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    • Reviewing 2016/15 BVA Decisions for MST/PTSD, just might give you a greater sense of well being and help support your positive outlook. You can link to BVA Decisions, right from the VA.Gov home page. I just checked 4 somewhat similar BVA 2016 MST/PTSD Awards and 1 Denial, your claim appears to be much stronger than any of the 4 Awards. Semper Fi  
    • PS I forgot to mention.....I think the PUCS are all on line....I found on line the one that covered my husband in Vietnam...he had heard when they got back to the world that his unit in Vietnam got the PUC but the Marine Corps made them fill out their DD 214 forms themselves and none of them really knew what awards or decorations to put down.He always wondered about the PUC and there it was on his DD 215 and they sent the ribbon to him and any medals not made in Vietnam, and told him he could purchase the Vietnamese medals at a PX.  
    • Geez John....I am sure you questioned already the St Louis fire potential. I still have SMRS here from a vet who VA told were destroyed in the St Louis Fire. I told him to go to NARA site and he got them.His rep asked me to help him and showed me 2 pages of SMRS and the letter from VA that said the rest were destroyed in the fire. I immediately realized the VA was full iof crap on that---no watermarks or charred edges on the copies....I was with the local fire department for 8 years. Firemen , especially in a horrendous fire like St Louis was, did not have any time at all to select a few papers here and there from any vet's files. They told one vet here the same BS but he had enlisted AFTER the St louis fire. Has your father filled out a DD 149? The form is here somewhere. A DD 149 brought the Presidential Unit Citation to my husband and other awards he did not have on his DD 214, along with a DD 215. Most of the records lost in the fire were for USAF vets, not Army. When VA uses the fire excuse for any vet, I think the vet should request the records themselves from NARA. It could be possible they were destroyed but it also is possible the VA lied.  
    • I assume that you were employed when they made the 70% rating? Otherwise they would have considered you for TDIU and probably enclosed the 21-8940 form with the older decision. If the cancer is claimed and also is  a SC disability, the rating might put you at 100% or warrant TDIU,if you are unemployed. Not enough info here to really guess..... You seem to be asking if the cancer alone would give you 100%....... Please check out our VA Schedule of Ratings link here.on the forum page....go down about halfway to where you will find how they rate cancer....and the ratings depend on the type of cancer and the residuals of it. And of course if it can be service connected.    
    • Indeed he is. But a NOD is more than just a ballpark statement that one is disagreeing with the decision. On Christmas Eve (of course) 1988 my husband got a proposed reduction letter. The tree went flying out the front door.They proposed to reduce his then 30% PTSD to 10% since he had obtained 'substantial employment' with the VA  and also was in Voc Rehab. I wrote the NOD stating he only got the VA job because the director didnt want him to file an EEOC case on another hiring matter for a full time fireman's position, when their personnel director violated the law. OPM had found him qualified but he never even got an interview because the fire department at this VA hired relatives....for years without interviewing qualified veterans.He got a part time VA job in their dietetics department within hours after we talked to the director about this ( until another VA fireman position opened -per the director-and none ever did) yet he was a former PHVAC, and Nuke as well. Substantial employment? My butt.The personnel director was removed due to that fiasco.I gave them the VAMC's director's contact info and testified I was a witness to this entire situation, in the NOD. Also I pointed out that ONE sole semester of VOC Rehab does not make anyone a rocket scientist and he already had requested accommodations to his PTSD, and needed a note taker and also tutoring from the college. About 7-8 months later AmVets on his POA called here but he had not gotten home yet and AMVETS said that's OK, just tell him the VA will send him a formal letter that they have restored his comp back to 30%. This was 1988 and no PC internet then. I used the regulations they quoted in the proposed reduction letter against them and also used plain old common sense. Same thing with my daughter's NOD.I raised CUE in it too.VA Educational department error. That was resolved in 3 weeks,after I mailed her the NOD, she copied and signed it and sent it in. I used the regulations from their own Chapter 35 application.I guess no one at VA Edu knew how to read the regs. A NOD is the most important avenue of attack to a faulty VA decision. Telling them why they are wrong, with evidence they have and how the regulations were misinterpreted can do wonders....but many times they will still fight back. If it is a question of a medical nature( lousy C & P exams  are the most likely cause of denials) than an IMO/IME is definitely in order. If they said your SMRs were 'silent' for any nexus, with the NOD ,send them a copy of anything in the SMRs that prove the nexus. And of course if they made a legal error to your detriment in a recent decision within the appeal period formally ask them to go CUE themselves. ....explained here many many times already....but file the NOD on time if they do not react to this type of CUE request.          





diablogun

New To Forum, Exam Upcoming On Psoriasis And Arhtritis

22 posts in this topic

Hi all,

I'm a new guy, and I've been perusing the posts, but haven't seen much about my condition. Next Tuesday I am going to my ratings physical (is it called this?) to have my service connected disabilities rated. I have Psoriasis and associated Psoriatic arthritis, and am wondering what I can expect from the rating. I have been on immunosuppressive drugs for more than 3 years for the Psoriasis, so according to the schedule that should be 60%?

For the arthritis, I have it in my back, knees, wrists, hands, and to a lesser extent in 1 shoulder and both ankles. Does anyone have any idea if they lump these all together, as it seems to indicate under ratings code 5002? Any information offered is much appreciated, I am pretty new to this process.

Thank you in advance :-)

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http://www.vba.va.gov/bln/21/Benefits/exams/index.htm

These are the blank C & P exams- which is what I think you mean by the ratings physical.

There might be something there that shows you what to expect.

Also the BVA web site has claims similiar to your condition and if you put psoriasis and arthritis into the BVA search engine they will come- I saw 4 for 2008 but the weather affected my connection-

I see that you are 90% SC- are you able to work- and if not have you applied for TDIU and SSA?

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http://www.vba.va.gov/bln/21/Benefits/exams/index.htm

These are the blank C & P exams- which is what I think you mean by the ratings physical.

There might be something there that shows you what to expect.

Also the BVA web site has claims similiar to your condition and if you put psoriasis and arthritis into the BVA search engine they will come- I saw 4 for 2008 but the weather affected my connection-

I see that you are 90% SC- are you able to work- and if not have you applied for TDIU and SSA?

Hello :-)

I put 90% because I had to put something when I registered. I am assuming 60% for the psoriasis and perhaps 60 or 70 for the arthritis, which would make it 90%. I can presently work, though the arthritis causes constant pain, I will put off the IU as long as I can hold a job. If the time comes that working is too difficult, is that the time that I should put in for SSA? I hope I never have to do that. Anyway, thank you for the information :-)

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Diablogun,

I filed a claim in March 2007 for both Psoriatic Arthritis and psoriasis, I was rated at 60% in May of this year (60% for psoriatic arthritis and 10% for psoriasis). I have filed a NOD because I have taken on Methrotrextate (immunosuppressive drug) every week for the past three years to treat both, if successful my rating for psoriasis should increase to 60%. Also I filed my first claim almost 17 years after my discharge from active duty.

Here's what was in my rating letter:

Psoriatic Arthritis:

We have granted your claim for service connection for your psoriatic arthritis because evidence shows that this disability developed as a result of the inservice psoriasis. We have assigned a 60 percent evaluation effective March 21, 2007, the date we received your claim treatment records from your private physicians show that you have been treated for this condition since early 2006. The records show that you have been treated with methotrexate with significant relief of symptoms. Your disease remains in the active phase. In 2007 you underwent surgery for significant left wrist disability. VA examination shows that both wrists elbows and hands are affected as well as the ankles and feet. You have flares about every month or two lasting for 1 to 2 days, relieved by Celebrex and rest. There is some loss of motion in the elbows, wrists, knees, feet and hips. There is no ankylosis. The hands show boutonniere deformity of all fingers except the thumb and little finger on the left. There is a gap between the finger and proximal transverse crease of hand of the left of 1 to 2 inches. On the right there is no gap. Range of motion of the right thumb is from 0 to 20 degrees and on the left from 0 to 30 degrees. There was no painful motion. The examiner states that this condition is due to the psoriasis incurred during military service.

An evaluation of 60 percent is assigned for an active process with weight loss and anemia productive of severe impairment of health, severely incapacitating exacerbations occurring four or more times a year, or a lesser number over prolonged periods. A higher evaluation of 100 percent is not warranted unless there is a totally incapacitating process with constitutional manifestations and active joint involvement.

Since there is a likelihood of improvement, the assigned evaluation is not considered permanent and is subject to a future review examination.

Psoriasis:

We have granted your claim for service connection for psoriasis because service medical records show that this condition began during military service. We have assigned a 10 percent evaluation effective March 21, 2007, the date we received your claim. Your service treatment records show that your psoriasis began on your knees in 1987. Subsequent to service you have continued to receive treatment in the form of topical creams and corticosteroid (Cordran) tape. VA examination shows that currently the psoriasis covers 18 percent of exposed areas and 15 percent of non exposed areas. The face is normal with scaly psoriasiform lesions over the elbows and also the dorsal surface of the hands. The skin on the body is within normal limits. An evaluation of 10 percent is assigned for evidence of at least 5 percent, but less than 20 percent, of the entire body, or at least 5 percent, but less than 20 percent, of exposed areas affected, or; intermittent systemic therapy such as corticosteroids or other immunosuppressive drugs required for a total duration of less than six weeks during the past 12-month period. A higher evaluation of 30 percent is not warranted unless the record shows 20 to 40 percent of the entire body or 20 to 40 percent of exposed areas affected, or; systemic therapy such as corticosteroids or other immunosuppressive drugs required for a total duration of six weeks or more, but not constantly, during the past 12- month period.

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Diablogun,

I filed a claim in March 2007 for both Psoriatic Arthritis and psoriasis, I was rated at 60% in May of this year (60% for psoriatic arthritis and 10% for psoriasis). I have filed a NOD because I have taken on Methrotrextate (immunosuppressive drug) every week for the past three years to treat both, if successful my rating for psoriasis should increase to 60%. Also I filed my first claim almost 17 years after my discharge from active duty.

Here's what was in my rating letter:

Psoriatic Arthritis:

We have granted your claim for service connection for your psoriatic arthritis because evidence shows that this disability developed as a result of the inservice psoriasis. We have assigned a 60 percent evaluation effective March 21, 2007, the date we received your claim treatment records from your private physicians show that you have been treated for this condition since early 2006. The records show that you have been treated with methotrexate with significant relief of symptoms. Your disease remains in the active phase. In 2007 you underwent surgery for significant left wrist disability. VA examination shows that both wrists elbows and hands are affected as well as the ankles and feet. You have flares about every month or two lasting for 1 to 2 days, relieved by Celebrex and rest. There is some loss of motion in the elbows, wrists, knees, feet and hips. There is no ankylosis. The hands show boutonniere deformity of all fingers except the thumb and little finger on the left. There is a gap between the finger and proximal transverse crease of hand of the left of 1 to 2 inches. On the right there is no gap. Range of motion of the right thumb is from 0 to 20 degrees and on the left from 0 to 30 degrees. There was no painful motion. The examiner states that this condition is due to the psoriasis incurred during military service.

An evaluation of 60 percent is assigned for an active process with weight loss and anemia productive of severe impairment of health, severely incapacitating exacerbations occurring four or more times a year, or a lesser number over prolonged periods. A higher evaluation of 100 percent is not warranted unless there is a totally incapacitating process with constitutional manifestations and active joint involvement.

Since there is a likelihood of improvement, the assigned evaluation is not considered permanent and is subject to a future review examination.

Psoriasis:

We have granted your claim for service connection for psoriasis because service medical records show that this condition began during military service. We have assigned a 10 percent evaluation effective March 21, 2007, the date we received your claim. Your service treatment records show that your psoriasis began on your knees in 1987. Subsequent to service you have continued to receive treatment in the form of topical creams and corticosteroid (Cordran) tape. VA examination shows that currently the psoriasis covers 18 percent of exposed areas and 15 percent of non exposed areas. The face is normal with scaly psoriasiform lesions over the elbows and also the dorsal surface of the hands. The skin on the body is within normal limits. An evaluation of 10 percent is assigned for evidence of at least 5 percent, but less than 20 percent, of the entire body, or at least 5 percent, but less than 20 percent, of exposed areas affected, or; intermittent systemic therapy such as corticosteroids or other immunosuppressive drugs required for a total duration of less than six weeks during the past 12-month period. A higher evaluation of 30 percent is not warranted unless the record shows 20 to 40 percent of the entire body or 20 to 40 percent of exposed areas affected, or; systemic therapy such as corticosteroids or other immunosuppressive drugs required for a total duration of six weeks or more, but not constantly, during the past 12- month period.

Hi John,

I am assuming the arthritis will break down in the same fashion as yours. My heart goes out to you, this disease is horrible. Did you tell them of the methotrexate during your C&P? I don't really want to have to appeal. I am surprised they only rated you 10% knowing you had been on immunosuppressive drugs. I am bringing my prescriptions and letter from my private doctor about the Enbrel I have injected for the psoriasis for almost 4 years.

Please let me know anything you can about the examination for the arthritis; did they take x-rays? Did they test each joint? Are all of your joints affected? Thank you for any information you may have :-)

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Yes, I told the C&P doctor that I was on MTX for both, he even noted that I have seen a "enormous improvement on the skin" since I started taken MTX on my C&P report. The rating letter only mentions this for the arthritis.

All of my joints a affected, some are worse such as my wrists and knees.

The C&P Doc used the exam work sheets http://www.vba.va.gov/bln/21/Benefits/exams/index.htm for "Shoulder, Elbow, Wrist, Hip, Knee, and Ankle" and "Hand, Thumb, and Fingers". Yes they did X-rays for all joints and used a goniometer to measure the ROM of each joint. He will also ask you alot of questions on how each joint impacts your daily activities, work and how ofen you have flares.

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