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Should I Send This Document

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dittybopper

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Hello,

I have a appeal of my award on my knees currently they are rated at 10% each, However I have asked for a appeal as the condition of my knees took me out of work (I am a mailman). The question is I filed with OWCP for an aggrevation of existing condition. Well to make a long story short I was sent to a work capacity exam. The results of the test shows according to their tests I can walk for 1/2 hour a day. I use a walker, It also states that I can only work 4 hours a day but must work from a seated position the whole time and can only reach above my shouldders. Kneeling, bending, crawling, climbing stairs are all considered to be things I cannot perform. This work capacity study also states that I have reached maximum medical improvement and the restrictions he listed were permanet. It also states that a effort to cure my issue on my right knee failed (had a lateral release surgery). The question I am asking is should I send this document to the VA office as more proof that my knee condition has gotten alot worse and makes holding a full time job impossible. I appreciated any help you can be in advance as I am really stuck with what to do with this report. I know it is going to retire me out of the Post Office but would this document be seen as acceptable proof.

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  • HadIt.com Elder

dittybopper - I would say send it in. Sure sounds like it will help. I can't think of any reason not to submit it, can you?? I'd apply for TDIU at the same time. Remember, VA considers how your disability effects your usual employment, not your general ability to do "any or some" kind of work, like SSDI. jmo

pr

Edited by Philip Rogers
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I believe you are correct and it sounds like good advice to me. Thank you very much and may God bless you.

dittybopper - I would say send it in. Sure sounds like it will help. I can't think of any reason not to submit it, can you?? I'd apply for TDIU at the same time. Remember, VA considers how your disability effects your usual employment, not your general ability to do "any or some" kind of work, like SSDI. jmo

pr

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  • HadIt.com Elder

Keep your OWCP information separate from your VA claim. I would not use any OWCP evaluations because you will get to a point where the OWCP is going to ask you to choose between VA benefits/compensation and OWCP. You could also end up owing money to either VA or OWCP if you are getting compensation on the same body part from both VA and OWCP. It needlessly complicates matters. Are you getting wage loss for the knees now? If you get an increase for the knees from the VA and OWCP finds out (and they will) this is going to create a problem for you potentially. I have been in your situation with an work-related aggravation of a service connected disability. There is a set of rules for this under OWCP. The OWCP will ask the VA about the nature of your disability. The VA will tell them everything. This could even start a fight between VA and OWCP about the nature of your disability. In other words the VA will say you problem is work related and the OWCP will say it is pre-existing VA disability. Just get independent evaluations for the VA. You may have to spend some extra money but you avoid possible major headache.

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  • Moderator

Ok...so we have an opinion that you should send it in.

Then we have an opinion to keep VA and OWCP seperate, that is dont send them in.

Crazily, I recommend a still different option. Wait and See.

Here is why. Ok, so you apply for Va benefits on your knees..lets say the VA C and P does an exam..

this exam is going to be critical. Lets consider two possibilities:

1. VA c and P exam doc says your condition is "at least as likely as not" related to military service and he states your knees conditions is worse than what your Work comp doc said. That is "favorable VA c and P exam.

In this circumstance, dont send in the OWCP exam...as this evidence will "hurt" your case. You already have good evidence so dont send in bad.

2. VA C and P exam doc says..I dont think your knees are that bad..I think you can work..they arent related to military, etc. (Un favorable exam).

Now, you need evidence to "rebut" this unfavorable exam. Enter OWCP exam that is more favorable...(you may still need other IMOs/ IME's also, BUT if you have TWO docs that says your VA doc was nuts, then you have "rebutted" unfavorable evidence.)

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  • Moderator

By taking the "Wait and See" method, I outlined above, I think you are giving yourself the BEST chance to win.

Remember, the VA is going to pick who examines you for a C and P exam...the Veteran does not choose which VA or QTC doc does the C and P exam.

Remember also, that the Doctors report is critical evidence...so critical I say your case is won or lost in the docs office. If the doc provides the right nexus, you should eventually be awarded benefits. I have not read ONE denial

that said, "The VA C and P examiner opined that his condition was at least as likely as not related to military service"

BUT...the claim gets denied anyway. Mine was actually denied, but then overturned on appeal, which happens also.

However, if the VA doc does NOT put "the right stuff" in your records, such as opining, "The Veterans knee problems are not related to military service"....then, you have to have evidence to overcome the docs negative C and P exam.

It is not enough for you or I or Superman to say, "That VA doc was wrong...I think it was related to military".

Instead, this rebuttal needs to come from another doctor(s) or medical professional qualified to say what caused your knee problems.

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