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    • Buck, Hope the biopsy comes back clean, And good luck if you have the surgery.  Don't put that off (like my Dad), it don't get better with age. Hamslice    
    • I don't think civilians understand VA disability.  They lump it in with SSDI and Insurance disabilities.  Not the same. The VA comp is the difference between when you signed up and when you left service.  They bought you at 100%.  You either retire (or leave) at 100% or they pay the difference. A total guess, but your 40% could be from limited Range of Motion, or even required bed rest. How riding a bike or playing volleyball a investigator could determine your ROM, etc., would be a good read. I would imagine your disability(s) are static, which means permanent (almost, I know, but I say permanent) I wonder how many phone calls the VA gets from civilians questioning a Veteran's compensation? I would not worry, Hamslice    
    • Glad she is your X. Sounds like a WJ1..Whack Job first class. The VA is not stalking you.   J
    • Buck, My prayers are sent your way and wish you the best!!  Thomas
    • I call bs also.  We used to regularly get hadit newbies trying to get information on how to game the system.  They quickly learned no such information was available here; and left just as quickly. It cannot be stressed enough that veterans be completely honest with their claims! It is perfectly legitimate to describe your average, or even your worse day, as opposed to your best day when discussing your condition; but it isn't alright to make up or grossly exaggerate your condition(s).  Once awarded, everyone should read the award letter very carefully!  Cross reference your awarded rating with the rating schedule in order to clearly understand exactly what you were awarded and why.  The degree of occupational and social impairment is critical!  We are not being compensated for our diminished quality of life.  We are being compensated for our diminished capacity to gain and maintain employment at the national poverty level or above. If you are in better medical and/or mental condition than your rating, the VA will get around the discovering that information through regular medical exams and C&P exams.  Until a vet has his/her rating continuously for 20 years, no rating is permanent and total. This is especially true with TDIU and total ratings for mental health. In many cases, it does not matter if you are being paid for what you are doing-the fact that you are capable of doing what you are doing matters. History repeats itself. Several years after the end of our involvement in Vietnam, the American taxpayers became aware of the huge cost of treating and compensating damaged veterans.  They didn't want to pay the bill, so they didn't.  As a consequence, veterans suffered and died alone and silent.  It is estimated that the cost of Iraq/Afghanistan veterans will exceed 5 trillion dollars over their lifetimes.  The taxpayers will not want to pay that bill either; and they won't.  So, once again, veterans will suffer and die, but hopefully not alone and with the internet-not silent.  If the newer generations of vets make enough noise, maybe those taxpayers can be shamed into honoring their obligations,  I wouldn't bet the farm on it.  





Doc John

Ulcerative Colitis Secondary To Ptsd?

4 posts in this topic

I am currently rated 70% for PTSD. I have been diagnosed and suffering from ulcerative colitis since 1995. I currently see a non-VA physician and take medications to control the symptoms of the colitis. I also take meds for the PTSD which do not seem to have any effect on the ulcerative colitis. When my my PTSD symptoms are worse, so is the Ulcerative Colitis.

My first question to any veterans, physicians, or ratings examiners is: Does a probable connection between the Ulcerative Colitis and PTSD exist.

My second question is: If the two are connected, who is best qualified to make the connection before I request a C&P exam for increased compensation rate, my non-VA gastroenterologist or my VA psychiatrist?

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GOOD question-

personally I would seek an IMO from the non VA doctor.

This recent BVA case is similiar:

http://www4.va.gov/vetapp10/files5/1039996.txt

The veteran was denied for his colitus as aggravated by his SC PTSD because his IMO doctor did not prepare the IMO right.

The IMO criteria is here in our IMO forum.

If you can find some good medical citations of the link perhaps the gastro doc would use them or probably use some of his own medical citations.

If the VA psychiatrist is wiling to offer you a supportive opinion that is good too.

My personal experience however tells me that if one gets a strong IMO from a non VA doctor ,with expertise in field of disability, they are getting a more thorough and detailed opinion that whatever they will get from a C & P doctor (who might not even be a real doctor)

I suggest you claim your NSC colitis is 'aggravated' by your PTSD meds.If the claim succeeds, the VA will rate the level of aggravation.

Edited by Berta

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Wait-I am wrong-I suggest you state that the PTSD aggravates your NSC colitis- you did say the meds have not aggravated it.

I missed that at first. Have you thoroughly reviewed any literatre on the PTSD meds to definitely rule out their affect on the colitis?

I found many similiar cases at the BVA but they were either denied or on remand.It is certainly possible that PTSD could have an effect on the colitis.

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Berta, thank you.

It looks like I have some research work ahead of me.

My gastroenterologist outside of the VA says he can neither confirm nor deny that a nexus exists between the two conditions.

I will need another physician in the Tampa Bay area who can draw that line for me.

Ulcerative colitis, being a form of inflammatory bowel disease, is made worse by a lot of different things and I imagine my PTSD meds could surely be included. The problem is that no actual cause of the ulcerative colitis has ever been discovered. It seems to be an auto-immune disorder that causes the bowel to become inflamed and ulcerated. It is similar to Chron's disease and may have a genetic link.

There are some medicines (short term prednisone followed by specialized anti-inflammatories for the long term) that will control the symptoms and get the disease into remission.

But I know from my own personal experience that when my stress is up and my PTSD meds stop controling the stress, that the colitis flares up, too.

Wait-I am wrong-I suggest you state that the PTSD aggravates your NSC colitis- you did say the meds have not aggravated it.

I missed that at first. Have you thoroughly reviewed any literatre on the PTSD meds to definitely rule out their affect on the colitis?

I found many similiar cases at the BVA but they were either denied or on remand.It is certainly possible that PTSD could have an effect on the colitis.

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