migraine headaches

[KC3]

Hello, in April of 2015 I had a C&P exam in which prostrating and prolonged attacks severe economic inadaptability was marked(usually 50%;). The examiner voluntarily told me that he 100% agrees with my physician. Well in the end he came up with less likely than not due to it not being in my SMR, however migraine headaches are in my SMR so he in turn lied twice. My Neurologist wrote a letter saying he's board certified, review of all service / private medical records, rationale,  a more likely than not opinion and included his vitae. He  discredited the C&P examiner in the process. I got the nexus letter and  6 lay statements(both military and civilian) during my 365 days to appeal. I suffer from about 15 plus headaches per month including 4-6 where I have to lay down in dark quiet room and hope I am fortunate enough not to have to use the waste basket beside the bed. I miss several days of work a month. I have been laid off due to missing time before. My VSO is encouraging me to use the RAMP since I have not done anything with my appeal in 2 years.

My question is this; If I do the Ramp, Will I receive another C&P exam and if so, will my neurologist letter and the lay evidence be taken into consideration by both the higher level review and C&P examiner? 

[Vync]

Good question, but your appeal sounds solid. Getting SC either way sounds promising.

I don't have a lot of experience with RAMP, but the VA may try to apply a staged rating. That's where they give you the 50% rating backdated to when you filed, but request a new C&P to determine a "current" rating going forward. The best way to prepare for potential new migraine C&P exams is to keep copies of your treatment records and a migraine diary.