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07/23/2009 10:32 AM

Could use an opinion

Kestral
Kestral  
Posts: 92
Member

So, recently the decision for my Compensation Claim with the VA came through. However, I don't like it (40% and denied unemployability). So, while gathering information for an appeal, I discovered that the doctor they sent me to (which I think the decision was based largely on his opinion) was NOT a Rheumy, but who's specialty is Internal Medicine. Anyone know if someone of that specialty is really qualified to evaluate someone w/ Fibro?
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07/23/2009 11:46 AM
mammy
mammy  
Posts: 7217
VIP Member

I would definitely fight that. I'm not saying the other doctor could not diagnose or treat fibro however it's a rhuemy that is supposed to the specialist in diagnosing and treating fibro. Did they mislead you into thinking you were seeing a rheumy? If they did, then you probably have a very good chance. My PCP is the doctor that originally thought I might have fibro but simply said, I don't specialize in it so I don't feel comfortable diagnosing or treating it. That's why he sent me to a "specialist" and I would think they would have wanted you to see someone who is more knowledgable in that specific illness. Good luck and let us know how you make out.

Connie


07/23/2009 11:53 AM
Kestral
Kestral  
Posts: 92
Member

All that was mentioned in the letter was that I had 2 appts on separate days with separate doctors (a MAJOR p.i.t.a.). I didn't find out until I showed up at the first appt that I was seeing a shrink, because someone didn't read my claim correctly and thought I was claiming some form of mental disability. I asked the receptionist before I left that day about the 2nd doctor, but she'd said that he was an ENT (obviously not). I was hoping that I wouldn't get screwed for once, but I was. And you won't believe how many hoops I had to go through to find out this guy's bloody specialty!

07/23/2009 12:27 PM
mammy
mammy  
Posts: 7217
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I'm so very sorry about this mess. There must be somebody from like the medical board you can call or is there an appeal # or process that you can start?

Connie


07/23/2009 12:30 PM
Kestral
Kestral  
Posts: 92
Member

Appeal process, yes. It's actually why I was trying to find out the doc's specialty. Figured, if he wasn't a Rheum, that'd be the perfect basis for the appeal. I thought I might try seeing if I could get an opinion from the AMA... somehow.

07/23/2009 06:43 PM
hopefull1
hopefull1  
Posts: 1965
VIP Member

Rheumatology is a subspecialty of Internal Medicine and I think but could be wrong, but I think extra training is required to list yourself as a rheumatologist. If this guy didn't have the training then I don't know how he could have accurately diagnosed you. Just my opinion.

07/23/2009 06:48 PM
Kestral
Kestral  
Posts: 92
Member

I spoke to a friend of mine who works out of Johns Hopkins. She said that, basically, Internal Medicine is like a General Practitioner, they have a broad over-view, and if I'd seen him out of this context, he would (should) have referred me to a Rheumy actually. So, the argument I can use would be something to the effect of "having a broad knowledge, he doesn't really have the <insert appropriate word here, drawing a blank> to accurately diagnose me." And I'll definitely request to see a Rheum specialist.

07/23/2009 07:04 PM
tracy6878
tracy6878  
Posts: 575
VIP Member

keep up the fight!!! best of luck to you...tell them whats up and give them a what for!!!best of luck to you!!!

Post edited by: tracy6878, at: 07/23/2009 07:04 PM


07/23/2009 09:29 PM
hopefull1
hopefull1  
Posts: 1965
VIP Member

I wish you all of the luck in the world in winning your appeal. I'm sending prayers and good karma out to you!

10/21/2011 11:45 AM
Kestral
Kestral  
Posts: 92
Member

Update: Lost the appeal due to the morons seemingly not to have read my evidence! So, appealing AGAIN *sigh* Why does life have to suck so much? I swear, I must have been a serial killer in a past life, because the amount of bad karma I seem to be paying in this life is apparently astronomical!
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