Error On C&p Exam

[Army Chic]

Hello everyone! At the current time, I am waiting on a decision for my IU claim. The disabilities that I put down were migraines and depression. Well I went to my last c&p exam (migraines) on last Thursday, and I just received the results today. Well its clear the doctor checked the wrong box, so how can I bring it to their attention before they start rating? Not only will it more than likely mess up my claim for IU, but it will also decrease me. Here is the information from c&p and you can see the conflicting information: (Thanks in advance)

1. Diagnosis
------------
Does the Veteran now have or has he/she ever been diagnosed with a headache
condition?
[X] Yes [ ] No
[X] Migraine including migraine variants
ICD code: 346.9 Date of diagnosis: see prior C&P
2. Medical History
------------------
a. Describe the history (including onset and course) of the Veteran's
headache conditions (brief summary):
Veteran is filing for an increased evaluation and service connection for the following: migraines Veteran under care of Neurology. Veteran gets very prolonged migraines. Just finished with a 3 day migraine. Migraines can last 5-6 days at a time. Veteran gets scotomata aura, then headache onset after aura, last at a minimum 5-6 hours but normally much longer up to 5-6 days. Normally lasts about 3-4 days. Veteran has been tried on numerous preventative and treatment meds without relief. Veteran has been tried on cymbalta, topamax, maxalt, depakote without relief or improvement either due to failure of med or intolerance of med.
Veteran reports a milder type of headache every day, migraines occur approx 4 days out of the week. Veteran is incapacitated during the headaches--has to have someone come over to take care of kids and the house during the migraines which incpacitate her several days each week.

b. Does the Veteran's treatment plan include taking medication for the
diagnosed condition?
[X] Yes [ ] No
If yes, describe treatment (list only those medications used for the
diagnosed condition):
zonegran, tramadol

3. Symptoms
-----------
a. Does the Veteran experience headache pain?
[X] Yes [ ] No
[X] Pulsating or throbbing head pain
[X] Pain localized to one side of the head
[X] Pain on both sides of the head
[X] Pain worsens with physical activity
b. Does the Veteran experience non-headache symptoms associated with
headaches? (including symptoms associated with an aura prior to headache
pain)
[X] Yes [ ] No
[X] Nausea
[X] Sensitivity to light
[X] Sensitivity to sound
[X] Changes in vision (such as scotoma, flashes of light, tunnel vision)
c. Indicate duration of typical head pain
[X] More than 2 days
[X] Other, describe:
normally 3-4 days but varies according to history above.
d. Indicate location of typical head pain
[X] Both sides of head

4. Prostrating attacks of headache pain
---------------------------------------
a. Migraine / Non-Migraine- Does the Veteran have characteristic
prostrating
attacks of migraine / non-migraine headache pain?

[X] Yes [ ] No

If yes, indicate frequency, on average, of prostrating attacks over the
last several months:
[X] Once every month

b. Does the veteran have very prostrating and prolonged attacks of
migraines/non-migraine pain productive of severe economic inadatability?
[X] Yes [ ] No

5. Other pertinent physical findings, complications, conditions, signs
and/or symptoms
-----------------------------------------------------------------------------
a. 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
b. Does the Veteran have any other pertinent physical findings,
complications, conditions, signs and/or symptoms related to any
conditions
listed in the Diagnosis section above?
[ ] Yes [X] No
6. Diagnostic testing
---------------------
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):
CT and MRI of brain were normal
7. Functional impact
--------------------
Does the Veteran's headache condition impact his or her ability to work?
[X] Yes [ ] No
If yes, describe the impact of the Veteran's headache condition,
providing
one or more examples:
see medical opinion
8. Remarks, if any:
-------------------
No remarks provided.

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: The veteran's severe migraines cause frequent prolonged periods of incpacitation currently rendering her unable to obtain or maintain employment in any capacity due to the frequency and totality of incapacitating migraines. The frequency and severity of her incapacitating migraines render her unable to reasonably maintain a regular work schedule in any capacity. Her neurologist, continues to try different treatment modalities and is planning on a trial of botox injections. Her current severity of incapacitation is not considered permanent at this time, but the time and treatment to improve refractroy migraines make it unlike to see significant improvement for several months. Reevaluation in 18-24 months would give adequate time for intervention and to assess the response of her headaches to the intervention.

Edited April 29, 2014 by Army Chic

[71M10]

I don't see how this messes up your claim for IU, since the doctor clearly indicates you are unable to work and goes on to describe why.

Granted this C&P won't support P&T but I guess I am not seeing an ovious reduction here, but I have not closely looked at the rating criteria for Migraines.

[Army Chic]

30% rating for migraines is once a month of prostrating migraines. I don't care about the p&t status right now. I just want to get my migraines under control, so I can function and work in the future.

The doctor was able to correct the error, so I'm good to go. Thanks