C&P details

warthog maintainer

warthog maintainer

PEB Forum Regular Member
PEB Forum Veteran
Registered Member
First off the C&P doctor didn't describ my conditions to the fullest and left the severity up to someone to fill in the blanks. I wrote a MFR to fill in the blanks but what if percentage isn't right how do I request a new C&P exam. Also my PCM said a few words in his narrative that seemed to be taken out of context. what should I do to fix these issues but I don't want to burn my bridges.
 
Have they generated your NARSUM yet? When that comes out first ask for an independent medical review (IMR). This will buy you some time to either have legal put together an appeal, or you can write an appeal. If you don't think your exam was complete, then appeal and tell them all the information was not included. Even if your appeal fails, all the appeal documents make it into your packet and will be seen by the PEB. To me, the NARSUM is the best place to build a really good case. It also is the point during the process that takes the least amount of time to appeal.
 
I guess what I was asking if my meb goes up to get rated and it comes back well below my exceptions can I request a new C&P exam I know I can appeal but if appeal and submit the facts of severity of my conditions then that should justifie the appeal or should raise the flag now my MFR that I included in my C&P findings states that there is some details not correct or tat of context. Looking for the best way to get the best overall outcome. Any advice is appreciated. thanks
 
A few options for ensuring everything is good before your package goes to IPEB:
- If your C&P exams were unacceptable to you, contact your MSC and request another set of appointments. If possible, request to have the new exams at a different VA if you are willing to travel a bit to get to it. Know the regs on how the exams are supposed to go before you go back in (proper measuring equipment for ROM checks, etc.). When you are going through the appointments, ensure that you are getting a fair assessment and, if not, discuss it with the doc that is evaluating you- for example, if he/she is just "eyeballing" your ROM, you can always say something like "I've always wondered what my angles are when using a goniometer..." etc. You can remind the doc of the proper procedures and still be non-confrontational if you are careful.;)
- You can request to see the VA C&P narrative that your doc will be using to draft your NARSUM. If it seems poorly written, omitting data, etc., talk to your PCM about it before he/she drafts up the NARSUM- often times, they can call the VA doc and get clarification.
- Once your NARSUM is drafted, you are afforded the right to review it before it is included in your package to go to the IPEB. If it is incorrect, don't agree to it and request changes, new exams, etc. As stated above, this is probably one of the most critical documents in determining your outcome, and one of the few products in this process where you have some control. As stated above, if you can't make any headway with this technique, you can request an IMR.
- Worst case scenario, you can include a statement of your own that will go up with the package.


A few options in the event the MEB/VA ratings come back below your expectations:
- One time VA reconsideration. It is a good idea to get a civilian doc to examine you and provide a solid diagnosis/prognosis for you to use as ammo.
- Appeal to FPEB
 
They told me that my MFR does go up with my package and the MFR does give in full detail I think I will let it go up and then once it comes back if not the expected rating then I will file a congressional complaint I'm just at that point. Even my PCM said a few things out of context not about my conditions being legitimately and the severity just personnel statement and my even my supervisor saying a few words that he shouldn't just the pokes they continue to do for someone hurt or limp,slacker has pushed me over the edge a complaint will be route I take if it comes to that. What does anyone think can come of a congressional complaint? Thanks for any and all aspects of thoughts
 
Congressional complaints can be effective (nobody likes negative public attention). The only real negative that I have read from others here is that it slows down your process (sometimes considerably) because they pull your package to conduct the review for the complaint. But, if you get to the point that a congressional is necessary, it might be worth the added wait to ensure everything comes out correctly for you in the end.
 
I'll throw this in but it isn't exactly like yours. I was in the DES "Legacy" program so I was already out. I never got to see my C&P exam until I was out but it appeared everything went well; I did have to insist on some factors.

I contacted the VA under the 1-800 number and the lady told me to contact my congressman. I repeat what I read on here, what usaaviator just re-stated, and I was told that was not the case. I did contact my congressman, the file was not pulled back, it was rushed through, and it was also a mess. They made very stupid mistakes and it propbably would have been better to wait. I am now faced with trying to get my VA C&P re-accomplished and get everything done properly.

Not to diminish your pain/harassment but a lot of people have gone through it including me. Do your best to get through it and remember that there is an end in the future.
 
Yea I will let it go through but if the outcome isnt what I think it should be I will do the congressional complaint 2different views helps but it seems like its me versus the world thanks for y'alls point of view any others are welcome also thanks
 
I don't understand why you would not exhaust all your appeal avenues at this stage? If your NARSUM hasn't gone up and you don't believe the information is correct, now is the time to fix it. It takes a lot less time to fix now than it does later. Your MEB is supposed to be a complete record of all your medical conditions. If it's not, and you let it go without appeal, it will be much harder to dispute at the PEB level.

Doing a congressional is great, but why does it need to come to that if you can fix it now. Even if your appeals fail, it ensures all your concerns and additional documentation makes it into your packet. If you do appeal at the PEB level, or ask for a congressional, it just makes it that much easier. If you don't appeal, their response will be "you should have brought this up earlier". If the appeal is there, you can turn it on them and say "I have been disputing this all along. See my appeal on this date". The second approach has laid the bricks for a strong foundation.
 
Yea I see your point I requested an Impartial review and my MFR is going up to AFPC with my package that way they can se my process from day one. My MFR is four pages long and describes in full details if the severity of each condition. Thanks for the advice will let y'all know once i have more. thanks
 
So my case is progressing I have to sign MEB package on Thursday and it will be sent up to AFPC I guess 4 to 6 months I will find out my outcome I don't know how some people can get con leave for so long I wish my PCM cared enough to put me back on Con Leave taking percocet at work and driving while mediated needs to stop. If they only knew.
 
usafaviator said:
A few options for ensuring everything is good before your package goes to IPEB:


A few options in the event the MEB/VA ratings come back below your expectations:
- One time VA reconsideration. It is a good idea to get a civilian doc to examine you and provide a solid diagnosis/prognosis for you to use as ammo.
Click to expand...

I have not gotten my results back from the VA but my IDES has found me unfit, But while I was on my IDES a knee problem came up. I would like to get my knee examined by a civilian doctor since my PCM keeps blowing me off. How would I go about doing so? Is my PEBLO able to request a civilian doctor to examine my knee?

Cause the only evidence of me having a bad knee is a ER report and my PCM blowing me off. I was told by the ER to get images done but my PCM keeps blowing me off.

Thanks
 
First thing i would do is get your knee examined to see if there's anything wrong with it. If your PCM won't look at your knee, just go to an urgent care off post, tell them you want x-rays and possibly MRI. If you are active duty, Tricare will cover it.
 
ceilingfan said:
First thing i would do is get your knee examined to see if there's anything wrong with it. If your PCM won't look at your knee, just go to an urgent care off post, tell them you want x-rays and possibly MRI. If you are active duty, Tricare will cover it.
Click to expand...

I guess thats the only thing I can do is go to the ER, and try and get x-rays or a CT scan (Can't get MRI due to implant).
 
A couple of other options could be to:

1. Visit your hospital patient advocate and request assistance in switching PCM's
2. Get the name of another doc that you would like to visit on base/post, call the Tricare appointment line, and request to schedule an appointment with that PCM. If they ask why you don't want to see your regular PCM, state that you just want a second opinion on your knee. If they set you up with the new PCM, one of the first things you should do is request a referral out to a civilian specialist through him/her.
 
So how do I complaine about my ROM examiner my measurements for my lumbar were almost normal Flex 0-60 Ext 0-15 and the rest I believe is like 0-25 that's like normal how is this when I barely can bend over. I have to squat to get things off floor. I believe he didn't measure me correctly. Still haven't signed my MEB to go to AFPC yet. What should I do.
 
warthog maintainer said:
So how do I complaine about my ROM examiner my measurements for my lumbar were almost normal Flex 0-60 Ext 0-15 and the rest I believe is like 0-25 that's like normal how is this when I barely can bend over. I have to squat to get things off floor. I believe he didn't measure me correctly. Still haven't signed my MEB to go to AFPC yet. What should I do.
Click to expand...
Do rebuttal and Independent Medical Review.
 
I did the Impartial Review which of course came back in favor of the Dr don't see how a Dr in th same clinic is unbiase what a joke but also rebuttaled it we will see what's next
 
Yeah I did IMR also and not much changed either. She did however correct a few admin errors and suggested to have another condition added that was medically acceptable.

I wanted to add my cervical issue and nerve root compression but she did not see any need for that. I will non-concur with my Narsum....like someone said on here..appeal everything no matter what. That way it gets another set of eyes on your case and can only help in the long run if they find mistakes on your behalf. I want to get a civilian doctor opinion on a few issues and hope to add his findings if its will help any. One thing you might want to think about with the urgent care is even though you will not pay anything or small amount if anything. The problem I had was urgent care would send me a bill if tricare does not accept the bill. You will need a referal from your PCM unless its an emergency room visit.
 
Get the ROM done by your PCM and put in the NARSUM. Also the VA reconsideration is the way to go if you have exhausted all other avenues. Also you can go to patient advocate at the MTF and complain about the C&P examiner. I did that and also filled out the feedback card that comes in the packet. They called me and I told them that the examiner didn't even get out of his chair the whole time. They told me there had been alot of problems with him and that they would take care of it. Well I just re-did my C&P exams for the third time and now they have four dedicated doctors to do the exams. I guess the company was backed logged so they hired other doctors to come in and help out. Turned out to be a bad mistake on there part. Well, I hope you can get the exams re-done if not there are always other avenues to take.
 
You must log in or register to reply here.
Top