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MikeS

First Class Petty Officer
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Posts posted by MikeS

  1. Hi all.  After trying to help my ED with VA prescribed sildenafil for the past 5 years, my VA Medical Doc finally cancelled the script.  He has been telling me over the past 5 years that my ED is probably from my ptsd meds.  I'm on gabapentin, temazepam, doxepin, and sertraline.  I would like to file a claim for loss of reproductive organ on ebenefits.  Any thoughts how to proceed?  Thank you.

  2. Hi all:

    From 8/2002 to 9/2010 I was Total and Permanent at 70% for PTSD TDIU.

    I filed a claim for Housebound 9/2010 which was denied but the 70% TDIU was raised to 100% Schedular and Total and Permanent.

    Did this change from 70% TDIU to 100% Schedular cause a break in the Total and Permanent guidelines ( like for CHAMPVA and DIC) ?

    If not, this August makes 10 years as Total and Permanent.

    Is this correct?

    Thanks,

    Mike S.

  3. I have had exam requests that the C&P department decieded could be answered with a review because of a recent exam that covered the same information. I don't necessarilly think this is a negative thing - my cervical spine SC and rating was awarded on reviews. If you have had current medical appointments and exams that discussed your being housebound I wouldn't get in a twist about it.

    If you arn't in the habit of getting copies of your exam/exam notes so that you know what is in the record you might want to get them so you know what the reviewer was/is looking at.

    Best regards,

    Thanks!

    Mike S.

  4. Hi all:

    What is the difference between a C&P and a review?

    I have a claim for housebound.

    I received a letter from the VARO that they requested a C&P, and that I should be getting an appointment in the mail from my local VAMC.

    That was a month and a half ago.

    Today, the VA Doc who refills my ptsd meds told me that another doctor at the VAMC reviewed my records.

    I asked her what that meant.

    She said she did not know.

    I asked her if I was scheduled for a C&P.

    She said no.

    Any ideas as to why a review was done instead of a C&P?

    Thanks,

    Mike S.

  5. WorkAHolic:

    Thanks for giving me a better idea about how e-benefits works.

    The C&P that was supposed to be scheduled, then cancelled, was for housebound benefits.

    The problem is that I was denied housebound benefits last year. Then, the C&P was with a nurse who complained to me that the VA C&P for housebound for veterans with 100% PTSD was inadequate because 99% of the exam focuses on aid and assistance for our brothers and sisters who "physically" are restricted to their homes.

    I had asked the VARO to reconsider their decision due to an error on the part of a VA doc who put into the record that he had made an error.

    If I don't receive a decision by this March, I will have to file an NOD because March is when my year to appeal runs out.

    In my humble opinion, veterans with 100% T&P PTSD who file a claim for housebound benefits should be evaluated in a different way than those hurt brothers and sisters whose limitations are more physical than emotional/mental.

    Your input is greatly appreciated.

    Mike S.

  6. Hi all:

    My current claim status on e-benefits shows: "Outpatient treatment records from VAMC added to Virtual VA".

    What does that mean?

    Also, my claim status shows that the VARO request for a C&P was made on 12/1/2011 and received on 12/15/2011. I never had a C&P although I received a letter from the VARO advising me that a request had been made from them on 12/1/2011. And, I was never scheduled for one either.

    What happened to my C&P?

    My claim status is: Preparation for Decision.

    Any thoughts?

    Thanks,

    Mike S.

  7. My feeling is and has always been that, if you are qualified, you should pursue it. The VA can mess w/you at anytime, for any reason, and can be defeated when they try. These benefits were paid for w/our health. For yrs national organization VSO's have told claimants to be happy w/what they have and not pursue more, as they could be opening a can of worms. If your claim is valid, you should pursue it!!! Not applying is a win for the VA. jmo

    pr

    AMEN!

    Mike S.

  8. Hi all:

    I submitted a letter of reconsideration July 2011 for the March 2011 denial of SMC Housebound benefits claim that I submitted September 2010.

    The VARO is now calling it a NEW claim submitted July 2011.

    I have until March 2012 to file a formal NOD to appeal that March 2011. But now I'm confused.

    Is a letter of reconsideration a NEW claim?

    I'll lose almost a year of back pay if they consider the letter of reconsideration a NEW claim.

    The best the I can figure is the VARO can't process a letter of reconsideration as an appeal because no appeal was submitted. So, they have to treat the letter as a NEW claim. (maybe?)

    Should I still file an NOD before March 2012?

    Thanks,

    Mike S.

  9. I think I just got the message. I just received 75 duplicate e-mail messages from the VA informing me that there is a partial shut down of the web site this weekend. Of course you have to access the website first to see what the message is about.'

    Talking about an overkill. And what or who do I care if that site is down anyhow?

    Same here, and it is getting worse!

    182 emails from ebenefits.

    Uh, maybe there is a problem?

    Mike S.

  10. Pete, Sharon, and John:

    In the letter of reconsideration, I submitted new medical evidence from my VA Doc which stated that he made "a grammatical error" on one of my progress notes that was used as the prime reason for the denial.

    It was an honest "clerical error" by my VA Doc.

    BUT.............Had the "rater" read the "whole" progress note, he/she would have seen that it was very clearly a clerical error in grammar.

    My VA Doc is a good guy. He saw the grammatical error, made the correction in a new progress note, gave me a copy, we moved on.

    It was also very easy with my VA Doc because he diagnosed me with panic disorder and agoraphobia and being housebound long before my C&P.

    Ain't his fun?

    Thanks,

    Mike S.

  11. Hi all:

    I submitted a Letter of Reconsideration for a denial of Housebound benefits this past July 26th.

    ebenefits shows that the VA is calling my letter a Claim dated 7/29/2011.

    Because the Letter of Reconsideration is not an Appeal (NOD), is that why they refer to it as a Claim?

    The original claim for Housebound was denied 3/2011, so I still have time for an NOD.

    But, because my Claim or Letter is "In Development" according to ebenefits, I thought that I would wait until 2/2012 to see what happens.

    FYI: My original claim was only for SMC-S Housebound. To my surprise, I was increased from 70% TDIU T&P for PTSD to 100% T&P for PTSD with Panic Disorder and Depressive Disorder. But the SMC -S Housebound was denied.

    Any thoughts?

    Thanks,

    Mike S.

  12. Carlie - I don't think so. Just before they awarded it the eye exam I had says I don't have it. I still haven't received the notice awarding it. The remand is dwelling on whether my SC PTSD keeps/kept me from leaving the home specifically to earn an income. Based on that I should win and if I do it should be back to '89. Should know in about 4-5 more yrs. jmo

    pr

    You not giving up will help other veterans in the future.

    You're helping me now!

    Remember when there was no HADIT???

  13. It's from the PTSD w/agoraphobia. If you can get a doctor to say that your PTSD w/agoraphobia, keeps you from leaving the house often enough to keep you from earning a living, (ie: working 5 days a wk, 8 hrs a day), you'll have it made.

    pr

    My VA doc and the c&p doc say exactly that. Actually, they also say that I leave my home area for no reason.

    Thanks

  14. Hi all:

    Okay.

    Looks like I gotta NOD denial for SMC Housebound.

    C&P results were 70% to 100% ptsd, agoraphobia secondary to ptsd, no breakdown of what was rated what.

    Sent a letter of reconsideration. No response yet.

    Want to NOD before my year runs out to do so.

    My question is: Is the PTSD making me Housebound or is it the Meds??

    Meds: Zoloft (depression), Neurontin (anxiety 1500 mg/day.....VA Docs tell me it is the max allowed), Temazepam (sleep), Propranolol (effects on body from anxiety).

    Thanks,

    Mike S

    I'm going to appeal the denial for smc housebound from my original claim for smc housebound.

    Mike S

  15. Hi all:

    Okay.

    Looks like I gotta NOD denial for SMC Housebound.

    C&P results were 70% to 100% ptsd, agoraphobia secondary to ptsd, no breakdown of what was rated what.

    Sent a letter of reconsideration. No response yet.

    Want to NOD before my year runs out to do so.

    My question is: Is the PTSD making me Housebound or is it the Meds??

    Meds: Zoloft (depression), Neurontin (anxiety 1500 mg/day.....VA Docs tell me it is the max allowed), Temazepam (sleep), Propranolol (effects on body from anxiety).

    Thanks,

    Mike S

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