WHOA, WHOA, WHOA!!!! The VA must consider all relevant evidence. They cannot out of hand reject competent evidence. This is an issue that comes up again and again in VA cases (and, I do understand how people might think that there has to be some kind of "official" exam...but all competent evidence must be addressed by the VA). Quite a separate issue is what happens in the IDES. The VA seems to believe that they don't have to follow all of their own rules when rating as case "in" the IDES. Based on peculiar jurisdictional issues, it seems to me that there is no remedy or jurisdiction of a court to address this; however, the good news is that once in Veteran status after separation/retirement, then all of the rules are applied (or, if they are not, there are avenues to appeal). All of this is very complicated. However, my point is that all evidence must be considered under VA rules and case law. (If you submit something from your Witch Doctor, without more, this may be rejected if the VA gives a reason for it...however, so long as the Witch Doctor has a basis for the observation, it must be considered; different question if Witch Doctors would be expert or lay witnesses...hope I made the point clearer rather than muddying it.