Question:
Jim,
Just found the VA watchdog website and have learned more from this site than any other, and need and would greatly appreciate your recommendations and advise. I have four claims pending with the VA, and I'll just concentrate on two for now. I'll be brief as possible.
Medically retired in 1991 after 24 years active duty, due to lower back problems. In 1987, 1988, and 1989 I complained about my shoulders bothering me before, during and after PT (push-up, pull ups, weights, etc) and went to medical, but medical took x-rays and basically told me there was nothing wrong. Therefore, I had to continue with PT.
The VA claims they denied my claim for arthritis/bursitis in 1992, and 2000, and I have repeatedly sent letters to the VA under FOIA requesting copies of the exam, specifically,
* Copy of the initial request for C&P Examination transmitted to the medical facility
* The doctor’s report furnished to the VARO; and any lab reports, X-rays, MRI and special tests performed and sent to the VARO.
* Worksheet used by the examining physician
* Dictated report of the examination, test results, radiological reports, lab results
* And a statement from the medical facility of the examining physician’s qualifications
The VA does not answer me, so I've now sent the letters by certified mail return receipt.
Also, due to Hurricane Katrina, I discovered the original x-rays from 1987 & 1989, which I forgot I had taken from Navy medical when I retired. Took these to my orthopedic Surgeon along with x-rays from 2005. He reviewed the x-rays and claims they clearly show an arthritic AC joint and wrote a letter to the VA that I had arthritis in 1987 and most likely earlier. He claims all the sports I played, as well as, the daily PT requirements are the cause of my problems. Arthritic AC joint & bursitis of the left shoulder.
The VA continues to deny, delay, and hope I die before they have to pay my claim, but at least I managed to re-open my claim. How do I proceed now? Do I go to the board of veterans appeal?
I have requested the same info as above for the C&P exams in DEC 2007 and MAR 2008, but have yet to receive the information from the VA. Incidentally, my case file was not sent by VARO for the DEC exam, and the same Doc did not read my case file in MAR 2008 (I asked him and he did not read it, but instead he looked in the computer and told me there were no prior claims listed for left shoulder, and this was a new claim. He refused to look at the x-rays from 1987, 1989 and 2005. I plan on going back to my ortho and having him do a complete C&P exam and sending that to the VA.
I have a similar case for arthritic knees, but no medical entries, only my PT logs, which shows miles ran and notes, like knee hurt, legs swelled, etc. more than thirty five entries over a period of five or six years, and two buddy statements, one who was on active duty with me. I have managed to reopen this case also. How do you recommend I proceed now?
Thank you, and appreciate any advise.
Answer:
If you've been denied after June of 2007, you should seek the services of an attorney. Your case is complex enough that it's well worth your time to review all of this with a good lawyer.