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    You’ve just been rated 100% disabled by the Veterans Affairs. After the excitement of finally having the rating you deserve wears off, you start asking questions. One of the first questions that you might ask is this: It’s a legitimate question – rare is the Veteran that finds themselves sitting on the couch eating bon-bons … Continue reading

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C&p Examiner Notes Seem Bad


I am currentley rated at 100% PTSD 20 % Right Shoulder. I requested P&T after reading the eaminers notes I am concerend should I be ?

Veteran appears stabilized on a consistent medication regimen, and his
participation in treatment as proven to be beneficial overall.
Self-report test scores included BAI = 34, BDI-II = 40, and PCLM = 73.
These scores reflect the occurrence of moderate anxiety, severe depressive
symptoms, and noteworthy PTSD symptomatology. However, veteran's
presentation during the evaluation and the description he provided of
day-to-day activities indicated functioning not consistent with the
above-mentioned level of symptoms. Careful scrutiny of this discrepancy
is recommended as a result.

So if I even try to be productive around the house and help out when I can I feel like I will be punshished

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Doesn't look good bud. Just wait and see what they say. Keep us updated and God Bless you and the family.

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"Careful scrutiny of this discrepancy is recommended as a result."

That doesn't sound good. But then again, he also said treatment has been beneficial. If treatment is beneficial, wouldn't you be able to function better sometimes, even though you have extreme symptoms at other times?

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Sounds like something could be up. You don't state your age or how long you've been 100%? I suspect they may try to reduce you, somewhere down the line, and may be setting the stage for that or the examiner is actually stating he/she thinks you're embellishing your problems. Usually an examiner just goes w/what the previous examiner says. jmo


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Do you receive weekly or monthly treatment for PTSD? Whatever the case, I would be very up front with the doctor(s) who see you regularly and tell them what this recent C&P examiner wrote. Ask them if based on them if they agree/disagree with these opinions. Ask them to write a short statement that in THEIR opinion, more accurately reflects your symptoms & conditions. If there is a particular symptom you want in their statement, ask them if they would include it. Do it on a VA "Statement in Support of Claim" Form and ensure it is filed asap...Providing you agree with it of course. If you don't agree, perhaps you and your doc can "fine-tune" it to a useful statement.

You may have had a "good day" when the C&P evaluation was done but it might not be an accurate picture of how things are really going for you. I hope this helps and that you receive your just benefits but in the meantime...expect the best but prepare for the worst!


Edited by Loose Cannon

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Start looking for an IME doctor. What the VA doctor said about you is not good. I don't know if it will affect your rating. I would start seeing a private doctor and get some records ready to fight what this VA clown has said. A VA C&P exam doctor once said I was a psychopathic personality during an exam. It did not affect my rating. The VA just continued it so I guess it did affect my rating since I was asking for an increase. I have had exam doctors say I was actually faking it because I had a B.A. in Psychology, so you are not alone with this crap. I kept my rating. I was only rated 30% and they were trying to take that away from me.


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you need to keep in mind, everything you say is being jotted down in the nurse office, doctors office , ect. If you go in thier like your on top of the world, and life is great, they are going to slam you. you are 100 percent. that is serious PTSD. If you dont display serious PTSD, they will take your benefits from you sooner or later. When they ask you how you feel, tell them abt the worst youve felt in the recent past. Did something pop in your head that disturbed you? thats what you want to tell them abt.

The doc who saw you shoulkd know that the medication can give moments of feelings of wellbeing, and as a human being, you are trying to put on your best face, just for your own sense of wellness.

Have you ever thought of keeping a journal. Maybe write down how you feel day to day, and give that to your doc. then they could see the whole picture, not just a 10 minute snapshot of your life.

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    • By Togore101
      Hello everyone I am new to the site. And I recent submit a the dbq for an increase for my PTSD and I trying to understand it but im just not getting it. So I figured would ask you all. Below is what the examiner put in the record.
      Review Post Traumatic Stress Disorder (PTSD)
      Disability Benefits Questionnaire
      Name of patient/Veteran: =========
      Is this DBQ being completed in conjunction with a VA 21-2507, C&P
      [X] Yes [ ] No
      SECTION I:
      1. Diagnostic Summary
      Does the Veteran now have or has he/she ever been diagnosed with PTSD?
      [X] Yes [ ] No
      ICD Code: F43.1
      2. Current Diagnoses
      a. Mental Disorder Diagnosis #1: PTSD
      ICD Code: F43.1
      b. Medical diagnoses relevant to the understanding or management of the
      Mental Health Disorder (to include TBI):
      No response provided.
      3. Differentiation of symptoms
      a. Does the Veteran have more than one mental disorder diagnosed?
      [ ] Yes [X] No
      c. Does the Veteran have a diagnosed traumatic brain injury (TBI)?
      [ ] Yes [ ] No [X] Not shown in records reviewed
      4. Occupational and social impairment
      a. Which of the following best summarizes the Veteran's level of
      and social impairment with regards to all mental diagnoses? (Check only
      [X] Occupational and social impairment with reduced reliability and
      b. For the indicated level of occupational and social impairment, is it
      possible to differentiate what portion of the occupational and social
      impairment indicated above is caused by each mental disorder?
      [ ] Yes [ ] No [X] No other mental disorder has been diagnosed
      c. If a diagnosis of TBI exists, is it possible to differentiate what
      of the occupational and social impairment indicated above is caused by
      [ ] Yes [ ] No [X] No diagnosis of TBI
      Clinical Findings:
      1. Evidence Review
      Evidence reviewed (check all that apply):
      [X] VA e-folder (VBMS or Virtual VA)
      [X] CPRS
      Evidence Comments:
      DATE OF NOTE: MAR 05, 2018
      CHIEF COMPLAINT: "same old same old"
      Veteran is here for 6 week follow up for PTSD, Alcohol Use Disorder,
      unspecified, episodic. At last appointment, low dose venlafaxine was
      added, aripiprazole, prazosin, and melatonin were continued.
      He reports symptoms are about the same. His wife is pregnant with twins,
      so he is trying to minimize arguments at home. He worries he will not be
      able to connect with the babies, because he struggled so much with his
      daughter and points to her persistence as the reason they are close now.
      He see no change in sleep, remains irritable, and more hypervigilant due
      To recent car break ins on his street. He has cut down on drinking, and
      denies any binges since last appointment. He continues to have fleeting
      SI, but denies intent. He often has thoughts of hurting others, but
      strongly denies acting on the thoughts. No recent hallucinations. He
      does talk to himself when he is trying to work something out, but denies
      hearing voices other than his own. It can be embarrassing as coworkers and wife
      have caught him.
      DSM 5 Diagnostic Impression
      Alcohol Use Disorder, Unspecified, episodic
      1. Decrease irritability and anger- does not interfere with home or work
      life more than one time per month, ongoing, improving
      2. Improve feeling of connection with others- enjoying and developing
      relationships, ongoing, no change
      3. Decrease avoidance of social situations/crowds- can tolerate Wal Mart,
      enjoy outings with family, ongoing, no change
      4. Improve sleep- no difficulty falling asleep, sleep 6 to 8 hours
      nightly, ongoing, worsening
      reviewed records and discussed options
      - increasing venlafaxine to 75 mg
      - continuing aripiprazole, prazosin, and melatonin
      - suggested individual supportive counseling at the Vet Center after Dr.
      Bhatia leaves.
      - monitoring labs at next appointment
      - Will continue to follow closely. RTC 6 weeks/PRN
      2. Recent History (since prior exam)
      a. Relevant Social/Marital/Family history:
      Last C&P PTSD DBQ May 2016
      Lives in Moncks Corner, SC with wife of 9 years and daughter age 4.
      Daily routine: Lay down for bed 2100. Will fall asleep 2300. Wake
      frequently. "I have to do certain things to calm down. I need my
      gun next to me. I have to check the house make sure its locked. Make sure
      the alarm is on. If I hear something, it wakes me right up and I have
      to check it out." +Nightmares, night sweats. "Sometimes
      I'm swinging and yelling and talking in my sleep, so my wife leaves for a different
      room. I wake up and she's not there and it freaks me out."
      melatonin for sleep, prazosin for nightmares. Abilify for PTSD.
      Diagnosed sleep apnea by sleep study in 2013, prescribed CPAP and is
      Relationship with wife: "We almost got divorced a few times. She
      didn't understand what was going on. She started reading up on it. The whole
      reason I went to mental health was because of her."
      Relationship with daughter: "She is scared of me. She has seen me
      Snap a few times. She is on guard. She doesn't know if I'm going
      to be up or down. She is my heart. She is the only thing that makes me feel
      normal." Will watch cartoons and read books together.
      Hobbies: play basketball, go to gym "but now I just sit in the
      House watch TV or just in the room." Likes anime.
      Support: father "he's been with me through everything."
      And is Veteran
      too, wife "but there is a wall there where I don't open
      b. Relevant Occupational and Educational history:
      Working for passport services for 3 years. "Its rough at times.
      There's a lot of people in there. They had to move my seat because I'm
      too jumpy. They moved it so I'm not around a lot of people. It is hard
      to focus. I have to use sticky notes. They have been pretty supportive.
      I've had good supervisors." Was counselled about days missing
      for work; "I had a blow up at my co-workers so they spoke to me about
      that." Miss 2-3 days per month. "When I get to work, I drive around the
      Building and if I see something I don't like, I just go home."
      Military history: E4, MP, Separated 2014, Honorable, Served about 6
      c. Relevant Mental Health history, to include prescribed medications and
      family mental health:
      Mental health treatment with prescriber and therapist. No history of
      hospitalizations. Was in group therapy "but I didn't like it."
      d. Relevant Legal and Behavioral history:
      "When I was in Japan I got us into trouble because of my alcohol
      abuse. I got into a car accident and hit 3 cars." Was sent to ADAP for
      anger and PTSD. A month ago got into a physical altercation with sister's
      boyfriend "I laid hands on him. So then I went to a hotel room and stayed there and
      then I went on a drink binge."
      e. Relevant Substance abuse history:
      Alcohol - "I abused it really bad. My PCM said it was affecting
      My liver." Was drinking4-5 25 oz beers, drink a bottle of liquor over
      The weekend. Now will drink 1-2 beers.
      Tobacco - 2-3/day
      Denies other substances.
      f. Other, if any:
      Current reported symptoms:
      Anger: "I black out and become very violent. I knock TVs off
      walls. My wife was ready to leave me."
      Triggers: "foggy day and rain." "Ignorant and stupid
      Social avoidance.
      "If a car is behind me too long, I start to think he is following
      me. There is a particular truck that I know and he gets too close to me. I
      got sick of it and one day I followed him home. I didn't do
      anything, but I blacked out mad. I knew I needed help."
      Flashbacks - "I was shopping with my wife, and this guy had a
      turban on his head and I thought I was back there. Its constant, its all the
      Hygiene - "My wife got on my because I went a week without washing
      And I didn't even realize it."
      Suicide - "I thought about driving into traffic at the light. One
      Time I sped up and got on railroad tracks when a train was coming. I
      thought, what am I doing? I went into store parking lot." Reports
      this occurred 2 weeks ago. "I keep a picture of my daughter in the car
      to keep me from [doing it]."
      3. PTSD Diagnostic Criteria
      Please check criteria used for establishing the current PTSD diagnosis. The
      diagnostic criteria for PTSD, are from the Diagnostic and Statistical Manual
      of Mental Disorders, 5th edition (DSM-5). The stressful event can be due to
      combat, personal trauma, other life threatening situations (non-combat
      related stressors). Do NOT mark symptoms below that are clearly not
      attributable to the Criterion A stressor/PTSD. Instead, overlapping
      symptoms clearly attributable to other things should be noted under #6 - "Other
      Criterion A: Exposure to actual or threatened a) death, b) serious
      c) sexual violence, in one or more of the following ways:
      [X] Directly experiencing the traumatic event(s)
      [X] Witnessing, in person, the traumatic event(s) as they
      occurred to others
      Criterion B: Presence of (one or more) of the following intrusion
      Symptoms associated with the traumatic event(s), beginning after the
      traumatic event(s) occurred:
      [X] Recurrent, involuntary, and intrusive distressing
      Memories of the traumatic event(s).
      [X] Recurrent distressing dreams in which the content and/or
      affect of the dream are related to the traumatic event(s).
      [X] Dissociative reactions (e.g., flashbacks) in which the
      individual feels or acts as if the traumatic event(s)
      were recurring. (Such reactions may occur on a continuum,
      with the most extreme expression being a complete loss of
      awareness of present surroundings).
      [X] Intense or prolonged psychological distress at exposure
      To internal or external cues that symbolize or resemble an
      aspect of the traumatic event(s).
      [X] Marked physiological reactions to internal or external
      cues that symbolize or resemble an aspect of the
      Criterion C: Persistent avoidance of stimuli associated with the
      Traumatic event(s), beginning after the traumatic events(s) occurred,
      as evidenced by one or both of the following:
      [X] Avoidance of or efforts to avoid distressing memories,
      thoughts, or feelings about or closely associated with
      the traumatic event(s).
      [X] Avoidance of or efforts to avoid external reminders
      (people, places, conversations, activities, objects,
      situations) that arouse distressing memories, thoughts,
      or feelings about or closely associated with the traumatic
      Criterion D: Negative alterations in cognitions and mood associated with
      the traumatic event(s), beginning or worsening after the
      traumatic event(s) occurred, as evidenced by two (or more)
      the following:
      [X] Persistent and exaggerated negative beliefs or
      expectations about oneself, others, or the world (e.g.,
      am bad,: "No one can be trusted,: "The world is
      dangerous,: "My whole nervous system is permanently
      [X] Persistent, distorted cognitions about the cause or
      consequences of the traumatic event(s) that lead the
      individual to blame himself/herself or others.
      [X] Persistent negative emotional state (e.g., fear, horror,
      anger, guilt, or shame).
      [X] Markedly diminished interest or participation in
      significant activities.
      [X] Feelings of detachment or estrangement from others.
      [X] Persistent inability to experience positive emotions
      (e.g., inability to experience happiness, satisfaction,
      loving feelings.)
      Criterion E: Marked alterations in arousal and reactivity associated with
      the traumatic event(s), beginning or worsening after the
      traumatic event(s) occurred, as evidenced by two (or more)
      the following:
      [X] Irritable behavior and angry outbursts (with little or no
      provocation) typically expressed as verbal or physical
      aggression toward people or objects.
      [X] Reckless or self-destructive behavior.
      [X] Hypervigilance.
      [X] Exaggerated startle response.
      [X] Problems with concentration.
      [X] Sleep disturbance (e.g., difficulty falling or staying
      asleep or restless sleep).
      Criterion F:
      [X] The duration of the symptoms described above in Criteria
      B, C, and D are more than 1 month.
      Criterion G:
      [X] The PTSD symptoms described above cause clinically
      significant distress or impairment in social,
      occupational, or other important areas of functioning.
      Criterion H:
      [X] The disturbance is not attributable to the physiological
      effects of a substance (e.g., medication, alcohol) or
      another medical condition.
      4. Symptoms
      For VA rating purposes, check all symptoms that actively apply to the
      Veteran's diagnoses:
       [X] Depressed mood
      [X] Anxiety
      [X] Suspiciousness
      [X] Chronic sleep impairment
      [X] Mild memory loss, such as forgetting names, directions or recent
      [X] Flattened affect
      [X] Impaired judgment
      [X] Disturbances of motivation and mood
      [X] Difficulty in adapting to stressful circumstances, including work or
      worklike setting
      [X] Suicidal ideation
      [X] Impaired impulse control, such as unprovoked irritability with
      of violence
      [X] Neglect of personal appearance and hygiene
      5. Behavioral observations
      Veteran was open and forthright with no evidence of exaggeration or
      feigning symptoms. Affect blunted. Minimal eye contact. Speech regular
      rate, tone, volume. Thought process linear, logical, goal directed.
      Thought content absent for delusions, hallucinations, paranoia or HI.
      Endorses SI with no active plan, but drove car onto train tracks last
      week. Discussed safety, crisis line, Veteran has MHC appointment next
      week. Veteran reports safety to return home today.
      6. Other symptoms
      Does the Veteran have any other symptoms attributable to PTSD (and other
      mental disorders) that are not listed above?
      [ ] Yes [X] No
      7. Competency
      Is the Veteran capable of managing his or her financial affairs?
      [X] Yes [ ] No
      8. Remarks, (including any testing results) if any:
      PCL-5 score 72, indicating probable diagnosis of PTSD.
      Veteran continues to meet criteria for PTSD. He reports social
      withdrawal, sleep problems, memory problems, irritability, anger that is both verbal
      and physical, suicidal thoughts. He has work accommodations because of
      his PTSD symptoms. He misses several days of work a month because of his
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      I'm new to this site, and somewhat novice with claims as I've ignored them since my discharge in 2012, but I have some questions that I've yet to find answers for that hopefully someone can help me with:
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      The orderlies at the veterans hospital pinned Mr. Tritz to the floor, he recalls. He fought so hard that eventually they gave up. But the orderlies came for him again on Wednesday, July 1, 1953, a few weeks before his 30th birthday.
      This time, the doctors got their way.
      The U.S. government lobotomized roughly 2,000 mentally ill veterans—and likely hundreds more—during and after World War II, according to a cache of forgotten memos, letters and government reports unearthed by The Wall Street Journal. Besieged by psychologically damaged troops returning from the battlefields of North Africa, Europe and the Pacific, the Veterans Administration performed the brain-altering operation on former servicemen it diagnosed as depressives, psychotics and schizophrenics, and occasionally on people identified as homosexuals.
      The VA doctors considered themselves conservative in using lobotomy. Nevertheless, desperate for effective psychiatric treatments, they carried out the surgery at VA hospitals spanning the country, from Oregon to Massachusetts, Alabama to South Dakota.
        Roman Tritz talks about the scars from his lobotomy.  
      The VA’s practice, described in depth here for the first time, sometimes brought veterans relief from their inner demons. Often, however, the surgery left them little more than overgrown children, unable to care for themselves. Many suffered seizures, amnesia and loss of motor skills. Some died from the operation itself.
      Mr. Tritz, 90 years old, is one of the few still alive to describe the experience. “It isn’t so good up here,” he says, rubbing the two shallow divots on the sides of his forehead, bracketing wisps of white hair. 
      The VA’s use of lobotomy, in which doctors severed connections between parts of the brain then thought to control emotions, was known in medical circles in the late 1940s and early 1950s, and is occasionally cited in medical texts. But the VA’s practice, never widely publicized, long ago slipped from public view. Even the U.S. Department of Veterans Affairs says it possesses no records of the lobotomies performed by its predecessor agency.
      Musty files warehoused in the National Archives, however, show VA doctors resorting to brain surgery as they struggled with a vexing question that absorbs America to this day: How best to treat the psychological crises that afflict soldiers returning from combat.
        Between April 1, 1947, and Sept. 30, 1950, VA doctors lobotomized 1,464 veterans at 50 hospitals authorized to perform the surgery, according to agency documents rediscovered by the Journal. Scores of records from 22 of those hospitals list another 466 lobotomies performed outside that time period, bringing the total documented operations to 1,930. Gaps in the records suggest that hundreds of additional operations likely took place at other VA facilities. The vast majority of the patients were men, although some female veterans underwent VA lobotomies, as well.
      Lobotomies faded from use after the first antipsychotic drug, Thorazine, hit the market in the mid-1950s, revolutionizing mental-health care.
      The forgotten lobotomy files, military records and interviews with veterans’ relatives reveal the details of lives gone terribly wrong. There was Joe Brzoza, who was lobotomized four years after surviving artillery barrages on the beaches at Anzio, Italy, and spent his remaining days chain-smoking in VA psychiatric wards. Eugene Kainulainen, whose breakdown during the North African campaign the military attributed partly to a childhood tendency toward “temper tantrums and [being] fussy about food.” Melbert Peters, a bomber crewman given two lobotomies—one most likely performed with an ice pick inserted through his eye sockets.
      And Mr. Tritz, the son of a Wisconsin dairy farmer who flew a B-17 Flying Fortress on 34 combat missions over Germany and Nazi-occupied Europe.
      “They just wanted to ruin my head, it seemed to me,” says Mr. Tritz. “Somebody wanted to.”
      Counting the Patients
      A memo gives a partial tally of lobotomized veterans and warns of medical complications. A note about documents:
      Yellow highlighting has been added to some documents. The names of patients not mentioned in these articles have been redacted, along with other identifying details. All other marks are original.   The VA documents subvert an article of faith of postwar American mythology: That returning soldiers put down their guns, shed their uniforms and stoically forged ahead into the optimistic 1950s. Mr. Tritz and the mentally ill veterans who shared his fate lived a struggle all but unknown except to the families who still bear lobotomy’s scars.
      Mr. Tritz is sometimes an unreliable narrator of his life story. For decades he has meandered into delusions and paranoid views about government conspiracies.
      He speaks lucidly, however, about his wartime service and his lobotomy. And his words broadly match official records and interviews with family members, historians and a fellow airman.
      It isn’t possible to draw a straight line between Mr. Tritz’s military service and his mental illness. The record, nonetheless, reveals a man who went to war in good health, experienced the unrelenting stress of aerial combat—Messerschmitts and antiaircraft fire—and returned home to the unrelenting din of imaginary voices in his head.
      During eight years as a patient in the VA hospital in Tomah, Wis., Mr. Tritz underwent 28 rounds of electroshock therapy, a common treatment that sometimes caused convulsions so jarring they broke patients’ bones. Medical records show that Mr. Tritz received another routine VA treatment: insulin-induced temporary comas, which were thought to relieve symptoms.
      ‘Anxious to Start’
      The VA hospital in Tuskegee, Ala., asks permission to perform lobotomies. To stimulate patients’ nerves, hospital staff also commonly sprayed veterans with powerful jets of alternating hot and cold water, the archives show. Mr. Tritz received 66 treatments of high-pressure water sprays called the Scotch Douche and Needle Shower, his medical records say.
      When all else failed, there was lobotomy.
      “You couldn’t help but have the feeling that the medical community was impotent at that point,” says Elliot Valenstein, 89, a World War II veteran and psychiatrist who worked at the Topeka, Kan., VA hospital in the early 1950s. He recalls wards full of soldiers haunted by nightmares and flashbacks. The doctors, he says, “were prone to try anything.”
    • By FAVet777
      Thanks for reading this. I have been trying to find all the information that I can about getting re-examined. So I thought I would start here and I did my research on here. I am rated at 70% for PTSD with Major Depression Disorder long with a few other claims that rounds out to 80%. Ill mostly be disscussing my mental health award and not the others Since the that is my highest rating. My benefits where awarded in July of 2017 as far what e-benifits shows. that was my backpay date. In my award letter that I got in the mail it states for all my conditions even tinnitus that "since there is a likelihood of improvement, the assigned evaluation is not considered permanent and is subject to a future review examination". First let me state that I am beyond grateful of my award and I do not wish to try to try to increase my ratings or bring any attention to my file or profile with the VA. I am content with where I am at. I go to the VA every two weeks for my 1 on 1 with my Mental Health provider. So I am knocking out two birds with one stone as far as getting my treatment and showing the VA that I am seeking treatment. 
      Now...What are the circumstances of me getting Re-evualutated? Is it the luck of the draw and I might get randomly selected? I know plenty of people with lower ratings that are not TDIU or P&T that have been rated for over 4-5 years with no exams what so ever. Consider me being paranoid but I want to be Pre-emptive. Especially since my award letter clearly states that ALL my conditions "is subject to future review examination". When would the VA see that my condition has improved if it did? Would they get an alert from the VA Hospital that I am doing better? Or would it would it arise if i get selected for a review and they review my medical records? Like I said earlier im contempt at 80% and more than anything I just want to stay out of sight out of mind on the VA's raters radar and continue my treatment in peace. 
    • By Broken Cat
      I am in the process of putting together a claim package for mental health issues related to MST.  Try as I might, I cannot find a VSO with experience in my situation.  It's taken me years to accept that I need help and that I need to address this once and for all, so when I say that I cannot handle doing this twice (submitting a sub par claim and then doing appeals) I really mean it. From day to day, I vacillate between thinking my problems are actually other people's inability to cope OR feeling like there is no point to me and that I'm a burden.If it weren't for the whole not being able to pay bills and risking alienating my kids for all eternity, I'd be perfectly content letting the world turn while I hang out at home and being maladjusted and mean.
      In my perfect world, there would be a check list of things to submit for a fully developed claim. On this checklist, there would be a list of key phrases or high points that would help sway the decision makers into awarding adequate compensation. I haven't been able to find anyone that has had success doing this with a case like mine.  I have police reports from the MST.  I have trauma counseling records and AD medical records that clearly state a d/x for PTSD related to rape on X date. My counseling sessions identified dissociation behaviors, PTSD, and anxiety. One doctor even noted that I was combative and stated that I wished harm on my attackers. 
      Obviously, the Navy handled this clear cut case of rape, with evidence and my complete cooperation, like they do any scandal.  They buried it and came after me.  That might be a secondary stressor, but I've been warned that claiming a secondary stressor could hose up everything and to keep my mouth shut?  kind of amazing that the advice that is meant to help, sounds a lot like the advice that sent me careening out of control all those years ago.
      Anyhow, I survived, got married, got out, and went in and out of counseling.  Over the years, I've been diagnosed with PTSD, Chronic Depression, Chronic Adjustment Disorder, Agoraphobia, Generalized anxiety Disorder, and Dissociation Disorder.  I don't trust military medicine or the government, so most of my counseling was done through non-profit organizations and women's shelters. They're so secretive, that I felt it'd be safe to tell them what I went through and my statements wouldn't end up in the Navy's summary of Mishaps... again. So, I don't really have records of those, except for prescriptions that were reported to Tricare.   I do have my civilian medical records. It has page after page of doctors complaining that I broke down, was combative, emotional etc, etc.  I do have a few sessions with shrinks at MTFs in the last couple years. They were not keen on actual diagnostics, they just gave me the pills I asked for.
      I'm shopping shrinks to assess me and give diagnosis. I'm not sure I need a nexus letter, but I'm thinking it wouldn't hurt.  I have a letter from my ex boss describing how my work performance plummeted over the years and how he made accommodations to keep me on. I also have a letter from me, describing my bad days and my rituals to get through them. My husband and his best friend were witnesses to the fallout of my rape, in terms of the military's response to me.  They can verify in statements that I did report it and go into counseling. They can also verify that I'm socially isolated and very codepenedent on them to meet new people or get involved in activities.  I don't have a single friend that they didn't make for me, first.  I do not know how to people. I don't have friends from work. I don't have "my own" friends from church. I don't even have people who like me well enough, and include me in things, without my husband and his best friend acting as intermediaries.  
      oh, I also have the most recent sentencing transcripts for the ringleader of my attackers.  The judge stated that he felt this dude was unrepentant and a monster. He cited his past sex crimes, "both in the record and that didn't make it to trial" and his history of convincing others to help him conceal his crimes.  If that's not a shout out from the bench, I don't know what is.

      Anyhow, I guess my question is, has anyone here done a fully developed MST claim with multiple bullet points for anxiety, phobia, ptsd, and depression, and get 100% or at least, a high enough rating to qualify for unemployability?  Without having to go through appeals and lawyers?  Was a police report enough, even if the military dropped it?  Should I give the C&P my evidence, letters, and my personal statement too? I'm sure I have 1000 more questions,  but I'm mostly looking for someone who has done what I'm trying to do.
    • By pctinc2001
      After going over my progress notes from c&p I noticed some answers to questions that had different answers that I gave. For instance he said i have tingling down my left leg and not my right leg. After seeing my medical records and knowing how both my legs feel I'm wondering why he said one leg and not both. I know i told him both legs experience about the same amount of pain. I was awarded 10% for my left leg and nothing for my right leg. How shall I confront this issue?
    • By TJMarine
        Hey I'm new to the forum and really need help trying to understand what my last C&P means for my rating.. I have been waiting on this since 2010 on appeal and finally got a C&P after remand to RO. Can anyone tell me what possible rating I might receive Semper Fi.

                              Neck (Cervical Spine) Conditions
                              Disability Benefits Questionnaire
          Is this DBQ being completed in conjunction with a VA 21-2507, C&P
          [X] Yes   [ ] No
          Evidence Comments:
            BOARD REMAND
          1. Diagnosis
          Does the Veteran now have or has he/she ever been diagnosed with a cervical
          spine (neck) condition?
          [X] Yes   [ ] No
          Cervical Spine Common Diagnoses:
            No diagnosis provided.
             Diagnosis #1:  CERVICO-OCCIPITAL NEURALGIA
             ICD code:  ==
             Date of diagnosis:  9/28/2015
             ICD code:  ==
             Date of diagnosis:  2016
             ICD code:  ==
             Date of diagnosis:  4/29/2015
             If there are additional diagnoses that pertain to cervical spine (neck)
             conditions, list using above format:
               On today's C&P examination, 11/21/17, Veteran reports several incidents
             1992-1995 of blunt trauma including carrying 50 caliber machine gun
             barrels and ammunition.  Involved in ground defensive tactic also known
             "Bull in the Ring" in which the marine is in full gear and is potentially
             tackled by several marines.  Following this , Veteran incurred
             concussion-1992 or 1993).  Also went to Bethesda for back school(approx.
             week).  Currently, Veteran reports daily neck pain.  Denies neck surgery.
             Denies no recent physical therapy.  Uses Flexeril, Ibuprofen, Oxycodone,
             and Tens unit for pain relief.  Last treated by chiropractor in
             Bay, Florida).
          b. Dominant hand:
             [ ] Right   [ ] Left   [X] Ambidextrous
          c. Does the Veteran report flare-ups of the cervical spine (neck)?
             [ ] Yes   [X] No
       d. Does the Veteran report having any functional loss or functional
             impairment of the cervical spine (neck) (regardless of repetitive use)?
             [X] Yes   [ ] No
                 If yes, document the Veteran's description of functional loss or
                 functional impairment in his or her own words:
                    Can't do much of any type of physical activity, that's really
                    limited.  Obviously a hindrance, job related stuff.  Multiple days
                    off from work(pain, stiffness).  Can't do lawn activities.  Can't
                    wash dishes.  Can't play with your kids like you want to. 
                    is impossible-Sometimes you have to sleep sitting up in a chair.
          3. Range of motion (ROM) and functional limitations
          a. Initial range of motion
             [ ] All Normal
             [X] Abnormal or outside of normal range
             [ ] Unable to test (please explain)
             [ ] Not indicated (please explain)
                 Forward Flexion (0-45):           0 to 46 degrees
                 Extension (0-45):                 0 to 15 degrees
                 Right Lateral Flexion (0-45):     0 to 23 degrees
                 Left Lateral Flexion (0-45):      0 to 14 degrees
                 Right Lateral Rotation (0-80):    0 to 48 degrees
                 Left Lateral Rotation (0-80):     0 to 44 degrees
                 If abnormal, does the range of motion itself contribute to a
                 functional loss? [X] Yes, (please explain)   [ ] No
                    If yes, please explain:
                    Limited bending.
             Description of pain (select best response):
               Pain noted on examination and causes functional loss
               If noted on examination, which ROM exhibited pain (select all that
                 Forward flexion, Extension, Right lateral flexion, Left lateral
                 flexion, Right lateral rotation, Left lateral rotation
             Is there evidence of pain with weight bearing? [X] Yes   [ ] No
             Is there objective evidence of localized tenderness or pain on palpation
             of the joint or associated soft tissue of the cervical spine (neck)?
             [X] Yes   [ ] No
                If yes, describe including location, severity and relationship to
                Tenderness on palpation of the cervical spine.
          b. Observed repetitive use
             Is the Veteran able to perform repetitive use testing with at least three
             repetitions? [ ] Yes   [X] No
                If no, please provide reason:
                Unable to perform due to severe pain.
          c. Repeated use over time
             Is the Veteran being examined immediately after repetitive use over time?
             [ ] Yes   [X] No
                 If the examination is not being conducted immediately after
                 use over time:
                 [ ] The examination is medically consistent with the Veteran?s
                     statements describing functional loss with repetitive use over
                 [ ] The examination is medically inconsistent with the Veteran?s
                     statements describing functional loss with repetitive use over
                     time.  Please explain.
                 [X] The examination is neither medically consistent nor inconsistent
                     with the Veteran?s statements describing functional loss with
                     repetitive use over time.
             Does pain, weakness, fatigability or incoordination significantly limit
             functional ability with repeated use over a period of time?
             [ ] Yes   [ ] No   [X] Unable to say w/o mere speculation
                 If unable to say w/o mere speculation, please explain:
                 This examiner is unable to opine and would otherwise be speculating
                 state whether pain, weakness, fatigability, or incoordination could
                 significantly limit functional ability during flare-ups, or when the
                 joint is used repeatedly over a period of time.  Therefore this
                 examiner cannot describe any such additional limitation due to pain,
                 weakness, fatigability or incoordination.  Furthermore, such opinion
                 is also not feasible to give degrees of additional ROM loss due to
                 "pain on use or during flare-ups" without speculation.
          d. Flare-ups
             Not applicable
          e. Guarding and muscle spasm
             Does the Veteran have guarding, or muscle spasm of the cervical spine?
             [X] Yes   [ ] No
             Muscle spasm
                [X] None
                [ ] Resulting in abnormal gait or abnormal spinal contour
                [ ] Not resulting in abnormal gait or abnormal spinal contour
                [ ] Unable to evaluate, describe below:
                [ ] None
                [ ] Resulting in abnormal gait or abnormal spinal contour
                [X] Not resulting in abnormal gait or abnormal spinal contour
                [ ] Unable to evaluate, describe below:
          f. Additional factors contributing to disability
             In addition to those addressed above, are there additional contributing
             factors of disability?  Please select all that apply and describe:
               Less movement than normal due to ankylosis, adhesions, etc.
             Please describe:
             Decreased ROM.
          4. Muscle strength testing
          a. Rate strength according to the following scale:
             0/5 No muscle movement
             1/5 Palpable or visible muscle contraction, but no joint movement
             2/5 Active movement with gravity eliminated
             3/5 Active movement against gravity
             4/5 Active movement against some resistance
             5/5 Normal strength
             Elbow flexion:
               Right: [X] 5/5   [ ] 4/5   [ ] 3/5   [ ] 2/5   [ ] 1/5   [ ] 0/5
               Left:  [X] 5/5   [ ] 4/5   [ ] 3/5   [ ] 2/5   [ ] 1/5   [ ] 0/5
             Elbow extension
               Right: [X] 5/5   [ ] 4/5   [ ] 3/5   [ ] 2/5   [ ] 1/5   [ ] 0/5
               Left:  [X] 5/5   [ ] 4/5   [ ] 3/5   [ ] 2/5   [ ] 1/5   [ ] 0/5
             Wrist flexion:
               Right: [ ] 5/5   [X] 4/5   [ ] 3/5   [ ] 2/5   [ ] 1/5   [ ] 0/5
               Left:  [ ] 5/5   [X] 4/5   [ ] 3/5   [ ] 2/5   [ ] 1/5   [ ] 0/5
             Wrist extension:
               Right: [ ] 5/5   [X] 4/5   [ ] 3/5   [ ] 2/5   [ ] 1/5   [ ] 0/5
               Left:  [ ] 5/5   [X] 4/5   [ ] 3/5   [ ] 2/5   [ ] 1/5   [ ] 0/5
             Finger Flexion:
               Right: [ ] 5/5   [X] 4/5   [ ] 3/5   [ ] 2/5   [ ] 1/5   [ ] 0/5
               Left:  [ ] 5/5   [X] 4/5   [ ] 3/5   [ ] 2/5   [ ] 1/5   [ ] 0/5
             Finger Abduction
               Right: [ ] 5/5   [X] 4/5   [ ] 3/5   [ ] 2/5   [ ] 1/5   [ ] 0/5
               Left:  [ ] 5/5   [X] 4/5   [ ] 3/5   [ ] 2/5   [ ] 1/5   [ ] 0/5
          b. Does the Veteran have muscle atrophy?
             [X] Yes   [ ] No
             If muscle atrophy is present, indicate location: Upper Arm
             Provide measurements in centimeters of normal side and atrophied side,
             measured at maximum muscle bulk:
             Normal side: 37.5 cm.
             Atrophied side:  36 cm.
          5. Reflex exam
          Rate deep tendon reflexes (DTRs) according to the following scale:
             0  Absent
             1+ Hypoactive
             2+ Normal
             3+ Hyperactive without clonus
             4+ Hyperactive with clonus
               Right: [ ] 0   [ ] 1+   [X] 2+   [ ] 3+   [ ] 4+
               Left:  [ ] 0   [ ] 1+   [X] 2+   [ ] 3+   [ ] 4+
               Right: [ ] 0   [ ] 1+   [X] 2+   [ ] 3+   [ ] 4+
               Left:  [ ] 0   [ ] 1+   [X] 2+   [ ] 3+   [ ] 4+

               Right: [ ] 0   [ ] 1+   [X] 2+   [ ] 3+   [ ] 4+
               Left:  [ ] 0   [ ] 1+   [X] 2+   [ ] 3+   [ ] 4+
          6. Sensory exam
          Provide results for sensation to light touch (dermatomes) testing:
             Shoulder area (C5):
               Right: [ ] Normal   [X] Decreased   [ ] Absent
               Left:  [ ] Normal   [X] Decreased   [ ] Absent
             Inner/outer forearm (C6/T1):
               Right: [ ] Normal   [X] Decreased   [ ] Absent
               Left:  [ ] Normal   [X] Decreased   [ ] Absent
             Hand/fingers (C6-8):
               Right: [ ] Normal   [X] Decreased   [ ] Absent
               Left:  [ ] Normal   [X] Decreased   [ ] Absent
          7. Radiculopathy
          Does the Veteran have radicular pain or any other signs or symptoms due to
          [X] Yes   [ ] No
             If yes, complete the following section:
             a. Indicate location and severity of symptoms (check all that apply):
                Constant pain (may be excruciating at times)
                 Right upper extremity: [ ] None   [ ] Mild   [X] Moderate   [ ]
                 Left upper extremity:  [ ] None   [ ] Mild   [X] Moderate   [ ]
                Intermittent pain (usually dull)
                 Right upper extremity: [X] None   [ ] Mild   [ ] Moderate   [ ]
                 Left upper extremity:  [X] None   [ ] Mild   [ ] Moderate   [ ]
                Paresthesias and/or dysesthesias
                 Right upper extremity: [ ] None   [ ] Mild   [X] Moderate   [ ]
                 Left upper extremity:  [ ] None   [ ] Mild   [X] Moderate   [ ]
                 Right upper extremity: [ ] None   [ ] Mild   [X] Moderate   [ ]
                 Left upper extremity:  [ ] None   [ ] Mild   [X] Moderate   [ ]
             b. Does the Veteran have any other signs or symptoms of radiculopathy?
                [ ] Yes   [X] No
             c. Indicate nerve roots involved: (check all that apply)
                [X] Involvement of C8/T1 nerve roots (lower radicular group)
                    If checked, indicate:  [ ] Right   [ ] Left   [X] Both
             d. Indicate severity of radiculopathy and side affected:
                Right: [ ] Not affected   [ ] Mild   [X] Moderate   [ ] Severe
                Left:  [ ] Not affected   [ ] Mild   [X] Moderate   [ ] Severe
          8. Ankylosis
          Is there ankylosis of the spine? [ ] Yes   [X] No
          9. Other neurologic abnormalities
          Does the Veteran have any other neurologic abnormalities related to a
          cervical spine (neck) condition (such as bowel or bladder problems due to
          cervical myelopathy)?
          [ ] Yes   [X] No
          10. Intervertebral disc syndrome (IVDS) and episodes requiring bed rest
          a. Does the Veteran have IVDS of the cervical spine?
             [X] Yes   [ ] No
          b. If yes to question 10a above, has the Veteran had any episodes of acute
             signs and symptoms due to IVDS that required bed rest prescribed by a
             physician and treatment by a physician in the past 12 months?
             [ ] Yes   [X] No
          11. Assistive devices
          a. Does the Veteran use any assistive device(s) as a normal mode of
             locomotion, although occasional locomotion by other methods may be
             [ ] Yes   [X] No
          b. If the Veteran uses any assistive devices, specify the condition and
             identify the assistive device used for each condition:
             No response provided.
          12. Remaining effective function of the extremities
          Due to a cervical spine (neck) condition, is there functional impairment of
          an extremity such that no effective function remains other than that which
          would be equally well served by an amputation with prosthesis? (Functions of
          the upper extremity include grasping, manipulation, etc.; functions of the
          lower extremity include balance and propulsion, etc.)
          [ ] Yes, functioning is so diminished that amputation with prosthesis would
              equally serve the Veteran.
          [X] No
          13. Other pertinent physical findings, complications, conditions, signs,
              symptoms and scars
          a. Does the Veteran have any other pertinent physical findings,
             complications, conditions, signs or symptoms related to any conditions
             listed in the Diagnosis Section above?
             [ ] Yes   [X] No
          b. Does the Veteran have any scars (surgical or otherwise) related to any
             conditions or to the treatment of any conditions listed in the Diagnosis
             Section above?
             [ ] Yes   [X] No
          c. Comments, if any:
             No response provided.
          14. Diagnostic testing
          a. Have imaging studies of the cervical spine been performed and are the
             results available?
             [X] Yes   [ ] No
                 If yes, is arthritis (degenerative joint disease) documented?
                 [X] Yes   [ ] No
          b. Does the Veteran have a vertebral fracture with loss of 50 percent or
             of height?
             [ ] Yes   [X] No
          c. Are there any other significant diagnostic test findings and/or results?
             [X] Yes   [ ] No
                 If yes, provide type of test or procedure, date and results (brief
                    9/25/2014,MRI Cervical spine:Visibility of the central canal of
                    cord at the C5 level with diameter of 2mm, not considered to
                    reflect significant syringohydromyelia and not associated with
                    or abnormal enhancement.  Spondylosis and degenerative disc
                    of the cervical spine.  Right-sided predominant disc osteophyte
                    complex at C6-7 causes mild right central canal and moderate right
                    neural foraminal stenosis at this level.  No other central canal
                    stenosis with milder areas of neural foraminal encroachment
                    detailed above.  C2-3:Focal shallow central to right paracentral
                    disc protrusion.  No central canal or neural foraminal stenosis.
                    C3-4:Mild generalized disc bulge.  Mild right than left neural
                    foraminal stenosis with central canal patent.  C6-7:Mild
                    generalized disc bulge with more focal disc osteophyte complex in
                    the right paracentral, right subarticular, and right lateral
                    stations.  C7-T1:Negative for disc herniation.
                    8/14/2012, MRI Cervical spine:Herniated disk C3/4, C5/6, and C6/7
                    levels.  Bulging disk C2/3 and C4/5 levels.  Diffuse spondylitic
                    changes.  Straightened alignment suggesting muscle spasm.  Focal
                    area of cord contusion or compression myelomalacia at C5 level.
          15. Functional impact
          Does the Veteran's cervical spine (neck) condition impact on his or her
          ability to work?
          [X] Yes   [ ] No
              If yes, describe the impact of each of the Veteran's cervical spine
              (neck) conditions, providing one or more examples:
                Veteran is capable of limited lifting, carrying, and bending.
          16. Remarks, if any:
              NOTE:Veteran performed neck flexion repeition which reduced ROM to
               Unable to perform any further repetition for other ROM maneuvers.
              Additional exam request information:
              For any joint condition, examiners should test the contralateral joint,
              unless medically contraindicated, and the examiner should address pain on
              both passive and active motion, and on both weightbearing and non-
              In addition to the questions on the DBQ, please respond to
              the following questions:
              1.      Is there evidence of pain on passive range of motion testing?
              2.      Is there evidence of pain when the joint is used in non-weight
              bearing? YES


                                       Medical Opinion
                              Disability Benefits Questionnaire
          Name of patient/Veteran: 
          ACE and Evidence Review
          Indicate method used to obtain medical information to complete this
          [X] In-person examination
          Evidence Review
          Evidence reviewed (check all that apply):
          [X] VA e-folder (VBMS or Virtual VA)
          [X] CPRS
          Evidence Comments:
            BOARD REMAND
          a. Opinion from general remarks: (a)  Please state all diagnoses as to the
          Veteran's cervical spine, and
          address all diagnoses already of record: herniated disk and bulging disk
          of the cervical spine and spondylitic changes, muscle spasm and
          contusion/compression, spondylosis and degenerative disc disease of the
          cervical spine, mechanical cervical pain syndrome and radiculopathy. 
          (b)  Please provide an opinion as to whether it is at least as likely as
          not (a 50 percent or greater probability) that any diagnosed cervical
          spine disability was caused by or etiologically related to active duty. 
          Please specifically address the back injuries and complaints of back pain
          noted in the STRs.
          (c)  Please specifically address the Veteran's lay statements that he has
          suffered cervical spine pain since service, and that in service he
          suffered injury to his neck while carrying heavy equipment and continuous
          wear of duty gear.
          (d)  Please address the conflicting evidence of record and offer a
          clarifying opinion, notably the February 2013 VA examination positing a
          negative nexus, and the April 2016 private opinion positing a positive

          b. Indicate type of exam for which opinion has been requested: NECK
          CONNECTION ]
          a. The condition claimed was at least as likely as not (50% or greater
          probability) incurred in or caused by the claimed in-service injury, event
          c. Rationale: Upon review of all available medical evidence, including
          virtual VA, and Board Remand, the following pertinent information is
          and reported in 'Evidence Comments': Prior VA Examination, 6/25/96, reports
          Mr. served in the Marine Corps.  he was inducted in 1990 and
          received separation with an honorable discharge in 1996.    Medical History-In 1992, he
          had onset of pain in the neck area diagnosed at Quantico.  Xrays were
          negative.  Impression was muscle spasm and stress. Enlistment RME/RMH for
          national guard, 4/13/98, reported no neck problems and normal exam of the
          spine.  Miami VAMC, Outpatient clinic, 5/6/2005:Assessment is chronic neck
          and low back pain-Will get plain films and MRI, does not want any meds.
          2/28/2013, VA examination opines "Unable to find SMR evidence of significant
          neck injury or complaint in service.  No evidence to support chronicity of
          problem for over 10 years post-discharge."  THIS OPINION IS GIVEN LOW WEIGHT
          neck was completed providing a diagnosis of mechanical cervical pain
          and radiculopathy. As received 4/8/16, VA physician, ,
          states that the Veteran suffers from cervico-occipital neuralgia and
          radiculopathy with bulging disc "are as likely as not a direct result of
          blunt trauma received during the patient's military career.  His conditions
          are a severe occupational impairment to the veteran and has been exacerbated
          by many years of continuous wear of duty gear related to his profession." 
          today's C&P examination, 11/21/17, Veteran is a credible historian and
          reports several incidents in 1992-1995 of blunt trauma, involving ground
          defensive tactic also known as "Bull in the Ring" in which the marine is in
          full gear and is potentially tackled by several marines.  Following this ,

          Veteran incurred concussion-1992 or 1993).  Veteran also reported chronic
          neck pain during service was due to carrying 50 caliber machine gun barrels
          and ammunition.  He also went to Bethesda for back school(approx. week). 
          In summary, the Veteran has been under chronic medical care for neck pain
          first reported during service(6/25/96) and the condition has progressed from
          cervical muscle spasm to mechanical cervical pain syndrome and
          cervical herniated and bulging disc with muscle spasm, cord
          contusion/compression myelomalacia, cervical spondylosis and degenerative
          disc disease, cervico-occipital neuralgia, and cervical radiculopathy with
          bulging disc. A nexus has been established.  Therefore, it is at least as
          likely as not that the claimed condition has direct service connection. 
    • By nova
      New here. Found the community through google. I'm still learning to navigate the site, so please bear with me. Searching got me in the right direction but not close enough.
      I was recently diagnosed with Service connected PTSD through the VA. I have not done a C&P exam yet. On the same day I was diagnosed with obstructive sleep apnea through a VA sleep study. I've read that there is a slim chance to connect my sleep apnea as a secondary to my PTSD. My VA psych Dr said they aggrevate each other, but a pulmonologist opinion would have more power than his. I've seen some advice from other members talking about letter templates, DBQs and supporting articles. However, I haven't been able to find them here. 
      I've scheduled a civilian Dr. appointment with a pulmonologist in about 2 week and would like to come prepared with any information I can.
      Any help would be greatly appreciated. 
    • By kent101
      I'm reading this VA Citation :NR 1231506 and the VA is saying that because a Veteran with PTSD is getting improvement from his psychiatric medication, that he's showing less symptoms because of it, that he is having his rating reduced from 70% to 30% for PTSD. The VA did reverse the reduction at the BVA. Is this still something to worry about? At a C&P exam does the Veteran have to make it clear that the medication is the reason for improvements and needed to sustain them?   
      Citation NR: "
      An October 2009 VA medical record reflects that the Veteran reported that the medication he had been prescribed helped with ability to be out in public and that, while leery about being around people, he could go out in public much more easily. His mood overall was good, and he indicated that he continued to enjoy dining out with his wife and stopping by the VFW to socialize with friends. The examiner assigned a GAF score of 76-80".  
      Over at Veteran's Law Blog it says
      "As an example, say a Veteran has been able to service-connect Irritable Bowel Syndrome (DC 7319).
      Undiagnosed, the symptoms of IBS might be a component of Gulf War Illness
      With prescribed medication, our hypothetical Veteran’s condition moderates from a severe form of the disease to a milder form.
      The severe form of IBS is rated at 30% and the moderate form of IBS is rated by the VA at 10%.
      Let’s say the VA gives the Vet a rating of 10%, claiming that the Veteran’s medication limits her symptoms.
      Is that 10% rating correct?
      No . The Diagnostic Criteria in the VA Rating Schedule for Irritable Bowel Syndrome does not specifically list the effects of medication.
      Therefore, the VA is not allowed to consider the relief it provides when determining the degree of disability.
      Has this happened to you?
      When have you seen the VA use “improvement due to medication” as an excuse to give a lower rating"?
    • By gab2112
      When I logged in ebenefits it shows they have reviewed the document they requested (C&P exam request). Now there is a new request for me this time. It says they are requesting my service medical records. I submitted all of these already when I submitted my claim online. 
      Do I resubmit the documents I already submitted online? I have to request my C&P exam/ cray results since I dont have a premium account. Wouldn’t they have already reviewed my medical records before the exam? Not sure if this order of things is a bad sign or good sign about the way the claim is shaping.
      it looks like they are requesting my original medical service records. Not sure why they allow you to upload them if they want the originals. I thought they would have done this very first thing.
  • Our picks

    • e-Benefits Status Messages 

      Claims Process – Your claim can go from any step to back a step depending on the specifics of the claim, so you may go from Pending Decision Approval back to Review of Evidence. Ebenefits status is helpful but not definitive. Continue Reading
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    • I was rated at 10% for tinnitus last year by the VA. I went to my private doctor yesterday and I described to him the problems that I have been having with my sense of balance. Any sudden movement of my head or movement while sitting in my desk chair causes me to lose my balance and become nauseous. Also when seeing TV if there are certain scenes,such as movement across or up and down the screen my balance is affected. The doctor said that what is causing the problem is Meniere's Disease. Does any know if this could be secondary to tinnitus and if it would be rated separately from the tinnitus? If I am already rated at 10% for tinnitus and I could filed for Meniere's does any one know what it might be rated at? Thanks for your help. 68mustang
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    • Feb 2018 on HadIt.com Veteran to Veteran. Sharing top posts and a few statistics with you.
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    • I have a 30% hearing loss and 10% Tinnitus rating since 5/17.  I have Meniere's Syndrome which was diagnosed by a VA facility in 2010 yet I never thought to include this in my quest for a rating.  Meniere's is very debilitating for me, but I have not made any noise about it because I could lose my license to drive.  I am thinking of applying for additional compensation as I am unable to work at any meaningful employment as I cannot communicate effectively because of my hearing and comprehension difficulties.  I don't know whether to file for a TDUI, or just ask for additional compensation.  My county Veterans service contact who helped me get my current rating has been totally useless on this when I asked her for help.  Does anyone know which forms I should use?  There are so many different directions to proceed on this that I am confused.  Any help would be appreciated.  Vietnam Vet 64-67. 
    • If you are new to hadit and have DIC questions it would help us tremendously if you can answer the following questions right away in your first post.

      What was the Primary Cause of Death (# 1) as listed on your spouse’s death certificate?

      What,if anything, was listed as a contributing cause under # 2?

      Was an autopsy done and if so do you have a complete copy of it?

       It can be obtained through the Medical Examiner’s office in your locale.

      What was the deceased veteran service connected for in his/her lifetime?

      Did they have a claim pending at death and if so what for?

      If they died from anything on the Agent Orange Presumptive list ( available here under a search) when did they serve and where? If outside of Vietnam, what was their MOS and also if they served onboard a ship in the South Pacific what ship were they on and when? Also did they have any major  physical  contact with C 123s during the Vietnam War?

      And how soon after their death was the DIC form filed…if filed within one year of death, the date of death will be the EED for DIC and also satisfy the accrued regulation criteria.
        • Like
      • 14 replies