I think it's time for me to back out of this. Perhaps Vike17 can sort it out. I have no clear view of what events occurred and when or who all the players are. You speak of "your doctor" but I'm not clear who you think is your doctor. Please understand, a C&P examiner isn't your doctor, but to answer your question, yes what occurs at a C&P exam should be communicated with the decision maker at the VARO because it was he that ordered the C&P exam in the first place. What I can tell you is that if your doctor can say it is at least as likely as not that based on your service medical records the cancer started in service and he can support it with sound rationale, it will probably be service connectible. Information from medical professionals other than a C&P examiner aren't necessarily transmitted to the RO even if they occur in the VHA system. If I were you, I'd go to the "release of information office" at the VAMC and get a copy of the C&P exam to see what they did send. I would also get my medical records at the VAMC and see what the doctors have written. It is often different than what the veteran says his conversations lead him to believe. Your C&P exam is not part of any medical record you might have unless they do things differently in Hawaii. Based on my service in Hawaii which was 40 years ago, that's entirely possible.