I recently had a C&P exam which i had my doctor look at and he completely disagrees with their diagnosis, will the va take my doctors records and diagnosis over the va's?
A good question. As a matter of fact I am going to make this a permanent topic, as far as permanent goes in cyberspace.
The VA will take the C&P examination report over their own treating physicians reports. That is simply the way the system is designed. Some of the biggest critics of this system is the vet reps in Congressional offices, yet the politicians running those offices, will not push for change.
What you can do is to have your physician write a letter based on your progress notes, strongly worded to include in their letter the following phrase "In my medical opinion..." That is the best method to get consideration. Sometimes we get a new exam, sometimes we simply get our point across and benefits are granted, sometimes we must appeal.
I have talked to a nurse and she was telling me about a test to determine type 1 or type 2 it's a c-peptide test, looked it up and this is it.
A C-peptide test measures the level of this peptide (an inactive amino acid) that is released in the body in amounts equal to insulin. Insulin helps the body use and control the amount of sugar (glucose) in the blood. Insulin allows glucose to enter body cells, where it is used for energy. The level of C-peptide in the blood can indicate how much insulin is being produced by the pancreas. See an illustration of the pancreasClick here to see an illustration..
C-peptide testing can be done when diabetes has been newly diagnosed and it is not clear whether type 1 diabetes or type 2 diabetes is present. A person whose pancreas is unable to produce any insulin (type 1 diabetes) usually has a decreased level of insulin and C-peptide. A person with type 2 diabetes has a normal or increased level of C-peptide.
Think i'll go get one of these and fax them a copy with my doctors letter, can't hurt and i'll
have it if i have to appeal. They say the appeals are taking 2 to 3 years i guess i'll still be alive when that happens
The problem is language. Some doctors refer to Diabetes type 1 as juvenile rather than insulin dependent. The VA considered insulin dependent as not service connected. It is a serious problem that was recently addressed by the NAS.
You are all warned of the C/P 'Doctor' at Wilkes Barre, PA. Doesn't speak a clear sentence in English. Not sure what country they got him from but there is no way he graduated medical school or any school in this country.
Gotta love those Federal Programs to get foreign doctors over here.....
You need to call your US Senators and your US Congressional Representative and complain. There is no other way to get action taken on this problem.
specking about sentors and congressmen my claim was moving along slower that my assits could be used up so i contacted my sentor im in oregon so i contacted sentor ron wyden and all i became a prioity real quick sentors have power and pull and if you ask for ther help they will assign one of there aids to assit you
Have you been to the AO page...under Healtht and Fitness..its the one under PTSD Discussions.
Lots of info there about Agent Orange.
My husband has advanced esophageal cancer with mets to several areas. He has
applied for compensation (July 2004). The VA requested he see their doctor for evaluation
so they sent us
to Columbia (not an easy trip for my husband at this point). When we got there
we were told by their doctor that he was an ear, nose, throat doctor and Bill should
have been seen by a gastrologist. The doctor did say that he had gone over Bill's
file and agreed with the evidence Bill has submitted to the VA although it wasn't his field
Will the VA request that Bill see a gastrologist? How many
doctors can they send him to before deciding on his claim?
How long does it take for a decision on compensation once you have
been seen by their physician?
Thanks for any imput,
You did not indicate if your husband had the condition on active duty, within one year of active duty or due to exposure to herbicides or radiation. Those are major points in the claim. Each of these areas have different criteria for evaluation. The rating specialist will review the examination and determine if another exam is needed. It just depends if the issues were addressed in the exam. In the Cleveland and Louisville Regional Offices it takes about 95 days from the exam to get an answer.
I hope you have discussed these points with your Veterans Service Officer.
Thanks for your reply. Bill's claim is for
herbicide related EC. The doctor that the
VA sent us to never even examined Bill (said VA had sent him to wrong kind of doctor) although he did ask him a few questions. We had a VSO but she never did anything for us so we tackled this on our own, then finally through our senators office because we were in fear of the time eliment. Another VA doctor appt. plus waiting another 95 days probably isn't a good thing. My Bill isn't doing to well.
By the way, we are in South Carolina.
If it is herbide related you need to go to my website and read IN SEARCH OF THE TRUTH as well as all other articles on Agent Orange. It must be diagnosed as soft tissue sarcoma, not carcinoma.
I understand from my friend Charley working in the VARO in Columbia, the rating specialists have been pretty fair in their ratings. C&P exams are never as good as the VA thinks. To much weight is put on them and not enough on the treating physicians reports.
I will be off line the rest of the day.
I've read your article..talked to you before.
Also found seven cases, so far, of VA approving
esophageal cancer as service related for Agent Orange. We supplied much info to the VA including Zumwalts report. I just don't think
time is on our side at this point..applied in July of 2004 when Bill was first diagnosed. My main question was just how many VA doctors can they send a vet to especially since they sent him to the wrong kind of doctor in the first place. One thing that their doctor did say was that he has read Bill's file and concures with the evidence and will put that in his report.
You are very knowledgeable Dave and this group shows how much you are appreciated. Thank you.
Didn't know if you read my last post but my question is:
Can the VA send you to more than one c/p physician for evaluation?
Also, my husband just got his combat action ribbon after waiting 18 months for his DD214 to be ammended. He originally had a claim for PTSD (denied)and is in the process of waiting to hear the VA's decision regarding his AO claim. Should he wait until that claim is determined before filing again on the PTSD???
If he is awarded compensation for the AO claim at 100% would there be a point in proceeding with the PTSD claim?
Thanks for any imput!
Once again the VA has scheduled another exam in Columbia for my husband (see previous posts above). This time my husband is too ill with advanced cancer to make the trip. I have obtained a letter from his oncologist stating this fact. Oddly they have scheduled Bill to see a pulmanary doctor...last time it was an ENT..he has esophageal cancer..so neither doctors would be the kind to evaluate him anyway. MY QUESTION IS: Now that almost two years have gone by and my husbands condition has deteriated and now he can not meet with the VA doctor...what is this going to do to his claim for herbicide related esophageal cancer?? Can the VA doctors just review Bill's file and make their decision?
You need to contact your veterans organization representative today. Do not delay. Do it today.
To miss the exam with contacting VA will constitute a no-show, it will state veteran failed to co-operate. The VSO can prevent that from happening.
I called Dorn VA hospital yesterday and explained the situation then I mailed the oncologists letter to the VA. I hope that I did the right thing. Really had no other choice at this point. Don't have a VSO anymore.
She was to busy filing her fingernails to ever help us.
You need to get another VSO, pronto! Believe me I know what I am talking about.
I guess it's too late now...have already mailed all the paperwork back to the VA. We did call our senator many months ago and he is now helping. Do you think that will be enough?
My claim for service connected PTSD/depression/anxiety was denied last month. I teamed up with a vet rep for my appeal, and he filed a notice of disagreement. We chose a de novo review by a decision review officer. Now I've been informed I have two rating exams (C&P) later this month. Is this good news? Why do I have 2 exams? My vet rep isn't great with communicating, so I appreciate someone's input.
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