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First Class Petty Officer
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Patrick428 last won the day on October 20 2014

Patrick428 had the most liked content!

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About Patrick428

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    E-5 Petty Officer 2nd Class
  • Birthday 04/28/1947

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  • Location
    North Carolina
  • Interests
    I am an inactive Marine serving with 2/26th marines and Bravo1/4th Marines serving two tours in Vietnam, wounded twice. Retired Clinical Psychologist having worked for the VA and in private practice specializing in PTSD and other disorders. Spent some time as a police officer after military service. I am currently rated 100% P and T plus SMC-S Housebound and receive SSDI. I raise and rescue Border collies and Siberian Huskies as a hobby.

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  • Hobby
    Raising and rescuing Border Collies

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  1. Berta, Did he formally apply for Voc Rehab? He applied for IU and the Regional Office did a Voc Rehab on the record, no interview. And he did not apply for Voc Rehab. They set up counseling appointments upon receipt of the formal application. Most vets (unless this changed) get 2 or more one to one sessions with a counselor. No sessions Would he give you permission to scan and attach here their Reasons and Bases for the TDIU denial? I can ask the veteran and see if he would allow this to happen, or I can direct him to sign up. "does age play a role in Voc Rehab
  2. One of the ways you can recover your medical records and other pertinant military records, is not to send an inquiry to the National Records Center in St. Louis, but to write and request them from your branch of service Personnel Command. The addresses for each branch of service: Navy: Navy Personnel Command (PERS-312E) 5720 Integrity Drive Millington, TN 38055-3120 Telephone: 901-874-4885 Air Force: Air Reserve Personnel Center HQ ARPC/DPTOCW (Contact Center) 18420 E Silver Creek Ave Bldg 390 MS 68 Buckley AFB, CO 8001 Telephone: 1-800-525-0102 Army: U.S. Army Human R
  3. Thank you for the reply. Ths main issue is this veteran never had a one-on-one with a Voc Rehan Counselor. He was render capable of training based a review of the record. I feel this veteran should of had an inperson evaluation so he could answer any questions about his abilities. He's a Vietnam veteran, 67 years of age, and has not work in 3 years. I tend to believe, had he been provided an inperson evaluation, then it would have been a no brainer seeing this guy cannot work. Patrick428
  4. I'm not that up on VA Voc Rehab, but will ask a few questions. Have a Vietnam veteran who served in combat as a Marine, is 67 years old, and has been denied IU on two occasions. He received his second denial for IU based on an evaluation by Voc Rehab, done completely on record. In his decision it stated, he could work as a cab driver, Dominoes Pizza delivery man, a Limo driver, etc. This veteran never sat face-to-face with a Voc Rehab counselor to complete an evaluation. I'm wanting to know is this proper, and does age play a role in Voc Rehab decisions. This veteran is 50% PTSD, DMII, PN
  5. PTSD/dissociative type will not create a higher rating because of a subtype or specifier. All PTSD diagnoses are coded 309.81 with specifiers like dissociative, depersonalization, delayed expression, etc. What matters is the overall severity of PTSD that will determine its rating. A veteran may be diagnosed with PTSD, dissociative, but only have moderate deficits plus some problems with social and occupational impairment, may receive a rating of 50%. The VA follows percentage levels for rating all mental disorders starting at 0%, 10%, 30%, 50%, 70%, and 100%. So if a veteran was diagnosed with
  6. dritz77, My only concern is the C and P examiner is referencing GAF scores on previous and likely outdated C and P exams. If you do not know, the GAF scale is no longer a part of DSM-5 nor is the Axis system for diagnoses. What concerns me is by referencing a GAF score, it may lead the rater to consider the GAF score as some indication of how a claim should be rated. Essentially, undo influence that is not supported in the new DSM-5. Back in the day this was a common approach to rating a claim. Much easier to do than reading the entire C-file. I've kept this formula for several years an
  7. Undeerstand an IMO or IMHO is usually from 10 to 30 pages long and is quite different from a Nexus letter. it does not matter if a doctor is retired or not as long as they maintain an active and unrestricted license to practice medicine or psychology. I will post a Nexus letter I often use when writing them for veteans. Nexus letters are short and to the point. One does not want to give the VA any wiggle room or an out by nitpicking terms or phrases: Date: SSN or C-File: 000-00-0000
  8. Berta, Your husband and I probably shared the same dirt. I was in Vietnam from 1965 thru part of 66, with 1/4; thn returned to Vietnam in late 66-67 with 2/26, then back with 1/4. I'm sorry for your loss and as with anyone, a needless loss. I am no stranger to losses with my first cousin to suicide in 1980 serving with the 173rd in Vietnam, and my son's auicide in December of 2013. He was a Navy Corpsmen with 2/7 during the PGW. I agree helping veterans should be a priority in working with veterans. As I said before I spent time as a Psychologist and C and P examiner for the VA. I am gl
  9. Berta, I'm very happy he has helped you with your medical claims. However, if you read my post, Dr. Bash has routinely provided evaluative impressions on mental health issues with the BVA . Talk show or no talk is irrelevant. I have nearly 100 BVA rulings involving mental health opinions Bash himself lay claim to. If they were farmed out to Psychologists, then it his ethical obligation to cite his source of mental health opinions. In most BVA decisions Dr Bash lay claim to, 90% have resulted in denials based on his "mental health" opinion. Of the cases I have of Dr. Bash and others that I h
  10. Jbasser, Read my post and the BVA decision I posted. It clearly stated Sleep apnea was claimed as a secondary contention to Depression. The good doctor got slammed for his opinion by the BVA. An opinion he formulated himself. This is not just one isolated instance. I think I have a very good understanding of mental health. Second, I'm not advertising. I'm retired and do work for veterans free of charge. I saw a post on here and took issue with it based on my long term involvement in Psychology. Dr. Bash does have people he refers work. Not in all cases when it is about mental health. Many BV
  11. Stretch, If you read the link to a BVA decision I posted you will see Dr. Bash rendering as opinion about Sleep Apnea secondary to Depression. If you check his website you will see this statement. http://www.veteransmedadvisor.com "Note: Remember, Dr. Bash may be available to help in the claims process for clients who suffer from PTSD or other psychiatric disorders if, and only if, the client already has a diagnosis of the exact disorder." This is clearly out of his area of expertise. Stating a veteran must have a diagnosis of PTSD a or other mental disorder in order to evaluate clai
  12. Stretch and others, Unlike many doctors who charge for IMEs or IMHO, I do not charge anything to any veteran who needs help with their claim or assistance in reconstituting mistakes made by VA MH clinicians, private providers who have little or no experience with veterans, or individuals who write IMEs or MHO. I post what I did based on a long term history of redoing messes created by other practitioners, including Dr. Bash. Again, it is only my opinion. All one has to do is research Dr. Bash's record with the BVA. Second, and I will repeat when it comes to Mental Heath diagnoses, ONLY a Cli
  13. I do IMHOs for a number of veterans. Clearly understand, this is only my opinion, and it is up to each individual veteran to decide for themselves what is in their best interest. However, I would not suggest using Dr. Bash for an IME. One, he is not well regarded by the VA across the board, and two he charges an exorbinate fee for his services. If your willing to part with $1500 to $7000 for an IME from him, be my guest. Second, he's a radiologist and any opinions concerning PTSD or other mental disorders are moot. The VA has a hard and fast rule that only a Private or VA Psychiatrist or
  14. Hedgy, Don't be discouraged, as a C and P exam is only one part of many parts in rendering a decision. If your examner was not a specialist in Gastroenterology, and your treatment specialist is, the VA will generally takes the conclusions of your treating specialist. I had the similar problem with Parkinson's Disease. My Neurologist wrote what I consider an fabulous DBQ. However, the VA sent me to a C and P with an Internal Medcine Specialist. He tried to undercut my Neurologist at every step. When the decision came, the raters determined that one, I should have never sent to a C and
  15. Take your C and P, and sit down and find all errors you feel are not correct. Then one-by-one quote the error and then provide evidence to correct the errors. Understand you are not a medical doctor, and generally their opinions hold hard and fast. However, if you have medical evidence contrary to the examiners findings, list this in your letter of corrections and then attach this medical evidence to your letter of corrections. Do not send it the C and P unit, but send it to the RO handling your claim. If they have a Claims Coach see that this information gets to this individual, then requ
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