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charlest27
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Posts posted by charlest27
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Hello
Here is my time line for the my First time FDC claim
Filed claim first time FDC claim on 30Sept2013 with the Manila VARO
Disability claim items 18
Under review completion date Oct 25,2013
All C & P exams completed at Manila VAOPC on Dec 17,2013 as per e benefits .VAOPC Manila outsourced some tests to STO Tomas hospital in Manila Philippines.
Gathering of evidence Completion date July 10, 2014
Preparation for decision Completion date. August 22, 2014
pending decision approval completed date August 28, 2014
Prep for notification September 2, 2014
Completed: September 2, 2014, and 2014Disability Compensation Rate 100 Percent not P&T review on August 2019 granted on September 2, 2014.
DFAS audit send September 2, 2014 due to I am a retired Navy with 20 years of service.
Disability Retro payment received on September 5, 2014. The amount of my military retirement pay dollar for dollar was withheld from payment of retro C&P. This is due to DFAS has to complete and audit and pay me my CRDP Retro payment. This could take 60 to 90 days to complete the DFAS audit.
I have not received my decision letter as of yet. But I have been blessed that my claim C&P exams were performed with no bias which will make or break your claim. The Manila VAOPC and VARO Manila Philippines did a very professional C&P exams .
Take Care God Bless
Charles
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Hello
I got a phone call from the VA Manila Philippines, where i filed my claim and completed my C and P exams. The nice lady on the phone needed my mailing address and bank info. She told me my claim is closed and i will be receiving the big brown envelope in the mail in about two weeks. She could not tell me my Rateing on the phone. All she could tell me claim closed. Well that is good news cause my cell phone just got stolen Thursday, so i needed some good news and got it. take care
God Bless
Charles T Booth BU1(SCW)USN Retired Seabee
- BakerGeckos and Gastone
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2
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Hello
Here is my time line for the my claim
Filed claim on 30Sept2013 with the Manila VA
Disability claim items 18
Under review completion date Oct 25,2013
All C & P exams completed on Dec 17,2013 as per e benefits
Gathering of evidence Completion date July 10,2014
Preparation for decision Completion date. August 22, 2014
Pending decision approval Phase start date August 22,2014
Prep for notification ?
Completed ?
Number of days since claim filed 27 Aug 2014 332 days
Number of days till my goal to complete my claim within the 365 days mark 33 Days as of 27 Aug 2014.
All i can say is thank god for MLB TV it helps pass the time instead of looking At e benefits . The good thing is the VA might just beat my goal of 365 days to complete my claim that would be great.
Take care out there. Remember the VA it is just a waiting game with them thats all. I always laugh when i hear the 125 Day goal the VA has sorry but i laugh even at bad jokes too.
Take care God Bless
Charles
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Just checked E benefits The Manila VA is good about updates to e benefits for the most part, My claim is prep for decision as of 22 Aug2014.
On a side note people have asked me about the Manila Philippines VA people though it closed when the bases closed in 1992 no it is an office and OPC in the same building. They do treat WW2 philippine vets who fought for The US as they should do, The VA in Manila is very good in there care , the only draw back is you must be service connected to be seen.with that policy Vets are encouraged to summit claims even it will be 0 % so they can be seen just my take on it, sorry in advance if that is not the pc thing to say , Well take care out there.
God Bless
Charles
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i know it sounds like a lot i know i was a Navy Seabee not a Seal. When my first VSO not my current one looked at my medicial records this is what she came up with to claim so me not knowing any better said O.K sounds good. She belives in putting in everything in the claim she has stated that the way she was trained and what the vets want. The VSO she took over from got a bad rep for not doing that so she does it that way right or wrong.Bit she did throw in it is the Vets claim at the end of the day disclaimer of course.Eighteen disability claims? Were you a SEAL? No offense. Just asking. Sounds like you're nigh on to driving a wheelchair. Best of luck.
a
take care and God Bless
Charles
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I went to see my VSO and she told me a date August 27,2014 to be decided of course that is not a firm date but it is 30 days from start of prep for decision start date. So the VA just might and that is a big might beat my personnel goal of having my claim closed within 365 days. As always with VA i pray the VA will get it right the first time. in life it is always good to have God with you. this is and upmost need when dealing with the VA as far as my dealing with them. take care out there it is nothing more then a waiting game with the VA so do not get wrapped up with e bennies or peggy it will surely drive your blood pressure though the roof.You should be done in 4-6 weeks. Just relax and wish you luck. Keep us posted
take care god bless
Charles
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Hello
Here is my time line for the my claim
Filed claim on 30Sept2013 with the Manila VA
Disability claim items 18
Under review completion date Oct 25,2013
All C & P exams completed on Dec 17,2013 as per e benefits
Gathering of evidence Completion date July 10,2014
Preparation for decision Phase start date July 28, 2014
Pending decision approval ?
Prep for notification ?
Completed ?
Number of days since claim filed 4 Aug 2014 309 days
Number of days till my goal to complete my claim within the 365 days mark 56 Days as of 4 Aug 2014.
All i can say is thank god for MLB TV it helps pass the time instead of looking At e benefits . The good thing is the VA might just beat my goal of 365 days to complete my claim that would be good.
Take care out there. Remember the VA it is just a waiting game with them thats all. I always laugh when i hear the 125 Day goal the VA has sorry but i laugh even at bad jokes too.
Take care God Bless
Charles
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Hear is my C&P exams just want to know what rating the VA should give me? Thanks for the help.
Heart Conditions: (Including Ischemic & Non-ischemic Heart
Disease, Arrhythmias, Valvular Disease and Cardiac Surgery)
Disability Benefits Questionnaire
Name of patient/Veteran: xxxxxxxxxxxxx
Indicate method used to obtain medical information to complete this
document:
[ ] Review of available records (without in-person or video telehealth
examination) using the Acceptable Clinical Evidence (ACE) process
because
the existing medical evidence provided sufficient information on which
to
prepare the DBQ and such an examination will likely provide no
additional
relevant evidence.
[ ] Review of available records in conjunction with a telephone interview
with the Veteran (without in-person or telehealth examination) using the
ACE process because the existing medical evidence supplemented with a
telephone interview provided sufficient information on which to prepare
the DBQ and such an examination would likely provide no additional
relevant evidence.
[ ] Examination via approved video telehealth
[X] In-person examination
Evidence review
---------------
Was the Veteran's VA claims file reviewed?
[X] Yes [ ] No
If yes, list any records that were reviewed but were not included in the
Veteran's VA claims file:
A] VMBS
1. Chronological Record of Medical Record
Date: 06 April 2010
Facility: NH Jacksonville
Problems:
hypertension
Murmur heard
Active medications:
Lisinopril/Hydrochlorothiazide
A/P
Hypertension [systemic]
2. Chronological Record of Medical Record
Date: 14 Dec 2009
Facility: NBHC Kings Bay
Problems:
Murmur heard
Benign essential hypertension
Active medications:
Lisinopril/Hydrochlorothiazide
A/P
Hypertension [systemic]
3. Facility: Naval Medical Center Portsmouth
Date: 13 March 2012
Procedure: ECG
Results:
Normal sinus rhythm
Incomplete right bundle branch block
Borderline ECG
Diagnosis: Headache,Fever,Altered Mental status,Neurologic abnormality
Lumbar puncture was done
B] No other medical records available for review other than the VBMS.
If no, check all records reviewed:
[ ] Military service treatment records
[ ] Military service personnel records
[ ] Military enlistment examination
[ ] Military separation examination
[ ] Military post-deployment questionnaire
[ ] Department of Defense Form 214 Separation Documents
[ ] Veterans Health Administration medical records (VA treatment
records)
[ ] Civilian medical records
[ ] Interviews with collateral witnesses (family and others who have
known the Veteran before and after military service)
[ ] No records were reviewed
[ ] Other:
1. Diagnosis
------------
Does the Veteran now have or has he/she ever been diagnosed with a heart
condition?
[X] Yes [ ] No
[X] Hypertensive heart disease
ICD code: ICD.9.CM 402.90Date of diagnosis: 2013
2. Medical History
------------------
a. Describe the history (including onset and course) of the Veteran's heart
condition(s) (brief summary):
39 y/o,male.
VBMS reviewed.
USN Feb 1994 to Sept 30,2013; worked as a first class builder.
Informations provided by the Veteran.
Accompanied by his wife,Erlinda Booth.
No employment since discharge from service.
"CLAIMS FILE BEING SENT FOR REVIEW BY THE EXAMINER.
Date of Claim: September 30, 2013
30 days pending
This is a VBMS case.
Service personnel records are still with VA Manila. STRs are loaded in
VBMS.
Please have the examiner review these records as well as the VBMS
records.
The Veteran was recently discharged on September 30, 2013. He is
currently
claiming service-connection for the following conditions:
-
- Hypertension
-
- Heart murmur
- ...
Please conduct a general medical exam with attention to these
conditions.
Veteran's claimed conditions were taggeded in his STRs in VBMS.
If current diagnosis is related to symptoms found in service, please
provide
an opinion as to whether the symptoms in service are at least as
likely
as
not related to the current diagnosis.
...
Note to the Examiner for the heart condition: If Veteran's METS level
due
to cardiovascular limitations cannot be reasonably determined due to the
effects of NSC conditions upon the METS level and that LVEF testing
renders
a more accurate measure of cardiovascular manifestations alone, please
specifically state so.
ACE process must not be used to complete the DBQ for Hearing Loss and
Tinnitus and Mental Disorders.
To the Clinician:
If using the ACE process to complete the DBQ, please
- explain the basis for the decision not to examine the Veteran, and
- identify the specific materials reviewed to complete the DBQ.
In addition, the Veteran has a power of attorney. Please send a
courtesy
copy of the exam notice letter to Georgia Department of Veteran
Service.
Any questions can be directed to Ruphee Ornedo at Ext 3868.
Thank you."
VBMS reviewed.
2009 & 2010 - noted to have murmur and hypertension;given Lisinopril
and
HCTZ which he took regularly.
March 2012 - treated for headache;ECG was done also and showed
Incomplete right bundle branch block & borderline ECG.
No hospitalization.
No surgery related to heart disease.
Currently,he complains of occasional chest pain,dizziness and
difficulty
in breathing.
b. Do any of the Veteran's heart conditions qualify within the generally
accepted medical definition of ischemic heart disease (IHD)?
[ ] Yes [X] No
c. Provide the etiology, if known, of each of the Veteran's heart
conditions,
including the relationship/causality to other heart conditions,
particularly the relationship/causality to the Veteran's IHD conditions,
if any:
Heart condition #1: Provide etiology
hypertension
d. Is continuous medication required for control of the Veteran's heart
condition?
[X] Yes [ ] No
If yes, list medications required for the Veteran's heart condition
(include name of medication and heart condition it is used for, such
as
atenolol for myocardial infarction or atrial fibrillation):
Lisinopril 20mg one tab daly.
HCTZ 25 mg one tab daily.
3. Myocardial infarction (MI)
-----------------------------
Has the Veteran had a myocardial infar
ction (MI)?
[ ] Yes [X] No
4. Congestive Heart Failure (CHF)
---------------------------------
Has the Veteran had congestive heart failure (CHF)?
[ ] Yes [X] No
5. Arrhythmia
-------------
Has the Veteran had a cardiac arrhythmia?
[ ] Yes [X] No
If checked, indicate frequency:
[ ] Constant [ ] Intermittent (paroxysmal)
6. Heart valve conditions
-------------------------
Has the Veteran had a heart valve condition?
[ ] Yes [X] No
7. Infectious heart conditions
------------------------------
Has the Veteran had any infectious cardiac conditions, including active
valvular infection (including rheumatic heart disease), endocarditis,
pericarditis or syphilitic heart disease?
[ ] Yes [X] No
8. Pericardial adhesions
------------------------
Has the Veteran had pericardial adhesions?
[ ] Yes [X] No
9. Procedures
-------------
Has the Veteran had any non-surgical or surgical procedures for the
treatment
of a heart condition?
[ ] Yes [X] No
10. Hospitalizations
--------------------
Has the Veteran had any other hospitalizations for the treatment of heart
conditions (other than for non-surgical and surgical procedures described
above)?
[ ] Yes [X] No
11. Physical exam
-----------------
a. Heart rate: 78/min
b. Rhythm: [X] Regular [ ] Irregular
c. Point of maximal impact: [X] Not palpable [ ] 4th intercostal space
[ ] 5th intercostal space
[ ] Other, specify:
d. Heart sounds: [ ] Normal [X] Abnormal, specify:
? systolic murmur at the apex
e. Jugular-venous distension: [ ] Yes [X] No
f. Auscultation of the lungs: [X] Clear [ ] Bibasilar rales
[ ] Other, describe:
g. Peripheral pulses:
Dorsalis pedis: [X] Normal [ ] Diminished [ ] Absent
Posterior tibial: [X] Normal [ ] Diminished [ ] Absent
h. Peripheral edema:
Right lower extremity: [X] None [ ] Trace
[ ] 1+ [ ] 2+ [ ] 3+ [ ] 4+
Left lower extremity: [X] None [ ] Trace
[ ] 1+ [ ] 2+ [ ] 3+ [ ] 4+
i. Blood pressure: 100/70
12. Other pertinent physical findings, complications, conditions, signs
and/or symptoms
-----------------------------------------------------------------------
a. Does the Veteran have any scars (surgical or otherwise) related to any
conditions or to the treatment of any conditions listed in the Diagnosis
section above?
[ ] Yes [X] No
b. Does the Veteran have any other pertinent physical findings,
complications, conditions, signs and/or symptoms related to any
conditions
listed in the Diagnosis section above?
[X] Yes [ ] No
If yes, describe (brief summary):
Refer to DBQ CARDIO Hypertension template.
13. Diagnostic Testing
----------------------
a. Is there evidence of cardiac hypertrophy?
[X] Yes [ ] No
If yes, indicate how this condition was documented:
[ ] EKG [ ] Chest x-ray [X] Echocardiogram
Date of test: 12-5-13
b. Is there evidence of cardiac dilatation?
[ ] Yes [X] No
c. Diagnostic tests
[X] EKG Date of EKG: 11-26-13 [Refer to Vista Imaging Display]
Result:
[X] Other, describe: Sinus bradycardia.
[X] Chest x-ray Date of CXR: 11-25-13
Result:
[X] Normal [ ] Abnormal, describe:
[X] Echocardiogram Date of echocardiogram: 12-5-13.[Refer to Vista
Imaging Display]
Left ventricular ejection fraction (LVEF): 68 %
[X] Other test, specify:
1. Procedure: 2d-echo [Refer to Vista Imaging Display]
Facility: UST Hospital
2. Procedure: Stress test [Refer to Vista Imaging Display]
Facility: Manila VA OPC
Date: 1. 12-5-13 2. Nov. 26,2013
Result:
1. Conclusion:
Concentric left ventricular remodelling with good wall motion and
contractility and normal resting systolic function.
Thickened tip of anterior mitral valve leaflet with no restriction
of motion.
2. Bruce Total Exercise Time 09:01
Max HR: 125bpm 69% of max predicted 181bpm
Max BP: 140/90 Max Workload: 10.00 METS
Reason for termination: Uninterpretable tracing at peak exercise
due
to multiple artifacts
Interpretation.
Summary:
Resting ECG: Normal
Functional Capacity: Normal
HR Response to exercise: attenuated secondary to medication
BP Response to Exercise: normal resting BP - appropriate response
Chest pain: none
Arrhythmias: none
ST changes : none
Overall impression: normal stress test
Conclusion: Functional Class I
14. METs Testing
----------------
a. [X] Exercise stress test
Date of most recent exercise stress test: 11-26-13
Results: [Refer to Vista Imaging Display]
METs level the Veteran performed, if provided: 10 METS
b. [X] Interview-based METs test
Date of interview-based METs test: 11-26-13
Symptoms during activity:
The METs level checked below reflects the lowest activity level at
which the Veteran reports any of the following symptoms (check all
symptoms that the Veteran reports at the indicated METs level of
activity):
[X] Dyspnea
[X] Angina
[X] Dizziness
Results:
METs level on most recent interview-based METs test:
[X] (>7-10 METs) This METs level has been found to be
consistent
with activities such as climbing stairs quickly,
moderate bicycling, sawing wood, jogging (6 mph)
c. If the Veteran has had both an exercise stress test and an
interview-based
METs test, indicate which results most accurately reflect the Veteran's
current cardiac functional level:
[X] Exercise stress test [ ] Interview-based METs test [ ] N/A
d. Is the METs level limitation due solely to the heart condition(s)?
[X] Yes [ ] No
e. In addition to the heart condition(s), does the Veteran have other
non-cardiac medical conditions (such as musculoskeletal or pulmonary
conditions) limiting the METs level?
[ ] Yes [X] No
If yes, identify each condition and describe how each non-cardiac
medical condition limits the Veteran's METs level:
15. Functional impact
---------------------
Does the Veteran's heart condition(s) impact his or her ability to work?
[X] Yes [ ] No
If yes, describe impact of each of the Veteran's heart conditions,
providing one or more examples:
Mild/moderate restriction
16. Remarks, if any
-------------------
39 y/o,male.
VBMS reviewed.
USN Feb 1994 to Sept 30,2013; worked as a first class builder.
Informations provided by the Veteran.
Accompanied by his wife,Erlinda Booth.
No employment since discharge from service.
Refer to DBQ GM-Comp template,11-26-13.
Refer to DBQ CARDIO Hypertension VAE,11-25-13.
Notes:
The hypertensive heart disease is,at least as likely as not,related to
his hypertension noted in servicce.It is likely a progression of the
disease.The murmur could be a manifestation of the heart disease.Hypertension
Disability Benefits Questionnaire
Name of patient/Veteran: XXXXXXXXXXXXX
Indicate method used to obtain medical information to complete this
document:
[ ] Review of available records (without in-person or video telehealth
examination) using the Acceptable Clinical Evidence (ACE) process
because
the existing medical evidence provided sufficient information on which
to
prepare the DBQ and such an examination will likely provide no
additional
relevant evidence.
[ ] Review of available records in conjunction with a telephone interview
with the Veteran (without in-person or telehealth examination) using the
ACE process because the existing medical evidence supplemented with a
telephone interview provided sufficient information on which to prepare
the DBQ and such an examination would likely provide no additional
relevant evidence.
[ ] Examination via approved video telehealth
[X] In-person examination
Evidence review
---------------
Was the Veteran's VA claims file reviewed?
[X] Yes [ ] No
If yes, list any records that were reviewed but were not included in the
Veteran's VA claims file:
VBMS and CPRS reviewed.
If no, check all records reviewed:
[ ] Military service treatment records
[ ] Military service personnel records
[ ] Military enlistment examination
[ ] Military separation examination
[ ] Military post-deployment questionnaire
[ ] Department of Defense Form 214 Separation Documents
[ ] Veterans Health Administration medical records (VA treatment
records)
[ ] Civilian medical records
[ ] Interviews with collateral witnesses (family and others who have
known the Veteran before and after military service)
[ ] No records were reviewed
[ ] Other:
1. Diagnosis
------------
Does the Veteran now have or has he/she ever been diagnosed with
hypertension
or isolated systolic hypertension based on the following criteria:
[X] Yes [ ] No
[X] Hypertension
ICD code: 401.9 Date of diagnosis: 2008
2. Medical history
------------------
a. Describe the history (including onset and course) of the Veteran's
hypertension condition (brief summary):
The veteran claims that during a routine eye examintation in 2008, he
was noted to have "bulging blood vesssels" hence blood pressure was
checked and was told to be elevated. He underwent 2-day hypertension
screening and was diagnosed to have hypertension. He was started on
Lisinopril 10mg once a day and Hydrochlorthiazide 12.5mg daily.
Adjustment of the antihypertensive medication was done in 2010 with
increase in the dose with better control of BP.
b. Does the Veteran's treatment plan include taking continuous medication
for
hypertension or isolated systolic hypertension?
[X] Yes [ ] No
If yes, list only those medications used for the diagnosed conditions:
Lisinopril 20mg/tablet 1 tablet once a day.
Hydrochlorthiazide 25mg/tablet 1 tablet once a day.
c. Was the Veteran's initial diagnosis of hypertension or isolated systolic
hypertension confirmed by blood pressure (BP) readings taken 2 or more
times on at least 3 different days?
[X] Yes [ ] No [ ] Unknown
If yes, provide BP readings used to establish initial diagnosis, if
known:
Reading 1: 146 / 90 Date: Feb. 29,
2008
Reading 1: 144 / 96 Date: April 7,
2008
Reading 1: 153 / 104 Date: Oct. 28,
2008
d. Does the Veteran have a history of a diastolic BP elevation to
predominantly 100 or more?
[ ] Yes [X] No
3. Current blood pressure readings
----------------------------------
Blood pressure reading 1: 110 / 60 Date: Nov. 25, 2013
Blood pressure reading 2: 110 / 60 Date: Nov. 25, 2013
Blood pressure reading 3: 120 / 60 Date: Nov. 25, 2013
4. Other pertinent physical findings, complications, conditions, signs
and/or
symptoms
-----------------------------------------------------------------------------
a. Does the Veteran have any scars (surgical or otherwise) related to any
conditions or to the treatment of any conditions listed in the Diagnosis
section above?
[ ] Yes [X] No
b. Does the Veteran have any other pertinent physical findings,
complications, conditions, signs or symptoms related to the condition
listed in the Diagnosis section above?
[ ] Yes [X] No
5. Functional impact
--------------------
Does the Veteran's hypertension or isolated systolic hypertension impact his
or her ability to work?
[ ] Yes [X] No
6. Remarks, if any
------------------
Repeat blood pressure readings:
Sitting : 100/60mmHg
Standing: 110/60mmHg
Lying : 110/60mmHg
/es/ MA FLORDELIZA AQUINO CRISTOBAL, MD
Contract Physician
Signed: 11/26/2013 15:21
-------------------------------------------------------------------------
=========================================================================
Date/Time: 25 Nov 2013 @ 1300
Note Title: COMPENSATION & PENSION PHYSICIAN ENCOUNTER NOTE
Location: MANILA RO
Signed By: CRISTOBAL,MA FLORDELIZA AQUINO
Co-signed By: CRISTOBAL,MA FLORDELIZA AQUINO
Date/Time Signed: 26 Nov 2013 @ 1528
-------------------------------------------------------------------------
LOCAL TITLE: COMPENSATION & PENSION PHYSICIAN ENCOUNTER NOTE
STANDARD TITLE: C & P EXAMINATION NOTE
DATE OF NOTE: NOV 25, 2013@13:00 ENTRY DATE: NOV 26, 2013@15:28:33
AUTHOR: CRISTOBAL,MA FLORDE EXP COSIGNER:
URGENCY: STATUS: COMPLETEDTake care
Charles T
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Hello everyone
I would like to pass on a some info i gained from a former rater who i spoke with at the VA. I will not use his name or VA where he works.He is no longer a rater he transferd to another job at the VA.
He gave me insight on what a rater does. First you are a number to most raters. There is a quota system also not sure if it up to date but while he was working it was each rater for every 160 hours worked had to complete 80 claims in that time ie that is 4 claims a day per 8 hour day or you were an ineffected rater. Accurate rate at best was about 90 % where he worked so that means per rater per 160 hours 8 claims where not accurate Times how many raters you get the picture. He said at best e benefits is a work in progress. The reason why it is not up to date is the rater is too busy meeting quota to update it most of the time the update will stay in the gathering of dust then move to pending decision. Ie less time updateing e benifits more time meeting quota. Why e benifits has wrong info or old info that takes six months to update is the same reason more time for claims to meet quoto.
I asked about the back log he said i believe after all info and C&P exams are completed 125 days is possible in mid to late 2016. I asked him i perfer honesty over feel good talk , i feel better knowing how the system works then to think the VA Looks at me as a person and a OIF Vet, I am just a number. I see why he transfered jobs he put accurate claims his rate was 96 % but missed quota by 5 to 6 claims per 160 hours one too many times. This happends to the people that put the Vet above quota. They find anouther job. I hope this helps outher Vets understand how claims are worked. If anyone has any more insight please pass it along.
God Bless
Charles
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I far as i know you are not required to see your PCP at the VA,It is very good to do so you can get lab tests,update info and meds ect. I go see my PCP i do this to keep all medicial records in one place the VA blue buttom is great on my health vet. The info may help with any future claims, or increases. I have to go to Manila OPC to do a remua consult this came from the Gulf War registry exam i did two months ago. The Gulf War registry Exam i hear alot people say it is a waste of time , if it is done right not so that is the problem if it is done right. The way i did mine was got the paper work form went home filled it out using my records and brought notes with me, one vet just filled it out right when he got to the appoiment no SMR or notes what part of garbage in garbage out did he not get.
Take care God Bless.
Charles
-
It is more likely then not for a C&P exam. They have 60 days to set up a appointment, you can try to find out the number and call the Tampa VA to schulede an appointment this may or may not work but if you do not ask the answer is allways no. You must make all C&P appointments for your claim. Either way. Bring your paper SMR , outer medicial records and notes on each claim with you this will help anwser any questions. Keep in mind C&P exams start when you enter the centers parking lot every move you make is being watched trust me on that. it is allways good to have someone drive you there. Make sure you get a my health vet account set up too.
I hope this helps you out.
On your question yes some one looked at your claim and put you in for C&P exams. I finished my C&P exams on 17 Dec 2013 that is over 100 days ago. So keep in mind my claim is not closed it is over 6 months since i filed my FDC. The 125 day goal the VA has for all Claims to include FDC claims is just a goal and the goal post keep moving back.
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It is more likely then not for a C&P exam. They have 60 days to set up a appointment, you can try to find out the number and call the Tampa VA to schulede an appointment this may or may not work but if you do not ask the answer is allways no. You must make all C&P appointments for your claim. Either way. Bring your paper SMR , outer medicial records and notes on each claim with you this will help anwser any questions. Keep in mind C&P exams start when you enter the centers parking lot every move you make is being watched trust me on that. it is allways good to have someone drive you there. Make sure you get a my health vet account set up too.
I hope this helps you out.
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I put in my first time FDC on 30 Sept 2013. Finished my C&P exams on 17 Dec 2013 per E benefits, stiil in gathering of dust on e benefits, who updates that anyway it is never up to date trust me just like everyone else the VA says use E Benefits i say to the V A keep it updated it would cut down on phone calls to the 1800 number . My VSO tells me 3 to 4 months after all C&P exams are complete claim should be closed it is geting close to 4 months, After 4 months passes he will more then likely then not say 5 to 6 months to close the claim which will be more in the ballpark for the claim to close after C&P exams are complete. No worries i know claims take a while i told the wife the VA is waiting Till after the World series to finish before closing my claim. ( MLB opening day is 31 March so i watch spring training baseball on MLB TV to keep me busy cant wait to the Reg season to start.
The best advice i have on the VA 125 day goal is to complete a claim is after all C&P exams are complete within 125 days claim can be closed. Sorry guys just my wishfull thinking is all. Thank you all.
God Bless
Charles
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You can mail your records , the VA will send them off to be scaned at places like Wichita , KS , this will delay the claim due to waiting time 3 to 4 months on the records to be scaned. That is why i just filed claim and then uploaded my files it is still an FDC claim b/c i did iit right away. The claim was still in recive claim stage.
It is so true you must review your record b/c in the end it is your claim.
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Here is what i did i put in my frist FDC claim in 30 Sept 2013 . I scan all documents under 5 MB in PDF unlocked of course. I had to break up my files of course. I scaned my items by condition claimed that were in order by month and year. I did this and i am glad i did i found.two items to claim that were in my old paper record. This was after the DAV VSO overlooked them. The items were burried in a very thick record so it was easy to miss unless you go page by page and break it up by condition like i did. I submited my claim then uploaded my files right away on view and upload buttion on e benifits. Also upload DD 214 , birth and marriage certs,
I was told to break up the files by condition to make it easy for the rater not sure if this is true but it did make sence and i did find 2 more items to claim so was it worth the time yes it was. Any advice on how outher people upload there files.
Timeline of Dates: first claim , FDC claim filed 30 Sept 2013
All C&P exams and tests completed 17 Dec2013 as per e benefits
Days from Claim filed to completed all C&P exams and tests 78 Days
Days since C&P exams completed 93 days
Days since claim filed 171 days
Claim closed date ????
VA rating ????
All dates as of 21 March 2014
Note claim filed with the Manila VA C&P exams. completed with the Manila VAOPC.
Take Care and God Bless
Charle
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My C&P for hearing was done right at the Manila OPC , no problems listed my rateing/MOS Builder , performed the tests no bias. I sorry that was not your case but it all worked out in the end. My audiograms that i did while inservice-were noted on the C&P also as a history .Was that on yours too?
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I had my C&P for hearing loss and i do not fully understand it can someone help me out here in simple terms please. Here is the DBQ.
I understand the tinnitus it is cut and dry.
Hearing Loss and Tinnitus
Disability Benefits Questionnaire
Name of patient/Veteran: XXXXX, XXXXX, XXXXx
Indicate method used to obtain medical information to complete this
document:
In-person examination
Evidence review
---------------
a. Was the Veteran's VA claims file reviewed: Yes
If yes, list any records that were reviewed but were not included in the
Veteran's VA claims file: Service History: 23 Feb 1994 - 30 Sep 2013
Branch of Service: NAVY
MOS: Builder/construction
Noise Exposure: Heavy machinery, forklifts, bulldozers etc., weapons
Hearing Protection: Provided
Recreational Noise Exposure: Minimal
Otologic Surgery/Trauma:None
Post Service Employment: None
Service Audiograms/Consults:
04 Jan 2013 mild hl 4K right
03 Dec 2012 mild hl 4K right
27 Apr 2012 mild hl 4K right
10 nov 2011 mild hl 4K right
13 May 2010 mild hl 4K right
05 Mar 2009 normal hearing acuity bilateral
04 Mar 2008 normal hearing acuity bilateral
02 Nov 2006 mild hl 4K right
27 Jan 2004 mild hl 4K right
26 Mar 2002 mild hl 4K right
02 Apr 2001 normal hearing acuity bilateral
01 Mar 1994 normal hearing acuity bilateral
Service consults for Rhinitis, Sinusitis:
07 Mar 2012 MRI mucosal disease in maxillary sinuses, polyp or retenetion
cyst on left madillary sinus
23 Jan 2012 URI sinusitis
07 Apr 2008 Allergic rhinitis Pollen
07 Dec 2000 URI sinusitis
This exam is for: Hearing loss and/or tinnitus (audiologist, performing
current exam)
SECTION 1: HEARING LOSS (HL)
-----------------------------
1. Objective Findings
---------------------
a. Puretone thresholds in decibels (air conduction):
RIGHT EAR
+==============================================================+
| A | B | C | D | E | F | G |
|========+========+========+========+========+========+========+========+
| 500 | 1000 | 2000 | 3000 | 4000 | 6000 | 8000 | Avg Hz |
| Hz* | Hz | Hz | Hz | Hz | Hz | Hz | (B-E)**|
|========+========+========+========+========+========+========+========|
| 25 | 25 | 15 | 25 | 35 | 45 | 30 | 25 |
+=======================================================================+
LEFT EAR
+==============================================================+
| A | B | C | D | E | F | G |
|========+========+========+========+========+========+========+========+
| 500 | 1000 | 2000 | 3000 | 4000 | 6000 | 8000 | Avg Hz |
| Hz* | Hz | Hz | Hz | Hz | Hz | Hz | (B-E)**|
|========+========+========+========+========+========+========+========|
| 20 | 15 | 5 | 15 | 20 | 25 | 20 | 14 |
+=======================================================================+
* The puretone threshold at 500 Hz is not used in determining the
evaluation but is used in determining whether or not a ratable hearing
loss exists.
** The average of B, C, D, and E.
*** CNT - Could Not Test
b. Were there one or more frequency(ies) that could not be tested: No
c. Validity of puretone test results: Test results are valid for rating
purposes.
d. Speech Discrimination Score (Maryland CNC word list):
+=======================+
| RIGHT EAR | 100% |
|=============+=========|
| LEFT EAR | 100% |
+=======================+
e. Appropriateness of Use of Word Recognition Score (Maryland CNC word
list):
Right Ear:
Is Word Discrimination Score available? Yes
Word Discrimination Score appropriateness:
Use of word recognition score is appropriate for this Veteran.
Left Ear:
Is Word Discrimination Score available? Yes
Word Discrimination Score appropriateness:
Use of word recognition score is appropriate for this Veteran.
f. Audiologic Findings
Summary of Immittance (Tympanometry) Findings:
+=============================================================================+
| | RIGHT EAR | LEFT EAR
|
|=====================+===========================+===========================|
| Acoustic immittance | [X] Normal [ ] Abnormal | [X] Normal [ ] Abnormal
|
|=====================+===========================+===========================|
| Ipsilateral | |
|
| Acoustic Reflexes | [X] Normal [ ] Abnormal | [X] Normal [ ] Abnormal
|
|=====================+===========================+===========================|
| Contralateral | |
|
| Acoustic Reflexes | [X] Normal [ ] Abnormal | [X] Normal [ ] Abnormal
|
|=====================+===========================+===========================|
| Unable to interpret | |
|
| reflexes due to | [ ] | [ ]
|
| artifact | |
|
|=====================+===========================+===========================|
| Unable to obtain/ | |
|
| maintain seal | [ ] | [ ]
|
+=============================================================================+
2. Diagnosis
------------
RIGHT EAR
---------
[ ] Normal hearing
[ ] Conductive hearing loss ICD code:
[ ] Mixed hearing loss ICD code:
[X] Sensorineural hearing loss (in the frequency range of 500-4000 Hz)*
ICD code: 389.1
[X] Sensorineural hearing loss (in the frequency range of 6000 Hz or
higher frequencies)** ICD code: 389.1
[ ] Significant changes in hearing thresholds in service***
LEFT EAR
--------
[X] Normal hearing
[ ] Conductive hearing loss ICD code:
[ ] Mixed hearing loss ICD code:
[ ] Sensorineural hearing loss (in the frequency range of 500-4000 Hz)*
ICD code:
[ ] Sensorineural hearing loss (in the frequency range of 6000 Hz or
higher frequencies)** ICD code:
[ ] Significant changes in hearing thresholds in service***
NOTES:
* The Veteran may have hearing loss at a level that is not considered to
be
a disability for VA purposes. This can occur when the auditory
thresholds are greater than 25 dB at one or more frequencies in the
500-4000 Hz range.
** The Veteran may have impaired hearing, but it does not meet the criteri
a
to be considered a disability for VA purposes. For VA purposes, the
diagnosis of hearing impairment is based upon testing at frequency
ranges
of 500, 1000, 2000, 3000, and 4000 Hz. If there is no HL in the
500-4000
Hz range, but there is HL above 4000 Hz, check this box.
*** The Veteran may have a significant change in hearing threshold in
service, but it does not meet the criteria to be considered a disability
for VA purposes. (A significant change in hearing threshold may
indicate
noise exposure or acoustic trauma.)
3. Etiology
-----------
Right Ear
Was there a permanent positive threshold shift (worse than reference
threshold) greater than normal measurement variability at any frequency
between 500 and 6000 Hz for the right ear? Yes
Opinion provided for the right ear: Yes
If present, is the Veteran's right ear hearing loss at least as likely as
not (50% probability or greater) caused by or a result of an event in
military service? Yes
Rationale (Provide rationale for either a yes, no answer or speculation
reason): Review of the Vet's STRs show that the vet had detectablemild
hearing loss on right ear which is still evident at present. His MOS
has a moderate risk of hazardous noise exposure hence this conslusion
Did hearing loss exist prior to service? No
Left Ear
Was there a permanent positive threshold shift (worse than reference
threshold) greater than normal measurement variability at any frequency
between 500 and 6000 Hz for the left ear? No
4. Functional impact of hearing loss
------------------------------------
Does the Veteran's hearing loss impact ordinary conditions of daily life,
including ability to work: Yes
If yes, describe impact in the Veteran's own words: Mild difficulty
listening to consversations
5. Remarks, if any, pertaining to hearing loss:
-----------------------------------------------
Otoscopy: Patent canals with intact TM bilateral
SECTION 2: TINNITUS
--------------------
1. Medical history
------------------
Does the Veteran report recurrent tinnitus: Yes
Date and circumstances of onset of tinnitus: 2010, bilateral,
intermittent, 3 secs to 6 secs, 2 - 3x a day
2. Etiology of tinnitus
-----------------------
At least as likely as not (50% probability or greater) caused by or a result
of military noise exposure.
Rationale: Vet has a moderate risk of hazardous noise exposure based on
his
MOS and can result in the sensation of tinnitus.
3. Functional impact of tinnitus
--------------------------------
Does the Veteran's tinnitus impact ordinary conditions of daily life,
including ability to work: Yes
If yes, describe impact in the Veteran's own words: He has difficulty
understanding what is being said when the ringing is present.
4. Remarks, if any, pertaining to tinnitus:
-------------------------------------------
Tinnitus Matching
Right: 70dB 6KHz
Left: 60dB 6KHz
NOTE: VA may request additional medical information, including additional
examinations necessary to complete VA's review of the Veteran's
application.
38 CFR CHAPTER 4
6260 Tinnitus, recurrent 10
Note (1): A separate evaluation for tinnitus may be combined with an evaluation under diagnostic codes 6100, 6200, 6204, or other diagnostic code,
except when tinnitus supports an evaluation under one of those diagnostic codes.
Note (2): Assign only a single evaluation for recurrent tinnitus, whether the sound is perceived in one ear, both ears, or in the head.
Note (3): Do not evaluate objective tinnitus (in which the sound is audible to other people and has a definable cause that may or may not be
pathologic) under this diagnostic code, but evaluate it as part of any underlying condition causing it -
I would like to pass along info i learned about the VA OPC in Manila. First some general info i had my first C and P Exam for my first time FDC claim.
Phone number for appointment C and P 02318-8358 or 02-318-8308 to cancel appointment call 02-318-8309 48 hours before or ASAP. toll free number 1-800-1888-8782.You must have an appointment to be seen.You will not get in period outherwise.
Travel benifits are POV travel is at 41.5 cent a mile (1KM is 0.62 miles or 1 mile =1.62 KM) Lodging limited to $30 USD.Meals are $3.00 breakfast $5.00 for Lunch and $5.00 for Dinner. Total of $13.00 a day. Must have receipts for all above items. You will be paid in Peso at the daily rate for that day ie the day you filed your claim.
I had 3 days of C and P exams all days were filled checked in at 0745 left at 4 PM each day. I have to go back next week to Manila i have appointments at Sto tomas university hospital and the VA OPC any one ever been to Sto Tomas any places to eat close by.
The VA staff were great i had no issues at all. Not one single problem. i have heard the stories from friends who deal with QTC contracters in the U.S some good some not so mush. I filed my claim 30Sept 2013 C&P exams in late Nov and early DEC is very fast i know for a fact from friends of mine it is 6 to 9 months waiting on a C&P exam . not in Manila. Myself finish mine in a little over 2 months very good time.
The only problem i had in manila were the Taxi cabs not wanting to use the meter and use bond rate only. I got out off over half the cabs in Manila due to this. 500 pesos from the Airport to the VA i got out of the cab right away. There has to be something said about the lack of honesty of half the white Taxi Cab Drivers in Manila it is a shame when half the taxi cab drivers try to steal from people by trying to charge 500 peso for a 100 peso ride. The white taxi cab drivers that use the meter i thanked them for there honesty. Yes i did this is what needed to be done. I used the white cabs only. Half the taxi cabs do not like it when you take a picture of there plates next time i will take a pic of them and if they try to rip me off put it on face book an see what happens.
Update 2
I just finished up my C&P exams with the Manila OPC had to go to St Tomas for 5 tests from my last C&P exams in late Nov. The staff at St tomas(STU) was great billing just stamped my loa no questions no problems. The staff that did my test were very knowlageable and professional at all times. There english was spot on no comms problems at all. My thinking on it is that if the VA uses St Tomas why cant tricare and the VA approve hospitals that can be certifed by both VA and tricare oh yea i got in trouble just one time (not realy) in the Navy for common sences thinking that would save time and money of the U.S taxpayer.The only downside is the Manila OPC WILL NOT SEE YOU UNLESS IT IS SC/ Or C&P Exam NO IF ANDS OR BUTS ABOUT IT.
I was just thinking it is not the VA that is bad at some places it is some people that give
. the VA a bad name you will always hear about the bad ones but the Great and Good not so mush. so that is why i posted this.
Take Care
Charles
Advise Needed.
in VA Disability Claims Research
Posted
I have some questions hopefully someone can help me; here is some back ground info.
I retired from the Navy 30Sept2013 after 20 years. I filed a claim 1 Oct2013. I filed for cognitive disorder which the VA put to Organic Brain Syndrome (Non Psychotic) Effective date Oct 1, 2013.
On my award letter it states we have assigned a 100 percent evaluation for your organic brain syndrome non psychotic claimed as cognitive disorder based on disorientation to place, time. Disturbances of motivation and mood. Forgetting directions forgetting recent events. Forgetting names, mild memory loss, Occupational and social inpairmentwith occasional decrease in work efficiency and intermittent periods of inability to perform occupational tasks. although functioning satisfactorily, with routine behavior, self care, and conversation normal, the examiner's assessment of your current mental functioning, which is partially reflected in your global assessment of function score found below AF score 60 , a range of 51-60 indicates moderate symptoms, or any moderate difficulty in social, occupational or school functioning,
The overall evidentiary record shows that the severity of your disability most closely approximates the criteria for 100 percent disability evaluation.
This is the highest evaluation under law for the condition.
Since there is a likely hood of improvement , the assigned evaluation is not considered perment and is subject to a future review examination.
Other rated contentions Effective dates are 1Oct2013
Hypertension 0%
Trigger middle finer right 0%
Allergic rhinitis 10%
Obstructive Sleep Apnea 50%
Organic brain Syndrome 100%
Nephrolithiasis (kidney stones) 10%
Onychomycoses and tinea pedis 0%
Hypertensive heart disease with heart murmur 30%
Ventral hernia 0%
thoracolumbar strain 10%
Tinnitus 10%
plantar fasciitis right 0%
subcutaneous lipoma status post excision 0%
trapezius muscle strain right shoulder 10%
Migraine headaches 50%
entitlement to special monthly compensation based on housebound 100% plus 60%.
Future exams on 1 August 2019.
Questions
1. On the future exam could the VA reduce me or awarded me P&T?
2. I applied for Voc Reh I requested the Independent living program. Right thing to do?
3. Are there any treatments for Organic brain Syndrome? (More likely then not the cause was meningitis in hospital for 3 weeks)
4. I was thinking about applying for SSDI or maybe a job / hobbie from home. I have not applied for SSDI based on my age 41 years old. Any advice on that.
5. Any general advise on what else i can do.
Thanks for all the help and advice on these matters.
Thanks
Charles