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Second Class Petty Officers
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Everything posted by x020574

  1. DAV rep put in claim for hearing increase and 100% temporary hospitalization? Not sure why he did it that way but the claim status on eBennies says it's closed. Under disabilities they increase hearing loss from 0% to 30%, brown envelope is on it's way. I was previously 90% scheduler and 100% TPIU. Now scheduler is 94% with the addition increase of 30% but of course that rounds down to 90% scheduler. I am not sure why but it appears on eBennies they dropped my TPIU (unemployable)???? OMG please tell me that is not so, that's about $1,000 less in benefits, spouse loses her health coverage (Champus)... I'm scare to open the envelope when it arrives. What about scars? I had a CABG with left me with a approximately 9” scar down the middle of my chest where they cracked me open (I jokingly call that my zipper). Is that rateable?  This stress is killing me!!!! My wife is under going treatments for breast cancer, NOT a good time to lose her health coverage. 

    1. GBArmy


      X020574 I would wait to see your BBE; should be quick. You need to see what it says. If they took away TDIU, you need to see why, and you need to appeal it. Post what the decision letter says here when you get it; be sure not to have your personal ID stuff on it, like name, ssn, address, etc.It's not a done deal yet. Yes the scar is rateable, probably, as it is long enough but other considerations are how wide, is is sensitive, deep, how wide, does it effect movement, unstable, etc. See diagnostic code 7801 thru 7805 for more info. Run the rate calculator and plug in each of your individual ratings, plus, based on what your scar symptoms are, plug in your estimate on what your scar might be, say 10%. That might get you to 95%, which rounds up to 100% schedular. If it does, that is an additional option for you. Post the letter.

  2. Thanks for the support and tips. Hopefully 5-6 months won’t be too long and they can restore some of my hearing. In the meantime, I sure the VA has solutions to help - I just need to get my surgeon OK audiologists to work with me. Thanks again!
  3. In 1996 I was SC for hearing loss 0% and Tinnitus 10%; after an ENT consult I was fitted with my first pair of VA issued hearing aids. Since that time I’ve gotten a new pair every 3-5 years with several adjustments at the walk-in clinic with each pair. I keep telling them my hearing is getting worse but it never gets to a compensation level. A few months ago The VA audiologist is concerned over a sudden drop in my R ear conductive hearing and referred me to ENT. They can’t schedule me for several months so they referred me to a non VA ENT. (This was my 2nd visit to an ENT???) I was dx with C
  4. I served in USAF, as a Jet Engine Mechanic (AFSC 43250), from 1970-74. My VA medical records contained an entrance hearing test and an exit hearing test. The exit test showed a hearing loss at high frequency ranges. I was given hearing aids (very grateful) and was service connected, 0% for hearing loss and 10% for tinnitus. That was in 2006. Fast forward to 2019 – I was referred to an Non-VA ENT specialist after a routine VA audiologist became concern about a significant drop in my R side conductive hearing test. I had a CT scan which reveals that I have cholesteatoma in both ea
  5. Thanks Buck52, you are correct, this was a new claim, where I will have a expert opinion hematologists confer it is just as likely as not a result of chronic benzene exposure. I probably don’t want to do a HLR (assuming this is the same as a notice of disagreement). So at this point, I would like to handle the claim I’m my on.... being the the ITF is closed and denied... can I file a 526ez on my own (opening a new claim). I have never had to deal with a denied claim before. PNH is a serious disease, I require infusions every 14 days for life. The only cure is stem cell transplant (da
  6. Last week I spoke with my VSO about filing a direct claim for Acquired Hemolytic Anemia and my Hem/Onc doctor agreed to stating my exposure to toxic chemicals, primarily Benzene among others, was just as likely as not to have contributed to my PNH. I explained my doctor would be out of country for a week and that he would complete the DBQ and provide a rational explanation once he returns. The VSO stated, he would take care of filing a claim and doctors DBQ would be submitted once received. A few days later I get a correspondence from my VSO telling me an Intent to File form 21-0966 was
  7. I have met with the Neurologist concerning my head MRI and I feel a little relieved that the area of the stoke is called the 'silent zone', meaning when stuff happens there one usually does not suffer and motor disruptions. No Parkinson or Parkinsonism, just need to keep my DMII and blood pressure under control. The small vessel disease in the brain is more than likely due to diabetes.  Good news for once!

  8. What do your buddy letters say? If you just say you had 'sleep problems' that is very vague, obviously that won't fly. What will your buddies say that would support your claim? Did you share a room with them, can they state that they witness you gasping for air in your sleep, temporarily stopped breathing? These buddies will need to state what unit that you were both in and at what time/period did they witness these events. The VBA does have ways to verify units and times you both claimed to have been together. Your buddy letters will probably have to have their SSN or service numbers in the l
  9. saints13 thank you for your response. I will do as you suggested and file a VocRehab application on eBennies and see where things go from there. I wasn't sure and didn't want to create unnecessary paper work and jam up the 'system'. I don't mean to sound dumb but is ASKNOD something in eBennies or is it someone who is an advocate that helps veterans on HadIt?
  10. Last year I was scheduler 90% (Tinnitus,DM II, IHD and PTSD) and shortly afterwards awarded TDIU 100% + housebound. I was also awarded SSDI and have a long list of ailments. I am 64, turning 65 in March, and I feel like I have no interest in anything anymore (and haven't in a long time). I take psyc meds but it helps a little... if any. I don't have the ability to return to my previous employment and seriously doubt I would be eligible for Voc Rehab. I sometimes think I am just waiting around for one of my illnesses to do me in... yes, sad I know. I think a hobby like wood working of photograp
  11. When I received my award to 90% I became aware that I could be entitled to 'copays reimbursed retroactively' to my claim effective date. Question: Is it possible to get retroactive 'travel pay' back to the claim effective date? My first call to the financial resource center indicated they were going to request two audits one for medical copays and another for travel pay. It's been several months since I made my initial request to recoup copays and placed a follow up call yesterday. The representative told me it would be one within the next 2 weeks. When I asked about the secon
  12. Just received my wifes ChampVA package today, I sent a one page application in approx. 2-3 weeks ago. They set her eligibility date back to Aug 1, 2013 (when I was awarded TDIU). Here is a link to the application but I'm surprised you did not receive one in your BBE. http://www.va.gov/hac/forbeneficiaries/champva/apply.asp You should have also received pamphlets discussing addition (optional) life insurance, Chapter 35 (education) benefits for dependents. There should be a statement in the package somewhere that discusses your eligible to be reimbursed for any copays for meds retr
  13. I doubt anyone could give you anything other than a WAG... that is just the way it is. I would suggest you get together with your VSO and ask to file for a hardship... bring proof of Bill Collection, Bankruptcy, and such that show you are in a financial hardship. I think you did about everything else.
  14. Go figure... My claim closed over a week ago, got the BBE 2 days later, got the retro yesterday. Then today I get another BBE in the mailbox, telling me they received an incomplete claim 01/10/2014 and if I want to process my Fully Developed Claim I need to submit a 526ez. I called Peggy, their answer was there isn't a claim and sometimes the system does that and that I should throw the correspondence away - Brilliant! Best of luck to you Street!
  15. Thank you Berta, You have certainly given me a lot of homework :) My VA Hem/Onc doctor says nobody knows what causes PNH, but what we do know is that it is acquired and not inherited. I believe you are correct, PD 680 sounds very familiar... I am 62yrs old and this was 40+ years ago. I have met one vet that is SC, but he had anemia issues in service. I will keep you posted, I also want to get a second opinion from a private Hem/Onc. Although the test making the dx is considered the Golden Standard, I believe it's call flow cytometry ???
  16. I do have a Story and then a Question: Story part: I recently learned I have a illness with called Paroxysmal nocturnal hemoglobinuria (PNH)it is a rare disease in which red blood cells break down earlier than normal. I have read that benzene can cause these types of symptoms. I was a Jet Engine Mechanic from 1970-74 so I had 4 yrs of exposure to this stuff - but can it rear it's ugly head 40 years later? We use to use a cleaning solution (I don't recall the name but it was P-something). We used it in-shop to clean grease and carbon from internal engine parts. Being young and stupid, we use
  17. Just wanted to let you know I was able to get this resolved, I got the BBE on Sat and I am now 100% TPIU. And they did accept my proof of my eBennies print screen of the logging of activities. They awarded me the effective date of Jul/2013(the day I uploaded my application). They even gave me a little extra by granting me SMC-S (housebound). Between SSDI and VA 100% comp I can sleep a little better. I do have a Story and then a Question: Story part: I recently learned I have a illness with called Paroxysmal nocturnal hemoglobinuria (PNH)it is a rare disease in which red blood cells break do
  18. Thank you Berta - This is a copy and paste form my eBenefits Account Activity history - 07/18/2013 8:40 AM, Updated: ClaimId: 28896344, DocumentId: {A596A9A0-F7AC-40E9-9FC1-D23435C404F1}, THOMAS xxxx, Successful I usally do send it to the VSO ,to submit unfortunetly for me I didn't do that this time... I sent an IRIS email coorespondence and spoke to someone one the phone, all they could do was pass the information along... no big help there! While my claim was open, I got a call from the RO asking me if I wanted to add TDIU to the claim and what disability was I claiming tha
  19. Thanks to all that responded... Carlie - I reponded to your request to post the RD, also: 1. TDIU application was not reviewed, nor was it on the list of evidence. According to them I did not respond... not true. Had they read the application I feel strongly that it would have been approved... but with the VA one never knows! 2. They stated my disabilities claimed for TDIU were hearing and depression, which is correct. They did not speak of the MH in the dermination of TDIU, but they listed what was on my MH C&P exam and granted 70% on MH alone, which clearly indicates my inab
  20. You will get the letter very soon, try not to be discourage... I know it is hard. Most of us have been there ( I know saying that doesn't make you feel any better, but we feel your pain and fustration). When you get your package, scan the portion of the Reason for Decision part, a text doc would be preferred so that you can cut and paste results to this forum. Exclude any personal information (names, SSN, etc). There are some very knowledgable members here that may see something you have not picked up on. Sorry this is happenng to you, sounds like you certainly deserve more! Just keep
  21. The TDIU Form 21-8940 is not listed on the list of Evidence, nor anything else regarding TDIU.. I also has be granted SSDI last month, I did not forward that letter to the RO yet. 6. Entitlement to individual unemployability. Entitlement to individual unemployability is denied because the claimant has not been found unable to secure or follow a substantially gainful occupation as a result of service connected disabilities. The veteran is considered capable of gainful employment. {38 CFR 4.16} We sent you a letter dated July 2,2013 requesting you to complete and return VA Form 21
  22. I had a claim finalized in Oct/2013 was awarded 90% (was 10%). I had also file for TDIU and was denied stating they did not receive an application. This is not correct, I submitted an application online via the claims upload feature. I can show the dates of the upload, it was indicated to be succesfully upload. I can verify this in eBennies by reviewing the "My Activity" option. They had it one file, elctronically but never reviewed it. I hope I don't have to wait another year or two to get this resolved. If they denied me because I was not eligable I could accept that but to deny me for
  23. My claim filed on 2/2012 has finally closed today (yeah!!!) I think I'm 90% if my VA Math is right... 0% Bi-Lateral hearing loss (previous award) 10% DM II - Agent Orange - outside Vietnam or unknown ?????? 10% Tinnitus (previous award) 60% IHD - Agent Orange - outside Vietnam or unknown ?????? 70% MDD - secondary SMC-K $100 My new award went from $129 (hearing & tinnitus) to $1,930. That would be consistent with vet/spouse at 90% + SMC-K. I'm happy, going for 10% to 90% and I don't mean to sound like I'm complaining but I have a question... I initially file
  24. Vet2010 - you should expect, at the very least, that they will replace the machine, provide a new hose and mask. You should be seen at least once a year to evaluate you AND the machine. My VAMC (Boston/Roxbury) doesn't have enough staff so they contract for me to have visits every six months from a private firm. I get a new hose, mask and filters with every visit and told if I need them sooner all I have to do is call them.
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