Well, apparentally when I sent my concerns and evidence after I received the last rationale nothing was done. The VFW service officer didn't pass them on, or appeal. I didn't find out until I asked for my status a couple of weeks ago and wanted to confirm they got my updated medical records from my civvie rheumatologist and pain management doctor.
So, I got them to re-open my claim and I have another exam on 10 January.
I am still rated at only 30%, despite the evidence that I should be at 60% (since I take enbrel).
I hope I don't see the same lady that thinks my AS issues are all in my head and that my stiffness and screwed up sleep patterns are a result of being lazy.

I have 4 sons (ages 4, 8, 13, and 14) and a 9 month old black lab. I own my own business (work part time) and spent the summer helping build a new house for friends who had a house fire last March.
She's also the lady who only referenced my x-rays from 2002, even though she orders a whole crap load of films every time I see her. At least in my civvie records I have x-rays and an mri from this past Summmer....my rheumie suspected hairline fractures in my pelvis.
Current meds:
enbrel
oxycodone
ambien cr
VA treatment/coverage---- zilch
I'll keep you posted