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Question About PTSD Re-Eval
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USAF K9
I'm sorry if I am posting in the wrong place. I wasn't sure where this should go.
I am prior Air Force, combat action medal from Iraq, blah, blah. Lots of issues from Iraq and base football, and other stuff.
I am 100% SC schedular, non P&T. I am 70% PTSD, 40% back, 20% for each leg bilateral radiculopathy, and a bunch of 10% ratings on my feet, knees, hands, etc.
I went to my first and only C&P for PTSD back in March 2019, so I have only been SC for PTSD for 4 months or so.
I recently filed claims for several other conditions (Sleep Apnea secondary to wt gain from PTSD and other disabilities, Fibromyalgia for Gulf War, Migraines from Gulf War, ED secondary to PTSD meds). I also provided a letter from a doctor saying I should be P&T. I would have left well enough alone after getting 100%, but the rating said I would be re-evaluated for my PTSD and my back, so I figured I may as well go for the jugular and overwhelm them with the rest of my issues, so maybe they give me P&T. I also THOUGHT I was safe from a re-eval since I had been rated so recently.
Anyway, despite me providing them records to fulfill all the necessary elements (favorable DBQs and nexus letters from Dr. Ellis, and diagnoses/sleep studies, etc. from my personal doctor) for all the new claims, they still sent me to a C&P for all the newly claimed conditions. Fine, I will play the game even though I sent you everything wrapped in a nice bow. But, then comes the part that threw me for a loop, and is my actual question:
I looked in ebenefits and see a request for a PTSD increase showing in the system, which I absolutely never asked for. I didn't even think I could go for an increase since I had only been rated like 4 months ago at that time. I also didn't think I rated 100%, based on the description in the CFR. Anyway, I call a bunch of people to ask what is going on and nobody has an answer. The VA acknowledged that they asked for the re-evaluation. I understand the VA can and will re-evaluate anytime, but it is a bit ridiculous, even for the VA, to do another PTSD exam 4 months after the first one. I would certainly understand if they re-evaluated my physical issues since I was seeing a primary care type C&P examiner for my new claims. But, it doesn't make sense to generate a request to have PTSD added to the mix after only 4 months.
Does anybody have any thoughts? Some have told me that this may be part of their process to determine if I should get P&T, but I had a VA phone rep read me the correspondence between the VA and the Psych, and nothing was mentioned about "find out if this dude is going to be messed up for the rest of his life," and I know the C&P psych certainly didn't ask any questions about permanency, and she actually seemed mildly annoyed that they sent me again so soon, especially when I told her I never requested an increase. BTW, the C&P seemed to go really well, so I am not super stressed about the outcome, but you never know. Actually, scratch that. I am pretty much constantly anxious about everything. But, the exam did seem to go well.
Anyway, if anyone has any thoughts about why they sent me for another C&P exam for PTSD so soon, I am all ears.
Thanks everyone!
P.S. This forum has been EXTREMELY helpful to me as I took myself from 20% up to 100% (and maybe back down again depending on what the VA says about my PTSD C&P exam). So, I thank you all for that.
Edited by USAF K9Link to comment
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USAF K9 8 posts
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ShrekTheTank
So there are a few issues here. That is pretty fast for a reevaluation, but not unheard of. So P&T you need your doctor to state this condition is a progressive or will never get better! You ne
GeekySquid
i wouldn't trust a VSO's offered medical opinion if it came spit shined and attached to a million dollars in gold bullion. 1) that is totally your call 2) why give up something that is aut
GeekySquid
any time you file new claims or a claim for increase the VA has to review your entire claim file, including for TDIU though that is not relevant to your situation as 100% schedular. This likely
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