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Who Should Fill Out The Dbq's Primary Care Or Each Specialist?


Mike_S

Question

The specialists seem to pass on it and appear to have never done one.

This is going to take much longer than I thought. With only a year to do it, a quarter of my time is already gone from the beginning of the start of my initial claim.

Mike

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DBQs from specialists carry a lot more weight with the VA than a DBQ from a primary care doctor. The ideal situation is to get an IMO (Independent Medical Opinion) from a doctor who specializes in the diagnosis and treatment of each of your claimed medical conditions. If your specialists are not willing to provide you with an IMO, there are specialists available who will review your medical records and prepare an IMO for a fee. When you ask your specialists to prepare an IMO to submit with your claim, make sure they understand you are willing to pay a fee for their time and provide them with a sample IMO which can be found on this website. JMO

Good luck and thank you for your service.

GP

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The cardiologist at the VA did not want to fill out the DBQ and was just passing it on for someone else to do. She picked up a stack of paper and said "I have all of this paperwork to do.

This was for an AO presumptive IHD and bypass surgery. This was the first time that I actually saw the VA as the enemy. I left feeling she thought I was trying to scam the system. The other 2 cardiologists I had at the VA were really very good but now I am stuck with this one.

Mike

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I would ask for one of the other cardiologists and explain why. If they refuse to change your cardiologist, go to the VAMC Director. If the VAMC Director will not help you, email Undersecretary Hickey and request her help. There is no excuse for the cardiologist not completing a DBQ for a veteran.

Undersecretary Hickey's email address is: www.Allison.Hickey@va.gov

Good luck to you.

GP

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A lot of the VA doc's don't want to fill them out. The VA started these forms but yet the doc's don't want to help. I would email Ms Hickey and ask her if she can help to get the doc to fill it out. I use outside doc's to fill them out and have only had one that refused so I don't use him anymore.

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I agree with georgiapapa

A Medical Specialist in the field of your disability to write an IMO will be good favorable evidence if you get one be sure and make copies the VA has a reparation losing them.

go here and they have an example how to prepare a Nuxus Letter

United States Veterans Alliance.Org

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I don't think it matters if you have a DBQ or not its not required to, but I'd take one to a private Dr and have him/her to examine you and use the DBQ to address the issues in his/her medical report..it is well worth the $ to spend and like Georgiapapa stated above just have them to follow the VA guidelines...a veteran friendly Dr will do this!... if not you can find one who will.

jmo

.........................Buck!

Edited by Buck52 (see edit history)
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I kind of wonder if the DBQ's are rigged against the veteran. In my VA C&P (contracted through Veterans Evaluation services), it didn't look like it left much room for narratives or opinions. The Independent Medical Opinion letter based on an Independent Medical Examination with a long enough narrative to articulate the facts as needed seems like it would be better.

Mark

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I think the DBQ is something the VA would like to see and the reluctance of the VA Doctors to fill them out (for whatever reason) may not be a major problem. At least my Primary Care physician (a nurse practitioner) will do it if the others won't.

If I don't have the Doctor filling out the DBQ I think I should be able to cite their reports and names in my medical records in addition to the VA DBQ documents. Anything I can do to make it easy for the VA could help.

This is for a presumptive AO Ischemic Heart disease. I had a heart attack and quadruple bypass surgery. Left ventrical and ejection fraction are now normal after several years of being serious about going to the gym. Mets are 10+ but several BP meds are required for Hypertension that is difficult to control.

Sleep Apnea diagnosed by the VA with a cpap machine and a med (Modafinil) specifically for the SA could be secondary to the IHD or PTSD.

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The VA's Regional Counsel has been telling VA Doctors for years not to fill out the DBQs, because they are a conflict of interest between the VA's interests and the Veterans' legal claim....this is BS, in my opinion, as the system is supposed be "non-adversarial" to the Veteran, so there is no "conflict"

That said, there are quite a few VAMC docs that have the backbone to support their patients. Ask your VAMC PCP or Specialist, and if they say no, don't push. If they say yes, ask for the copy so you can submit it, that way they don't put something harmful into the DBQ and send it directly to the VARO.

As to private docs, the VA will honor DBQs prepared by private doctors - in many cases they carry as much weight as a written IMO - but typically only on the impairment rating question. It is difficult - in my experience - to get the VA to accept a DBQ as proof of "nexus", but much easier to use a DBQ to establish an impairment rating.

Here's some more pros and cons on the DBQ in a post on the Veterans Law Blog.

And....a little off topic....but DON'T FORGET to challenge the credentials of VA C&P Examiners that give you a bad opinion:

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