ptsd C&P Results Kindey/Migrains

[IraqVet]

Attached is my results for my C&P for Kidney stones.....already rated 30%, and Migraines currently rated 0%. I have application in for TDIU pending. Total I am combined rated 70%

Can anyone tell me what the blood work results mean.....from what I can tell it seems to show a EGFR greater than 60.....according to chart says kidney function mildly decreased. Also albumin level of 30 that states is high?

The Nurse practitioner noted ...ie I put a star next to in report that albumin level is abnormal 30, and my EGFR is greater that 60.......yet On number three I have it circled Renal dysfunction Does the veteran have renal dysfunction ? Evidence of dysfunction includes either persistent protienuria, hematuria, or GFR of <60...she checked NO.

This makes no sense when I can clearly see that my protienuria she has marked as abnormal ...and by their own chart show 30 as a level that is concurrent with mild decrease in kidney function. 

The purpose of the C&P was to see if kidney stones that I am rated at 30% with keep me from working. I am also rated 50% for PTSD. What I am getting at though is this showing that I can get an increase on my rating for kidneys because of a decrease in kidney function.....Also do you think the report for Kidneys is favorable for TDIU? 

Blood Results.pdf

[broncovet]

It looks like this went unanswered, so I will do my best.

1.  Kidney Stone increase.  Since this is already SC, you need to demonstrate that your condition worsened, since your last exam where you got rated.   Im not qualified to opine on medical issues.  However, remember they are rated on SYMPTOMS.  I dont think a "EGFR greater than 60" is a symptom.  Pain is a symptom.  Frequent or painful urination is a symptom.  But not "EGFR greater than 60" unless it is specified in the rating criteria.  This said, your albumin level COULD mean that your kidney function was more than "mildly decreased.".    You have 2 issues here:  1)Are you appealing your 30% for kidneys or 2) Are you applying for an increase?  These are different.  If you are seeking an increase, then you agree with the rating, but say it got worse, and you will need to demonstrate the severity increased.  If you are appealing it, however, you are saying they never did get it right.  

2.  If she checked "no" and that is inaccurate, then the procedure if for you seek to amend (correct) your medical records as follows:

1.579 Amendment of records.

(a) Any individual may request amendment of any Department of Veterans Affairs record pertaining to him or her. Not later than 10 days (excluding Saturdays, Sundays, and legal public holidays) after the date or receipt of such request, the Department of Veterans Affairs will acknowledge in writing such receipt. The Department of Veterans Affairs will complete the review to amend or correct a record as soon as reasonably possible, normally within 30 days from the receipt of the request (excluding Saturdays, Sundays, and legal public holidays) unless unusual circumstances preclude completing action within that time. The Department of Veterans Affairs will promptly either:

(1) Correct any part thereof which the individual believes is not accurate, relevant, timely or complete; or

(2) Inform the individual of the Department of Veterans Affairs refusal to amend the record in accordance with his or her request, the reason for the refusal, the procedures by which the individual may request a review of that refusal by the Secretary or designee, and the name and address of such official.

(Authority: 5 U.S.C. 552a(d)(2))

(b) The administration or staff office having jurisdiction over the records involved will establish procedures for reviewing a request from an individual concerning the amendment of any record or information pertaining to the individual, for making a determination on the request, for an appeal within the Department of Veterans Affairs of an initial adverse Department of Veterans Affairs determination, and for whatever additional means may be necessary for each individual to be able to exercise fully, his or her right under 5 U.S.C. 552a.

(1) Headquarters officials designated as responsible for the amendment of records or information located in Central Office and under their jurisdiction include, but are not limited to: Secretary; Deputy Secretary, as well as other appropriate individuals responsible for the conduct of business within the various Department of Veterans Affairs administrations and staff offices. These officials will determine and advise the requester of the identifying information required to relate the request to the appropriate record, evaluate and grant or deny requests to amend, review initial adverse determinations upon request, and assist requesters desiring to amend or appeal initial adverse determinations or learn further of the provisions for judicial review.

(2) The following field officials are designated as responsible for the amendment of records or information located in facilities under their jurisdiction, as appropriate: The Director of each Center, Domiciliary, Medical Center, Outpatient Clinic, Regional Office, Supply Depot, and Regional Counsels. These officials will function in the same manner at field facilities as that specified in the preceding subparagraph for headquarters officials in Central Office.

(Authority: 5 U.S.C. 552a(f)(4))

(c) Any individual who disagrees with the Department of Veterans Affairs refusal to amend his or her record may request a review of such refusal. The Department of Veterans Affairs will complete such review not later than 30 days (excluding Saturdays, Sundays, and legal public holidays) from the date on which the individual request such review and make a final determination unless, for good cause shown, the Secretary extends such 30-day period. If, after review, the Secretary or designee also refuses to amend the record in accordance with the request the individual will be advised of the right to file with the Department of Veterans Affairs a concise statement setting forth the reasons for his or her disagreement with the Department of Veterans Affairs refusal and also advise of the provisions for judicial review of the reviewing official's determination. (5 U.S.C. 552a(g)(1)(A))

(d) In any disclosure, containing information about which the individual has filed a statement of disagreement, occurring after the filing of the statement under paragraph (c) of this section, the Department of Veterans Affairs will clearly note any part of the record which is disputed and provide copies of the statement (and, if the Department of Veterans Affairs deems it appropriate, copies of a concise statement of the Department of Veterans Affairs reasons for not making the amendments requested) to persons or other agencies to whom the disputed record has been disclosed. (5 U.S.C. 552a(d)(4)) (38 U.S.C. 501)

[47 FR 16324, Apr. 16, 1982]

 

Lastly, on the issue of TDIU:

    You need to have a doctor opine that you are unable to maintain substantial gainful employment due to Service connected conditions.  Therefore, I will ask you:  Did you order a copy of your cfile (if not, you should do so), and did a doctor say that your SC medical conditions prevent you from obtaining or sustaining substantial gainful employment?  If he did, then you are on your way as long as you filed the applicable TDIU form.  (no form filed, and you will be administratevely denied).  If you do not have a previously mentioned doc statement, then you will likely need one to get approved for TDIU.  

[Navy04]

Dont know much about this, but glad you made it thru the exams. Good luck and keep us posted. Happy New Year