I'll breifly tell my story. It is possible to get a condition added, but very difficult and unlikely for most cases. Mine was a case where I was MEB boarded for what at the time was an undiagnosed movement disorder.. Heading into the MEB undiagnosed is a very bad place to start from, no way whatsoever to war game what you think the potential outcome could be. I had a very complicated case where I had seen 9 neurologists, including mayo clinic and Walter Reed, with most scratching their heads. Opinions ranged from "I think you have ALS" all the way to "its all in your head". The initial VA CP examiner saw my 500 plus pages of convoluted medical records, which were only 2.5 years worth (I had less than ten pages of medical records in my first 14 years service), and she immediately jumped onto a diagnosis of somatoform disorder. That was fine with the Army but I disagreed. The VA optometrist CP examiner diagnosed me with convergence insufficiency, and told me "go see a Neuro-opthalmologist to rule out Myasthenia Gravis". So off I went to get a tricare referral to a Neuro opthalmologist (only three in the state of Nebraska) and was immediately diagnosed with generalized seronegative myasthenia gravis.... So this was a week before my FPEB and I tried to get the peb to remand my case back to the mtf to change diagnosis.... No luck, they stuck me with somatoform and sent me on my way. So I got ahold of a senior VA persons email address here on this board (Debi Bevins) and politely emailed her about my misdiagnosis..... On a Friday afternoon.. I got a call at 0900 the following Monday from a VBA guy in Seattle asking how he could help me. He ordered new VA exams while the peb submitted my VARR. I also went on my own and got a pulmonary test (because MG was starting to affect my breathing), another trip to mayo clinic on my own, second opinion by another Neuro opthalmologist, and went to the VA second set of psych and gen med CP exams. Now the PEB remanded my case back to the MTF because the VA dropped the misdiagnosis of somatoform and confirmed the new diagnosis of myasthenia gravis. New 3947 with systemic myasthenia gravis listed as failing retention standards sent back to the peb.
I have an extremely unique case and was able to prove the original VA CP examiner had misdiagnosed me. Had anything been different, I doubt anything would have changed. Had I not reached out to a VA executive, the new set of CP exams would never have been ordered. Had I not, on numerous occasions, bugged, badgered, and made a pain of myself to various clinics and doctors requesting appointments, referrals, reports, notes and letters, my original misdiagnosis never would have changed. One guy on here I think his name is Floridainjuredcombat said it very well " keep on telling them the truth repeatedly and submit more and more evidence of the truth and eventually it will drive the right outcome" not his exact words, but something to that effect. You can to a degree drive your outcome, but you need to start early, learn fast, document as much as you can, get second and third opinions even if they tell you don't bother with it... Be a go getter, a self advocate! I was and always have been very polite, truthful, and eager to dig into my now 600 pages of records and pull out the golden nuggets to show the docs what they need to see. I still don't know what the end result will be but I should hear from the peb in about a week. I'll likely do another VARR as the second VA CP examiner did not opine at all on the pulmonary test (which was very bad, pulmonary examiner compared me to someone with severe restrictive lung disease) and thus the rater failed to rate anything pulmonary. That and I think I have strong evidence to support an increase from 50 up to 70% on the mental health side.