hypertension Nurse Practioner

Tower_Rat · November 22, 2006

What does everyone think about a nurse practioner that gives the C&P exam. I had what they call C&P for sleep apnea, heart problems including hypertension, gastreal reflux disease or gerd with hiatial hernia. All of these I secondaried to my PTSD claim. Well they blasted me on the secondary claims and hit a home run with the PTSD claim. The PTSD was done by a qualified psychologist and the others were done by a FNP (nurse practioner) who said that none of them were related. (WTF) I had other evidence that said they were but, this guy at the end of his statement said he had researched it on the internet and found nothing. I looked it up myself on the VA.GOV site under health and found it myself. What a turd this guy was. I found out that the nurse practioners just examine you and then someone else from a different hospital signs it as the doctor and thats how they get away with a nurse practioner examining a veteran. They just have a real doctor sign it after to make it official even though the real doctor didnt even see you. Now im waiting on the decision by the RO at the Rating board. Which I already know that they are going to deny the secondary claims i guess. I asked my VSO and they said that they couldnt do anything until they hear from the RO. Then we could file i guess an NOD. I cant believe they just cant even look up stuff on their own website. Theres also plenty of cases that went through the BVA that were approved for the same exact things as secondary. What a bunch of BS. They said because I smoked and drank when in the military that it was the cause of all the secondary stuff. Which I dont do either now and havent for over 2 years. Whatever happened to self medication for PTSD?

I hope no one has to go through all this garbage at the VA and RO like I have its a bunch of crap. I think they their denying my secondary claims cuz there gonna IU my primary PTSD claim so they dont have to pay me the back pay for it.

Thanx everyone for your support, Im glad there is always someone to talk to on hadit.com that knows something about the system, and how screwed up it is.

Josephine · November 22, 2006

I know what I did. I immmediately filed a rebuttal to the C&P and hand delivered a copy to the medical center and one to the R.O.

I ask for another C&P which was denied of course, as they had the answer the Va. wanted.

Now I am at the AMC by way of the BVA for an investigation of the C&P.

Bring your evidence forward and let them know that you are right and the nurse is incorrect.

I can bet if the Nurse had said yes, then they would have located a medical doctor to over ride her and give you a no.

Just my thoughts.

Josephine

Edited November 22, 2006 by Josephine

Tower_Rat · November 22, 2006

thanx

I know what the F stands for now in the FNP nurse practioner abbreviation LOL

john999 · November 22, 2006

Tower Rat

According to what I have read having a NP do your C&P is grounds for asking for a new exam based on an inadequate exam. You are supposed to be seen by an MD. Did the NP have your claims file on hand? if not that is another ground for getting a new exam.

cowgirl · November 22, 2006

Tower Rat

According to what I have read having a NP do your C&P is grounds for asking for a new exam based on an inadequate exam. You are supposed to be seen by an MD. Did the NP have your claims file on hand? if not that is another ground for getting a new exam.

John, two questions related to your response here;

A.Do you think VA medical practioners FNP.NP,MD etc have access to our Cfiles on computer when they examine us? Or do they need paper copies or permission to view the files?

B. Regards my years old C&P pysch exam, is there any recourse other than submitting to the Cfile a personal letter rebutting or at least commenting on the very descriptiive insulting and biased comments made about me? I had such a horrible experience that didnt udnerstand that I could request a second exam without reprisal. Just wondering; Thanks again and again, cg

betrayed · November 22, 2006

Tower Rat

According to what I have read having a NP do your C&P is grounds for asking for a new exam based on an inadequate exam. You are supposed to be seen by an MD. Did the NP have your claims file on hand? if not that is another ground for getting a new exam.

NOT TRUE, A NP CAN DO A C&P AS LONG AS IT IS COUNTER SIGNED BY A DOC.............I'M NOT SAYING THEY ARE GOOD I FILED A MALPRACTICE COMPLAINT WITH THE VA OIG ON A NP AND THE LETTER I GOT FROM THE OIG SAYS THEY ARE INVESTIGATING IT

Tower_Rat · November 22, 2006

Yes they looked at my C-file or they said they had access to it. Since I filed primary and secondary at the same time I dont want to mess up my primary C&P for PTSD which was a slam dunk and home run for me. Its the secondary claims that they screwed me on. Is it possible to just take the secondary claims again, or will they make me do all of it all over again since their linked together by the claim?

Its just so stupid since I found all the information that their connected on their own website va.gov I guess they dont use there own website for info. I think ill scan these C&P's so everyone can read the BS that their doing. Also it would be a good learning experience for those that have yet to go to one.

Tower Rat