5 Year Review (All ailments or only some?)

[ArmyVet270]

Hello,

I have a question about the first 5 year review of C&P Exams. I have 7 conditions that are rated Lumbar Spine 40%, Insomnia/Anxiety Disorder 10%, Migraines 0%, Ankle 10%, Bilateral Pea Plants 30%, Tinnitus 10% & Gastro 60% for a combine rating of 90%.

My gastro was a reconsideration with surgical scope and biopsies and private dbq was accepted. All other ailments were from initial ETS physical and 1st C&P Exam. 

I currently use the VA for primary medical care and have all my medications prescribed through them. 

 

My question is the 5 year review for each and every ailment or is the VA going to let me know what is under reconsideration?

Only 1 condition Back states at the bottom of the write up "Since there is a likelihood of improvement, the assigned evaluation is not considered permanent and is subject to a future review".

The majority of my conditions are basically treated with a regiment of medication I get from the VA and the standard 6-9 month checkups barring any acute instances. 

The VA Health care is great but the administrative side of consistently proving or re-justifying ones ailments is mentally stressful. I guess I just don't know what the threshold of acceptable is like is there a certain amount of appointments I need or checkups with specialists other than just continuing my regiment of medications and VA checkups like I have been. 

Thanks for any potential insights and have a great day!

ArmyVet

[pwrslm]

VA was dinged by the IG for unnecessary C&P exams over the last year.

I would make sure that your VA PCP thoroughly documents your migraines. Review the DBQ associated with migraines and get the PCP to enter as much into the record as you can that the DBQ asks for. Once it is done, get a copy of your blue-button report from the EVet sight 3 or 4 days after your appointment when it updates. In the BB report, highlight the documentation, and bookmark it in PDF format. Write a short note to "whom it may concern" about the documentation you are providing, and drag it in PDF format into the beginning of the BB report before you upload it. Upload it as VA/Govt medical records.

This is acceptable clinical evidence.  The rating official can send this information to a medical professional for an opinion if its necessary. They might still send you to the C&P, but because of the evidence submitted in the BB report, you are way ahead of the game.

 

Note that over  55, both USC and CFR, as well as the VBA''s M21 training manual forbid them from conducting C&P re-examinations without specifically noted causes. I was scheduled for 3 C&P exams in 2.5 years, and the last one I raised cane and they cancelled the entire exam, and completely deleted it from the record.

Edited February 4, 2019 by pwrslm

[vetquest]

11 hours ago, pwrslm said:

Note that over  55, both USC and CFR, as well as the VBA''s M21 training manual forbid them from conducting C&P re-examinations without specifically noted causes. I was scheduled for 3 C&P exams in 2.5 years, and the last one I raised cane and they cancelled the entire exam, and completely deleted it from the record.

Good info sir.