Long time reader, picked up a ton of useful info here but i've ran into a problem and i'm looking for some guidance.
Bare with me please I have some major concerns with what is going on here. I am also going through the PILOT PROGRAM for my MEB.
During my NARSUM appointment the DR and I were going over my C&P exam paperwork and I was just about to ask the doc why I never received a ROM test for my lower back injuries ( lumbar spondylosis , DDD ) when I spot a ROM result in my C&P packet that reads "forward flexion 0-80 , extension 0-15 , R/L rotation 0-30 . Pain in all ROM , no further limitations".
Keep in my mind I had been reading over pebforum for weeks looking up VASRD codes , ratings , VA worksheets for spinal exam , VASRD regulations, ect... prior to my NARSUM So I ask the NARSUM doc how it is possible for me to have a ROM test result in my C&P file when the only thing even close to a ROM that was done was the C&P doc had me bend forward , twist L/R , and attempt to bend backwards one time without using any type of tool to measure the degrees ( no ganiomter was ever brought out during my exam ) while he sat at his desk pecking away on his keyboard.
I can barely get the tips of my fingers to my knees before the pain is to great that I think I could possibly be doing more harm to my back so I would love to know how I have a 80 degree forward flexion diagnosed by some doc that thinks hes house and can eyeball a degree on a ROM from across the room. Not to mention there were no repetitions done even if he was so great he needed no tool to conduct a ROM, yet he marked no loss on ROM , no weakness , or loss of endurance on repetitions on my C&P.
I also have hypertension and have been on hctz for this condition for months and the doc also felt it was necessary to mark no for the question " are daily medications being taken to control heart disease or hypertension?"
I could honestly go on for pages about all the incorrect information and flat out lies that are in my C&P report. My PTSD is now called "adjustment disorder- with anxiety" , there is no mention whatsoever of the bulging disk found at T11-T12, L1-L2, L3-L4, only disks mentioned are L4-L5, and L5-S1.
Sorry i'm ranting now, to get to the point I brought this to the attention of my PEBLO he instructed me to put this in a formal letter sign it and bring it to him. he in turn took this to the VA reps that are overseeing the program here. He was told I could do nothing about this until I am out of the military then I can appeal they would not even read anything I wrote and that I had no right to go against anything found in the C&P report. I of course went to JAG and will be taking this NARSUM that way shortly but has anyone else ever heard of anything like this and is this legit ?
Seems pretty obsurd to me that they have one C&P doc here that does the physical exams and he is the be all end all of your exam and you have no right to seek an appropriate exam in order to give the PEB the most correct and complete medical information as possible to handle a given case if he decides to cut corners on your exam so he can go home at 1630.
any info is appreciated sorry for the rant im just a little bit hot about this right now.
Bare with me please I have some major concerns with what is going on here. I am also going through the PILOT PROGRAM for my MEB.
During my NARSUM appointment the DR and I were going over my C&P exam paperwork and I was just about to ask the doc why I never received a ROM test for my lower back injuries ( lumbar spondylosis , DDD ) when I spot a ROM result in my C&P packet that reads "forward flexion 0-80 , extension 0-15 , R/L rotation 0-30 . Pain in all ROM , no further limitations".
Keep in my mind I had been reading over pebforum for weeks looking up VASRD codes , ratings , VA worksheets for spinal exam , VASRD regulations, ect... prior to my NARSUM So I ask the NARSUM doc how it is possible for me to have a ROM test result in my C&P file when the only thing even close to a ROM that was done was the C&P doc had me bend forward , twist L/R , and attempt to bend backwards one time without using any type of tool to measure the degrees ( no ganiomter was ever brought out during my exam ) while he sat at his desk pecking away on his keyboard.
I can barely get the tips of my fingers to my knees before the pain is to great that I think I could possibly be doing more harm to my back so I would love to know how I have a 80 degree forward flexion diagnosed by some doc that thinks hes house and can eyeball a degree on a ROM from across the room. Not to mention there were no repetitions done even if he was so great he needed no tool to conduct a ROM, yet he marked no loss on ROM , no weakness , or loss of endurance on repetitions on my C&P.
I also have hypertension and have been on hctz for this condition for months and the doc also felt it was necessary to mark no for the question " are daily medications being taken to control heart disease or hypertension?"
I could honestly go on for pages about all the incorrect information and flat out lies that are in my C&P report. My PTSD is now called "adjustment disorder- with anxiety" , there is no mention whatsoever of the bulging disk found at T11-T12, L1-L2, L3-L4, only disks mentioned are L4-L5, and L5-S1.
Sorry i'm ranting now, to get to the point I brought this to the attention of my PEBLO he instructed me to put this in a formal letter sign it and bring it to him. he in turn took this to the VA reps that are overseeing the program here. He was told I could do nothing about this until I am out of the military then I can appeal they would not even read anything I wrote and that I had no right to go against anything found in the C&P report. I of course went to JAG and will be taking this NARSUM that way shortly but has anyone else ever heard of anything like this and is this legit ?
Seems pretty obsurd to me that they have one C&P doc here that does the physical exams and he is the be all end all of your exam and you have no right to seek an appropriate exam in order to give the PEB the most correct and complete medical information as possible to handle a given case if he decides to cut corners on your exam so he can go home at 1630.
any info is appreciated sorry for the rant im just a little bit hot about this right now.