Posted 21 December 2008 - 09:53 AM
I was not talking about fraud.
This is what I am saying:
I have read many post on this site. I have learned many things with the VA. Personally, I am a physician.
When I say, "be the rating" and actually put ---"wink-wink" --- I mean that the majority of us really need to look at our condition. I truly believe that all of us deserve at least the next highest rating. I worked on a few of my friends disability claims. I found that their ratings missed a lot of information. Let me also add,,, these individuals were rated for PTSD.
Anyhow,,, I found in their initial rating,,, they were 50%. I got them to the 70%.
Thoroughly looking in their medical records, talking to them,,, getting permission to speak to their psychiatrist. With that information,,, and knowing the information the VA is looking for to grant the higher information,,, the psychiatrist and psychologist knew what to concentrate on so that the information is correctly entered in the "Progress Note."
With that said,,, be the rating. If you are having times when you are troubled,,, not getting up,,, not grooming yourself,,, don't change only when you are going to see the doctor. That defeats the purpose.
Part of the examination is what the provider actually witness.
Fraud, not at all. Falsification,,, not at all. In other words,,, do not dress up for the doctors appointment,,, do not tell the doctor that everything is okay when everything is not.
However,,, do let the provider know what the VA is looking for when deciding benefits. 9 times out of 10,, the provider does not know. For instance,,, many people ask, "How to tell the doctor how to write a NEXUS letter." This is the same.
So, rentalguy,,, Purple,,, I apologize. I did not make myself clear. I was very angry because these raters have no clue and if things aren't "spelled out" to them,,, the decisions they make may not be the best decision for the veteran.
I am not sure how many "raters" are physicians,,, nurses,,, or any provider. I am not sure if they truly understand the wording in progress notes, laboratory findings,,, etc.
Please, the last thing I want to do is promote falsification. I AM EXTREMELY AGAINST FALSIFICATION!!! Trust,,, I am trying to get the R2 rating. Short term memory loss,,, right side (dominant) weakness. I.V. infusions every 2 to 3 months,,, 30 pills a day,,, walking with a cane AND still falling down stairs, tripping over the dogs, broken arm,,, broken leg,,, no balance,,, etc. etc., etc. AND with all that said,,, not able to practice medicine.
So,,, what can I do. I can sit at a computer. Cognitively,,, I may have short-term memory but,,,, I can write things down. What can I do as a physician,,, I can help veterans find things in their medical records. I can talk to their providers,,, I can word things so that raters understand what is going on with the patient. I can do this for free because, I believe that veterans deserve everything they can get.
We fought hard for our country. Most of us volunteered to serve,,, not wanting to get hurt. Those of us who didn't volunteer,,, went in and didn't plan on getting hurt.
So,,, if I can go through every piece of note in a medical file,,, if I can talk to a provider,,, if I can tell a patient to not "be themselves" when they go to a provider and not "dress up,,," then I will do that.
So, once again,,, please know,,, when I say,, be the rating,,, I mean it. I mean it from the bottom of my heart.
For instance,,, it is like dressing up every Sunday to go to church. But, throughout the week,,, you wear jeans. I am saying,, don't dress up,, wear the jeans to church. Be who you are. Be who you are... Be who you are.
Please,,, I hope this makes things a little clearer.