My husband just turned in everything thing this morning to have an IPR done. His PEBLO called just a little while ago and said she was able to put in a good word for him and he has his appoinment for it tomorrow. His lawyer told him to have another ROM done before everything is sent to the PEB. Is the IPR the final say before it goes to the PEB? His referral to switch pain management clinics is still pending and has been for like 2 weeks now. He was going to get them to do a ROM. If the IPR is he final say so before the PEB, then the ROM that is in the NARSUM stands and it is definiely is incorrect.
IPR/IMR quesion.
- Thread starter BigNes
- Start date
An IPR/IMR is usually used for the SM that says/knows that something was knowingly omitted or accidentally left off claim from the NARSUM, or had an unfair exam done by the DoD. ROM will only matter if it is a "fails to meet retention standards" condition that will be rated by the DoD. If it was the VA C&P exam completed and it is has the ROM stated there as a "meets retention standards" (which the DoD will not rate), it will be what the VA rates and they most likely will not look at the ROM scores from the DoD, unless there is a reported change in the severity of the claim. The new NARSUM has to be reviewed by your husband again before it's sent to PEB, and he has the chance again to have another IPR/IMR to be done if he was treated unfairly on the first IPR.
His neck should have been "fails to meet retention standards" on the spot and was not. His lawyer said that should be changed no problem because he has documentation and P3 profile. So it goes, IPR, addendum, then appeal if he doesn't agree with the NARSUM? I was confused about what exactly the IPR is but now I undersand it.
You have it exactly right! If you get lost on some of the lingo see my thread called MEB/PEB Dictionary link located in my signature. Once he gets his NARSUM signed start applying for SSDI, review the threads on this site for the best way to fill the application out.
Well, the IPR doctor denied to make any changes to the NARSUM. He said my husband's P3 profile for his neck is too immature to be considered. His lawyer says appeal but my husband is at the point of giving up and just giving in to everything the MEB says. Along with, giving in when the PEB results come back . I'm trying to give him a boost of confidnce but not sure if it will work.
It is understandable that your husband is at the point of giving up, but let him know not too!! I am a PEBLO and always encourage my soldiers to use every avenue afforded to them. I never want them to just say'Whatever' or give up.
The IPR doctor told him on the phone that since him and the original doctor that wrote up the NARSUM agree on there just being one unfitting, that if he appeals it, the next person will same the same as them. I know once it goes to the PEB they have to consider all conditions, even newly found conditions. So i don't see why the MEB is saying the P3 profile is too immature to be considered. We were really hoping to have his neck added now, instead having to appeal the PEB, if they don't change it themselves. Which i doubt they will do.
it is rare that the PEB will change anything, but they have been known to return cases for futher medical documentation or explanation.
I did my IMR about 30 min ago, and wanted to beat the Dr. First thing he does is defend the VA doc. Says he supports him for the adjustment disorder with depressed mood. I say that is crap and want to see a new Doc for that to get changed or pulled. If I had andjustment disorder I would not have made it 19 years in two branches of the military. Can I appeal before it goes to the PEB? Also he said I could ask for a VA reconcideration for two things I did not have listed in the packet. Can I do that before it goes to PEB?
I figured it was rare. If he ends up having to go to the formal PEB after he gets the results back from them, how long does that usually take? A few months? I was also wondering since they won't consider the P3 profile now because he has only had it for 3 months, what are the odds of having the PEB change it at the formal? That is, if he is still on a P3 profile after seeing pain management and physical therapy for it. The doctors reason for not adding it, is because he hasn't had physical therapy. He complained about his neck and back last year and went to physical therapy twice and then was told it was because of his shoulder (his boardable condition) and no one would do anything about it. So he thought his back and neck would get better after his shoulder surgery, but they got worse because the pain was not caused by his shoulder injury.
Yes you can appeal, just check with your local JAG they can help you with this. Do you have supporting evidence to get that added?
It can take a little time. Does he have all the medical documentation concerning pain management etc...be sure to get all the ammo you can for the formal if that is theroute he is going to take. get with legal and get a game plan together.
It's hard to say what the PEB will do, but he should try. like I said before make sure and get a hold of any and all med documentation that he can. The more he has that is related to the condition(s) the easier it should be to get things in his favor.
He needs to keep going in to report the neck issue, the more documentation the better...
Totally agree with you grizz13. He does need to keep getting seen
Not sure you if you are referring to me but that's what i told him. Even if it isn't added now, going to physical therapy, pain management and going to see his PA will help his case to have it added if he goes to the formal PEB. By then, his P3 profile will be 6 months old and he was told by either his lawyer or peblo, if it were 6 months old now, it wouldn't be a problem.