Mr. Perry,
Recently I just got my C and P exams back from QTC for my MEB and he seems to not only contradict himself, but he also states things that are not accurate. I have a condition called POTS and it seems as though the examiner rated it analogously under the METs scale. Even though I told the examiner at the appointment that my condition is exacerbated by exertion he wrote that I do not suffer symptoms from exertion. In my medical records there is proof of this as well since I am prescribed an exercise program that emphasizes recumbent exercises. The biggest concern is that in another DBQ for Neurological conditions, he makes notes that I have to avoid triggers of exertion. Also, my POTS causes Tremors and he wrote that he acknowledged seeing a video I showed him of severe tremors, but at the end in the remarks he claims that there is no diagnosis of tremors because it is a symptom of my POTS. From my understanding Tremors is a symptom that has to be considered separately because the METS scale doesn't cover the symptom of tremors. I attached a rebuttal using VA Form 21-4138 and I pointed out every section where there were discrepancies and then I attached medical records and highlighted the sections that debunked his inaccurate claims. Ultimately, how effective have you seen this to be as I seem to have found mixed opinions from people when it comes to submitting Statements in Support of a Claim. My goal is to try and bring these issues to the adjudicator before the IPEB applies ratings so that I can maybe avoid a VARR/FPEB. I attached pictures so you could see how bad the contradictions are. The first one is from DBQ Heart Conditions and the others are from DBQ for Neurological Conditions.
Recently I just got my C and P exams back from QTC for my MEB and he seems to not only contradict himself, but he also states things that are not accurate. I have a condition called POTS and it seems as though the examiner rated it analogously under the METs scale. Even though I told the examiner at the appointment that my condition is exacerbated by exertion he wrote that I do not suffer symptoms from exertion. In my medical records there is proof of this as well since I am prescribed an exercise program that emphasizes recumbent exercises. The biggest concern is that in another DBQ for Neurological conditions, he makes notes that I have to avoid triggers of exertion. Also, my POTS causes Tremors and he wrote that he acknowledged seeing a video I showed him of severe tremors, but at the end in the remarks he claims that there is no diagnosis of tremors because it is a symptom of my POTS. From my understanding Tremors is a symptom that has to be considered separately because the METS scale doesn't cover the symptom of tremors. I attached a rebuttal using VA Form 21-4138 and I pointed out every section where there were discrepancies and then I attached medical records and highlighted the sections that debunked his inaccurate claims. Ultimately, how effective have you seen this to be as I seem to have found mixed opinions from people when it comes to submitting Statements in Support of a Claim. My goal is to try and bring these issues to the adjudicator before the IPEB applies ratings so that I can maybe avoid a VARR/FPEB. I attached pictures so you could see how bad the contradictions are. The first one is from DBQ Heart Conditions and the others are from DBQ for Neurological Conditions.
I am glad you have found the PEBFORUM and that is helpful to you. I will try to answer your questions, but I am necessarily limited by not knowing all of the details of your case.
If you have a P3 profile, that triggers an immediate MEB and PEB. (A temporary profile can last up to 365 days before meeting the medical retention determination point, or MDRP; however, 365 days is not necessary if you otherwise fail retention standards). If you have a condition that fails retention standards under AR 40-501, Chapter 3, that also triggers an MEB and PEB. It sounds like you probably meet that requirement. It also sounds like the provider is trying to push you out and away from having to process your case. If that is so, they are a disgrace.
The baseline issue is whether of not you have a P3 profile or otherwise fail retention standards under AR 40-501, Chapter 3. Sounds like you have an incompetent or unethical PA who is trying to not do his/her job and is trying to shortchange you.
I don't know about the "odds" of anything.The FFD exam is an option for your commander to request that the MTF determine whether or not you are fit for duty.
It sounds to me like they are pressuring you for some reason to have this FFD, but they cannot deny you treatment because of a pending FFD exam. Something sounds very off here. It very well could be that the PA and the folks you are seeing are ignorant about the MEB and PEB process.
I hope this was helpful. Feel free to post follow on questions (though, in a post is probably better than on my page).
Best of luck!