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Sleep Apnea secondary to PTSD possible problem
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Question
grayling12
I am planning on filing a claim soon for Sleep Apnea secondary to PTSD/ MDD/ Alcohol Abuse/ and Associated Meds. In going over all my records and evidence, I noticed that my POS shrink has been reporting that I'm doing great, making great progress and that I'm very happy with my meds for the best part of six years now. This is straight fabricated bullshit.
The back story with him is that, I started seeing him around 2009 when he diagnosed me with the above conditions. Around 2016, I was about to have a complete meltdown from my job as a correctional officer with the state. He had told me for years that I needed to quit my job because it triggered me too much and was preventing me from making progress in my treatment. You would never know this from looking at my treatment notes because like a lot of other information and facts, he conveniently never included any of this in my notes. I worked in a very toxic environment, where you had to not only watch out for prisoners that wanted to assault or kill you, but also watch out for coworkers that would stab you in the back in a heart beat, watch out for supervisors that head hunted everyday looking for any reason to write you up or take your job, and watch out for the administration that loved prisoners and hated staff. In 2016, I was about to go off the deep end, bad. I asked my POS shrink to approve a stress leave so I could defuse, and this POS made me beg for it, but he eventually approved it.
About three months latter, I told him I was putting in for a disability retirement from the state and asked him if he would support me in applying for IU. As soon as I mentioned IU his attitude changed and he perked right up. He told me that I didn't need IU or a disability retirement, all of a sudden he's telling me that my job is just fine for me. This contradicted what he had told me previously about how I needed to quit because it caused too much stress and triggers. I can't prove this because he strategically left the part about telling me to quit out of his notes. Soon after I mentioned IU he decided that I was cured and ready to go back to that toxic environment. He signed off on returning me back to work even though I begged him not too, I couldn't handle the stress yet. When I found out that he cleared me to go back to work I flipped out and ended up in the nut house for a week. When I got out he approved me to be off for another three months reluctantly.
At the six month mark I gave up on the disability retirement and figured that this POS wanted to see me dead. When I went back to work I was making plans for my last big hoorah, I felt like it was over one way or another. I wrote a note thanking my POS psych and the VA for making what was about to happen, happen, I planned on carrying it in my front pocket so it would be found on me and it would explain why this happened. Fortunately, a month after I returned, the crap hole that I worked at was shut down and everyone was scattered to the wind. This solved one problem but also created more problems latter on.
Before 2016, his notes were all over the place, some were consistent with our visit, others were way off the mark. After 2016, nearly all of his notes now indicate that the visits went well, I'm making great progress and I'm very happy with my pharmacological treatment. This is very far from the truth. The only times that his notes don't say this, is when I have confronted him about the magical improvement that he keeps reporting, then for a visit or two he reports things closer to what actually went on during the visit after that he goes back to reporting the magical improvement again. I firmly believe that he is either biased against veterans as a whole, he has a beef with me specifically, or maybe he gets a big fat bonus at the end of the year by artificially showing progress in his patients.
He always acts like he can't figure out why I don't make long lasting, sustained progress and he can't seem to figure out how I am able to function in my toxic environment. I have explained to him dozens of times what it is like working in a dangerous, high security, state prison, but non of this information has ever made it into my treatment notes, and he acts like it's the first time has heard this each time I explain it to him. I have also explained numerous times how I have managed to cope with job all this time, but once again that information never makes it into my notes and he acts like it is the first time I have ever said anything about it.
He has a narrative that he created, that I am practically cured and he makes sure that he only reports things that support his narrative. Since 2016, nothing that contradicts his narrative makes it into my notes. I believe that he has a problem with veterans receiving compensation for their disabilities, It is the only thing that explains his behavior. I know this is long winded, and I apologize, but I felt like I needed to give a back story so it made more sense.
My problem now is, when I file this claim they are most likely going to open my mental health claims and more than likely propose a reduction. I want to try and cut them off at the pass!
Questions:
1. My PTSD/ MDD/ ALCOHOL ABUSE ratings are over ten years old and static. Can they reduce based on the Psychiatrist notes alone?
2. Will they have to offer me at least two C&P exams before reducing and how far apart would they need to be?
3. Would it be helpful to have an independent Dr. level Psychologist review my therapist notes, assessments and family and coworker statements that are contradictory to my shrinks notes and make an opinion as to whether he thinks I have truly made significant improvement?
4. I'm planning on changing VA shrinks because this turd has stuck to his agenda for way too long now. Can I request a specific shrink or do I have to take whomever they give me?
5. I plan on sending a manifesto on myhealthevet IM to my shrink, explaining what this turd has been doing and why I believe he's doing it, it'll be close to what I've reported above. I'm going to demand that it be posted to my chart, I want to direct anyone looking into my chart and seeing his notes to review my therapist notes and assessments as well, so they have a better picture of what's going on. Is this a good or bad idea?
6. Do you think calling my current shrink out and putting him on blast in my chart will negatively affect the new VA shrink taking me on as a patient?
7. Would it be very beneficial to follow up with a private Dr. level psychologist on a regular basis to balance out what that turd put in my records?
8. What can I do to get ready for the possible proposal to reduce that I haven't considered above?
Thanks for any info!
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