Kurt, sometimes when dealing with the VA it becomes necessary to get with one of the advocate groups.... I'd recommend the DAV (Disabled American Veterans), the VFW, or the Veterans Outreach Center as some of the most effective advocate groups.... I've been dealing with Vet issues for way too long, and have seen all of these groups bend over backwards to help out another Vet..... They will also be able to suggest physicians and clinics for second opinions.....