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    • Full Knee Replacement
      First, if you  have newer x-rays from outside the VA, get them and the reports into your VA med file. The distance from the VA hospital initially is not as important as the distance to a local VA outpatient clinic. But, once you convince the clinic PCP then outside care (consult in VA speak) can be authorized, since the VAMC is farther away than 40 miles. 
    • Dro Review Processing Time
      I sent in an NOD requesting DRO review about two months ago.  Nothing appeared on ebenefits so I sent an ISIS message.   Took them 2 weeks to reply  (ignore their note that days reply would be sent in 5 workdays)   Return meggage said NOD was received but ebenefits is a little behind   Message said a letter was sent to me asking if I wanted DRO review.  Msg said ignore letter because I already asked for DRO in NOD. Here's  the killer.  Average time for DRO review    631 days
    • Code Sheet
      After reading my code sheet I saw I have one of those. I'm rated on my ankle as 5020-5271. It's also static.  To me the code sheet eases the Veterans MNF. I know what my codes are and I know that my contentions are either static or non-static.  This shoulf not be a secret to is at it is vital information. Nor should this be a huge issue to get. 
    • Auto Adaptive Reimbursement
      I'd try to get something in writing concerning changes/refusals, than, "run the flag up the pole" any way that I thought would help. Automatic transmissions are more or less standard these days, so I'd not be surprised about that.  Bureaucratic screw ups in budgets are not a valid reason for failing to provide benefits required by title 38. Looking at things from a different perspective, some vehicle options are often listed as options,even though they are really "standard". A/C and automatic transmissions are just two. Another possible go-around is that different trim levels of the same vehicle have different options as "standard". You could possibly buy a base version, and add options at extra cost, or an up trim version with the "options" already included as "standard". It may be that the VA is looking at what the "normal" buyer options are, and trying to avoid paying for them.  
    • CUE? Not using SMR?
      Yes, if they notice the CUE they can adjust on their own.  I just had the EED adjusted on my initial claims for asthma and left ankle, the rater looked at my entire record while processing my unadjudicated claim for diabetes.  He immediately file a cue and adjusted the EED.  I didn't have to do anything for the EED/CUE. However, my ED was actually a CU they started them in 98 vs. 97.  
    • C&P Exam Results, WTH is going on, Please Help!!!
      Agree with killemall. You got this Navy04, we can't wait for you to come back here and say DONE!    
    • Code Sheet
      Thanks Asknod My problem is finding out the code for the disability.?? PTSD Code has it at 9411&9435 Code for Unspecific Depresssive Disorder VA Notes from  PCP  has PTSD  As : SCT47505003  My Sleep Apnea Notes has the code as SCT 73430006, Some of these I get confused with Insurance Codes  for Insurance Purposes. Jbasser & Jerrel Cook had a blog talk radio show on these rating codes Last year some times Maybe I'll recheck the Archives Shows. I tried to look up the code for OSA but never found it. just the SCT #73430006..?  And I have a Boo-Coo List of NSC disability's/contentions.  with the SCT# at the end of them
    • Auto Adaptive Reimbursement
      Update. My friend talked to the head of prosthetics in Tucson(kristine) and she informed him that the VA will not cover some items like power options,automatic transmissions and a few others.(I can't remember the list of things he told me).These were all covered by the VA previously.
    • NOD / DRO or TARP?
      All, Thank you for the response's. Due to me posting all of my documents intermittently, there seems to be some confusion with the timeline and issues. I will attempt to run thru this chronologically and repost all documents including my 2015 decision which I had not previously posted and answer all questions. March 2009- Filed original Claim for the following issues and received results October 2009 (see 2009 - Rating Sheet below) I do not have the entire decision packet: TBI - 10 % SC Residuals, gallbladder removal - 0% SC Back Condition - declined SC Psoriasis - declined SC PTSD - declined SC / Stressor conceded as combat action badge. October 2010 - Filed NOD / DRO for PTSD March - 2011 - Appeal decision received. I never stated that PTSD was due to MST. The paragraph on page 2 of 2011Appeal decision below is just the last part of 10 pages that I cut out covering rules and US code that they sent in the letter. The actual decision starts at the bottom of that page. Results: PTSD declined - I did not submit any new evidence. Diagnosed as "adjustment disorder with mixed anxiety and depressed mood". Blamed on me worrying about my husband returning to Iraq, even though he had just returned??? October 2014  - Initiated following claims: (I had transferred to the North Texas VA and had finally began receiving treatment after being fed up with OKC VA. I live in southern Oklahoma, so its a drive for me to go to either one) PTSD - Re-open Claim. TBI - Request for increase. May 2015 -  I reported for C&P exams at the Dallas VA clinic for PTSD and TBI. I'm not sure if this is relevant, but I received a call while my husband and I were driving there stating that the TBI examiner had to leave early and they would have to re-schedule that exam. I protested because it is a 3 hour drive. They called me back 10 minutes later stating that he would conduct the exam. He seemed pissed the whole time. His notes stated that No TBI residuals were present.  This is also the exam where the PTSD screener stated "However, it should be pointed out that most of the symptoms the veteran described during today's MH examination certainly those common to a PTSD diagnosis- she also described during her 7/8/09 Initial PTSD examination, in Oklahoma City, three years PRIOR to her son's illness."  ( see 2015 C&P exam notes below) June 2015 - Latest decision received. Results (see 2015 - decision part 1 &2 below): TBI - Decreased to 0% SC PTSD - 50% SC May 2016 - Wondering what my best next COA should be? Would like to get PTSD effective date back to 2009 and get TBI increased to at least percentage it was before. I have about 50 days to file my NOD. Q&A: Berta: What did the C & P doc diagnose you with? 2009 - TBI (SC) and adjustment disorder with mixed anxiety and depressed mood (not SC) 2015 - No TBI residuals and PTSD w/ major depressive disorder.   Berta: Have you googled the doctor who did the C & P? I do not know the Doctor's name from 2009. But I have found several articles referring to a Dr. Gail Poyner who was conducting PTSD exams at OKC VA at the time. She was fired from the VA in 2010 for applying test to Veterans to see if they were malingering or faking. Her research paper can be found here: http://link.springer.com/article/10.1007%2Fs12207-010-9076-x?LI=true I would like to have my C-File to see if she conducted the evaluation.   Gastone: What did you claim as the PTSD Stressors in your 09 app for PTSD? Combat Action Badge   Gastone: The 1st Denial, discussed "No Evidence of Personal Assault," MST? No MST ever claimed. The paragraph that covers PTSD due to MST was just the last paragraph of 10 pages of regulations that they sent with the decision. Actual decision starts at the bottom of that page.   Gastone: Did you know anything about the DRO Process Requirement, for the N & M Evidence? I did. My fault I didn't send any. I was fed up with OKC VA and assumed they would send me for a new C&P exam. Stupid on my part.   Gastone: Did you ever get a copy of your 09 PTSD C & P DBQ? No, I did not. Blue button records do not go back that far. I have requested a copy of my C-File. EBenefits states that I will get it between NOV 2017 and NOV 2018.   Gastone:  Do you currently have a VA MH Psychiatrist/Psychologist that treats you on a regular basis? I was being seen at Bohnam, TX VA. After they kept switching Dr's a few times, I now just get my meds re-filled thru my family physician. My husband is active duty, so we are on tri-care prime remote. I also qualify for VA choice, but have not used it.   Gastone: Have they given you an official PTSD DX? I have a PTSD diagnosis and receive 50% SC in 2015.   Berta: Did they have the incident reports? I faxed in two incident reports. They do not show on the evidence list, but stressor was conceded with CAB.   Flores97: Email congressman for C-File. Thank You for the advice. I emailed my congressman today and reiterated the time crunch I am under.     2011 - Appeal decision.pdf 2015 - C&P exam Notes.pdf 2015 - decision part 1.pdf 2015 - decision part 2.pdf 2009 - Rating Sheet.pdf
    • Full Knee Replacement
      I just came back from the Ortho doctor in town he said I need a full knee replacement for my service connected injury after looking at past 11 years of x-rays from the VA and what he just took today. The Marine Corps. somehow don't keep x-rays after a certain period of time. The VA says they will not do one until I'm 60 years old, all they wanted to do was give me injections for the pain. What I have now is a Torn ACL and I'm running bone on bone, and my knee cap is just about gone so here is the question. I already receive 20% for my left knee, due to the past 3 surgery's. So after having the knee replacement what will I be looking at? for an increase? Does the VA have to pay for this since I live 178 miles from the Nearest VA hospital? because they are still telling me if you were injured on active duty you must go to the VA hospital even through the VA says They will not do a knee replacement until I'm 60? I already talked to two Veterans in town at the Vet center and they had the same problem but they paid for it out of their own pocket for the surgery then filed for an increase award. So far they are still waiting for the VA to answer them back. any ideals on the best route to take? I hate to get this done out in a local hospital then fine out the VA will not pay and give me an increase for the full knee replacement. Thank for any information on this subject.

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bguerrero

Stroke

24 posts in this topic

I'm retired from the USMC and also recieving 20% va hypertension/some skin problem. Will, two months ago I had a 2 TIA's which lead up to an acute stroke and since had 5 more TIA's. All in all I've been in and out of the hospital the past 8 weeks. Now thier saying I'm getting complex migraines so bad that my right side becomes weak like a stroke at it last up to 2 -3 hours at a time. Any idea's on the va ratings on this? And advice? I just started to get my medical records in order and will be visiting the San Diegq DAV office this week. I have recovered from the stroke but not 100%. I'm a Letter Carrier for USPS and so for un able to carry mail.

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Sorry to hear about your strokes.

Being Service conected for HTN is the important point here. The strokes were most likely secondary to that.

As far as rating strokes, they will rate the resuduals after the fact. now since you were hosrptalized for 8 weeks then you should ask for temp 100 percent for the time hospitalized.

I believe your claim will progress quickly. You neeed to go ahead and file it if not already done so.

Hang in there and take it easty and keep the BP under control.

J

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I think you should apply for SSA disability as well as TDIU.

As Jbasser said- it is highly likely that the SC HBP caused the TIAs and stroke.

Stroke residuals can be totally disabling.

If you cannot work due to this CVA then with medical statement that the SC HBP contributed to or caused the CVA, they should award you TDIU.

You can apply for TDIU on form 21-8940 regardless of what your SC rating is now.

After suffering TIAs and a major CVA my husband (who VA said would be in wheelchair for rest of his life- demanded physical therapy and began to walk fairly normally again-

also he was able to talk again after having paralyzed throat from the CVA.

However his other residuals were so profound that he got inital SSA award (which was changed to SSA for PTSD)

and also the VA rated his stroke residuals incorrectly at 90 % instead of 100.

Your migraines and any memory deficients, visual problems, and any affect to use of your hands and feet for normal propulsion in walking are some of the many residuals a stroke can cause.

It would be good idea to get the Schedule of Raings (here at hadit in separate topic) to assess what residuals they should consider.But it does sound like they should definitely award TDIU to you (the 100% comp rate)

and by all means apply for the temp comp as Jbasser said-

I think my husband's HBP was rated at 10% -long story but I proved that his HBP was undiagnosed and undermedicated and this was what caused his major CVA.

Has VA monitored your HBP medication and changed it at all since the 20% rating?

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Welcome to Hadit

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Thanks for the reply. I've haven't been seen by the VA since my rating, just by the Naval Hospital through tricare prime. The Base is much closer for me, just 4 miles. I have some on and off numbness on my arm through out the day and slur here and there too. I'm on sick leave now, soon to run out. With these on going TIA's it's hard to go to work. The TIA's seem to occur around a week a part. They don't want you at work like that! They think the stroke has cause me to have the complex migraine which to me is worst cause, with that, there's no way I could do my job!

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Just had my C&P Exam last week for the stroke, they confirmed that the the stroke is secondary the the HPN! Just have to wait on the rating. I have some memory lost, slur speech,weakness on my right side, pain in my arm. He ask if I recovered at 100% after the stroke and I told him I only recovered 70% and my doctor said thats what Im left with! I still Have one issue left, with the complex migraine. Have to have that tied in with the Stroke. My Neurologist wrote a letter stating that it is secondary to the stroke.These migraine happens 6-9 times a month and leaves me paralized up to 3 hours at a time. I suppose I'll have another C&P exam for that. I have the DAV in San Diego helping me out with all the paper work! I just hope I get a good rating, Im at 20% now, I got a bad feeling I'll only get another 10%! Any idea's or guess?

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On the first claim I had the stroke with the migraine calender log, then the VA sent me another claim for the migraine secondary to the stroke. But they have all the medical records and Doctors statements. Hopefully the rating will include the migraine. I hope it all works out!

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The DAV should have given you this form to fill out and send to them-

VA will not consider TDIU until they rate you at 70%

but there is no reason not to apply for TDIU with any SC %.

The date of their receipt of the form will be the TDIU EED (100% rate) if they award,

On # 18 check Yes and apply for SSA disability benefits.

On # 25 Remarks-tell them you are attaching additional page and tell them any more info they need to consider for TDIU.

Give the DAV rep copy of the TDIU form that you are sending to the VARO.

If the DAV has any question on that- or insists you have to be 70%-

let me know-and they can contact me or vice versa-

The VA might low ball you and deny TDIU first time around- hard to know-

but by filing the form with them and responding to any denials with rebuttal-you are protecting the earliest effective date for TDIU by sending them this form.

TIAs can appear to have minimal damage- a full blown stroke can have numerous disabiling residuals.

My husband was 100% disabled by stroke.

The docs statement of 70 % recovery -with the migraines (most likely due to the HBP and CVA)

might make VA think 30% is enough-

"Hopefully the rating will include the migraine. I hope it all works out!"

I hope so too- did the DAV make sure the migraines were included in the claim.

"They think the stroke has cause me to have the complex migraine which to me is worst cause, with that, there's no way I could do my job!"

I hope a doctor has fully documented that point in your clinical records.

Tricare?

Thats right- I forgot- USMC retiree-

Any chance for CRDP here? If the rating goes higher?

TDIU_21_8940.pdf

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Make sure you get the proper rating for the stroke. You should get 100 percent for six months THEN they rate the residuals with a minimum rating of 10 percent. Just make sure when you file the claim you ask for the 100 percent for six months ---- if not they might just forget that portion of it. If you do not mind could I ask what type of stroke you had and what area of the brain did it affect?

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Thanks for your input! I guess I'll just have to wait and see!

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Make sure you get the proper rating for the stroke. You should get 100 percent for six months THEN they rate the residuals with a minimum rating of 10 percent. Just make sure when you file the claim you ask for the 100 percent for six months ---- if not they might just forget that portion of it. If you do not mind could I ask what type of stroke you had and what area of the brain did it affect?

I had an Ischemic Stroke, acute left lacunar infarct within the basal ganglia. And no, nothing was ask on the claim about 100 percent for six months! DAV handled the claim, so maybe. He didn't mention anything about that to me.

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Lacuna is cavity of loss of brain cells found upon MRI of brain and basal ganglia is the deep grey matter (nerve cell areas). these types of stroke are common to uncontrolled HBP- exactly what my husband had- after many TIAs.

I had to prove his many ER trips prior to major CVA were TIAs.He had been misdiagnosed by the ER and they remained untreated causing residual problems.

I also had to prove his HBP had been mis managed and undermedicated by the VA-causing the Transcient Ischemias (TIAs)

It was the ECHO of his heart they did as well as the Brain MRI that helped me to prove he had many TIAs and undertreated HBP that caused his major CVA.

I assume they gave you a full ECHO test of your heart.?

Strokes begin in many cases due to occlusion of arteries due to a clot that can form in the heart.

Also atherosclerosis (a narrowing of the arteries due to cholestrol,abnormal tryglycerides and /or hyperlipedia or resulting from diabetes )

which can be determined by the ECHO percentages -can lead to stroke.

It is odd you said you felt 70% recovered.

But you also said you cannot perform your job.

Best to let a real doctor determine how recovered you are-so VA cannot low ball your rating.

Make sure the VA knows of all residuals you have-the numbness, any vision problems, the migraines, etc etc.

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Lacuna is cavity of loss of brain cells found upon MRI of brain and basal ganglia is the deep grey matter (nerve cell areas). these types of stroke are common to uncontrolled HBP- exactly what my husband had- after many TIAs.

I had to prove his many ER trips prior to major CVA were TIAs.He had been misdiagnosed by the ER and they remained untreated causing residual problems.

I also had to prove his HBP had been mis managed and undermedicated by the VA-causing the Transcient Ischemias (TIAs)

It was the ECHO of his heart they did as well as the Brain MRI that helped me to prove he had many TIAs and undertreated HBP that caused his major CVA.

I assume they gave you a full ECHO test of your heart.?

Strokes begin in many cases due to occlusion of arteries due to a clot that can form in the heart.

Also atherosclerosis (a narrowing of the arteries due to cholestrol,abnormal tryglycerides and /or hyperlipedia or resulting from diabetes )

which can be determined by the ECHO percentages -can lead to stroke.

It is odd you said you felt 70% recovered.

But you also said you cannot perform your job.

Best to let a real doctor determine how recovered you are-so VA cannot low ball your rating.

Make sure the VA knows of all residuals you have-the numbness, any vision problems, the migraines, etc etc.

I had every test done Echo of the heart, MRI,Angiogram. I have no heart problems just atherosclerosis and high cholestrol. I having a hard time performing my job as Letter Carrier for the Post Office. The physical part of it seems to be wearing me out. Like today, had to go home sick due to a migraine. I only have a limited amount of sick leave left!

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I just drop off medical records to the VA for the Migraine secondary to the Stroke. During my C&P exam last week for the stroke, he question me about the migraines. Hopefully there won't be another exam. In my records the Neurologist states the migraine's developed from the stroke. My big concern now is my job, with the residuals from the stroke and the migraine flair ups, my employer is not to please. I'm working but on limited duty for now, can't carry my entire route. I don't have a walking route! With this VA math, I'll be lucky to get a 50% rating!

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"I had every test done Echo of the heart, MRI,Angiogram. I have no heart problems just atherosclerosis and high cholestrol."

That is good-an ECHO reveals extent of any serious damage of atherosclerosis in the part where they measure the arteries as to blood flow.

Atherosclerosis in service connected diabetes however is strongly associated with DMII and should be claimed as secondary to DMII.

It is part of a medical trilogy-high cholestrol, high tryglycerides and DMII

impact on heart can combine and cause atherosclerosis.

Part of the hyperlipid hypothesis.

HBP also can cause atherosclerosis.

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Got the brown envelope today, not so good news. Got 100% for 6 months for Left cerebral infarction. 0% for Atherosclerosis. They deferred the decicision on the migraine due to that they need more evidence. I'm still being treated by my Neurologist, I'm going to a sleep lab next week! Just another claim to add on to later. My question is, do I get real money for 6 months or is it like the way they pay me the 20% from my retirement check?

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It will be real money. There is no offset at 100%.

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I don't really know much about stroke ratings. I feel for you about the migraines though. Mine are terrible. I think you'll fall in the 50% for the migraines.

I'm just thinking out loud here(well okay, with my fingers) but if you feel your still having memory problems you may be able to get that rated also. Berta can chime in if she wants. DC930something is dementia due to stroke I believe. Dementia is memory problems ect. Just a thought.

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Got the brown envelope today, not so good news. Got 100% for 6 months for Left cerebral infarction. 0% for Atherosclerosis. They deferred the decicision on the migraine due to that they need more evidence. I'm still being treated by my Neurologist, I'm going to a sleep lab next week! Just another claim to add on to later. My question is, do I get real money for 6 months or is it like the way they pay me the 20% from my retirement check?

Bq you will get your full retirement plus 100 percent from the VA. If you are claiming the headaches secondary to the stroke they will not rate them until the six months has passed.

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Thanks for all the input. I'll have to get down to the DAV Office and go over this with them. Hopefully this money will kick in soon.

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If you fall into the CRSC or CRDP criteria-you will get the full comp.

After the 6 months they have to continue to rate the residuals of the stroke.

Have you applied for SSA yet?

My husband had 1151 stroke which they failed to rate properly -SSA said it was 100% disabling-P & T (CUE pending on that)

his stroke -in April- became directly SCed to his DMII from AO-(still fighting for that rating)

They are still failing to rate this properly and also his residuals-as well as consider him for SMC.

I wish I could help more but even 15 years after his death-= I still have no proper adjudication of the CVA issue.

He never got the 100% for 6 months either.And I have no idea how they handle residuals.

He had 6 ischemic brain infarctions- all misdiagnosed by VA and all ultimately found as caused by DMII.

Some BVA decisions on strokes might help you -and yes-claim all potential secondary residuals conditions.

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Checked my bank account this morning and the VA deposit over $12,000.00 into it. I guess 4 months of payments!

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Wow, about 4 mths, that was pretty fast for you to get some retro...BTW How are you doing? Any more probs with elevated B/P? What about migrains? Slurred speech? Memory probs? Numbness? Any other complications/ signs & symptoms from the hypertension? What has happen with your job? Hope you are not experiencing any more residuals from initial stroke or probs with TIA's too.

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Wow, about 4 mths, that was pretty fast for you to get some retro...BTW How are you doing? Any more probs with elevated B/P? What about migrains? Slurred speech? Memory probs? Numbness? Any other complications/ signs & symptoms from the hypertension? What has happen with your job? Hope you are not experiencing any more residuals from initial stroke or probs with TIA's too.

Same residuals no more TIA's, the Migraines are are now starting to get treated and down to 6 a month. The migraine are not as bad as before, due to the meds I'm taking. I'm still on limited duty at work, I give 1 1/2 hour of my route away to make 8 hours just to make 8 hours. The B/P is under control. Thanks for asking!

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