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      How to get your questions answered. A few observations, and requests of all members. All folks who come here are volunteers who do this on their own time and their own dime.To avoid burning out our best contributors please follow these guidelinesf you are reading a post and it reminds you of a question you want to ask, start a new topic, if you place your question in someone thread it will be difficult to distinguish your question from the original poster, you will get better results posting a new topic with your question. 1. Before Posting please do a search and see if your question has already been answered. If you find the answer print it out and put it in a file to use as a reference file, I find this helpful myself. 2. If you can not find the answer and you do post a question, please print out those answers and refer to them to avoid duplicate questions. 3. Refer to the Frequently Asked Questions4. Duplicate questions will come up from time to time but the keeping them to the minimum will lighten the load on the regular volunteers.5. Respect folks privacy do not request their personal phone numbers for claims help, it is inappropriate and not why they are here.6. Keep the topics focused on veterans issues, in closing Search first Search ... Ask second.it may save a lot of time or at the very least enlighten you.
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    • A bit about Tbird and HadIt.com for those who've asked...

      The following is on my About page, but some have been asking how this all happened. So here is my little story. Tbird US Navy 1983 – 1990 E-6 HadIt.com the website domain registered Jan 20, 1997 the domain is registered and paid for through Jan 21, 2023 at which time I plan to register it for another 15 years Lord willing and the creek don't rise. I guess the best place to start is Jan 1991; I had gotten out of the navy Dec 1990. At my separation seminar, there was a DAV rep Jim Milton he told us to bring our medical records in and he would look through them for us and let us know if we should file a claim with the VA. Well, bless his heart, he opened my medical file, reads the first insert, looks me straight in the eye, and says you will be 50% for the rest of your life and he would file the claim for me. 50% was for surgery I had in the service. True to his word he met with me and talked with me for a long time filled out my paper work and urged me to file for PTSD. I would not file the PTSD claim, nor even discuss it. By Feb 1991 I had moved to the San Francisco bay area and was staying at a friends apartment and pretty much I was just a puddle. In desperation one night I called suicide hot line, I had no job, no idea about going to the VA. They talked with me for a long time and explained to me that I could go to the local VA hospital even if I did not have insurance. Now, I know what you are thinking if I was 50% why didn't I just go to the VA in the first place, two reasons 1, this was Feb 1991 and the 50% didn't come till May and 2, even if it had come through it is unlikely that I would have had the mental acuity at the time to put the two together. I relate this here because it is where so many of our brothers and sisters are coming from, perhaps where you started. Fuzzy and unsure, in pain and sometimes homeless they come to the VA hospital for help. And that is where I ended up. Up to the pysch ward I went, blah, blah, blah, a few days later I was released with a promise of a call from the out patient program, which I would soon be entering. Blah, blah, blah, after many missed communications, and no call backs I was at the Day Hospital everyday M-F. And this brothers and sisters is where I began to learn and formulate my plan for HadIt.com. Veterans, veterans everywhere…I spent a year in the day hospital and about another year at a sheltered workshop before I got back on my feet. So I just talked to veterans everyday waiting for appointments, waiting for prescriptions, waiting for a vet rep and I started to learn the system. While in the navy I was data analyst and had to learn a 5 volume manual and just about anything you were suppose to do was in that manual. So I figured there must be a manual on how to do a VA claim or at the very least regulations. So I found out about the Code of Federal Regulations, United States Code, Veterans Affairs Manuals and so on and so forth. Of course this was 1991/1992 I was living in a tiny studio apartment in a particularly bad neighborhood, working in a sheltered workshop making a nickel per envelope I stuffed throw in PTSD and you will see that it was a difficult task for me to get somewhere where they had copies of these, let alone that they would let me look at. And there was so much knowledge around me, it was like the gold rush in those days, I could just sit on a bench a veteran would sit down next to me a little conversation later I had another nugget, I made copious notes. Phone numbers to call, ask for this guy or that guy he'll give you the straight scoop and they'd slip me a piece of paper with a number on it. You want to read this regulation or that one and another slip of paper into my hand. I spent a lot of time on those benches watching the squirrels they gathered their nuts and I gathered mine :) So I'm thinking I could put a little handbook together print it out and hand it out at the VA. Or perhaps fliers. Still formulating, time goes by, 1994/1995 I am being treated for PTSD regularly and doing and feeling much better and I go to work for a company as a marketing systems analyst and I discover the internet. Well let me tell you that was perhaps one of the most significant life changing events I have ever experienced. And I might add finally a positive one :) It seemed only natural to me that surely there must be a website that contained all the knowledge I wanted, well as it turned out not so much, lots of stuff but I wanted to get straight to the claims information and there was a lot of stuff to wade through to get to it. So taking my lesson from the squirrels earlier I started to gather, gather, gather…and learn HTML and work as a marketing systems analyst and work my claim. 1996/1997 major PTSD cork blows and unemployed. Working my claim, working the website. 20 Jan 1997 register HadIt.com domain name right after getting off the phone with the VA and saying I've had it with this. As fate would have it the old DAV board goes down just as mine opens up and folks start to wander in. So HadIt.com has two main components the website which supports the discussion board with links, articles, research resources etc. The website starts to grow, I can't tell you how many times I had to switch servers for space and features. I continue on a downward trend and in 1998 ended up back home in St Louis living in my sisters basement in therapy and working it, I swear I would have swung a dead chicken around my head at midnight naked if I thought it would have helped. The website continued to do great during this time, I just stayed in the basement bought new software, new books, and learned how to make things work and I continued to use this knowledge to make HadIt.com better. My 100% finally came through from the VA and I had a friend who is an advocate who helped me thru my SSDI claim, he was literally at my side thru the entire process and that came through for me. My therapist and sister continued to try and get me to leave the basement, but to no avail. At some point in 1998 or 1999 I put a counter on the website and was shocked to discover how many visitors we were getting. Time goes by my sister gets married and I move from the basement to the upstairs, there is much celebration that Aunt T is living in the light again. More time goes by and I settle into my life in St Louis and spend more time on the site trying new things, finding more information. 2003 I buy my own home VA loan. For years now I have just considered HadIt.com my job and I get up every morning go to the office and work for several hours, take an afternoon break and see where the rest of day takes me. I have a place in the office to use the computer and a comfortable to place to read journals and articles and take notes. Blah, blah, blah so that is my story and HadIt.com's intertwined.
    • HadIt.com Pass It On Cards

      Hi I've updated our HadIt.com Pass It On Cards. They are in a PDF format you can print them out cut them there are 12 to a page. If you have found HadIt.com helpful and would like to pass it on to other veterans this is an easy way to do it.I hope you find them helpful, feel free to leave a few anywhere veterans gather, veterans centers, veterans hospitals, public libraries, be creative. Please make sure though, that if you want to leave some at any business you ask permission first.Here you go http://www.hadit.com...it_on_cards.pdf
    • VA Training and Fast Letter Forum Index

      VA Training and Fast Letter Forum Index The following is the index with links to the various Training and Fast Letters plus a few miscellaneous. These letters are not necessarily in the original formatting. I have tried to present them in an easy-to-read form instead of some forms as originally presented. Some of the paragraphs were WAAAAYYY too long. lol - HadIt.com Member fanaticbooks Something to be aware.... Some of these letters may be rescinded, outdated, or otherwise no longer viable. I have still included them because sometimes they provide additional insight or just plain more information than the newest version. Use them wisely. The oldest letters will display at the bottom with the latest letters displayed at the top, all in sequential numbers. Coding of the letters... FL = Fast Letter TL = Training Letter First two numbers = last two digits of year of origin Training Letter http://www.hadit.com/forums/index.php?/topic/40694-va-tl-00-07/ http://www.hadit.com/forums/index.php?/topic/40693-va-tl-00-06/ Fast Letter Number Title http://www.hadit.com/forums/index.php?/topic/44262-va-fl-11-15/ http://www.hadit.com/forums/index.php?/topic/44260-va-fl-11-13/ http://www.hadit.com/forums/index.php?/topic/44261-va-fl-11-11/ http://www.hadit.com/forums/index.php?/topic/44310-va-fl-11-09/ http://www.hadit.com/forums/index.php?/topic/42151-va-fl-11-03/ http://www.hadit.com/forums/index.php?/topic/40957-va-fl-10-49/ http://www.hadit.com/forums/index.php?/topic/40958-va-fl-10-46/ http://www.hadit.com/forums/index.php?/topic/40959-va-fl-10-45/ http://www.hadit.com/forums/index.php?/topic/40960-va-fl-10-42/ http://www.hadit.com/forums/index.php?/topic/40961-va-fl-10-39/ http://www.hadit.com/forums/index.php?/topic/40962-va-fl-10-35/ 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C&p Exam Gone Bad, Really Bad

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After calling the Claims Management Office, and them getting the DRO who has my file for over 2 years working my NOD appeal, I finally get a C&P exam for inflammatory arthritis (SeroNegative). I think they doubled in the Housebound or Aid & Attendance exam at the same time.

My wife, who is my VA Caregiver, takes me down to the VA Hospital for my exam. We get there and my wife is freaked out about the number of Veterans there trying to get care. We were just on time, not early, and as soon as we sat down they called my name. We walked into the exam room and here we go.....

The doctor introduced himself to me, shook my hand and as my wife was walking in the room he asked "who are you and why are you here"? She said that she was my wife and was there because she was my caregiver. The doc asked what a caregiver was. I started to explain and he looked at me, cut me off, and asked my why I thought I had Rheumatoid arthritis? I started to explain that I don't think I have RA, but a Rheumayologist diagnosed me with Sero Neg RA, as I was still talking he told me to ge changed into a gown, so I did and he asked the exact same question. I can barely do one thing at a time so in the middle of taking my clothes off I stopped and said, "Once again, I don't think I have RA, I have doctros who" and he cut me off again and said continue getting undressed. So my wife started to explain the diagnosis and treatments and he asked her to be quiet saying that this was my exam, not hers, he was examining me and if he wanted her input he would ask her for it.

I have problems getting things over my feet, like socks, and a knee sleeve I wear under my brace. My wife stepped up to help me take off the sleeve and the doc pretty much yelled "stop touching him" she responded that I needed help getting this sleeve off and he again went on his little spiel that this was my exam and he had to determine whether I could get my self dressed. She looked at him and told him there were things I needed help with when getting dressed and undressed and that was one of the reasons she was my caregiver.

I was done undressing at this point and he asked to hop on the table. I don't do a whole lot of hopping anymore, so my wife helped me get on the table and the doc didn't like that either. I had to ask him to pull out the leg rest because I cannot leave my right leg hanging over the edge. He asked why not and I explained I had complex regional pain syndrome, Nerve damage, and that it would be very painful to hang it over. My wife explained that I had chronic pain. The doc looked at her like she was crazy. He started his exam which was pretty lame, no measuring instruments, no recording. He asked if I had swelling and I sad yes in my hands, and he said where in your hands, I said My whole hand, he said point to it so I pointed my right index finger at my knuckles on my left hand and showed him, then he said "use your finger like a pointer and show me" I had to yell "I AM"!!

So we were done with that part and he said get dressed. My wife stood up to help me with my knee sleeve and he again went ballistic on her. She turned around and told him that I needed help with certain items, the doc responded that he would be the judge of that not her and that he needed to examine me to see if I can do these things. Once again she said he cannot get this over his foot and we already know this I take care of him everyday. The doc asked her if she felt insulted and she said yes. He recommended she go to the waiting room. I was standing basically in disbelief. This examiner was treating both of us like idiots and wasn't listening to a freakin word we were telling him. She sat down in the chair and he asked her to go to the waiting room, I told her go ahead, knowing that this freakin crazy ass doc could make comments in a report that might hurt our benefits.

When she stepped out he asked if she was mad at him so I told him she was because you are not listening to us. He looked at me and said you did it though. I asked what did I do, and he said got dressed by yourself. I explained that no I hadn't my wife had placed the sleeve over my foot, and he said it again, "see, you did it all alone" so I raised my voice and said "did you hear me? I just told you that she helped me and you are not listening to what I am telling you". Apparently that finally got his attention and he began asking real medical questions. I told him to refer to my chart and records from my file. He said he didn't have a file, all he had was access to my VAMC records which are scant because I use private care.

I explained that the RO should have sent him my file to review and that in the file there were records to support the diagnosis of SeroNeg RA, and treatment records, along with all the testing, lab work, X-rays, MRI's and a Nuclear Bone scan that showed turnover in every joint. This really got his attention. He asked if I had any of those records and I began handing him the records I brought that verified all this and records from several other doctors who agreed with the diagnosis and treatment. He made copies and then started asking about my medical history and medications.

It wasn't until that point that he actuall acted like a doctor. He said he had not received any file on me but he would look for one. I went to the Nurse to get vital, BP 160/105, getting ready to stroke out. My wife is in the hallway crying with a couple of Veterans comforting her and telling her to go the patient advocate's office, which she did. While I went to X-ray and labs she went to speak with them.

I guess she got someones attention because the next morning the C&P Department Head physician called me and asked me what happened. I tried to retell the story as well as I could and she was shocked. She apologized more than once and then explained that this examiner was not even a C&P examiner, he worked in Rheumatology and she really didn't even know who he was, but she kept apologizing. Finally after much discussion we came to the conclusion that he did not know he was supposed to have my C file and the only thing he saw was the very few records the VAMC has which has nothing about arthritis and my other medical conditions. She informed me she would track down his report, find my C file, get the X-ray and lab reports, review my medical records to determine the question as whether I have SeroNeg RA and if I do need aid and attendance. I explained that my wife was approved to be mu caregiver and those qualifications are more strict than Aid and Attendance. She agreed and said she would let me know if she needed anything else.

So, the point is, if the doc hadn't been a jackass, and if he had just been polite and performed a routine exam, there is no way he would ever have saw my medical records, and there certainly is no way that the C&P Chief would have became involved in the case. I am not going to tell him thank you for being an A-hole to my wife, actually I filed a complaint with the Senators office and they were on top of that.

Beware of exams where the examiners don't have your records. Never assume they do, because they might not.

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Posted · Report post

Sorry to hear you got a JERK for a Doc. Your wife did the right thing by going to the Patient Advocate and you filing a complaint with your Congressman. We need to do more of this and do it on a regular basis. In fact, we may just need to get the media involved as well. I would also consider filing a compaint with the VA's IG office.

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I am just so sorry for your experience. My heart broke reading your post. Certainly it has turned out for the better, but to have to go through that - I can't even imagine. For your blood pressure to be that high after that exam speaks to the stressful situation and pain you were put through. What a nightmare. Some of these "specialists" have such a "god syndrome" that they forget to be freakin' doctors!!!!!!!!! Burns me up!

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Posted · Report post

After calling the Claims Management Office, and them getting the DRO who has my file for over 2 years working my NOD appeal, I finally get a C&P exam for inflammatory arthritis (SeroNegative). I think they doubled in the Housebound or Aid & Attendance exam at the same time.

My wife, who is my VA Caregiver, takes me down to the VA Hospital for my exam. We get there and my wife is freaked out about the number of Veterans there trying to get care. We were just on time, not early, and as soon as we sat down they called my name. We walked into the exam room and here we go.....

The doctor introduced himself to me, shook my hand and as my wife was walking in the room he asked "who are you and why are you here"? She said that she was my wife and was there because she was my caregiver. The doc asked what a caregiver was. I started to explain and he looked at me, cut me off, and asked my why I thought I had Rheumatoid arthritis? I started to explain that I don't think I have RA, but a Rheumayologist diagnosed me with Sero Neg RA, as I was still talking he told me to ge changed into a gown, so I did and he asked the exact same question. I can barely do one thing at a time so in the middle of taking my clothes off I stopped and said, "Once again, I don't think I have RA, I have doctros who" and he cut me off again and said continue getting undressed. So my wife started to explain the diagnosis and treatments and he asked her to be quiet saying that this was my exam, not hers, he was examining me and if he wanted her input he would ask her for it.

I have problems getting things over my feet, like socks, and a knee sleeve I wear under my brace. My wife stepped up to help me take off the sleeve and the doc pretty much yelled "stop touching him" she responded that I needed help getting this sleeve off and he again went on his little spiel that this was my exam and he had to determine whether I could get my self dressed. She looked at him and told him there were things I needed help with when getting dressed and undressed and that was one of the reasons she was my caregiver.

I was done undressing at this point and he asked to hop on the table. I don't do a whole lot of hopping anymore, so my wife helped me get on the table and the doc didn't like that either. I had to ask him to pull out the leg rest because I cannot leave my right leg hanging over the edge. He asked why not and I explained I had complex regional pain syndrome, Nerve damage, and that it would be very painful to hang it over. My wife explained that I had chronic pain. The doc looked at her like she was crazy. He started his exam which was pretty lame, no measuring instruments, no recording. He asked if I had swelling and I sad yes in my hands, and he said where in your hands, I said My whole hand, he said point to it so I pointed my right index finger at my knuckles on my left hand and showed him, then he said "use your finger like a pointer and show me" I had to yell "I AM"!!

So we were done with that part and he said get dressed. My wife stood up to help me with my knee sleeve and he again went ballistic on her. She turned around and told him that I needed help with certain items, the doc responded that he would be the judge of that not her and that he needed to examine me to see if I can do these things. Once again she said he cannot get this over his foot and we already know this I take care of him everyday. The doc asked her if she felt insulted and she said yes. He recommended she go to the waiting room. I was standing basically in disbelief. This examiner was treating both of us like idiots and wasn't listening to a freakin word we were telling him. She sat down in the chair and he asked her to go to the waiting room, I told her go ahead, knowing that this freakin crazy ass doc could make comments in a report that might hurt our benefits.

When she stepped out he asked if she was mad at him so I told him she was because you are not listening to us. He looked at me and said you did it though. I asked what did I do, and he said got dressed by yourself. I explained that no I hadn't my wife had placed the sleeve over my foot, and he said it again, "see, you did it all alone" so I raised my voice and said "did you hear me? I just told you that she helped me and you are not listening to what I am telling you". Apparently that finally got his attention and he began asking real medical questions. I told him to refer to my chart and records from my file. He said he didn't have a file, all he had was access to my VAMC records which are scant because I use private care.

I explained that the RO should have sent him my file to review and that in the file there were records to support the diagnosis of SeroNeg RA, and treatment records, along with all the testing, lab work, X-rays, MRI's and a Nuclear Bone scan that showed turnover in every joint. This really got his attention. He asked if I had any of those records and I began handing him the records I brought that verified all this and records from several other doctors who agreed with the diagnosis and treatment. He made copies and then started asking about my medical history and medications.

It wasn't until that point that he actuall acted like a doctor. He said he had not received any file on me but he would look for one. I went to the Nurse to get vital, BP 160/105, getting ready to stroke out. My wife is in the hallway crying with a couple of Veterans comforting her and telling her to go the patient advocate's office, which she did. While I went to X-ray and labs she went to speak with them.

I guess she got someones attention because the next morning the C&P Department Head physician called me and asked me what happened. I tried to retell the story as well as I could and she was shocked. She apologized more than once and then explained that this examiner was not even a C&P examiner, he worked in Rheumatology and she really didn't even know who he was, but she kept apologizing. Finally after much discussion we came to the conclusion that he did not know he was supposed to have my C file and the only thing he saw was the very few records the VAMC has which has nothing about arthritis and my other medical conditions. She informed me she would track down his report, find my C file, get the X-ray and lab reports, review my medical records to determine the question as whether I have SeroNeg RA and if I do need aid and attendance. I explained that my wife was approved to be mu caregiver and those qualifications are more strict than Aid and Attendance. She agreed and said she would let me know if she needed anything else.

So, the point is, if the doc hadn't been a jackass, and if he had just been polite and performed a routine exam, there is no way he would ever have saw my medical records, and there certainly is no way that the C&P Chief would have became involved in the case. I am not going to tell him thank you for being an A-hole to my wife, actually I filed a complaint with the Senators office and they were on top of that.

Beware of exams where the examiners don't have your records. Never assume they do, because they might not.

USN,

Yea for stand your ground !

It's apparent that the exam instructions were either incomplete

in error, scheduled for and given by the wrong doctor, from the get-go.

I feel really sorry for what you and your wife had to endure

YET

I also feel a bit of empathy for this jerk of a doctor.

It does read like once he took a moment to hear you out, he changed his attitude

and began to admit something did not seem right, like not having your file/records.

I feel that both you and your wife responded appropriately and took swift action to

correct this mess that had been created.

Hopefully this C&P department head does a complete follow thru and gets some

positive results or at a minimum a correct C&P exam rescheduled in a

VERY TIMELY MANNER.

I do want to point out that isn some specific instances - examiner's are not

provided with medical records as a review of them does not relate to the issue at hand -

which I feel is not your case at all.

Hang in there, I hope for your best interest.

JMHO

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Posted · Report post

Thanks for your kind words.

After speaking with the C&P Doc I really did think about the examiner who is a Rheumatologist and based on my VAMC medical records was thinking WTF? are you doing here?

But his attitude from the very start towards my wife was just uncalled for. She didn't interrupt him and when he asked her a question, and she responded, he did the same thing to her, just cut her off. If he would have listened (2 ears 1 mouth) and let us answer his questions he probably would have realized he wasn't given my file.

I did explain to the C&P head that it appeared he did not have my file, but still, there is no call for that attitude towards a Veterans spouse, and she agreed.

While I was sitting in the waiting room waiting for my vitals to be taken there was another Veteran pissed off. Apparently he drove almost 2 hours, got to the VA 1/2 hour before his appointment at 0830. At 0830 a Veteran showed up who was supposed to be there at 0800. Instead of having him wait because he was late, the made the guy who was on time wait. He complained a little bit at first, but when I was sitting there over an hour later he said they had 2 other appointments go in before him. That whole trip was freakin crazy.

Beware to those who might end up in the same situation. I could see where some people could actually get violent in this scenario

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Posted · Report post

Weird.... they wouldn't even let my wife come in with me for my CP.

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Posted · Report post

Were you accused of fraud because you have a college education? I was at a C&P. I was also told that my behavior while waiting for the exam differed greatly from the actual exam meaning I was faking it according to my C&P. I had another C&P where the doctor had a list of questions designed to ask "Have you stopped beating you wife yet" over and over until they could DX a PD. I had a C&P where the doctor said he could not determine if I was TDIU because I was unemployed at the time. This is the reason the IMO/IME is the most useful tool in the tool box. Really, you need doctors in private sector that work for you as advocates. Almost all private psychiatrists and psychologists will do this to a greater or lesser extent. I did have an IME that was so good that the VA just incorporated it directly into my rating decision word for word.

John

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Posted · Report post

usn...outstanding the way you handle this situation..senator etc..reiteration to the numb skull md examiner of how your body functions

or malfunctions . i have been in those situations and you want to go off but know that does not help and it could even be a sucker play?..too bad we can't request an immediate toxicology test on the examiner at the time.hehe...usn you did good it will work out for you. you are a tough guy

and will prevail

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