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QTC exam that does not require attendance

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Foxhound6

Question

Got a letter regarding my deferred neck claim from recent exam. QTC has to send my file to another MD to review and fill out the DBQ based on last exam I had (which was only a few weeks ago). I assume this could be due to the person who did my exam was not qualified to complete that specific DBQ? This is a new one for me lol

Edited by Foxhound6

         100% IU + P&T (90% Overall)

  • 10% Left Knee Strain, Instability, Internal Derangement to include Shin Splint
    • 70% Depressive Disorder due to another medical condition, with major depressive-like episode with anxious distress
    • 40% Degenerative Spondylosis, Thoracolumbar Spine with Degenerative Disc Disease (Previously rated as Degenerative Disc Disease with Arthritis, Lumbar Spine)
    • 10% Radiculopathy - Lower Left Extremity - Sciatic
    • 10% Radiculopathy - Lower Right Extremity - Sciatic
    • 10% Left Knee Limitation of Flexion - Lower Left Extremity

_________________________________________________________

B.S. Criminal Justice Administration, University of Phoenix, 2015

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Was your first exam by QTC or VA?  Probably just need some clarification on the first exam.  Be glad it's QTC.  I've had all my claims approved by QTC.  Even one's were the VA tried to script their DBQ to deny.  I'll give VA props, they deferred it for a second opinion due to the VA C&P's oddball exam and overwhelming evidence in my medical file.

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19 minutes ago, El Train said:

Was your first exam by QTC or VA?  Probably just need some clarification on the first exam.  Be glad it's QTC.  I've had all my claims approved by QTC.  Even one's were the VA tried to script their DBQ to deny.  I'll give VA props, they deferred it for a second opinion due to the VA C&P's oddball exam and overwhelming evidence in my medical file.

I have a feeling it may be what you are describing. Really, the VA examiner from 2019 is what screwed them. He failed to opine on secondary condition and that is what gave me the new exam a couple weeks ago. The exam that I had a few weeks ago was also QTC. They approved my back and radiculopathy and they were on the same claim. So, I assume either they needed more clarification on something or wanted someone with more medical knowledge to do it? It is odd that the examiner would have completed my back portion but had to defer my neck? I understand that internal medicine doctors are usually consulted when an injury affect multiple systems/body parts as they have more of that knowledge to link one issue to another. It could be that they feel my neck issue is more related to my back issue and not my SC knee issue, if that makes sense.

         100% IU + P&T (90% Overall)

  • 10% Left Knee Strain, Instability, Internal Derangement to include Shin Splint
    • 70% Depressive Disorder due to another medical condition, with major depressive-like episode with anxious distress
    • 40% Degenerative Spondylosis, Thoracolumbar Spine with Degenerative Disc Disease (Previously rated as Degenerative Disc Disease with Arthritis, Lumbar Spine)
    • 10% Radiculopathy - Lower Left Extremity - Sciatic
    • 10% Radiculopathy - Lower Right Extremity - Sciatic
    • 10% Left Knee Limitation of Flexion - Lower Left Extremity

_________________________________________________________

B.S. Criminal Justice Administration, University of Phoenix, 2015

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Different sets of peripheral nerves, different sets of potential lower lumbar and cervical. That’s why there are two different dbqs. 

The Earth is degenerating these days. Bribery and corruption abound.Children no longer mind their parents, every man wants to write a book,and it is evident that the end of the world is fast approaching. --17 different possible sources, all lacking verifiable attribution.

B.S. Doane College, Mgt Info Systems/Systems Analysis 2008

M.S.Ed. Purdue University, Instructional Development and Technology, Feb. 2021

M.S. Purdue University Information Technology/InfoSec, Dec 2022

100% P/T

MDD

Spine

Radiculopathy

Sleep Apnea

Some other stuff

-------------------------------------------
B.S. Info Systems Mgt/Systems Analysis-Doane College 2008
M.S. Instructional Technology and Design- Purdue University 2021

 

(I AM NOT A RATER- I work the claims BEFORE they are rated, annotating medical evidence in your records, VA and Legal documents,  and DA/DD forms- basically a paralegal/vso/etc except that I also evaluate your records based on Caluza and try to justify and schedule the exams that you go to based on whether or not your records have enough in them to warrant those)

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  • HadIt.com Elder

To make you feel some what better  if your exam is with QTC I was ok with them the examiners ask questions and were actually pleasant.

This is what I call the luck of the draw...all C&P examiners are not the same.

Hope you get a good one this time. And a favorable exam report.

 

I am not an Attorney or VSO, any advice I provide is not to be construed as legal advice, therefore not to be held out for liable BUCK!!!

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3 hours ago, brokensoldier244th said:

Different sets of peripheral nerves, different sets of potential lower lumbar and cervical. That’s why there are two different dbqs. 

I understood that. I was just perplexed as to why my examiner couldn't do the neck dbq. As said tho, It may be due to those different sets of things you mentioned

         100% IU + P&T (90% Overall)

  • 10% Left Knee Strain, Instability, Internal Derangement to include Shin Splint
    • 70% Depressive Disorder due to another medical condition, with major depressive-like episode with anxious distress
    • 40% Degenerative Spondylosis, Thoracolumbar Spine with Degenerative Disc Disease (Previously rated as Degenerative Disc Disease with Arthritis, Lumbar Spine)
    • 10% Radiculopathy - Lower Left Extremity - Sciatic
    • 10% Radiculopathy - Lower Right Extremity - Sciatic
    • 10% Left Knee Limitation of Flexion - Lower Left Extremity

_________________________________________________________

B.S. Criminal Justice Administration, University of Phoenix, 2015

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52 minutes ago, Buck52 said:

To make you feel some what better  if your exam is with QTC I was ok with them the examiners ask questions and were actually pleasant.

This is what I call the luck of the draw...all C&P examiners are not the same.

Hope you get a good one this time. And a favorable exam report.

 

Me too. The examiner I had for the back portion (he did my neck measurements too) was good. Pretty laid back too. Younger. Oddly though I think this next examiner is strictly going off of my exam done by previous examiner. He opined favorably. Just dont know how this will work out.

         100% IU + P&T (90% Overall)

  • 10% Left Knee Strain, Instability, Internal Derangement to include Shin Splint
    • 70% Depressive Disorder due to another medical condition, with major depressive-like episode with anxious distress
    • 40% Degenerative Spondylosis, Thoracolumbar Spine with Degenerative Disc Disease (Previously rated as Degenerative Disc Disease with Arthritis, Lumbar Spine)
    • 10% Radiculopathy - Lower Left Extremity - Sciatic
    • 10% Radiculopathy - Lower Right Extremity - Sciatic
    • 10% Left Knee Limitation of Flexion - Lower Left Extremity

_________________________________________________________

B.S. Criminal Justice Administration, University of Phoenix, 2015

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