vlb-all-products

vlb-c-file-manual


  • Topics

  • Member Statistics

    • Total Members
      15,882
    • Most Online
      3,604

    Newest Member
    Recan
    Joined
  • Forum Statistics

    • Total Topics
      61,112
    • Total Posts
      394,129
  • Posts

    • Part of      M21-1, Part III, Subpart iii states: To create a new Block e with guidance for submitting requests to the Joint Services Records Research Center (JSRRC). To specify that follow-up requests to JSRRC must be completed by a Military Records Specialist (MRS).   This makes me think it might be their second request (follow up) or that they never requested the info in the first place. http://community.hadit.com/topic/48901-jsrrc-contact-info/   I strongly suggest that you contact JSRRC yourself and it might be possible to even contact the person who the VA sent the request to. I do not trust VA to properly make these JSRRC requests sometimes. I just read a BVA remand whereby the VA forgot to put the veteran's unit into the request, holding up that claim, AGAIN. "how can they deny my first claim of they didn't already review them?" If they didnt review them ( and they dont appear as Evidence on the denial,) there could possibly be a CUE in that denial , possibly ...the main problem is getting the pending claim resolved favorably first.                    
    • Well that makes sense. I'm about to lose my cool with those gd QTC ladies. They just talk out of both sides of their mouth, and make it look so easy. How do you "ALWAYS ask that all my issues are taken care of through the VA."? Thanks!
    • I can only imagine President Clinton got his information and from the VA Officials  and trusted them. jmo ...............Buck
    • VYNC said" "The C&P examiners surely must realize that they don't work at the VA of 20 years ago. Back in the 90's, I had no way to know if the examiner was being thorough or not. Now, we are empowered with knowledge here from Hadit and also are fortunate enough to have the DBQ's and C&P exam questionnaires available to us online." That is SO true! In the late 1980s I realized how much the RO could manipulate what a C & P actually said. They deliberately left out a final statement by a C & P examiner to deny my DIC claim.11997. He had speculated a ridiculous Cause of death , but what the RO failed to add was ,that he wrote, "that an autopsy could have ruled out."  They did have the doctor's name in the denial so I called him up and raised Hell...to learn that VA not only did  not give him the 6 page autopsy (which they had) but also what it revealed would have completely changed his opinion. He then got angrier than I was and I could tell the VA had pressured him for exactly what they expected from him.He sent me a copy of his exact opinion that they had and that gave me the evidence I needed to keep fighting them and draw them out on the autopsy. (They also removed it from the files they sent to the General Counsel. I fought back on that and when the VA  got the 12th copy of it , OGC awarded the FTCA case and then after another RO denial, the RO awarded DIC under 1151. It is the C & P exam that controls our claims. As Vync said, because we can get copies of it these days, the R0s cannot get too creative with the results. But the fact remains that C & P doctors are paid by the VA. If the APRN rule goes into affect, I guess AP nurses will be doing  the C & Ps. The 2 main reasons, in my decades of experience, that most claims are denied is that: the evidence does not establish a nexus ( this is really the claimant's responsibility) or that a C & P was done improperly or by someone with no expertise to adequately do it. One more reason...secondaries even if absolutely obvious, need a strong C & P opinion but  many of those claims need an opinion from a real doctor.(a non- VA doctor with expertise in the field) Unfortunately C & P exams do not fall under the malpractice regulations. I have fought back vigorously every bogus posthumous C & P exam they ever did on my claims. They knew the veteran could not speak for himself or have input into those C & P exams,because they killed him in 1994 with outrageous piss poor medical care. Pres.Clinton said months before he died that VA was the Best Government- run health care system in the world.My husband almost dropped his 1151 claim when we heard that on TV. Since then the malpractice stats of the VA have gotten much worse. Maybe the medical incompetence has not really gotten worse, but for sure, veterans and their survivors have gotten smarter because of the internet and their ability these days to file and prove malpractice claims, if it has occurred, and their willingness to get an opinion from a real doctor.(IMO/IME)              
    • Your Appeal is at the BVA, just no Docket # yet, right. You do have a copy of your husbands C-File? We need to see a redacted copy of the initial Denial and the "Statement of Case." What exactly is your "Evidence of Record?" Many vet's that get caught up in the VA Appeals process, get a negative attitude, right away. They believe that there is a VA conspiracy to Deny and/or limit their Comp Benefits. VA Raters base their Award/Denial Decisions on "Evidence of Record," if the provided Evidence doesn't substantiate the claim, you get a Denial. That's not to say Rater's don't make errors, but a conspiracy (takes more than 1 person) to Deny is hard to believe, these are mid-level VA Employees. What does your VSO say about your Evidence regarding the linkage to CAD or Kidney Disease? Which condition is most likely the causative SC for the Secondary issue? Could you post redacted Dr's Clinician Notes, or other Medical Evidence supporting your claim?  Semper Fi





  • 0
Sign in to follow this  
Followers 0
diegogarcia67

Psoratic Arthritis

Question

Hello, I have Psoriasis and have a 60% disability rating for this. I recently filed a secondary claim for Psoriatic Arthritis. The problem is I am not always in lot of pain because I am taking Enbrel. I notice when I run out of the drug my joints hurt so bad that I can't hardly walk, but as long as I am taking Enbrel, I still feel the pain but it is tolerable. My question is Enbrel is a drug that controls Psoriatic Arthritis. Will the C&P examiner take this into consideration? Also, I heard x-rays doesn't always show that someone has this type of arthritis. Has anybody experienced this situation?

Share this post


Link to post
Share on other sites

4 answers to this question

If you are not working you should be able to get 100%. My brother had it and my research more or less indicated that it should be at least 70% and if not working TDIU. Good Luck and be glad that you are seeing someone who gave you proper medication. VA did not give my brother Embrel and he did not do as well as you and Phil Milkenson

Share this post


Link to post
Share on other sites



X-ray may reveal some damage to the joints, but not nearly what an MRI will reveal, and again, a nuclear bone scan will reveal more than either of those. I don't know if you have medical insurance, but if you do it would be a good time to use it.

Since you have already been diagnosed with the condition, the C&P examiner may not require X-ray's or other testing if there imaging studies in your records. Have you received all records to include copies of X-ray and other imaging studies and provided them to the VA? iF NOT I WOULD DO SO QUICKLY, and keep a copy for yourself to take to the C&P exam

Share this post


Link to post
Share on other sites

I'm in the same boat (both conditions - SUX!), have tried several biologics (Enbrel was one that didn't work). When I first developed the PsA symptoms, I was told by my dermatologist that they would only prescribe topical medications, and let the Rheum work with me on the biologics, steroids, pain, etc. This is important as when you're asked as the examiner needs to note that whoever treats the psoriasis is aware and engaged in the treatment of the PsA.

>>>> I would not claim the PsA as secondary. <<<<

I'm rated for both on their own - two separate conditions, even though they're both auto-immune based and the treatment(s) over-lap. Don't assume your examiner knows this - educate him/her. When you go to your C&P, you need to make a point of your conditions being treated by separate doctors (if in fact they are). In addition, you need to mention any of the side-effects you've experienced from the treatment. It wouldn't hurt to take the fact sheet from the medication(s) with you. Don't assume the person conducting the C&P is a specialist. I ended up with asthma and several upper respiratory infections a year. Also, I ended up with several opportunistic fungal infections in some of the plaque areas - confirmed by a scrape test conducted by the dermatologist and again, a side-effect of the Enbrel.

Over the years, when I've filed for increases in either condition, I mention the other and it's treatment, but the C&P usually focused on the condition at hand. I agree that detection and degree of degradation of the joints is critical; for your treatment and the C&P. More importantly, you need to stay on top of the progression of the disease, document flare-ups that cause decrease in your quality of life, etc.

During the C&P, make sure you describe your worst days. I have flare-ups that last for weeks, and am either on steroids plus the other meds to keep it under control or pain killers and warm baths. I document every day, so that when I'm re-evaluated or meet with the rheum I can communicate what's working and what's not. Also, since the condition tends to put a lot of tension on the muscles in the effected areas, I've been diagnosed with fibromyalgia. You might want to have someone check you for this.

Last, have you been tested for Rheumatoid, Ostio and Lupus? If not, and if you have access request these tests be done. Since you've hit the slim percentage of those that have psoriasis developing psoriatic arthritis, you are in the range that also develop these other conditions as well.

IM me if you want to chat about these conditions. I've worked through them for years and am more than happy to share....

Share this post


Link to post
Share on other sites

Hello, I have Psoriasis and have a 60% disability rating for this. I recently filed a secondary claim for Psoriatic Arthritis. The problem is I am not always in lot of pain because I am taking Enbrel. I notice when I run out of the drug my joints hurt so bad that I can't hardly walk, but as long as I am taking Enbrel, I still feel the pain but it is tolerable. My question is Enbrel is a drug that controls Psoriatic Arthritis. Will the C&P examiner take this into consideration? Also, I heard x-rays doesn't always show that someone has this type of arthritis. Has anybody experienced this situation?

i have rheumatoid and my orthopedic doctor told me years ago, it is impossible to look at an xray and determine what has been caused by rheumatoid or osteoarthritis.that was when i filed for an increase for my back. the va still only gave me 40 percent based on their dang range of motion.

Edited by iceturkee

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
Sign in to follow this  
Followers 0