Today I did a sort of "after action" review of my FDC claim. By trade, I'm a business and management analyst that looks at organizational processes and procedures. So, I figure that I would analyze part of the results of my initial FDC claims results and then the deferred contentions that followed and became the phase II - up of my claim. Anyway, Originally, I did 13 DBQ's at a VA facility to speed up my claim but the nurse who did them, did not follow the VA Exam Manual properly? In particular, she did not follow the procedures correctly to the ROM Measurements and guesstimated about half of them without a measuring device? So, I complained and was able to take two of the most important exams over? As a matter of fact, the rater later commented that there was a big difference between the DBQ and the second CP Exam with a doctor doing the examination? Of course, the second time, a measuring device was used and the point of pain was considered--as it should have been originally. Frankly, I'm not sure I would have done the DBQ's again now based upon the bias that I saw with that nurse? She essentially told me when we first met that she was too busy to do the DBQ's and that her boss was making her do them due to a new policy? She also made a point to let me know that older vets coming into the system just now, were taking up resources? So, I think that clouded her measurements and my particular readings during the exams? I still got most of the sc for the initial contentions but most of them were in the 10% range and I'll have to go for increases via the NOD Process.
Anyway what I learned today, concerning my deferred part of my claims, was that most of the evidence that is "supposedly missing" was on/in my handwritten smrs anyway that the VBA already has? On the deferred claims, I only went 1 for 7 and knew something was wrong then? So, when the A8 says, "no record of "groin injury" in service", but it was right their black & white in the records, then I guess handwritten records don't go thru the word search parameters of the VBMS system very well? The good news is that I found it (the missing evidence), easily but the bad news is that the rater did not, so it's going to be a couple of more years before I see the results or a service connection now for these contentions? When I first reviewed the VBMS and how it works, I knew that from the Desert Storm Generation back, that hand \written records are going to be a major problem to contend with in terms of claims accuracy and getting the correct results. Frankly, unless the records are typewritten, there's a very good chance that they may just be overlooked and not considered at all --like mine this time? Unfortunately, my current civilian PCP does all of his notes handwritten and not one can hardly read them, but he's a great doctor?
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rootbeer22
Folks:
Today I did a sort of "after action" review of my FDC claim. By trade, I'm a business and management analyst that looks at organizational processes and procedures. So, I figure that I would analyze part of the results of my initial FDC claims results and then the deferred contentions that followed and became the phase II - up of my claim. Anyway, Originally, I did 13 DBQ's at a VA facility to speed up my claim but the nurse who did them, did not follow the VA Exam Manual properly? In particular, she did not follow the procedures correctly to the ROM Measurements and guesstimated about half of them without a measuring device? So, I complained and was able to take two of the most important exams over? As a matter of fact, the rater later commented that there was a big difference between the DBQ and the second CP Exam with a doctor doing the examination? Of course, the second time, a measuring device was used and the point of pain was considered--as it should have been originally. Frankly, I'm not sure I would have done the DBQ's again now based upon the bias that I saw with that nurse? She essentially told me when we first met that she was too busy to do the DBQ's and that her boss was making her do them due to a new policy? She also made a point to let me know that older vets coming into the system just now, were taking up resources? So, I think that clouded her measurements and my particular readings during the exams? I still got most of the sc for the initial contentions but most of them were in the 10% range and I'll have to go for increases via the NOD Process.
Anyway what I learned today, concerning my deferred part of my claims, was that most of the evidence that is "supposedly missing" was on/in my handwritten smrs anyway that the VBA already has? On the deferred claims, I only went 1 for 7 and knew something was wrong then? So, when the A8 says, "no record of "groin injury" in service", but it was right their black & white in the records, then I guess handwritten records don't go thru the word search parameters of the VBMS system very well? The good news is that I found it (the missing evidence), easily but the bad news is that the rater did not, so it's going to be a couple of more years before I see the results or a service connection now for these contentions? When I first reviewed the VBMS and how it works, I knew that from the Desert Storm Generation back, that hand \written records are going to be a major problem to contend with in terms of claims accuracy and getting the correct results. Frankly, unless the records are typewritten, there's a very good chance that they may just be overlooked and not considered at all --like mine this time? Unfortunately, my current civilian PCP does all of his notes handwritten and not one can hardly read them, but he's a great doctor?
Take Care..Rootbeer22
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