Can anyone explain the difference between a C&P examiners Medical Statement vs a Medical Opinion?
I'm reading up on Gulf War Medical Exams. I had a Gulf War Medical C&P exam in August which lasted 4 hours; this exam consisted of many DBQs, including one for CFS. Although, I'd already had a C&P exam a few months prior for CFS. It took 6 weeks for the examiner to get the report to the VBA. A few days ago, the VBA just requested another C&P exam for the CFS for "rework" and a medical opinion for CFS. I don't know if I have to attend an exam or if this is something that the C&P examiner is going to do with what's already in the file. I haven't gotten a call yet from VES and when I called them, they didn't really seem to know if I actually had to go in for another C&P exam or not- just said someone would be contacting me to schedule an appointment (?).
From what I'm reading in the DMA Gulf War General Medical Examination training Sorting Symptoms Exercise (sharedfedtraining.org), certain conditions require Medical Statements and other require Medical Opinions.
The training says for CFS, the examiner is required to provide a medical statement but not a nexus medical opinion. For migraine headaches the examiner is required to provide a Medical Nexus Opinion.
I'm wondering why the VBA is requesting a medical opinion if they only need a medical statement for the CFS exam report. From my understating the medical opinion is the one where the examiner has to state the "as least as likely as not" VA language, but I don't know what the VBA wants the examiner to say in a medical statement.
These decisions have made a big impact on how VA disability claims are handled, giving veterans more chances to get benefits and clearing up important issues.
Service Connection
Frost v. Shulkin (2017)
This case established that for secondary service connection claims, the primary service-connected disability does not need to be service-connected or diagnosed at the time the secondary condition is incurred 1. This allows veterans to potentially receive secondary service connection for conditions that developed before their primary condition was officially service-connected.
Saunders v. Wilkie (2018)
The Federal Circuit ruled that pain alone, without an accompanying diagnosed condition, can constitute a disability for VA compensation purposes if it results in functional impairment 1. This overturned previous precedent that required an underlying pathology for pain to be considered a disability.
Effective Dates
Martinez v. McDonough (2023)
This case dealt with the denial of an earlier effective date for a total disability rating based on individual unemployability (TDIU) 2. It addressed issues around the validity of appeal withdrawals and the consideration of cognitive impairment in such decisions.
I met with a VSO today at my VA Hospital who was very knowledgeable and very helpful. We decided I should submit a few new claims which we did. He told me that he didn't need copies of my military records that showed my sick call notations related to any of the claims. He said that the VA now has entire military medical record on file and would find the record(s) in their own file. It seemed odd to me as my service dates back to 1981 and spans 34 years through my retirement in 2015. It sure seemed to make more sense for me to give him copies of my military medical record pages that document the injuries as I'd already had them with me. He didn't want my copies. Anyone have any information on this. Much thanks in advance.
Caluza Triangle – Caluza vs Brown defined what is necessary for service connection. See COVA– CALUZA V. BROWN–TOTAL RECALL
This has to be MEDICALLY Documented in your records:
Current Diagnosis. (No diagnosis, no Service Connection.)
In-Service Event or Aggravation.
Nexus (link- cause and effect- connection) or Doctor’s Statement close to: “The Veteran’s (current diagnosis) is at least as likely due to x Event in military service”
VA has gotten away with (mis) interpreting their ambigious, , vague regulations, then enforcing them willy nilly never in Veterans favor.
They justify all this to congress by calling themselves a "pro claimant Veteran friendly organization" who grants the benefit of the doubt to Veterans.
This is not true,
Proof:
About 80-90 percent of Veterans are initially denied by VA, pushing us into a massive backlog of appeals, or worse, sending impoverished Veterans "to the homeless streets" because when they cant work, they can not keep their home. I was one of those Veterans who they denied for a bogus reason: "Its been too long since military service". This is bogus because its not one of the criteria for service connection, but simply made up by VA. And, I was a homeless Vet, albeit a short time, mostly due to the kindness of strangers and friends.
Hadit would not be necessary if, indeed, VA gave Veterans the benefit of the doubt, and processed our claims efficiently and paid us promptly. The VA is broken.
A huge percentage (nearly 100 percent) of Veterans who do get 100 percent, do so only after lengthy appeals. I have answered questions for thousands of Veterans, and can only name ONE person who got their benefits correct on the first Regional Office decision. All of the rest of us pretty much had lengthy frustrating appeals, mostly having to appeal multiple multiple times like I did.
I wish I know how VA gets away with lying to congress about how "VA is a claimant friendly system, where the Veteran is given the benefit of the doubt". Then how come so many Veterans are homeless, and how come 22 Veterans take their life each day? Va likes to blame the Veterans, not their system.
Question
Lavish
Can anyone explain the difference between a C&P examiners Medical Statement vs a Medical Opinion?
I'm reading up on Gulf War Medical Exams. I had a Gulf War Medical C&P exam in August which lasted 4 hours; this exam consisted of many DBQs, including one for CFS. Although, I'd already had a C&P exam a few months prior for CFS. It took 6 weeks for the examiner to get the report to the VBA. A few days ago, the VBA just requested another C&P exam for the CFS for "rework" and a medical opinion for CFS. I don't know if I have to attend an exam or if this is something that the C&P examiner is going to do with what's already in the file. I haven't gotten a call yet from VES and when I called them, they didn't really seem to know if I actually had to go in for another C&P exam or not- just said someone would be contacting me to schedule an appointment (?).
From what I'm reading in the DMA Gulf War General Medical Examination training Sorting Symptoms Exercise (sharedfedtraining.org), certain conditions require Medical Statements and other require Medical Opinions.
The training says for CFS, the examiner is required to provide a medical statement but not a nexus medical opinion. For migraine headaches the examiner is required to provide a Medical Nexus Opinion.
I'm wondering why the VBA is requesting a medical opinion if they only need a medical statement for the CFS exam report. From my understating the medical opinion is the one where the examiner has to state the "as least as likely as not" VA language, but I don't know what the VBA wants the examiner to say in a medical statement.
Does anyone know?
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broncovet
Here is the deal. In order to determine etiology (whether your condition is related to service), the doc renders an opinion. He was not there, so he can not establish a fact, but he can make an educ
brokensoldier244th
The site he’s pointing at is not for private providers, it is (or was) for training c&p clinicians) the course links he’s pointing at are from 2015. (EVERONE) VA doesn’t go around sanitizing
brokensoldier244th
No, because I’m not a clinician or a contractor. Generally a statement would be on an exam within 1yr RAD- SC opinions aren’t needed for general medical exams, though a Gulf War opinion is reque
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