vlb-all-products

vlb-c-file-manual


  • Topics

  • Member Statistics

    • Total Members
      16,017
    • Most Online
      3,604

    Newest Member
    Robi Akerley-McKee
    Joined
  • Forum Statistics

    • Total Topics
      61,367
    • Total Posts
      395,821
  • Posts

    • Don't take the Claim Ltr to mean more than what it asks, you left info out that needs to be completed. As to your Dr's SISOC, marginal at best. No indication that he actually reviewed your 2002 SMR DX of SA. SC SA DX'd needing Cpap or Bipap is rated at 50%, even if you don't use the Machine, which would not be wise. If you also have a DX requiring supplemental 02 while sleeping due to P02's dropping below 90%, that does support a possible Chronic Resp Failure claim. Check out the 38 CFR 4, SA Rating for 100%. You'll notice that there are 3 or 4 DX "OR'S" listed, any (1) of which could get you a bump to SA 100%. That worked for me, this past 12/15. It took a VA Quality Review of a 07/15 increase Denial Decision, but the Sr Rater agreed with my position regarding my SA Request for an increase to 100%. Every thing regarding my 02 use and meeting another (2) of the 100% requirement was in my VMC records. The original Rater just didn't understand the significance of the "OR's" and the 02 Use. Got 100% Retro'd back to 01/14 with SMC S (1). Semper Fi  
    • Send her a black rose with a small card that says "Paid for by my VA Benefits" and then ignore her.   Unless you get information that she is trying to cause you a problem, you probably dont need a lawyer.  If she is calling up SS and the VA and all the other points of contact about your disability, then you might think about it if she is lying.  This would be defamation of your character if she is telling stories about you that are not true, in an attempt to cause you harm.  Then you would want a lawyer.    
    • Your worst enemy can't hate you like an X. How long has she been your X? I'd take her off your Christmas Card List. Semper Fi
    • Your Scheduler 100% SC for PTSD, not a combined Rating, right? NO IU Rating involved? Any mention in your Award Letter regarding a possible Fiduciary Appointment? I know you mentioned your $6K Retro Deposit, it's just that a 100% PTSD Vet, who may or may-not be homeless and may or may-not have RX or other Dependency issues, is usually a prime candidate for a VA Fiduciary Appointment. Semper Fi
    • At this stage of your PTSD Rating Decision, kind of the "11th Hour" so to speak, just try to relax. The VA PTSD Rating Decision won't move any faster or slower based on anything you could do at this point. You have a PTSD DX, it all comes down to the Raters Determination regarding your MST Supporting Evidence, it will either be Compelling or not. Keep in mind, the VA "Benefit of Doubt Doctrine." If for some reason, the Rater determines that your MST "Marker Evidence." doesn't quite Seal the Deal and the evidence for and against an SC rating is determined to be in "Equipoise," you get the Jump Ball and the SC is Awarded. At least in Theory. The only thing you can and probably should do, practice the Anxiety/Stress relieving exercises that you learned in Group Therapy. Get together with someone from your Group, it really does help to talk face to face. Semper Fi





robert51

Trying To Go To 100% Ptsd From 70 And Iu

31 posts in this topic

Just how hard is it to get to 100% for PTSD... I have a very good batch of private doctor reports going back to 2004 each year I get a new report and across the board they say Poor.... has anyone gotten 100% PTSD? I hope not but with the problems happening maybe us with 70% IU and SSD will get shafted on the IU so I want to test the waters... I have a total of 9 years of twice a month doctor visits the last 5 with a private doc... My chances are???????????

Share this post


Link to post
Share on other sites



Just how hard is it to get to 100% for PTSD... I have a very good batch of private doctor reports going back to 2004 each year I get a new report and across the board they say Poor.... has anyone gotten 100% PTSD? I hope not but with the problems happening maybe us with 70% IU and SSD will get shafted on the IU so I want to test the waters... I have a total of 9 years of twice a month doctor visits the last 5 with a private doc... My chances are???????????

If the medical evidence supports the 100% higher rating, then file a claim for increase, 38 CFR 3.160(f). Having 100% PTSD would enable you to file for special ratings down the road. ~Wings

Share this post


Link to post
Share on other sites

Unfortunately, you also have to be nearly totally incapacitated in every aspect of your life to get 100% for a adjustment or anxiety disorder. You should go to the mental health claim repository and look at the 100% criteria before filing the claim. It will also be much easier for the VA to reduce your compensation in the future if a single medical exam shows some improvement. It is much harder for them to reduce TDIU if you don't go back to work and send in your employment questionnaire every year. Don't wait on them to send it to you, print one off, fill it out, and send it in on your own.

Share this post


Link to post
Share on other sites

You can also seek extra-scheduler consideration.

Share this post


Link to post
Share on other sites

If you are rated IU you give up opportunity to get housebound. I sometimes think that it is best to get the rating and see where the chips fly. If you are rated 100% for PTSD then the VA is supposed to also consider you for HB which is another 300 some odd dollars a month. There are pros and cons to a schedular rating, and the same goes for TDIU. To me it is the same rating since no one I know with a 100% rating for PTSD or any mental disorder works, and part of that rating is not being able to work. I think they should make every TDIU vet 100% schedular. The VA used to make vets who could not work 100% schedular. Work is the main criteria they use to determine higher levels of disability for any emotional disorder. Also if you are not able to work and you are 100% schedular if the VA reduces you to 70% they are supposed to consider you for TDIU. If you are housebound then go for the 100% schedular since you deserve it. If you are housebound then by definition you are also 100%.

Share this post


Link to post
Share on other sites

TITLE 38--PENSIONS, BONUSES, AND VETERANS' RELIEF

CHAPTER I--DEPARTMENT OF VETERANS AFFAIRSPART 4--SCHEDULE FOR RATING DISABILITIES

Subpart B--Disability Ratings

4.129 Mental disorders due to traumatic stress.

General Rating Formula for Mental Disorders:

Total occupational and social impairment, due to such symptoms as: gross impairment in thought processes or communication; persistent delusions or hallucinations; grossly inappropriate behavior; persistent danger of hurting self or others; intermittent inability to perform activities of daily living (including maintenance of minimal personal hygiene); disorientation to time or place; memory loss for names of close relatives, own occupation, or own name....................... 100%

Occupational and social impairment, with deficiencies in most areas, such as work, school, family relations, judgment, thinking, or mood, due to such symptoms as: suicidal ideation; obsessional rituals which interfere with routine activities; speech intermittently illogical, obscure, or irrelevant; near-continuous panic or depression affecting the ability to function independently, appropriately and effectively; impaired impulse control (such as unprovoked irritability with periods of violence); spatial disorientation; neglect of personal appearance and hygiene; difficulty in adapting to stressful circumstances (including work or a worklike setting); inability to establish and maintain effective relationships........................... 70%

Occupational and social impairment with reduced reliability and productivity due to such symptoms as: flattened affect; circumstantial, circumlocutory, or stereotyped speech; panic attacks more than once a week; difficulty in understanding complex commands; impairment of short- and long-term memory (e.g., retention of only highly learned material, forgetting to complete tasks); impaired judgment; impaired abstract thinking; disturbances of motivation and mood; difficulty in establishing and maintaining effective work and social relationships........... 50%

Occupational and social impairment with occasional decrease in work efficiency and intermittent periods of inability to perform occupational tasks (although generally functioning satisfactorily, with routine behavior, self-care, and conversation normal), due to such symptoms as: depressed mood, anxiety, suspiciousness, panic attacks (weekly or less often), chronic sleep impairment, mild memory loss (such as forgetting names, directions, recent events)........................................... 30%

Occupational and social impairment due to mild or transient symptoms which decrease work efficiency and ability to perform occupational tasks only during periods of significant stress, or; symptoms controlled by continuous medication............... 10%

A mental condition has been formally diagnosed, but symptoms are not severe enough either to interfere with occupational and social functioning or to require continuous medication..................... 0%

Edited by Commander Bob 92-93

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!


Register a new account

Sign in

Already have an account? Sign in here.


Sign In Now