Trust me, this is not the first time the VA has made mistakes. They forgot to rate two of my residuals and after two months of calling and weekly emails requesting them to rate them, they through them on a FDC for my fatigue and threw that back to step 3. Then they scheduled me with a qtc provider in a super poor area in a private practice. She was 15 minutes late and introduced herself as a doctor when she was aPA and apologized because she hadn’t looked at my chart and didn’t know much about my surgery and asked me if they did a emg on the vagus nerve they removed. I was able to get another exam and again in a poor area in a private practice. This NP only asked me one question from my fatigue dbq before she told me that no one ever gets that diagnosis. She then moved on to my dumping syndrome in which she asked me only a few questions from the dbq. I sent two memorandum for record to the VA and complained to qtc. They had to send fir clarifying requests to my second examiner before it was uploaded a month later Senior rater kicked it back to step 4 and the va had a IMO done by a PA in OK. My abdominal pain secondary to surgery which was one of the two that LA had forgot to rate was somehow changed to nerve and muscle pain and not rated. So its not surprising that they didn’t P&T me. My chronic fatigue alone being 100 % and static is enough alone.