Hi everyone. I am new to this site and want to commend all of the Veterans and advocates who devote endless time and energy into those who are new to the claims process.
I will try to keep it short. Some background-
My dad, 68 years old, is a Vietnam vet. He was drafted and served 6/68-3/70. He is currently rated at 80%. He initially claimed "injury to both feet" in 1983 and was denied. Needless to say, information was not as readily available in 1983 and like he said, "I was busy raising a family to fight the VA." He claimed foot disorders (plantar fasciitis, foot injury) again in 1996, 2004, and 2010 all denied because medical evidence of service connection was not found. Fast forward to November 2015 when I got involved. He has gotten to the point where he cannot stand for more than 5 minutes without pain. It breaks my heart. I immediately jumped head first into his records and I am just amazed at what I found.
His SMRs clearly show symptoms, treatment, and diagnosis while serving and he was treated prior to 1983 in non govt facility and since 1983 at the VA.
Here is a timeline of treatments found in SMR-
CHRONIC FOOT CONDITIONS-EXHIBIT B
1968-1970
1/22/68 –“Foot Trouble” marked “No,” Exhibit A, pages 1-4
6/25/68- reported for duty in Ft. Benning, GA, Exhibit D, page 1
7/16/68- “Feet are going flat” reported to clinic, referred to podiatry for “Falling Arches” Exhibit A, page 10
7/16/68- podiatry clinic notes “stress fractures at the insertion of the tendo-Achilles” prescribed heel pads and light duty, no running.Exhibit A, page 10
7/22/68- “no improvement” expedite to podiatry again, Exhibit A, page 11
7/22/68-notes “bilateral stress fractures of os calcis, still having trouble with feet” Exhibit A, page 11
8/6/68- clinic notes “pain over heels when pressed, bilateral stress fractures,” Exhibit A, page 12
8/9/68-no significant change, “feels arches have fallen since in Army,” “deep aching both feet, ankles and feet,” jelly casts made. Exhibit A, page 13
8/16/68-“still having trouble with feet, pain in both heels for 2-3 weeks, notes that “heel pads make pain worse.” Exhibit A, page 10
8/16/68-“clinical early bilateral stress fractures” noted, patient claims that “arches have fallen since in the Army,”… “pain in both plantar surfaces and heels.” Exhibit A, page 14
8/27/68-9/6/68-“admitted to ER with cellulitis of the knee, deep pain under patella” Exhibit A, pages 15-19
9/10/68-“cellulitis is improving, patient has had chronic problem with feet since BT, having constant dull aching feet especially when standing.” Exhibit A, page 19
9/11/68-“tenderness plantar aspect of both feet,”Exhibit A, page 20
9/17/68-(Dr. notes frustration) “This man has painful feet . . .not getting
better . . . this man needs some concrete answers as to what the problem is and what to expect” refers to orthopedic clinic for “chronic foot pain”, Exhibit A, page 20
9/17/68-“having constant dull aching feet, especially when standing, feet both significantly flat, pes planus” Exhibit A, page 21
9/17/68-“Chronic foot pain-seems real, 21 year old complains of dull aching pains in both feet, completely fine except for flat feet, insoles as per podiatrist” Exhibit A, page 22
9/17/68-“symptomatic of pes planus,” custom arch supports ordered-make casted molded arch supports to hold heel in neutral,” Exhibit A, page 23
10/15/68-orthopedic clinic notes “pain in ankle joints, more painful when barefoot” “no relief from pads” “Flexible, pronated flat foot while standing”
Exhibit A, page 24
10/16/68-Physical Profile Record-notes “Flat Feet, no guard duty”
Exhibit A, page 26
10/22/68-no change, “symptomatic of pes planus, continue arch supports, refer to podiatry and orthopedics” Exhibit A, page 27
11/6/68-“despite Thomas heel, no improvement of pain in arch of foot”, “referred to orthopedics for heel buildup” Exhibit A, page 28
12/5/68-patient complains “feet are sore from result of falling arches, dull, deep pain after standing less than 15 min, when pain is severe, progresses up left leg,” notes about changing MOS from infantry, “leaving only flat feet as the diagnosis” Exhibit A, page 30
1/22/69-Fort McClellan, AL-noted “pain in feet, knees, thighs and back,” “Dr. is frustrated) with options-“I have nothing further to offer this man since every modality I would use has been used by the podiatrists at Benning.” “He presently has heel lifts and Thomas heels on boot, patient should be seen by orthopedics for back.” Exhibit A, page 32
2/13/69-“still problems with feet and heel, noted Achilles tendon insertion area, ordered hydrocortisone injection at Achilles tendon, “more padding in boot.” Exhibit A, page 33
3/69-Leaves for Vietnam Tour
4/28/69-Skin condition treated, on face, Exhibit A, page 35
6/13/69-contracted Malaria in Vietnam (already SC-0%), Exhibit A, page 46
8/19/69-“cellulitis on bottom of feet and toes” (infection of calluses), admitted to hospital to treat, Exhibit A, pages 49-50
11/26/69- reports of “6 months of calluses on both plantar areas, pes planus, reoccurring watery vesicles on both feet, bacterial infection of calluses” Exhibit A, page 49
***pain was present the entire time while in Vietnam.There was really nothing that could be done about it.There was no need to complain to the medic.***
“Skin ulcers on bottom of feet” noted in explanation box-(These “ulcers” were the infected calluses) Exhibit A, page 53-54
Clearly he was treated for foot conditions while in service. I have reopened claims for plantar fasciitis, etc.Does anyone see a case for EED based on CUE? (38 CFR 3.156)
Here is the "4th Pillar" in my recently submitted claim.
IV. Effective Date
Please consider all of the evidence presented.I have reviewed my service medical records and it clearly shows that my pes planus was acquired while in active service.Throughout my claims history, I have assumed that my service records were being used to adjudicate my claims.
I requested my SMR in 2010 via FOIA request.I was sent two (2) separate packages dated April 22, 2010 and September 26, 2012.These packages were not identical.The 2012 package had additional service medical records.
From my understanding of 38 CFR 3.156 (c, c4), the VA is required to review my C-File for the evidence used in adjudicating my historical claims.Also, please note for the record that I was never informed that my service records were not available to be used to adjudicate my claim(s).The only correspondence was from St. Louis and referencing inpatient records from DaNang Army Hospital.This was not communicated to me until April 14, 2010.This hospital stay is not absolutely necessary to prove service connection, so it is irrelevant.
Based on the reasons I was denied and the service medical records not being lost or destroyed, it is my understanding that my initial claim date of May 13, 1983 would be the correct effective date and retroactive evaluation would be made.
The reason these records were delivered separately and two years apart is unknown.One possibility could be misplaced files and if that is the case, I feel that the new evidence obtained would fall under the 38 CFR 3.156 regulations.
Or, if all of the evidence was available at the time of the initial claim decision, then it would qualify as a Clear and Unmistakable Error (CUE).Please note, I am not filing a CUE on this matter.I am just adding justification for an earlier effective date.The VA was required (even before 2000’s Duty to Assist) to assist the veteran by getting necessary Federal records.All of the necessary information needed to get these records was provided by me and it is noted in my Rating Decisions for other conditions.
The various medical treatment notes for foot injuries and other foot conditions while on active duty have been available all along.The reason for denial always noted no medical evidence of service connection.
Regardless of the reason, I initially claimed foot injury/plantar fasciitis in May 1983.I claimed these same conditions again in 1997, 2004, and 2010.These foot condition (s) have been ongoing and chronic and I feel I should be compensated based on the evidence available through my claims history.
I wish I had known about this wonderful community before I submitted his claim, but if he is denied again, the claws are coming out! LOL! Don't mess with a girl's daddy! Haha.
Caluza Triangle – Caluza vs Brown defined what is necessary for service connection. See COVA– CALUZA V. BROWN–TOTAL RECALL
This has to be MEDICALLY Documented in your records:
Current Diagnosis. (No diagnosis, no Service Connection.)
In-Service Event or Aggravation.
Nexus (link- cause and effect- connection) or Doctor’s Statement close to: “The Veteran’s (current diagnosis) is at least as likely due to x Event in military service”
VA has gotten away with (mis) interpreting their ambigious, , vague regulations, then enforcing them willy nilly never in Veterans favor.
They justify all this to congress by calling themselves a "pro claimant Veteran friendly organization" who grants the benefit of the doubt to Veterans.
This is not true,
Proof:
About 80-90 percent of Veterans are initially denied by VA, pushing us into a massive backlog of appeals, or worse, sending impoverished Veterans "to the homeless streets" because when they cant work, they can not keep their home. I was one of those Veterans who they denied for a bogus reason: "Its been too long since military service". This is bogus because its not one of the criteria for service connection, but simply made up by VA. And, I was a homeless Vet, albeit a short time, mostly due to the kindness of strangers and friends.
Hadit would not be necessary if, indeed, VA gave Veterans the benefit of the doubt, and processed our claims efficiently and paid us promptly. The VA is broken.
A huge percentage (nearly 100 percent) of Veterans who do get 100 percent, do so only after lengthy appeals. I have answered questions for thousands of Veterans, and can only name ONE person who got their benefits correct on the first Regional Office decision. All of the rest of us pretty much had lengthy frustrating appeals, mostly having to appeal multiple multiple times like I did.
I wish I know how VA gets away with lying to congress about how "VA is a claimant friendly system, where the Veteran is given the benefit of the doubt". Then how come so many Veterans are homeless, and how come 22 Veterans take their life each day? Va likes to blame the Veterans, not their system.
However, (and I have no idea of knowing whether or not you would likely succeed) Im unsure of why you seem to be so adamant against getting an increase in disability compensation.
When I buy stuff, say at Kroger, or pay bills, I have never had anyone say, "Wait! Is this money from disability compensation, or did you earn it working at a regular job?" Not once. Thus, if you did get an increase, likely you would have no trouble paying this with the increase compensation.
However, there are many false rumors out there that suggest if you apply for an increase, the VA will reduce your benefits instead.
That rumor is false but I do hear people tell Veterans that a lot. There are strict rules VA has to reduce you and, NOT ONE of those rules have anything to do with applying for an increase.
Yes, the VA can reduce your benefits, but generally only when your condition has "actually improved" under ordinary conditions of life.
Unless you contacted the VA within 72 hours of your medical treatment, you may not be eligible for reimbursement, or at least that is how I read the link, I posted above. Here are SOME of the rules the VA must comply with in order to reduce your compensation benefits:
NOTE: TO PROVE CAUSE OF DEATH WILL LIKELY REQUIRE AN AUTOPSY. This means if you die of a SC condtion, your spouse would need to do an autopsy to prove cause of death to be from a SC condtiond. If you were P and T for 10 full years, then the cause of death may not matter so much.
Question
4mydad
Hi everyone. I am new to this site and want to commend all of the Veterans and advocates who devote endless time and energy into those who are new to the claims process.
I will try to keep it short. Some background-
My dad, 68 years old, is a Vietnam vet. He was drafted and served 6/68-3/70. He is currently rated at 80%. He initially claimed "injury to both feet" in 1983 and was denied. Needless to say, information was not as readily available in 1983 and like he said, "I was busy raising a family to fight the VA." He claimed foot disorders (plantar fasciitis, foot injury) again in 1996, 2004, and 2010 all denied because medical evidence of service connection was not found. Fast forward to November 2015 when I got involved. He has gotten to the point where he cannot stand for more than 5 minutes without pain. It breaks my heart. I immediately jumped head first into his records and I am just amazed at what I found.
His SMRs clearly show symptoms, treatment, and diagnosis while serving and he was treated prior to 1983 in non govt facility and since 1983 at the VA.
Here is a timeline of treatments found in SMR-
CHRONIC FOOT CONDITIONS-EXHIBIT B
1968-1970
1/22/68 –“Foot Trouble” marked “No,” Exhibit A, pages 1-4
6/25/68- reported for duty in Ft. Benning, GA, Exhibit D, page 1
7/16/68- “Feet are going flat” reported to clinic, referred to podiatry for “Falling Arches” Exhibit A, page 10
7/16/68- podiatry clinic notes “stress fractures at the insertion of the tendo-Achilles” prescribed heel pads and light duty, no running. Exhibit A, page 10
7/22/68- “no improvement” expedite to podiatry again, Exhibit A, page 11
7/22/68-notes “bilateral stress fractures of os calcis, still having trouble with feet” Exhibit A, page 11
8/6/68- clinic notes “pain over heels when pressed, bilateral stress fractures,” Exhibit A, page 12
8/9/68-no significant change, “feels arches have fallen since in Army,” “deep aching both feet, ankles and feet,” jelly casts made. Exhibit A, page 13
8/16/68-“still having trouble with feet, pain in both heels for 2-3 weeks, notes that “heel pads make pain worse.” Exhibit A, page 10
8/16/68-“clinical early bilateral stress fractures” noted, patient claims that “arches have fallen since in the Army,”… “pain in both plantar surfaces and heels.” Exhibit A, page 14
8/27/68-9/6/68-“admitted to ER with cellulitis of the knee, deep pain under patella” Exhibit A, pages 15-19
9/10/68-“cellulitis is improving, patient has had chronic problem with feet since BT, having constant dull aching feet especially when standing.” Exhibit A, page 19
9/11/68-“tenderness plantar aspect of both feet,” Exhibit A, page 20
9/17/68-(Dr. notes frustration) “This man has painful feet . . .not getting
better . . . this man needs some concrete answers as to what the problem is and what to expect” refers to orthopedic clinic for “chronic foot pain”, Exhibit A, page 20
9/17/68-“having constant dull aching feet, especially when standing, feet both significantly flat, pes planus” Exhibit A, page 21
9/17/68-“Chronic foot pain-seems real, 21 year old complains of dull aching pains in both feet, completely fine except for flat feet, insoles as per podiatrist” Exhibit A, page 22
9/17/68-“symptomatic of pes planus,” custom arch supports ordered-make casted molded arch supports to hold heel in neutral,” Exhibit A, page 23
10/15/68-orthopedic clinic notes “pain in ankle joints, more painful when barefoot” “no relief from pads” “Flexible, pronated flat foot while standing”
Exhibit A, page 24
10/16/68-Physical Profile Record-notes “Flat Feet, no guard duty”
Exhibit A, page 26
10/22/68-no change, “symptomatic of pes planus, continue arch supports, refer to podiatry and orthopedics” Exhibit A, page 27
11/6/68-“despite Thomas heel, no improvement of pain in arch of foot”, “referred to orthopedics for heel buildup” Exhibit A, page 28
12/5/68-patient complains “feet are sore from result of falling arches, dull, deep pain after standing less than 15 min, when pain is severe, progresses up left leg,” notes about changing MOS from infantry, “leaving only flat feet as the diagnosis” Exhibit A, page 30
1/22/69-Fort McClellan, AL-noted “pain in feet, knees, thighs and back,” “Dr. is frustrated) with options-“I have nothing further to offer this man since every modality I would use has been used by the podiatrists at Benning.” “He presently has heel lifts and Thomas heels on boot, patient should be seen by orthopedics for back.” Exhibit A, page 32
2/13/69-“still problems with feet and heel, noted Achilles tendon insertion area, ordered hydrocortisone injection at Achilles tendon, “more padding in boot.” Exhibit A, page 33
3/69-Leaves for Vietnam Tour
4/28/69-Skin condition treated, on face, Exhibit A, page 35
6/13/69-contracted Malaria in Vietnam (already SC-0%), Exhibit A, page 46
8/19/69-“cellulitis on bottom of feet and toes” (infection of calluses), admitted to hospital to treat, Exhibit A, pages 49-50
11/26/69- reports of “6 months of calluses on both plantar areas, pes planus, reoccurring watery vesicles on both feet, bacterial infection of calluses” Exhibit A, page 49
***pain was present the entire time while in Vietnam. There was really nothing that could be done about it. There was no need to complain to the medic.***
3/20/70-Returned from Vietnam
3/20/70-Separation exam “Foot Trouble” marked “yes”
“Skin ulcers on bottom of feet” noted in explanation box-(These “ulcers” were the infected calluses) Exhibit A, page 53-54
Clearly he was treated for foot conditions while in service. I have reopened claims for plantar fasciitis, etc.Does anyone see a case for EED based on CUE? (38 CFR 3.156)
Here is the "4th Pillar" in my recently submitted claim.
IV. Effective Date
Please consider all of the evidence presented. I have reviewed my service medical records and it clearly shows that my pes planus was acquired while in active service. Throughout my claims history, I have assumed that my service records were being used to adjudicate my claims.
I requested my SMR in 2010 via FOIA request. I was sent two (2) separate packages dated April 22, 2010 and September 26, 2012. These packages were not identical. The 2012 package had additional service medical records.
From my understanding of 38 CFR 3.156 (c, c4), the VA is required to review my C-File for the evidence used in adjudicating my historical claims. Also, please note for the record that I was never informed that my service records were not available to be used to adjudicate my claim(s). The only correspondence was from St. Louis and referencing inpatient records from DaNang Army Hospital. This was not communicated to me until April 14, 2010. This hospital stay is not absolutely necessary to prove service connection, so it is irrelevant.
Based on the reasons I was denied and the service medical records not being lost or destroyed, it is my understanding that my initial claim date of May 13, 1983 would be the correct effective date and retroactive evaluation would be made.
The reason these records were delivered separately and two years apart is unknown. One possibility could be misplaced files and if that is the case, I feel that the new evidence obtained would fall under the 38 CFR 3.156 regulations.
Or, if all of the evidence was available at the time of the initial claim decision, then it would qualify as a Clear and Unmistakable Error (CUE). Please note, I am not filing a CUE on this matter. I am just adding justification for an earlier effective date. The VA was required (even before 2000’s Duty to Assist) to assist the veteran by getting necessary Federal records. All of the necessary information needed to get these records was provided by me and it is noted in my Rating Decisions for other conditions.
The various medical treatment notes for foot injuries and other foot conditions while on active duty have been available all along. The reason for denial always noted no medical evidence of service connection.
Regardless of the reason, I initially claimed foot injury/plantar fasciitis in May 1983. I claimed these same conditions again in 1997, 2004, and 2010. These foot condition (s) have been ongoing and chronic and I feel I should be compensated based on the evidence available through my claims history.
I wish I had known about this wonderful community before I submitted his claim, but if he is denied again, the claws are coming out! LOL! Don't mess with a girl's daddy! Haha.
Any advice would be appreciated! Thanks!
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broncovet
Berta has done well with asking VA to Cue themselves. She is exceptionally thorough and knows VA regulations better than many/most lawyers. I would rather stick my hand in a meat grinder than go aga
broncovet
CUE does not equal 38 cfr 3.156. Instead, its far better for you! Dont file a cue, file a motion to reopen under 38 CFR 3.156. This is instead of CUE, not a CUE. However, that is very good for you
Berta
If you can scan and attach that here when it comes, (cover C file # etc prior to scanning) we can better determine the next step. In January you stated here: "I have reopened the claim for b
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