I was changed to a MH NP back in January 2022 due to my MH Psychiatrist leaving the VA because of COVID. Prior to that, for the previous 11 years I was seeing him at the VA. This Psychiatrist had been one of the best Doctors I had. He would willingly fill out Social Security, State or County forms with no questions. My MH notes were pretty much on point. He would document pretty closely what we discussed, upload anything I would bring in, got me a sleep study and CPAP, as well as chronicle my chronic symptoms and problems. Based off of his notes, my work history, I was awarded 80% TDIU P&T.
A brief timeline: OIF vet 03-05. 70%ptsd, 10%tinnitus awarded Mar 05. 0% GERD (40mg Nexium 2 times a day, 5 mg RegLand 3 times a day, 20mg of Famotidine when breakthrough) with ulcers awarded after BVA circus 2012, backdated to 08. I am sure anxiety does not help this.
My TDIU was granted Sep 2013
So, since December 2005 to Sep 2021 (Last visit with Psychiatrist at the VA) my notes, which are over 700 pages MH alone were in order, and matched close enough of what my progress was/is. Now that I have a new provider, MH nurse Practitioner, I feel let down. I looked at the past 3 appointments, since she likes to schedule follow ups at 3-to-4-month intervals, and it appears I am "cured". Sleep and nightmares have improved. Nothing about intrusive thoughts appear on her report. Only a few sentences I say, and at the end of her notes it states," continue going to group on Wednesday and seeing Ron every two weeks". Ron is a MSW at the vet center where I do group. I typed out a summary of my day to day and how i feel typically, on our first appointment. I gave her a copy, so she could have some idea along with my prior notes who she was treating (Isn't anything you provide to the health provider, supposed to be uploaded to your record?). My med list was somewhat unchanged, only a slight increase in one and "prazosin" for the nightmares. Since then, nothing has been discussed with the exception of getting over covid back in January 2022. All other appointments have been by phone. In fact, the next appointment scheduled for April was to be by phone, but I rescheduled it a week early to get a in person appointment. The VA I go to are extremely short Doctors and rely mostly on NP. In fact, I discussed with her a form that would need to get filled out when we had our first appointment (January 22) and she said she could take care of it, except when I got the forms (Nov 22) and questioned her she refused. She asked if I had a Primary care at the clinic. I do not use the clinic for anything except MH. I have TFL and Medicare. I don't want to take up space for less fortunate dudes. But to that extent, I called and made an appointment for a Primary care, which is scheduled for August this year. What a joke!
My question is, with her notes over the past year, be potentially harmful to my rating? Could a Re Exam be in my future? I am 57 , 80%TDIU P&T, with multitude of other issues I have not filed for because I did not want to pokey the bear. My experience with the VA and NP's are not good. All board-certified Doctor diagnosis/ notes go out the window when 1 bad NP is sloppy with notes!
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qwiksting
I was changed to a MH NP back in January 2022 due to my MH Psychiatrist leaving the VA because of COVID. Prior to that, for the previous 11 years I was seeing him at the VA. This Psychiatrist had been one of the best Doctors I had. He would willingly fill out Social Security, State or County forms with no questions. My MH notes were pretty much on point. He would document pretty closely what we discussed, upload anything I would bring in, got me a sleep study and CPAP, as well as chronicle my chronic symptoms and problems. Based off of his notes, my work history, I was awarded 80% TDIU P&T.
A brief timeline: OIF vet 03-05. 70%ptsd, 10%tinnitus awarded Mar 05. 0% GERD (40mg Nexium 2 times a day, 5 mg RegLand 3 times a day, 20mg of Famotidine when breakthrough) with ulcers awarded after BVA circus 2012, backdated to 08. I am sure anxiety does not help this.
My TDIU was granted Sep 2013
So, since December 2005 to Sep 2021 (Last visit with Psychiatrist at the VA) my notes, which are over 700 pages MH alone were in order, and matched close enough of what my progress was/is. Now that I have a new provider, MH nurse Practitioner, I feel let down. I looked at the past 3 appointments, since she likes to schedule follow ups at 3-to-4-month intervals, and it appears I am "cured". Sleep and nightmares have improved. Nothing about intrusive thoughts appear on her report. Only a few sentences I say, and at the end of her notes it states," continue going to group on Wednesday and seeing Ron every two weeks". Ron is a MSW at the vet center where I do group. I typed out a summary of my day to day and how i feel typically, on our first appointment. I gave her a copy, so she could have some idea along with my prior notes who she was treating (Isn't anything you provide to the health provider, supposed to be uploaded to your record?). My med list was somewhat unchanged, only a slight increase in one and "prazosin" for the nightmares. Since then, nothing has been discussed with the exception of getting over covid back in January 2022. All other appointments have been by phone. In fact, the next appointment scheduled for April was to be by phone, but I rescheduled it a week early to get a in person appointment. The VA I go to are extremely short Doctors and rely mostly on NP. In fact, I discussed with her a form that would need to get filled out when we had our first appointment (January 22) and she said she could take care of it, except when I got the forms (Nov 22) and questioned her she refused. She asked if I had a Primary care at the clinic. I do not use the clinic for anything except MH. I have TFL and Medicare. I don't want to take up space for less fortunate dudes. But to that extent, I called and made an appointment for a Primary care, which is scheduled for August this year. What a joke!
My question is, with her notes over the past year, be potentially harmful to my rating? Could a Re Exam be in my future? I am 57 , 80%TDIU P&T, with multitude of other issues I have not filed for because I did not want to pokey the bear. My experience with the VA and NP's are not good. All board-certified Doctor diagnosis/ notes go out the window when 1 bad NP is sloppy with notes!
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brokensoldier244th
After appts send a secure msg with a recap of the things that YOU said or brought up in the session. If you see something in their notes, do the same. That gets it on record. While you are not an MH p
broncovet
As far as "changing your provider" (doc), if you are happy with the new provider, then stay with them. If, however, you are dissatisfied with their service, then consider a change. In r
El Train
I haven't seen a MH provider in 4 years. She retired and I just never did another appointment. I had a MH pharmacist call every 3 months for awhile to re-up me on meds. Then he quit calling. My PC
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