off from work(pain, stiffness).  Can't do lawn activities.  Can't
                    wash dishes.  Can't play with your kids like you want to. 
      Sleeping
                    is impossible-Sometimes you have to sleep sitting up in a chair.
                   
                   
          3. Range of motion (ROM) and functional limitations
          ---------------------------------------------------
          a. Initial range of motion
         
             [ ] All Normal
             [X] Abnormal or outside of normal range
             [ ] Unable to test (please explain)
             [ ] Not indicated (please explain)
            
                 Forward Flexion (0-45):           0 to 46 degrees
                 Extension (0-45):                 0 to 15 degrees
                 Right Lateral Flexion (0-45):     0 to 23 degrees
                 Left Lateral Flexion (0-45):      0 to 14 degrees
                 Right Lateral Rotation (0-80):    0 to 48 degrees
                 Left Lateral Rotation (0-80):     0 to 44 degrees
                 If abnormal, does the range of motion itself contribute to a
                 functional loss? [X] Yes, (please explain)   [ ] No
                
                    If yes, please explain:
                    Limited bending.
                   
             Description of pain (select best response):
               Pain noted on examination and causes functional loss
              
               If noted on examination, which ROM exhibited pain (select all that
               apply)?
                 Forward flexion, Extension, Right lateral flexion, Left lateral
                 flexion, Right lateral rotation, Left lateral rotation
                
             Is there evidence of pain with weight bearing? [X] Yes   [ ] No
            
             Is there objective evidence of localized tenderness or pain on palpation
             of the joint or associated soft tissue of the cervical spine (neck)?
             [X] Yes   [ ] No
            
                If yes, describe including location, severity and relationship to
                condition(s):
                Tenderness on palpation of the cervical spine.
               
          b. Observed repetitive use
         
             Is the Veteran able to perform repetitive use testing with at least three
             repetitions? [ ] Yes   [X] No
            
                If no, please provide reason:
                Unable to perform due to severe pain.
               
          c. Repeated use over time
         
             Is the Veteran being examined immediately after repetitive use over time?
             [ ] Yes   [X] No
            
                 If the examination is not being conducted immediately after
      repetitive
                 use over time:
                 [ ] The examination is medically consistent with the Veteran?s
                     statements describing functional loss with repetitive use over
                     time.
                 [ ] The examination is medically inconsistent with the Veteran?s
                     statements describing functional loss with repetitive use over
                     time.  Please explain.
                 [X] The examination is neither medically consistent nor inconsistent
                     with the Veteran?s statements describing functional loss with
                     repetitive use over time.
                    
             Does pain, weakness, fatigability or incoordination significantly limit
             functional ability with repeated use over a period of time?
             [ ] Yes   [ ] No   [X] Unable to say w/o mere speculation
            
                 If unable to say w/o mere speculation, please explain:
                 This examiner is unable to opine and would otherwise be speculating
      to
                 state whether pain, weakness, fatigability, or incoordination could
                 significantly limit functional ability during flare-ups, or when the
                 joint is used repeatedly over a period of time.  Therefore this
                 examiner cannot describe any such additional limitation due to pain,
                 weakness, fatigability or incoordination.  Furthermore, such opinion
                 is also not feasible to give degrees of additional ROM loss due to
                 "pain on use or during flare-ups" without speculation.
                
                
          d. Flare-ups
             Not applicable
            
          e. Guarding and muscle spasm
         
             Does the Veteran have guarding, or muscle spasm of the cervical spine?
             [X] Yes   [ ] No
            
             Muscle spasm
                [X] None
                [ ] Resulting in abnormal gait or abnormal spinal contour
                [ ] Not resulting in abnormal gait or abnormal spinal contour
                [ ] Unable to evaluate, describe below:
             Guarding
                [ ] None
                [ ] Resulting in abnormal gait or abnormal spinal contour
                [X] Not resulting in abnormal gait or abnormal spinal contour
                [ ] Unable to evaluate, describe below:
          f. Additional factors contributing to disability
         
             In addition to those addressed above, are there additional contributing
             factors of disability?  Please select all that apply and describe:
               Less movement than normal due to ankylosis, adhesions, etc.
              
             Please describe:
             Decreased ROM.
            
          4. Muscle strength testing
          --------------------------
          a. Rate strength according to the following scale:
         
             0/5 No muscle movement
             1/5 Palpable or visible muscle contraction, but no joint movement
             2/5 Active movement with gravity eliminated
             3/5 Active movement against gravity
             4/5 Active movement against some resistance
             5/5 Normal strength
            
             Elbow flexion:
               Right: [X] 5/5   [ ] 4/5   [ ] 3/5   [ ] 2/5   [ ] 1/5   [ ] 0/5
               Left:  [X] 5/5   [ ] 4/5   [ ] 3/5   [ ] 2/5   [ ] 1/5   [ ] 0/5
             Elbow extension
               Right: [X] 5/5   [ ] 4/5   [ ] 3/5   [ ] 2/5   [ ] 1/5   [ ] 0/5
               Left:  [X] 5/5   [ ] 4/5   [ ] 3/5   [ ] 2/5   [ ] 1/5   [ ] 0/5
             Wrist flexion:
               Right: [ ] 5/5   [X] 4/5   [ ] 3/5   [ ] 2/5   [ ] 1/5   [ ] 0/5
               Left:  [ ] 5/5   [X] 4/5   [ ] 3/5   [ ] 2/5   [ ] 1/5   [ ] 0/5
             Wrist extension:
               Right: [ ] 5/5   [X] 4/5   [ ] 3/5   [ ] 2/5   [ ] 1/5   [ ] 0/5
               Left:  [ ] 5/5   [X] 4/5   [ ] 3/5   [ ] 2/5   [ ] 1/5   [ ] 0/5
             Finger Flexion:
               Right: [ ] 5/5   [X] 4/5   [ ] 3/5   [ ] 2/5   [ ] 1/5   [ ] 0/5
               Left:  [ ] 5/5   [X] 4/5   [ ] 3/5   [ ] 2/5   [ ] 1/5   [ ] 0/5
             Finger Abduction
               Right: [ ] 5/5   [X] 4/5   [ ] 3/5   [ ] 2/5   [ ] 1/5   [ ] 0/5
               Left:  [ ] 5/5   [X] 4/5   [ ] 3/5   [ ] 2/5   [ ] 1/5   [ ] 0/5
          b. Does the Veteran have muscle atrophy?
             [X] Yes   [ ] No
            
             If muscle atrophy is present, indicate location: Upper Arm
            
             Provide measurements in centimeters of normal side and atrophied side,
             measured at maximum muscle bulk:
            
             Normal side: 37.5 cm.
            
             Atrophied side:  36 cm.
            
          5. Reflex exam
          --------------
          Rate deep tendon reflexes (DTRs) according to the following scale:
         
             0  Absent
             1+ Hypoactive
             2+ Normal
             3+ Hyperactive without clonus
             4+ Hyperactive with clonus
            
             Biceps:
               Right: [ ] 0   [ ] 1+   [X] 2+   [ ] 3+   [ ] 4+
               Left:  [ ] 0   [ ] 1+   [X] 2+   [ ] 3+   [ ] 4+
             Triceps:
               Right: [ ] 0   [ ] 1+   [X] 2+   [ ] 3+   [ ] 4+
               Left:  [ ] 0   [ ] 1+   [X] 2+   [ ] 3+   [ ] 4+
             Brachioradialis:

               Right: [ ] 0   [ ] 1+   [X] 2+   [ ] 3+   [ ] 4+
               Left:  [ ] 0   [ ] 1+   [X] 2+   [ ] 3+   [ ] 4+
          6. Sensory exam
          ---------------
          Provide results for sensation to light touch (dermatomes) testing:
         
             Shoulder area (C5):
               Right: [ ] Normal   [X] Decreased   [ ] Absent
               Left:  [ ] Normal   [X] Decreased   [ ] Absent
             Inner/outer forearm (C6/T1):
               Right: [ ] Normal   [X] Decreased   [ ] Absent
               Left:  [ ] Normal   [X] Decreased   [ ] Absent
             Hand/fingers (C6-8):
               Right: [ ] Normal   [X] Decreased   [ ] Absent
               Left:  [ ] Normal   [X] Decreased   [ ] Absent
          7. Radiculopathy
          -----------------
          Does the Veteran have radicular pain or any other signs or symptoms due to
          radiculopathy?
          [X] Yes   [ ] No
         
             If yes, complete the following section:
            
             a. Indicate location and severity of symptoms (check all that apply):
                Constant pain (may be excruciating at times)
                 Right upper extremity: [ ] None   [ ] Mild   [X] Moderate   [ ]
      Severe
                 Left upper extremity:  [ ] None   [ ] Mild   [X] Moderate   [ ]
      Severe
                Intermittent pain (usually dull)
                 Right upper extremity: [X] None   [ ] Mild   [ ] Moderate   [ ]
      Severe
                 Left upper extremity:  [X] None   [ ] Mild   [ ] Moderate   [ ]
      Severe
                Paresthesias and/or dysesthesias
                 Right upper extremity: [ ] None   [ ] Mild   [X] Moderate   [ ]
      Severe
                 Left upper extremity:  [ ] None   [ ] Mild   [X] Moderate   [ ]
      Severe
                Numbness
                 Right upper extremity: [ ] None   [ ] Mild   [X] Moderate   [ ]
      Severe
                 Left upper extremity:  [ ] None   [ ] Mild   [X] Moderate   [ ]
      Severe
             b. Does the Veteran have any other signs or symptoms of radiculopathy?
                [ ] Yes   [X] No
               
             c. Indicate nerve roots involved: (check all that apply)
                [X] Involvement of C8/T1 nerve roots (lower radicular group)
                    If checked, indicate:  [ ] Right   [ ] Left   [X] Both
                   
             d. Indicate severity of radiculopathy and side affected:
                Right: [ ] Not affected   [ ] Mild   [X] Moderate   [ ] Severe
                Left:  [ ] Not affected   [ ] Mild   [X] Moderate   [ ] Severe
          8. Ankylosis
          ------------
          Is there ankylosis of the spine? [ ] Yes   [X] No
          9. Other neurologic abnormalities
          ---------------------------------
          Does the Veteran have any other neurologic abnormalities related to a
          cervical spine (neck) condition (such as bowel or bladder problems due to
          cervical myelopathy)?
          [ ] Yes   [X] No
         
          10. Intervertebral disc syndrome (IVDS) and episodes requiring bed rest
          -----------------------------------------------------------------------
          a. Does the Veteran have IVDS of the cervical spine?
             [X] Yes   [ ] No
            
          b. If yes to question 10a above, has the Veteran had any episodes of acute
             signs and symptoms due to IVDS that required bed rest prescribed by a
             physician and treatment by a physician in the past 12 months?
             [ ] Yes   [X] No
            
          11. Assistive devices
          ---------------------
          a. Does the Veteran use any assistive device(s) as a normal mode of
             locomotion, although occasional locomotion by other methods may be
             possible?
             [ ] Yes   [X] No
            
          b. If the Veteran uses any assistive devices, specify the condition and
             identify the assistive device used for each condition:
             No response provided.
            
          12. Remaining effective function of the extremities
          ----------------------------------------------------
          Due to a cervical spine (neck) condition, is there functional impairment of
          an extremity such that no effective function remains other than that which
          would be equally well served by an amputation with prosthesis? (Functions of
          the upper extremity include grasping, manipulation, etc.; functions of the
          lower extremity include balance and propulsion, etc.)
          [ ] Yes, functioning is so diminished that amputation with prosthesis would
              equally serve the Veteran.
          [X] No
         
          13. Other pertinent physical findings, complications, conditions, signs,
              symptoms and scars
          -----------------------------------------------------------------------
          a. Does the Veteran have any other pertinent physical findings,
             complications, conditions, signs or symptoms related to any conditions
             listed in the Diagnosis Section above?
             [ ] Yes   [X] No
            
          b. Does the Veteran have any scars (surgical or otherwise) related to any
             conditions or to the treatment of any conditions listed in the Diagnosis
             Section above?
             [ ] Yes   [X] No
            
          c. Comments, if any:
             No response provided.
            
          14. Diagnostic testing
          ----------------------
          a. Have imaging studies of the cervical spine been performed and are the
             results available?
             [X] Yes   [ ] No
            
                 If yes, is arthritis (degenerative joint disease) documented?
                 [X] Yes   [ ] No
                
          b. Does the Veteran have a vertebral fracture with loss of 50 percent or
      more
             of height?
             [ ] Yes   [X] No
            
          c. Are there any other significant diagnostic test findings and/or results?
             [X] Yes   [ ] No
            
                 If yes, provide type of test or procedure, date and results (brief
                 summary):
                    9/25/2014,MRI Cervical spine:Visibility of the central canal of
      the
                    cord at the C5 level with diameter of 2mm, not considered to
                    reflect significant syringohydromyelia and not associated with
      mass
                    or abnormal enhancement.  Spondylosis and degenerative disc
      disease
                    of the cervical spine.  Right-sided predominant disc osteophyte
                    complex at C6-7 causes mild right central canal and moderate right
                    neural foraminal stenosis at this level.  No other central canal
                    stenosis with milder areas of neural foraminal encroachment
                    detailed above.  C2-3:Focal shallow central to right paracentral
                    disc protrusion.  No central canal or neural foraminal stenosis.
                    C3-4:Mild generalized disc bulge.  Mild right than left neural
                    foraminal stenosis with central canal patent.  C6-7:Mild
                    generalized disc bulge with more focal disc osteophyte complex in
                    the right paracentral, right subarticular, and right lateral
                    stations.  C7-T1:Negative for disc herniation.
                    8/14/2012, MRI Cervical spine:Herniated disk C3/4, C5/6, and C6/7
                    levels.  Bulging disk C2/3 and C4/5 levels.  Diffuse spondylitic
                    changes.  Straightened alignment suggesting muscle spasm.  Focal
                    area of cord contusion or compression myelomalacia at C5 level.
                   
                   
          15. Functional impact
          ----------------------
          Does the Veteran's cervical spine (neck) condition impact on his or her
          ability to work?
          [X] Yes   [ ] No
         
              If yes, describe the impact of each of the Veteran's cervical spine
              (neck) conditions, providing one or more examples:
                Veteran is capable of limited lifting, carrying, and bending.
               
               
          16. Remarks, if any:
          --------------------
              NOTE:Veteran performed neck flexion repeition which reduced ROM to
      32deg.
               Unable to perform any further repetition for other ROM maneuvers.
             
      *************************************************************************
              Additional exam request information:
       
              For any joint condition, examiners should test the contralateral joint,
              unless medically contraindicated, and the examiner should address pain on
              both passive and active motion, and on both weightbearing and non-
              weightbearing.
              In addition to the questions on the DBQ, please respond to
              the following questions:
              1.      Is there evidence of pain on passive range of motion testing?
              YES
              2.      Is there evidence of pain when the joint is used in non-weight
              bearing? YES
             
             

      ****************************************************************************

                                       Medical Opinion
                              Disability Benefits Questionnaire
          Name of patient/Veteran: 
          ACE and Evidence Review
          -----------------------
          Indicate method used to obtain medical information to complete this
      document:
         
          [X] In-person examination
         
          Evidence Review
          ---------------
          Evidence reviewed (check all that apply):
         
          [X] VA e-folder (VBMS or Virtual VA)
          [X] CPRS
          Evidence Comments:
            BOARD REMAND
           
          MEDICAL OPINION SUMMARY
          -----------------------
          RESTATEMENT OF REQUESTED OPINION:
          a. Opinion from general remarks: (a)  Please state all diagnoses as to the
          Veteran's cervical spine, and
          address all diagnoses already of record: herniated disk and bulging disk
          of the cervical spine and spondylitic changes, muscle spasm and
          contusion/compression, spondylosis and degenerative disc disease of the
          cervical spine, mechanical cervical pain syndrome and radiculopathy. 
          (b)  Please provide an opinion as to whether it is at least as likely as
          not (a 50 percent or greater probability) that any diagnosed cervical
          spine disability was caused by or etiologically related to active duty. 
          Please specifically address the back injuries and complaints of back pain
          noted in the STRs.
          (c)  Please specifically address the Veteran's lay statements that he has
          suffered cervical spine pain since service, and that in service he
          suffered injury to his neck while carrying heavy equipment and continuous
          wear of duty gear.
          (d)  Please address the conflicting evidence of record and offer a
          clarifying opinion, notably the February 2013 VA examination positing a
          negative nexus, and the April 2016 private opinion positing a positive
          nexus.

          b. Indicate type of exam for which opinion has been requested: NECK
          TYPE OF MEDICAL OPINION PROVIDED: [ MEDICAL OPINION FOR DIRECT SERVICE
          CONNECTION ]
          a. The condition claimed was at least as likely as not (50% or greater
          probability) incurred in or caused by the claimed in-service injury, event
      or
          illness.  
          c. Rationale: Upon review of all available medical evidence, including
      eVBMS,
          virtual VA, and Board Remand, the following pertinent information is
      obtained
          and reported in 'Evidence Comments': Prior VA Examination, 6/25/96, reports
          Mr. served in the Marine Corps.  he was inducted in 1990 and
          received separation with an honorable discharge in 1996.    Medical History-In 1992, he
          had onset of pain in the neck area diagnosed at Quantico.  Xrays were
          negative.  Impression was muscle spasm and stress. Enlistment RME/RMH for
          national guard, 4/13/98, reported no neck problems and normal exam of the
          spine.  Miami VAMC, Outpatient clinic, 5/6/2005:Assessment is chronic neck
          and low back pain-Will get plain films and MRI, does not want any meds.
          2/28/2013, VA examination opines "Unable to find SMR evidence of significant
          neck injury or complaint in service.  No evidence to support chronicity of
          problem for over 10 years post-discharge."  THIS OPINION IS GIVEN LOW WEIGHT
          BECAUSE IT IS NEITHER SUPPORTED NOR CONSISTENT WITH THE RECORDS IN FILE THAT
          SHOW COMPLAINTS OF NECK PAIN INDICATING A CHRONIC CONDITION.  4/29/15, DBQ
          neck was completed providing a diagnosis of mechanical cervical pain
      syndrome
          and radiculopathy. As received 4/8/16, VA physician, ,
          states that the Veteran suffers from cervico-occipital neuralgia and
      cervical
          radiculopathy with bulging disc "are as likely as not a direct result of
          blunt trauma received during the patient's military career.  His conditions
          are a severe occupational impairment to the veteran and has been exacerbated
          by many years of continuous wear of duty gear related to his profession." 
      On
          today's C&P examination, 11/21/17, Veteran is a credible historian and
          reports several incidents in 1992-1995 of blunt trauma, involving ground
          defensive tactic also known as "Bull in the Ring" in which the marine is in
          full gear and is potentially tackled by several marines.  Following this ,

          Veteran incurred concussion-1992 or 1993).  Veteran also reported chronic
          neck pain during service was due to carrying 50 caliber machine gun barrels
          and ammunition.  He also went to Bethesda for back school(approx. week). 
          In summary, the Veteran has been under chronic medical care for neck pain
          first reported during service(6/25/96) and the condition has progressed from
          cervical muscle spasm to mechanical cervical pain syndrome and
      radiculopathy,
          cervical herniated and bulging disc with muscle spasm, cord
          contusion/compression myelomalacia, cervical spondylosis and degenerative
          disc disease, cervico-occipital neuralgia, and cervical radiculopathy with
          bulging disc. A nexus has been established.  Therefore, it is at least as
          likely as not that the claimed condition has direct service connection. 
    • By gab2112
      An advice anyone can give would be appreciated. I go in for my first C&P exam for my knee issues. I submitted a FDC with my military medical records showing foot issues, shin splints, and issues with bunions. They wanted to operate on the one bunion but I would have had to reenlist. I also submitted my personal medical records that include  my recent MRI reports that show various knee issues. (arthritis, patellar maltracking, meniscus tears...) I received a call to set up my C&P exam about a week after submitted my FDC online. 
      I have been looking online, and found out that if I submit any new paperwork my claim will no longer be a FDC. I wanted to submit the medical report they do when you first enlist that shows everything they document you have wrong with you, and on you. (tattoos, scars, appearance). On this form it shows that I didn't have any bunions when I went in. Then while I was in they got bad enough to see the podiatrist while I was in. I am afraid that connection with my knees will not be there, and cause a denial. 
      Do I bring this medical record with me to the C&P exam in case the doctor ask anything, or even bother  showing  it to him?  Do I wait for the possible denial, and then submit this when I appeal? Should I go ahead and submit this form online, and risk my claim to no longer be a FDC?  After submitting my claim, and doing more research online I learned that I shouldn't assume that the reviewers will be able to recognize any secondary conditions. Thanks in advance for any help or advice. 
    • By Playtrix
      I have some questions and wondering what some of your observations are. I had a c and p exam recently and got ahold of the DBQ. All the boxes the doctor checked were good for me. She checked all the right boxes and checked that I had PTSD and all the symptoms they went with it but in some of the comments she made, they seem really bad. So I'm wondering what matters more, the doctors observations or the boxes she checked? I'm rated at 60% currently with anxiety NOS and Tinnitus. I did not initiate the exam for an increase. It was one of the random c&p to see how things are going.
      This is from the PTSD initial DBQ that she filled out
      1) yes
      2) PTSD, paranoid personality disorder with avoidant features, other specified anxiety disorder with depressive symptoms
      3) a. Yes. B.no
      4.) A.Occupational and social impairment with deficiencies In most areas work, school , family relations...etc
      B. Yes--most impairment is attributed to PTSD and anxiety disorder with paranoia secondary.
      Under PTSD criteria she checked 2 in A, 3 in b, 2 in c, 6 in D and  4 in E .
      6) Argumentative and irritable veteran who is hiding behind his wife and looks at her instead of the examiner; has poor eye contact; unable to tolerate questions without interrogating examiner about "meaning" of question; makes people want to avoid him due to his paranoid arguing. Hopeless attitude; does not accept hopeful comments; arrogant and appears to think he knows more than others; thinking was designed to perceived threat, not to answer questions; emotional overactivity; exaggerated affect; affect constricted; everything annoys him; meds do not touch symptoms and he does not sleep; problems with lack of trust.
      7) " he may be playing this up out of a desire to avoid working at jobs that are low pay---he has no job skills and comes from a highly educated family --father is lawyer, sister a geophysicist; he may prefer the sick role, rather than go back to school and stretch himself; there is an element of malingering and playing to an audience."
      I found this highly offensive because I've been going to the VA for at least 5 years. I didn't initiate the exam so I'm not trying to get more money. However, I wasn't honest in my first c&p in 2011 because I was ashamed and held back a lot of the really bad things I experienced. This time around I made sure that I was brutally honest. I know that I'm supposed to tell them about my "worst" day and how bad it really is and I did. And now my sincerity is questioned? The lady was incredulous that my wife married me even though I didn't have a job and still don't. I said that I don't believe I can work which I don't think that I can because I barely can stand to leave the house and that I hate being around people because I'm constantly thinking in my head that I'm going to be attacked or have to attack someone else. I also don't sleep, I have diagnosed insomnia from the VA. Because of all this I don't think I'd be able to hold down a serious job. Is that crazy? I haven't worked in a long time. I stay at home and take care of our kids. I said something like at least I can feel useful like that. The woman seemed stunned by this.
      I'll admit I was extremely uncomfortable during the exam because I hate talking about this stuff and prefer to not think about it. And she interpreted it in the way above.
      Her comments seem contradictory to all of the boxes she checked.  If I'm "malingering and playing to an audience" why did she check all of the other boxes? It's driving me crazy. 

      Am I crazy to worry about how this will turn out for me?
      This woman was in her late 70s or early 80s. The exam was through VES and was done at her in home  practice
    • By CaliBay
      Hello everyone,
      It has been a while but I finally received my C&P examination for mental health.  Currently am 50% for Major Depression, seeking 70%.  I went to my examination in stained sweats, faded shirt, flip flops, unshaven, and hair frizzy and not brushed.  For some reason, I believe my C&P examiner was wishing I did not come so she could go to lunch early based on her reaction to my arrival and her BSing with the receptionist prior.  Anyway, I feel angry after reading her assessment and would like to know what you all think.  I think she checked the box for 30% which is a decrease but all the symptoms are 70% looking.  It feels really bad she is trying to make me out to be a liar when she doesn't know how I really feel.  I have been suicidal, I have made attempts, I have researched the best methods, made plans, etc.  The closest I have come is purchasing roper, tying it in a noose, and testing out a bar at work to see if it could support me in hanging myself.  But I have really been feeling like crap and feel I have to fight really hard to not let my thoughts become the truth.   All things she did not ask.  What do you think will happen based on the below exam results?  I thank you for your time and responses.
       
      CaliBay
       
      Mental Disorders (other than PTSD and Eating Disorders)
      Disability Benefits Questionnaire
       
      Is this DBQ being completed in conjunction with a VA 21-2507, C&P Examination Request?
      [X] Yes [ ] No
      SECTION I:
      - - - - - - - - - -
      1. Diagnosis
      - - - - - - - - - - - -
      a. Does the Veteran now have or has he/she ever been diagnosed with a mental disorder?
       [X] Yes [ ] No
      ICD code: F33.2
      If the Veteran currently has one or more mental disorders that conform to
      DSM-5 criteria, provide all diagnoses:
      Mental Disorder Diagnosis #1: Major Depressive Disorder, severe, recurrent
      ICD code: F33.2
      Mental Disorder Diagnosis #2: Generalized Anxiety Disorder, with panic attacks
      ICD code: F41.1
      b. Medical diagnoses relevant to the understanding or management of the
      Mental Health Disorder (to include TBI): severe sleep apnea
      2. Differentiation of symptoms
      - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
      a. Does the Veteran have more than one mental disorder diagnosed?
      [X] Yes [ ] No
      b. Is it possible to differentiate what symptom(s) is/are attributable to each diagnosis?
      [X] Yes [ ] No [ ] Not applicable (N/A)
      If yes, list which symptoms are attributable to each diagnosis and discuss whether there is any clinical association between these diagnoses
      Depression - depressed mood, not feeling pain, poor motivation, nightmares, few friends, feel worthless and helpless.
      Anxiety: doesn't like to leave his house, uncomfortable in crowds, some paranoia shakes
      c. Does the Veteran have a diagnosed traumatic brain injury (TBI)?
      [ ] Yes [X] No [ ] Not shown in records reviewed
      3. Occupational and social impairment
      - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
      a. Which of the following best summarizes the Veteran's level of occupational and social impairment with regards to all mental diagnoses? (Check only one)
      [X] Occupational and social impairment with occasional decrease in work efficiency and intermittent periods of inability to perform occupational tasks, although generally functioning satisfactorily, with normal routine behavior, self-care, and conversation
      b. For the indicated level of occupational and social impairment, is it possible to differentiate what portion of the occupational and social impairment indicated above is caused by each mental disorder?
      [ ] Yes [X] No [ ] No other mental disorder has been diagnosed
      If no, provide a reason that it is not possible to differentiate what portion of the indicated level of occupational and social impairment is attributable to each diagnosis:
      symptoms of GAD and MDD overlap and it is nearly impossible to differentiate between disorders.
      c. If a diagnosis of TBI exists, is it possible to differentiate what portion of the occupational and social impairment indicated above is caused by the TBI?
       [ ] Yes [ ] No [X] No diagnosis of TBI
      SECTION II:
      - - - - - - - - - - -
      Clinical Findings:
      - - - - - - - - - - - - - - - - - -
      1. Evidence Review
      - - - - - - - - - - - - - - - - - -
      Evidence reviewed (check all that apply):
      [X] VA e-folder (VBMS or Virtual VA)
      [X] CPRS
      2. History
      - - - - - - - - - -
      a. Relevant Social/Marital/Family history (pre-military, military, and post-military):
      The veteran has been married for 25 years, and they have 4 children ages 17, 12, and 7. His father lives at their home, but he is self-sufficient and assists caring for the children. His spouse works at Kohls.
      b. Relevant Occupational and Educational history (pre-military, military, and post-military):
      He works for the Federal Government as Transportation Specialist at the GS-11 pay grade.  He stated that his supervisor has made a verbal accommodation for his mental disabilities to let him come and go as he pleases including arriving late and leaving early for work for appointments.  He states he does not know exactly what he does at work but feels like a government worker that is unqualified for his position and got lucky to obtain his current job.  He states he answers email correspondence all day and surfs the Internet.  He stated that his duties are not really defined and much of his job requires little effort mentally or physically.  He creates spreadsheets in Excel and analyzes financial data for travel.  He works from 8:00 am to 5:00 pm.  He stated that he has used his all of his vacation and sick time because of his disability.  He was out of work on FMLA for three months to receive mental health care and has returned in May 2017 with difficulty adjusting.
      c. Relevant Mental Health history, to include prescribed medications and family mental health (pre-military, military, and post-military):
      He stated that he was feeling better during for two months in a 12-month period.  Since he returned to work, his depression has increased and has frequent panic on a daily basis. He stated that he feels paranoid that someone is out to get him. He feels like he is worthless at work even though his managers have never told him his performance is poor.
      He does not recall periods of remission and stated that he only remembers all the bad things that have happened to him.  He uses a CPAP machine but states he rips it off his face every night due to nightmares.  He has always had nightmares of when his daughter passed away and escorting human remains off of military cargo planes.  He estimates waking up every hour to check on his children to see if they are still alive.  He self-admitted to a Mental Health Hospital for 3 months. He was suicidal and very depressed.  He has not seen a Therapist but he has spoken to his Psychiatrist.
      Nightmares: never decreased, nightly or every other night. His nightmares are of the same theme.
      No exercise
      Medical records review:
      DBQ from private provider
      Statement from veteran
      Treatment records from Private Hospital
      Treatment records from Mental Hospital
      These records are consistent with a diagnosis of Major Depressive Disorder, and Generalized Anxiety Disorder. Many medications have been
      tried. He is at low risk of suicide at this point.
      Current Medication:
      Wellbutrin
      Abilify
      Prozac
      d. Relevant Legal and Behavioral history (pre-military, military, and post-military):
      None
      e. Relevant Substance abuse history (pre-military, military, and post-military):
      He drinks occasionally and states he is a “light weight” in consuming alcoholic beverages.  Sometimes he inhales CO2 from whip cream to get a temporary high.
      f. Other, if any:
      No response provided.
      3. Symptoms
      - - - - - - - - - - -
      For VA rating purposes, check all symptoms that actively apply to the
      Veteran's diagnoses:
      [X] Depressed mood
      [X] Anxiety
      [X] Chronic sleep impairment
      [X] Flattened affect
      [X] Disturbances of motivation and mood
      [X] Suicidal ideation
      4. Behavioral observations
      - - - - - - - - - - - - - - - - - - - - - - - - - -
      No response provided.
      5. Other symptoms
      - - - - - - - - - - - - - - - - -
      Does the Veteran have any other symptoms attributable to mental disorders that are not listed above?
      [ ] Yes [X] No
      6. Competency
      - - - - - - - - - - - - -
      Is the Veteran capable of managing his or her financial affairs?
      [X] Yes [ ] No
      7. Remarks (including any testing results), if any:
      - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
      This 45-year-old veteran still struggles with depression and anxiety. I cannot diagnose him with PTSD because it appears to be secondary to MDD.  He has not seeked therapy other than admitting himself to a Mental Health Facility.  The veteran has been advised to get help for his symptoms and he has not complied.  There doesn't appear to be any changes in his mental health status. The fact that this veteran continues to work without incident suggests that he may be functioning better than what he is showing.  I recommend that this veteran receives intensive therapy and be re-evaluated after a year of consistent treatment.
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    • How to get your questions answered...


      All VA Claims questions should be posted on our forums. Read the forums without registering, to post you must register it’s free. Register for a free account.

      Tips on posting on the forums.

      Post a clear title like ‘Need help preparing PTSD claim’ or “VA med center won’t schedule my surgery” instead of ‘I have a question’.


      Knowledgable people who don’t have time to read all posts may skip yours if your need isn’t clear in the title. I don’t read all posts every login and will gravitate towards those I have more info on.


      Use paragraphs instead of one huge, rambling introduction or story. Again – You want to make it easy for others to help. If your question is buried in a monster paragraph there are fewer who will investigate to dig it out.


      Leading to:

      Post clear questions and then give background info on them.

      Examples:

      A. I was previously denied for apnea – Should I refile a claim?


      I was diagnosed with apnea in service and received a CPAP machine but claim was denied in 2008. Should I refile?



      B. I may have PTSD- how can I be sure?

      I was involved in traumatic incident on base in 1974 and have had nightmares ever since, but I did not go to mental health while enlisted. How can I get help?



      This gives members a starting point to ask clarifying questions like “Can you post the Reasons for Denial from your claim?” etc.

      Note:

      Your firsts posts on the board may be delayed before they show up, as they are reviewed, this process does not take long and the review requirement will be removed usually by the 6th post, though we reserve the right to keep anyone on moderator preview.

      This process allows us to remove spam and other junk posts before they hit the board. We want to keep the focus on VA Claims and this helps us do that.
      • 2 replies
    • Exams that were being sent strictly to contractors before, due to VAMCs not being open, are starting to be routed back to VAMCs. This is going forward from last Friday- not sure if prior scheduled exams will be re-created for VAMC vs vendor.
      • 7 replies
    • Mere speculation in your VA C and P exam

      M21-1, Part III, Subpart iv, Chapter 3, Section D – Examination Reports III.iv.3.D.2.r. Examiner Statements that an Opinion Would be Speculative Pay careful attention to any conclusion by the examiner that an opinion could not be provided without resorting to mere speculation (or any similar language to that effect). VA may only accept a medical examiner’s … Continue reading
      • 0 replies
    • A favor please - just changed servers so if you have a moment...
      A favor please - just changed servers so if you have a moment go to https://www.hadit.com I'd like to see how the server handles a lot of traffic. So if you have a moment click the link and i can see how things are going on the back end.
      • 11 replies
    • It's time to ask for help from the community. If you can help with a gift it would be very appreciated.

      Fund HadIt.com Veteran to Veteran LLC


      Give a financial gift to help with the upkeep of HadIt.com. HadIt.com is NOT a non profit. Gifts are not tax deductible, they are just gifts. 
      • 11 replies
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