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Tbi Va Criteria Proposed Changes An-89

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38 CFR Part 3

RIN 2900-AN89


Secondary Service Connection for Diagnosable Illnesses Associated 
With Traumatic Brain Injury

http://www.regulations.gov./#!documentDetail;D=VA-2012-VBA-0029-0001

This is a proposed rule to amend 38 CFR, regarding TBI secondary conditions in part thus:

(d) Traumatic brain injury. (1) In a veteran who has a service-
connected traumatic brain injury, the following shall be held to be the 
proximate result of the service-connected traumatic brain injury (TBI), 
in the absence of clear evidence to the contrary:
    (i) Parkinsonism following moderate or severe TBI;
    (ii) Unprovoked seizures following moderate or severe TBI;
    (iii) Dementias (presenile dementia of the Alzheimer type and post-
traumatic dementia) if manifest within 15 years following moderate or 
severe TBI;
    (iv) Depression if manifest within 3 years of moderate or severe 
TBI, or within 12 months of mild TBI; or
    (v) Diseases of hormone deficiency that result from hypothalamo-
pituitary changes if manifest within 12 months of moderate or severe 
TBI.
    (2) Neither the severity levels nor the time limits in paragraph 
(d)(1) of this section preclude a finding of service connection for 
conditions shown by evidence to be proximately due to service-connected 
TBI. If a claim does not meet the requirements of paragraph (d)(1) with 
respect to the time of manifestation or the severity of the TBI, or 
both, VA will develop and decide the claim under generally applicable 
principles of service connection without regard to paragraph (d)(1).
    (3)(i) For purposes of this section VA will use the following table 
for determining the severity of a TBI:

etc: includes the medical stuff.......

comments are being collected until Feb 8,2013

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"and for all the years and the two

injuries and document they could have awared me 60 to 70% instead of

30% which they said my rating will stay at 100% as I stated that PTSD

was awared that in 1995 and now in 2013 TBI awared 30% which keep me

at 100% this is wrong and need your help and advise on what to do I

did file a NOD, I am a member -roughsoldier thank you"

TBI ...30% residuals.... what are the

residuals they are comping?

Can you scan and attach here the

Reasons and Bases and Evidence in the decision that awarded 30 % TBI

,the one that you Nodded?

Cover C file number, name and address before you scan it.

I have no idea if the new TBI regs will

have a favorable retro date.

All that I just bumped up in the Claims

Research forum.

Did they give you anything for the

hearing loss?

How come my replies dont go across the screen?????? I buggered something.....

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I have also review some information that you sent to a member docket-#08-01-155 citation-#1211691 I have submitted paper work dated 1984 from private doctor of sexual dysfunction but VA stated that did not warrant for a claim(TBI) but the information you sent states other wise so with the hearing loss and this could increase my rating secondary conditions and I scan the files hope you able to review, please let me know I feel that the VA is low-balling me and appealing that rating the files are copies of award letter looking for either 60 or 70% rating for tbi

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I cant read any of those files ..sorry

“With the new TBI rule will the MDD be rated separately from the TBI? “

Yes. That has nothing to do with the new proposed TBI rule because VA has been separating TBI from PTSD already in many cases and SCing both separately.

“appealing that rating the files are copies of award letter looking for either 60 or 70% rating for tbi “

“I received a 40% rating for TBI 11 months ago. “

It seems then that you only have one month or less in which to NOD the TBI rating.

Tell them why it is wrong and refer to in the NOD and attach, copies of any medical evidence that warrant a higher rating.

VA should have sent you the rating schedule theey used but if not it is here under the Schedule of Ratings topics.

“they had the MDD at the final decision stage twice and I swear they just kicked it back to gathering evidence so they could wait for the new TBI rule to be published) “

No I think you are misinterpreting that.

The MDD may have nothing at all to do with the TBI.

A TBI ,as a physical injury is usually a stressor that leads to PTSD, an MH injury.

“not sure if I should appeal the TBI because my MDD is still deferred? “

I sure would.

“ One last question: If my MDD is rated as secondary to TBI can it be rated at a higher percentage than the TBI? “

I have no idea on that one at all.The rating of anything depends on the established medical evidence.

“You guys are all hero's in my book and thanks in advance for the help. Sorry if this is jumbled my brains got scrambled. “

You are a Hero Too veteran, and VA can scramble anyone's brains. It is all confusing stuff.

I have no idea who I sent any info too and havent had time to read the BVA case.

"but the information you sent states other wise so with the hearing loss and this could increase my rating secondary conditions and I scan the files hope you able to review, please let" ????

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OK I found the BVA case:

http://www.index.va.gov/search/va/view.jsp?FV=http://www.va.gov/vetapp12/Files2/1211691.txt

“1. The Veteran has sexual dysfunction proximately due to or the result of service-connected disability. 38 U.S.C.A. §§ 5103A, 5107, 7104 (West 2002); 38 C.F.R. §§ 3.102, 3.310 (2011). “

“According to a March 2011 VA genitourinary evaluation, the Veteran complained of erectile dysfunction after beginning his antihypertensive medication in 2003; he did not have complete loss of use of a creative organ. The condition was reported to be intermittent with remissions. The Veteran was taking medication, which helped, allowing sexual activity 3/4th of the time. Examination of the urethra, perineal sensation, penis, testicles, spermatic cord, and scrotum was normal. The examiner noted that there was no identifiable structural penile deformity. The diagnosis was sexual dysfunction. After review of the claims files and examination of the Veteran, the examiner concluded that it was at least as likely as not that the use of antihypertensive medication was one of a number of contributing causes to the Veteran's erectile dysfunction. According to an August 2011 Addendum, mental health problems, such as those for which the Veteran is service connected, can affect the Veteran's libido.

Based on the March and August 2011 VA opinions, the Board finds it reasonable to conclude that because there is medical evidence linking the Veteran's intermittent sexual dysfunction to medication that he takes for his service-connected hypertension and to his service-connected psychiatric disorder, service connection for sexual dysfunction is warranted.”

I do not see any where in this decision where the VA SCed his Sexual dysfunction to his TBI.

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I have also review some information that you sent to a member docket-#08-01-155 citation-#1211691 I have submitted paper work dated 1984 from private doctor of sexual dysfunction but VA stated that did not warrant for a claim(TBI) but the information you sent states other wise so with the hearing loss and this could increase my rating secondary conditions and I scan the files hope you able to review, please let me know I feel that the VA is low-balling me and appealing that rating the files are copies of award letter looking for either 60 or 70% rating for tbi

Edited by roughsoldier
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hello Berta I am sorry you was unable to read the files from rough-soldier in reply to rating of my (TBI) rating 40% which I stated that I been fighting for 33 years, which I stated that they awarded me 100% in 1995 for (PTSD) but my first claim I file was in 1980 and in 2006 was approved but they denied my head injuries (TBI) and seperate the cases in 2006 so I appeal and 2013 January they gave me 40% for (TBI) two days later I file and NOD and now they are giving me a letter and choices as to the route I shold go in the appeal process so I am reaching out for your advice and other possibilty that I should go,now the letter states that my appeal is for entitlement to increased evaluation for service connected traumatic brain injuries. So the two routes in this process is(1.) Post Decision Process or (2.) Traditional Appeal Process so I would like to know which road is best for my situation I have 60 days to inform them. I was in disagreement because the claim was before the (PTSD) and since 1980 but only can find paper work that was submitted by my own doctors from 1984 for the sexual dysfunction but the stated that sexual dysfunction did not warrant for (TBI) but as of 2011 it does from information you put in forum, and stated in evaluation 2012 of hearing loss warrant 10% which gave me 40%(TBI)2013 and because of my personal doctor from 1984 until present of sexual dysfunction hearing loss and neuro examiner at (VA) stated that the systoms seems like seizures and for the (VA) it took them 32 years for them to give me evaluation and 33 years for them to acknowledge this make me think over time that my award should have warrant a 60&70% rating and that is why I file (NOD)that why I have felt that they low-ball me in there decision in 2013 plus my decision stated that over my service that I have substain two head injuries so you see why I feel the way I do.Now that evaluation stated that I have hearing loss I am making appointment to hearing doctor to obtain hearing aid and I am now taking injections in order to have some what a sexual relationship wwhich had created hardship as why my wife had devoice me and I think all that and medication for depression and other mental disorders should get me higher rating if you have other options please let me know before the 60 days, is is true that a veteran can not have a higher rating then a 100%, so I need you help and advice because over time without the proper help deserved higher rating

Edited by roughsoldier
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review some information that you sent to a member docket-#08-01-155 citation-#1211691 I have submitted paper work dated 1984 from private doctor of sexual dysfunction but VA stated that did not warrant for a claim(TBI) but the information you sent states other wise so with the hearing loss and this could increase my rating secondary conditions and I scan the files hope you able to review, please let me know I feel that the VA is low-balling me and appealing that rating the files are copies of award letter looking for either 60 or 70% rating for tbi

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