Jump to content

Ads

  • Search



  • 0
Jonah1

No Va Doctor Qualified to Evaluate Me

Question

I received a 10% rating for TMJ. Come to find out I have a condition that is much more serious than TMJ. I actually have maxillary hyperplasia and unilateral mandibular condylar hyperplasia. My top jaw grew shorter than my bottom and my left joint that connects my bottom jaw to my skull, along with the bone the connects the same to my chin, grew bigger and longer than the right, respectively. This has caused my face to become asymmetric and deformed. It has also caused functional problems such as pain, problems chewing and speaking.

Although I am 100% I have been denied a diagnosis and much-needed surgery to correct these conditions. The VA doctors, in order to cover their neglect and abandonment, have gone as far as to lie to my congressman and even to the representative at the new White House line opened up by President Trump. I fear that my only recourse is to claim this condition. The only problem is, I have been informed by the director of oral surgery at the VA that there is absolutely no doctor qualified to diagnose me in the VA or perform the surgery that I need. I don't know how to file this claim to get the care that I so desperately need. Please advise.

 

Thank you.

 

Share this post


Link to post
Share on other sites

3 answers to this question

Recommended Posts

  • 0

The obvious answer is you would ask your prime care doc to be seen for this condition, and, if no VA doc can do this, to ask VA to pay for the evaluation from a private doc, through Veterans choice.  Ask your prime care doc, not a congress critter, IMHO.  

 If you are at 100 percent currently, the only way you can get an increase in disability comp is SMC.  

If you are seeking medical care for the condition, then be sure to do what I mentioned in the above.  If you are seeking additional disabilty compensation, in the form of SMC, then you will need to meet the criteria for SMC.  

This is a great example of asking the right person in VA.  

If your prime care doc wont do this, then, if you decide the potential SMC is worth it, then go for a IMO/IME.  

The VA does not have docs in every specialty in all areas.  So you have no choice but to seek private care, which VA SOMETIMES pays for.  That is, if they havent squandered all the money for Veterans choice on cost over rides for hospital construction or other VA wasted tax dollars.  

Edited by broncovet

Share this post


Link to post
Share on other sites

Ad


  • 0
On 7/21/2017 at 7:46 AM, broncovet said:

The obvious answer is you would ask your prime care doc to be seen for this condition, and, if no VA doc can do this, to ask VA to pay for the evaluation from a private doc, through Veterans choice.  Ask your prime care doc, not a congress critter, IMHO.  

 If you are at 100 percent currently, the only way you can get an increase in disability comp is SMC.  

If you are seeking medical care for the condition, then be sure to do what I mentioned in the above.  If you are seeking additional disabilty compensation, in the form of SMC, then you will need to meet the criteria for SMC.  

This is a great example of asking the right person in VA.  

If your prime care doc wont do this, then, if you decide the potential SMC is worth it, then go for a IMO/IME.  

The VA does not have docs in every specialty in all areas.  So you have no choice but to seek private care, which VA SOMETIMES pays for.  That is, if they havent squandered all the money for Veterans choice on cost over rides for hospital construction or other VA wasted tax dollars.  

Hi. Thanks for your reply. I've gone the obvious route from the Boston VA to two New York VAs. I went straight to the oral surgeons. The Boston VA surgeon, in 2015, requested funding for me to go to a private surgeon, to obtain imaging and a full evaluation. The funding never came. Eventually, I moved back to NY, paid for my own imaging and received several fully, detailed diagnoses as to what was causing my jaw and face to deform. I provided this to both NY VAs. Even with this in hand, as well as the head of the oral surgery department in Manhattan, vehemently declaring that no VA oral surgeon was qualified to perform the surgery that I need, both the Manhattan and Northport oral surgeons refuse to put that there are no oral surgeons in the VA, who can surgically correct this disease. Their admittance on paper is the only thing standing between myself and outside care. They have been giving and continue to give me the run-around. I say all this to explain that complaining to Congress and the Trump hotline were last resorts. 

I'm TDIU. Can you tell me what SMC and IMO/IME are?

Thanks again.

Share this post


Link to post
Share on other sites
  • 0

SMC   Special monthly compensation.   Its "over and above 100%" if you meet applicable criteria, such as a missing leg or foot, blind, housebound (SMC S), need Aid and Attendance (SMC L)   Rate tables are here, I have no idea if you qualify for SMC, however, Howell suggests you should get SMC S.  Its an extra 347 per month for SMC S.  https://asknod.org/2014/08/25/cavc-howell-v-nicholson-what-smc-s-really-says/

SMC rate tables:  

http://www.benefits.va.gov/compensation/resources_comp02.asp

SMC eligiblity:

http://www.vetsfirst.org/special-monthly-compensation-ratings-are-you-eligible/

 

IMO  Independent medical opinion.  This is a doctors opinion you pay for, if VA docs dont provide an adequate opinion.  

IME  Independent medical exam.  The same as IMO, except the doc actually examines you.  

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now


  • Advertisemnt


  • Most Common VA Disabilities Claimed for Compensation:   

    tinnitus-005.pngptsd-005.pnglumbosacral-005.pngscars-005.pnglimitation-flexion-knee-005.pngdiabetes-005.pnglimitation-motion-ankle-005.pngparalysis-005.pngdegenerative-arthitis-spine-005.pngtbi-traumatic-brain-injury-005.png

  • Latest News
  • Our picks

    • If you are a Veteran, represented by MOPH, you need to know that MOPH is closing down its offices.  This can have a drastic effect on your claim, and it wont be good for you.  You likely need to get a new representative.  

      This station confirms MOPH is closing its doors:

      http://www.kwtx.com/content/news/Waco--Purple-Heart-veterans-service-center-to-close-its-doors-480422933.html

       
      • 0 replies
    • Retroactive Back Pay.
      Retroactive Back Pay - #1Viewed Post Week of March 19. 2018

      My claim is scheduled to close tomorrow for my backpay.
      Does anyone know if it does close how long till the backpay hits the bank?
      Also does information only get updated on our claims whenever the site is down?
      • 44 replies
    • Examining your service medical records...
      * First thing I do after receiving a service medical record is number each page when I get to the end I go back and add 1 of 100 and so on.

      * Second I then make a copy of my service medical records on a different color paper, yellow or buff something easy to read, but it will distinguish it from the original.

      * I then put my original away and work off the copy.

      * Now if you know the specific date it's fairly easy to find. 

      * If on the other hand you don't know specifically or you had symptoms leading up to it. Well this may take some detective work and so Watson the game is afoot.

      * Let's say it's Irritable Syndrome 

      * I would start page by page from page 1, if the first thing I run across an entry that supports my claim for IBS, I number it #1, I Bracket it in Red, and then on a separate piece of paper I start to compile my medical evidence log. So I would write Page 10 #1 and a brief summary of the evidence, do this has you go through all the your medical records and when you are finished you will have an index and easy way to find your evidence. 

      Study your diagnosis symptoms look them up. Check common medications for your IBS and look for the symptoms noted in your evidence that seem to point to IBS, if your doctor prescribes meds for IBS, but doesn't call it that make those a reference also.
      • 9 replies
    • How to get your questions answered on the forum
      Do not post your question in someone else's thread. If you are reading a topic that sounds similar to your question, start a new topic and post your question. When you add your question to a topic someone else started both your questions get lost in the thread. So best to start your own thread so you can follow your question and the other member can follow theirs.

      All VA Claims questions should be posted on our forums. Read the forums without registering, to post you must register it’s free. Register for a free account.

      Tips on posting on the forums.

      Post a clear title like ‘Need help preparing PTSD claim’ or “VA med center won’t schedule my surgery” instead of ‘I have a question’.


      Knowledgable people who don’t have time to read all posts may skip yours if your need isn’t clear in the title. I don’t read all posts every login and will gravitate towards those I have more info on.


      Use paragraphs instead of one huge, rambling introduction or story. Again – You want to make it easy for others to help. If your question is buried in a monster paragraph there are fewer who will investigate to dig it out.



      Leading to:

      Post clear questions and then give background info on them.



      Examples:

      A. I was previously denied for apnea – Should I refile a claim?



      I was diagnosed with apnea in service and received a CPAP machine but claim was denied in 2008. Should I refile?




      B. I may have PTSD- how can I be sure?


      I was involved in traumatic incident on base in 1974 and have had nightmares ever since, but I did not go to mental health while enlisted. How can I get help?





      This gives members a starting point to ask clarifying questions like “Can you post the Reasons for Denial from your claim?” etc.

      Note:

      Your firsts posts on the board may be delayed before they show up, as they are reviewed, this process does not take long and the review requirement will be removed usually by the 6th post, though we reserve the right to keep anyone on moderator preview.

      This process allows us to remove spam and other junk posts before they hit the board. We want to keep the focus on VA Claims and this helps us do that.
      • 2 replies
    • 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. 

Ads



How to get your questions answered.

All VA Claims questions should be posted on our forums. Read the forums without registering, to post you must register it’s free. Register for a free account.

Tips on posting on the forums.

  1. Post a clear title like ‘Need help preparing PTSD claim’ ...
  2. Knowledgable people who don’t have time to read all posts may skip yours if your need isn’t clear in the title ... 
  3. Use paragraphs instead of one huge, rambling introduction or story. Again – You want to make it easy for others to help ...
Continue Reading


  • Advertisemnt

  • Advertisemnt

  • Ads

  • 14 Questions about VA Disability Compensation Benefits Claims

    questions-001@3x.png

    When a Veteran starts considering whether or not to file a VA Disability Claim, there are a lot of questions that he or she tends to ask. Over the last 10 years, the following are the 14 most common basic questions I am asked about ...
    Continue Reading
     
  • Can a 100 percent Disabled Veteran Work and Earn an Income?

    employment 2.jpeg

    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

×

Important Information

{terms] and Guidelines