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Bladder C&P complete today!


Hello everyone! @Buck52@Gastone@Berta@Navy4life@Andyman73 and everyone else that has been following my case and chiming in! first of all, thank you for taking your time to comment on these threads and questions. Ok...so i went to the bladder C&P today...pretty standard...she just went through the DBQ and asked all the questions on there.  she typed word for word what i said and did a quick urinalysis and exam.  She just kind of palpated the area that was tender and then stopped when i told her of my discomfort.  she had all my records and i also brought in every file that i had on the matter.  She told me that she couldn't believe how organized i was and thanked me, but she did not need to review anything i had, because she already had my C file in front of her.  I also told her at the end that the recent diagnosis given to me for PTSD by the other C&P doctor, has exacerbated (made worse) my bladder condition.  She did tell me that on her "side", she only does medical and nothing to do with PTSD, however the bladder condition is secondary to PTSD/MST.  i was kinda confused by her answer.  I did fully remind her that chronic pain can definitely exacerbate the PTSD.  She told me she would review the records and send all the info to the regional office.  I am still confused as to why the PTSD was deferred with the bladder?? the regional office said that they did not need anything else, just the bladder C&P.  so.....my question is, since the bladder is secondary to the PTSD/MST, are they just waiting to hear the bladder results stuff and gonna rate them together??? i know i sound like a broken record, but what do you guys think they may do?  all of my bladder exam stuff points to 60%.....she also asked me how it stops me from working and i told her that i have been on SSDI for 3 years now and due to pain management, sleep issues and voiding dysfunction, that i am absolutely unable to work....the psych doctor also stated total occupational and social impairment.  how do secondary conditions work?  will i get rated for the bladder together with the PTSD/MST or are they separate? i am still so confused! please give me your comments!!!!!


Florida nurse

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I had a similar somewhat negative C & P early 5/15 for a Secondary SA Increase and the Rater agreed with him, Increase Denied 07/15, Reversed by Quality Review by a Sr Rater mid 12/15. He agreed with me on all contentions. Resulted in a 100% SA SC, bumped from 50%.

The 5/15 VA C & P GP Dr, actually told me I was wasting both our time, the 50% SA SC was the most I could get. Even after I tried to discuss my view of now qualifying by virtue of the "ORs" listed as required for the 100% SC. 1st time I really ever ran into a Negative C & P Dr. Probably should take a copy of my Award to him.

You should know soon enough. It's Easy for me to say, try not to worry, good luck with that, right. Really, there's not much more you can do now but wait.

Semper Fi

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Excuse me floridianurse.

what is wrong with your bladder? The Bladder condition is secondary to your MST/PTSD.

Is that caused from  your MST?  You do have medical rational  that opines the two together? right?

The different C & P Exams are to determine the difference in symptoms  cause by or aggravated by MST, You need a PTSD  C&P (WHICH YOU HAVE HAD) And also C&P for the Bladder condition, the last C&P  for your bladder condition is probably the most critical part of your claim..what that  examiner puts in her report will determine how they rate this .b/c only you know whats in your C-FILE and of course the Examiners....when you know whats in your C&P then you can look up the ratings  for that particular contention and make sure they don't low-ball you on your ratings....

you need to see what that last examiner put in her report for your  claim of secondary bladder condition to MST/PTSD   IF you had this last C&P at the VAMC  then you can get the report after 3 days  if it was contracted out by VA to QTC /VES  You have to wait at least 2 weeks  then go to the VBA office  (Veteran Benefits Adminstration0 Ask for a copy of your last C&P Exam.

I am not that well informed on MST Claims  but got to be careful b/c They can't rate two of the same systoms that are different but actually caused by or aggravated by one another. Check out Pyramiding  Avoidance of pyramiding 4.14 and 43.8

I think they have to rate them separate but Im not sure?  if they do and you are at a 60% SC Rating  and can't work b/c of the pain   you should request TDIU P&T , other wise they may hold you at a 70% 80%or 90% rating  if they do that  it will be hard for you to ever reach the 100%



I can't help you much anymore for this reason...and I don't want to miss-inform you

Edited by Buck52
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yes the bladder condition is secondary to the PTSD/MST and the bladder exam was done at a VAMC in Pensacola.  The two are already medically tied together.  I was just wondering why the PTSD claim was not rated yet? Because of the bladder C&P?

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2 minutes ago, floridanurse said:


yes the bladder condition is secondary to the PTSD/MST and the bladder exam was done at a VAMC in Pensacola.  The two are already medically tied together.  I was just wondering why the PTSD claim was not rated yet? Because of the bladder C&P?

yes I understand that   re read my post above.

You should be able to get your Last C&P Results after 3 days   if the VA did the C&P at your VAC...OR  off ebenefits

Edited by Buck52

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