I was med boarded through a WTU in 2011, recieved my determination in 2014. After the ourcome of the determination, I hired a Attourney. What hurt me in the determination is that the whole time since seperation, I was pregnant or breastfeeding and therefore that affected MD documentation following my seperation. Every time I went to the VA about things, they said that due to pregnancy etc OBGYN was my primary. I currently recieve 60%, but many of the things they sc with 0% or denied-which I am going to fight. So once I hired a lawyer, and I started to dilegently go to a civilian doctor, to recieve my treatment for all my issues. Fast forward, I have some areas that have empirical tests (sleep apnea, plms/rls from my awesome double board certified MD in sleep and ENT specialty)... but many of the things I recieved 0% on were due to ROM measurements not being limiting enough.
I did not discuss this with my primary care (my intent to claim/appeal bc I didn't want that to make him biased or stereorype me...many people do not understand the difference in MIL/VA disability and SSI/SSDI. They trasnfer their stereotypes of civilian disability over to MIL-related disability...), but all these issues have honestly been getting worse, and I want to get to the root issues. Anyways, my PC MD begun prescribing me gabapetin for nerve pain, cymbalta for fibromyalga, fiercet for headaches and baclopen for muscle spasms. The funny thing is that if you look at the things in my claim (whether denied, SC with any %, I meet all the related symptomology of fibromyalga). Plus there is plently of the same complaints while I was active, brought up to my medical team while in the warrior transition unit, and during my MEB. Just this last month I brought the associated questionaire for FM (It was the most important and I didn't want to overload him) for my MD to fill out. He kept delaying filling it out, and when I finally went to talk to him- he claimed at he didn't remeber diagnosing me with FM. I had even asked him like 6 months ago if other diagnostics or othger specialties needed to be considered- to confirm or rule out his diagnosis, to which he said there was no tests. He told me he didn't feel comfortable filling it out bc it was confusing and that he didn't want to fill out it wrong, and is referring me to a rhumetologist.
Granted...I should have asked for a referral a while back. But he even seemed iffy filling out the easy ones like headaches, etc. I requested a copy of all my treatment notes from him and his MD notes are sub par and do not mention much, and in some ways contradict. They are good enough to show the rheumatologist, and a perfect segway to let him know up front I want to figure out what is actually going on. My issue is that my attourney had already filed a appeal for some of the things in my original claim, and had filed a new condition for FM. I have gone through my C&P appt, but due to my wishy-washy PC MD, I will not have much other evidence from any forms I needed the PC MD to fill out. The sleep/ENT related ones are filling out and ready, and I might want to add TMJ which I have documented in MIL, flares when the FM stuff flares, and the DDS/MD is one of the ones that mentioned I should go see a rheumatologist beacuse it seems like I have systemic musculoskeletal issues that need to be looked at- FM, tmj, arthritis DDD/DA, msucle spasms, TMJ, etc etc.
I am dissapointed that certain primary MD's have no problem stating you have certain issues, treating and medicating, and getting paid for F/U's, but without offically diagnosising, or being willing to stand by their treatment, and diagnosis and "too confused" to fill out simple VA packets. If someone graduated medical school and residency, a VA packet is easy. One of my sisters is a MD and I talked to her at length after this happened, and she explained some of the possible reasons why, and that overall, a Rheumy and other specialty MD will be better at taking detailed notes, confidence in diagnosis, etc.
Has anyone else had issues like this with a MD not cooperating?
For DDD/DA, ROM is key, is there anyt exception to that? I have been reading through stuff and the painful motion(4.59) rule would work, or under MS system, Joints (4.45) d, e and f would apply to me, plus I have bad crepedation but my ROM isn't bad enough. Is there another way or terminology? I assume the VA is going to categorize it in the way that best suits them. I do have ddd of the cervical and lumbarsacral- the SI- L5-S1 with osteophyte and boney islands. In my C5/C6 I have a buldging disc, which hasnt had a mri or CT since 2010 during my MEB. The rules they did consider were not the ones I listed above, and unless there is another reason, I guess they considered those to benefit them...
I can include my original claim, and determination details below in a bit if its is helps, just let me know. I apologize if my post is scattered. I have been reading, researching, plus I have taken some classes in A&P, and have a civilian sister who is a MD who can better explain medical things if I need clarification. My issue is that there are so many working parts and variables, not to mention the variables of the VA system. At this point, I am not letting the set back from my PC MD bring me down, I just need to refocus and learn from my oversights... I plan on expalining more, but I tend to be very thorough in figuring out and researching things and don't want to overload anyone willing to read my post. I tend to be long winded and for that, I apologize.
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invisible
I was med boarded through a WTU in 2011, recieved my determination in 2014. After the ourcome of the determination, I hired a Attourney. What hurt me in the determination is that the whole time since seperation, I was pregnant or breastfeeding and therefore that affected MD documentation following my seperation. Every time I went to the VA about things, they said that due to pregnancy etc OBGYN was my primary. I currently recieve 60%, but many of the things they sc with 0% or denied-which I am going to fight. So once I hired a lawyer, and I started to dilegently go to a civilian doctor, to recieve my treatment for all my issues. Fast forward, I have some areas that have empirical tests (sleep apnea, plms/rls from my awesome double board certified MD in sleep and ENT specialty)... but many of the things I recieved 0% on were due to ROM measurements not being limiting enough.
I did not discuss this with my primary care (my intent to claim/appeal bc I didn't want that to make him biased or stereorype me...many people do not understand the difference in MIL/VA disability and SSI/SSDI. They trasnfer their stereotypes of civilian disability over to MIL-related disability...), but all these issues have honestly been getting worse, and I want to get to the root issues. Anyways, my PC MD begun prescribing me gabapetin for nerve pain, cymbalta for fibromyalga, fiercet for headaches and baclopen for muscle spasms. The funny thing is that if you look at the things in my claim (whether denied, SC with any %, I meet all the related symptomology of fibromyalga). Plus there is plently of the same complaints while I was active, brought up to my medical team while in the warrior transition unit, and during my MEB. Just this last month I brought the associated questionaire for FM (It was the most important and I didn't want to overload him) for my MD to fill out. He kept delaying filling it out, and when I finally went to talk to him- he claimed at he didn't remeber diagnosing me with FM. I had even asked him like 6 months ago if other diagnostics or othger specialties needed to be considered- to confirm or rule out his diagnosis, to which he said there was no tests. He told me he didn't feel comfortable filling it out bc it was confusing and that he didn't want to fill out it wrong, and is referring me to a rhumetologist.
Granted...I should have asked for a referral a while back. But he even seemed iffy filling out the easy ones like headaches, etc. I requested a copy of all my treatment notes from him and his MD notes are sub par and do not mention much, and in some ways contradict. They are good enough to show the rheumatologist, and a perfect segway to let him know up front I want to figure out what is actually going on. My issue is that my attourney had already filed a appeal for some of the things in my original claim, and had filed a new condition for FM. I have gone through my C&P appt, but due to my wishy-washy PC MD, I will not have much other evidence from any forms I needed the PC MD to fill out. The sleep/ENT related ones are filling out and ready, and I might want to add TMJ which I have documented in MIL, flares when the FM stuff flares, and the DDS/MD is one of the ones that mentioned I should go see a rheumatologist beacuse it seems like I have systemic musculoskeletal issues that need to be looked at- FM, tmj, arthritis DDD/DA, msucle spasms, TMJ, etc etc.
I am dissapointed that certain primary MD's have no problem stating you have certain issues, treating and medicating, and getting paid for F/U's, but without offically diagnosising, or being willing to stand by their treatment, and diagnosis and "too confused" to fill out simple VA packets. If someone graduated medical school and residency, a VA packet is easy. One of my sisters is a MD and I talked to her at length after this happened, and she explained some of the possible reasons why, and that overall, a Rheumy and other specialty MD will be better at taking detailed notes, confidence in diagnosis, etc.
Has anyone else had issues like this with a MD not cooperating?
For DDD/DA, ROM is key, is there anyt exception to that? I have been reading through stuff and the painful motion(4.59) rule would work, or under MS system, Joints (4.45) d, e and f would apply to me, plus I have bad crepedation but my ROM isn't bad enough. Is there another way or terminology? I assume the VA is going to categorize it in the way that best suits them. I do have ddd of the cervical and lumbarsacral- the SI- L5-S1 with osteophyte and boney islands. In my C5/C6 I have a buldging disc, which hasnt had a mri or CT since 2010 during my MEB. The rules they did consider were not the ones I listed above, and unless there is another reason, I guess they considered those to benefit them...
I can include my original claim, and determination details below in a bit if its is helps, just let me know. I apologize if my post is scattered. I have been reading, researching, plus I have taken some classes in A&P, and have a civilian sister who is a MD who can better explain medical things if I need clarification. My issue is that there are so many working parts and variables, not to mention the variables of the VA system. At this point, I am not letting the set back from my PC MD bring me down, I just need to refocus and learn from my oversights... I plan on expalining more, but I tend to be very thorough in figuring out and researching things and don't want to overload anyone willing to read my post. I tend to be long winded and for that, I apologize.
Thanks in advance!
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USMC_VET
if you want to, theres no requirement at all i would rather have the vets get the info i have and others have had to learn the hard way. feel free to email, post, send, etc to anyone and everyone.
Buck52
Some Dr's will help out a veteran (veteran friendly) & Unfortunately some won't... I had the same thing happen so I got a private Doc specialist and ask him if he would go by the VA standards (gu
USMC_VET
VA Form 3288 is the official form for C-File requests. The VA now considers C-File requests as a seperate "claim" so know that if you file for your c file request and have a claim pending that they w
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