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Nurse Practicioner vs Medical Dr. Opinions


I'll try to be brief.


I was originally denied service connection for headaches, depression, and a left knee and right knee condition. However after reviewing my medical records; my VA Medical Dr. drafted a nexus letter in my favor (using the proper language *more than likely*) stating that these conditions were service connected. Months after this letter was submitted I had a QTC exam for my depression and this particular issue was found to be present. Then right when I enter "preparation for decision" in September 2016, the VA decides they need more evidence and request a C&P exam. I go to this exam in October and the opinion is later rendered that my headaches are a result of high estrogen levels from birth control and that my knee conditions were not valid because I was cleared from physical therapy in August 2012. 


My thoughts were that in order to determine that the estrogen levels were causing my headaches, I would need to have blood work done. I DID NOT HAVE ANY DONE. Secondly, I found samples in my medical record before ever being prescribed birth control in October 2008 where I complained of "Severe and Unusual Headaches". In my separation paperwork, I stated that I felt dizzy and often still had headaches. Additionally, I was diaganosed with patellofemoral syndrome in August 2008. I was cleared from physical therapy August 2012, but before separation I informed them that I was still having pain and was suffering from swelling as well.

Aside from this evidence that I submitted and my Medical Doctor Reviewed, my Dr. also was able to see to the same findings and diagnosed my headaches as migraines.

So my question and my concerns is Which one will be weighted more? The opinion of the nurse practitioner who did my C&P exam. Or the Medical Doctor who wrote the nexus letter?  


All Opinions Welcome.

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