diabetes Va C An P Revealed Health Problems Unknown To Veteran And Veteran Not Informed.

[DICK HILL]

FINALLY, AFTER FOREVER AND A DAY, I RECEIVED MY VA C-FILE. I HAD A VA EXAM IN 1989 AND AGAIN IN 1990. ON THE 1989 EXAM, THE DOCTOR WROTE THAT I HAD FOUR HIGH BLOOD PRESSURE READINGS WHILE SITTING (148/100, 148/100, 146/100, AND 147/96). HE ALSO WROTE THAT MY BLOOD GLUCOSE WAS HIGH. THESE HEALTH PROBLEMS WERE NOT A PART OF MY CLAIMS FILED WITH THE VA BECAUSE I DID NOT KNOW I HAD THESE MEDICAL PROBLEMS. A FEW YEARS AFTER MY MILITARY RETIREMENT, I WAS DIAGNOSED WITH HIGH BLOOD PRESSURE AND TYPE II DIABETES. MY QUESTION, IF ANY ONE CAN ANSWER IT IS: SHOULDN'T THE VA DOCTOR HAVE TOLD ME OF THESE MEDICAL PROBLEMS OR SHOULDN'T I HAVE BEEN NOTIFIED BY THE VA BY LETTER? WILL APPRECIATE YOUR THOUGHTS. THANKS

[meghp0405]

Something to think about, not all C/P examiners are Doctors. Some are nurse practitioners. Are they allowed to give a diagnosis? I Don't know.

You stated your readings were while sitting. Were they done on the same day? hypertension has a diagnostic code of 7101 in the 38 CFR. Under 7101, Note (1) states "hypertension or isolated systolic hypertension must be confirmed by readings taken two or more times on at least three different days." That could of been a reason that you were not informed of a diagnosis, due to not meeting the requirements of 7101.

That particular day, you could of been nervous due to the C/P exam, (which most of us are) which could of resulted in your readings on that day.

How many years was it between the C/P exam and a actual diagnosis?

Regardless if you submit a claim for hypertension, take your records and test results to you PCM and have him/her review them. If the doc believes you had Hypertension, have him/her write you a nexus letter. In my opinion, I don't believe that the readings stated above are enough evidence for a successful claim due to the requirements set forth in the diagnostic code 7101.

Good luck!

[jbasser]

People, a C and P examiners job is to evaluate your claimed conditions and make a medical opinion,. They work for the VBA and are not allowed to treat you for anything. They can tell you to go see your primary care doc and that is about it.

You really should talk to your primary doc about this. if you are not a vietmanam vet, filing a claim for DMII several years after discharge may not be a winable claim. If your HTN was not diagnosed within a year after your retirement They will deny it even though your numbers are good for a 10 percent rating from the 3 diastolic numbers at 100.

Did you have high BP readings in service?

Basser

[stillhere]

Well I disagree about the responses here and I will give you two very good experiences that I actually had with C&P doctors or examiners.

In my very first claim (that is after my hearing claim of 1983) this claim in 2003 I was asking for DB2 and NP and the doctor noted that I had been prescribed Viagra by my private doctor and asked me if it worked. Low and behold when I got my decision letter I was awarded SMC for ED and I never applied for it!

Another C&P I had to connect my heart problems to my DB2 there was quite a blood test preformed and I was sent a leter right away and even got a call from the C&P telling me to get in touch with my PC! It was then determined that I was anemic and I had to have that treated as well.

Now I know this does not really help you with a claim or anything but I wanted you to know it does happen.

PS I DON"T MIND YOUR CAPS! I am 70% hearing loss! Ha Ha!

Good luck to you, Stillhere

Edited April 29, 2013 by stillhere

[DICK HILL]

In addition to my post on 25 Apr 13 regarding my 1990 VA exam diagnosing high blood pressure and stating my blood glucose was high, I continue to go through my recently received VA C-File. While reviewing it, I noted the ROM numbers associated with the Thoracic, Lumbar, Back assigned at my VA physical examination back in 1990. I am currently rated at 10% for Thoracic and Lumbar spondylosis. After looking at the VA joint range of motion for Thoracic and Lumbar Spine, it appears I may have been low balled by the VA: Can someone take a look at the numbers below and tell me if I was given the right rating by the VA back in 1990? Will appreciate all feedback.

VA Joint Range or Motion for:

Thoracic

Lumbar

Back

General Rating Formula for Spine Veteran’s Numbers

Flexion 45 My numbers 25 Thoracic 60 Low Back

Extension 45 My nuimbers 20 Thoracic 10 Low Back

Right Lateral Flexion 45 My numbers 15 Thoracic 15 Low Back

Left Lateral Flexion 45 My numbers 15 Thoracic 15 Low Back

Right Rotation 80 My numbers 15 Thoracic 10 Low Back

Left Rotation 80 My numbers 15 Thoracic 10 Low Back

NOTES:

- My SMR shows history of muscle spasms in Thoracic Spine.

- VA exam says “Right Straight Leg Raises causes low back pain at 90 degrees, but not on left.”

Will appreciate all feedback. Thanks

[stillhere]

I don't have the answer for you but I will bump this up so maybe someone that does will give it a look. Or you could repost with a different tag line and that my help.

Stillhere

[Stretch]

I went through one exam where the Dr. said that I was anorexic and many other things that they have never told me about.

They have run many test, but my doctor hasn't said anything about one of them. Just take these drugs and go away. If you want to find out any problems you have to get your medical records and read them.

Recently I asked to have my Albuterol renewed. The last prescription they sent 6 albuterol inhailors. I waited until I finished them. It took about a year.

My doctor was changed 3 months ago and absolutely refused to refill. I went to PA, who came to the Dr.s off and found out that they had no record of me ever taking albuterol. I told the PA that this isn't something to screw around with.

Told her I would send a photo copy of the boxes with my name and VA script number on it. I further told her that I had downloaded my Drug History from MyHealthevet. My doctor finally renewed the script.

For some reason I think that the VA system dumps records after 6 mos., or a year. If you need history you had better get it yourself off of MyHealthevet. You can pull your med history for a least 7 years that I know of and have copied.

Just because I lost 25 pounds doesn't mean that I am anorexic.