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Muffin
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Thank you ;)
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Hello everyone just signed in to Ebenefits to track my claim. I noticed that Ebenefits has add a new entry. I was just checking the status of my claim which is currently in prep for decision phase. I then clicked on the estimated completion time which is highlighted in blue 08/28/2016-10/28/2016. Then I noticed this information popped up. I am scared to click on it because it looks like it will even extend or delay my decision out even further. So guys could you take a look at this and tell me what do you think?
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Thank you I promise to keep you all posted.
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Navy4life
My whole claim includes: PTSD (MST) claim new; New claim for Sinus/Rhin; increase in migrane; and increase in skin rash (which includes all over body).
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Thank you all for your responses. I am currently service connected at 30% for MDD; and 0% for migranes and 0% for neck rash. I have always had sinus, and rhinitus problems throughout my time in the military. They are noted throughout my records and I am still seeking treatment. My skin rashes appear and disappear in different areas all over my body and I have presented photos as evidence to the VA doctors. I see now I am going have to obtain medical opinions to support these possible denials. Will a DBQ be enough for an outside doctor to determine, or will I have to have a personal note from a doc who can confirm that these conditions are service connected written in VA terms.
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Skin Diseases
Disability Benefits Questionnaire
Name of patient/Vete
Is this DBQ being completed in conjunction with a VA 21-2507, C&P
Examination
Request?
[X] Yes [ ] No
ACE and Evidence Review
-----------------------
Indicate method used to obtain medical information to complete this
document:
[X] In-person examination
Evidence Review
---------------
Evidence reviewed (check all that apply):
[X] VA e-folder (VBMS or Virtual VA)
[X] CPRS
1. Diagnosis:
-------------
Does the Veteran now have or has he/she ever had a skin condition?
[X] Yes [ ] No
[X] Other skin condition
Other diagnosis #1: RASH
ICD code: 271807003 Date of diagnosis: SC
2. Medical History
------------------
a. Describe the history (including onset and course) of the Veteran's
skin
conditions (brief summary):
Veteran is service connected for rash on neck (now claimed as rash all
over body) as noted on VA Form 21 2507. Veteran states the rash to her
neck continues to come and go. Veteran states she also has a rash that
appears all over her body that comes and goes. Veteran states she was
bothered with this rash while in-service.
Veteran states currently she has no visible rash.
b. Do any of the Veteran's skin conditions cause scarring (regardless
of
location), or disfigurement of the head, face or neck?
[ ] Yes [X] No
c. Does the Veteran have any benign or malignant skin neoplasms (including
malignant melanoma)?
[ ] Yes [X] No
d. Does the Veteran have any systemic manifestations due to any skin
diseases
(such as fever, weight loss or hypoproteinemia associated with skin
conditions such as erythroderma)?
[ ] Yes [X] No
e. Comments, if any:
No response provided.
3. Treatment
------------
a. Has the Veteran been treated with oral or topical medications in the past
12 months for any skin condition?
[X] Yes [ ] No
[X] Topical corticosteroids
If checked, list medication(s): Triamcinolone cream
Specify condition medication used for: itching and rash
Total duration of medication use in past 12 months:
[ ] < 6 weeks
[ ] 6 weeks or more, but not constant
[X] Constant/near-constant
b. Has the Veteran had any treatments or procedures other than systemic or
topical medications in the past 12 months for exfoliative dermatitis or
papulosquamous disorders?
[ ] Yes [X] No
4. Debilitating and non-debilitating episodes
---------------------------------------------
a. Has the Veteran had any debilitating episodes in the past 12 months due
to
urticaria, primary cutaneous vasculitis, erythema multiforme, or toxic
epidermal necrolysis?
[ ] Yes [X] No
b. Has the Veteran had any non-debilitating episodes of urticaria, primary
cutaneous vasculitis, erythema multiforme, or toxic epidermal necrolysis
in the past 12 months?
[ ] Yes [X] No
5. Physical exam
----------------
a. Indicate the Veteran's visible skin conditions; indicate the
approximate
total body area and approximate total EXPOSED body area (face, neck and
hands) affected on current examination (check all that apply):
[X] The Veteran does not have any of the above listed visible skin
conditions
6. Specific Skin Conditions
---------------------------
Indicate the Veteran's specific skin conditions and complete all
applicable
subsequent questions (check all that apply):
[X] Veteran does not have any of the specific skin conditions listed above
7. Tumors and neoplasms
-----------------------
a. Does the Veteran have a benign or malignant neoplasm or metastases
related
to any of the diagnoses in the Diagnosis section?
[ ] Yes [X] No
8. Other pertinent physical findings, complications, conditions, signs or
symptoms
-----------------------------------------------------------------------------
a. Does the Veteran have any other pertinent physical findings,
complications, conditions, signs or symptoms related to any conditions
listed in the Diagnosis Section above?
[ ] Yes [X] No
b. Comments, if any:
No response provided.
9. Functional impact
--------------------
Do any of the Veteran's skin conditions impact his or her ability to
work?
[ ] Yes [X] No
10. Remarks, if any:
--------------------
Active Outpatient Medications (excluding Supplies):
Issue Date
Status Last Fill
Active Outpatient Medications Refills Expiration
=========================================================================
2) KETOCONAZOLE 2% CREAM Qty: 30 for 30 ACTIVE
Issu:01-16-15
days Sig: APPLY THIN FILM TOPICALLY Refills: 5
Last:07-01-15
THREE TIMES A DAY FOR FUNGAL INFECTION
Expr:01-17-16
APPLY TO CHEST THREE TIMES A DAY
3) TRIAMCINOLONE ACETONIDE 0.1% CREAM Qty: ACTIVE
Issu:08-15-14
60 for 90 days Sig: APPLY THIN FILM Refills: 1
Last:07-01-15
TOPICALLY TWICE A DAY FOR ITCHING/RASH
Expr:08-16-15
Issue Date
Status Last Fill
Pending Outpatient Medications Refills Expiration
****************************************************************************
Sinusitis, Rhinitis and Other Conditions of the Nose, Throat,
Larynx and Pharynx
Disability Benefits Questionnaire
Name of patient/Veteran:
Is this DBQ being completed in conjunction with a VA 21-2507, C&P
Examination
Request?
[X] Yes[ ] No
ACE and Evidence Review
-----------------------
Indicate method used to obtain medical information to complete this
document:
[X] In-person examination
Evidence Review
---------------
Evidence reviewed (check all that apply):
[X] VA e-folder (VBMS or Virtual VA)
[X] CPRS
SECTION I: Diagnosis:
---------------------
Does the Veteran now have or has he/she ever been diagnosed with a sinus,
nose, throat, larynx, or pharynx condition? (This is the condition the
Veteran is claiming or for which an exam has been requested)
[X
] Yes [ ] No
[X] Chronic sinusitis ICD code: 36971009Date of diagnosis:
UNCERTAIN
[X] Allergic rhinitis ICD code: 86094006Date of diagnosis:
UNCERTAIN
SECTION II: Medical history
---------------------------
Veteran seeks service connection for sinusitis and rhinitis as stated on VA
Form 21 2507.
Veteran states while on active duty stationed in Washington DC in a climate
different from her home state Alabama, she began to have nasal drainage and
suffered from episodes of sinusitis. States she was evaluated and treated
with antibiotics and underwent nasal endoscopy & laryngoscopy. Veteran
states
after service she contined to have runny nose with post nasal drainage and
sinsus infections.
Currently condition unchanged.
--Medications:
Drug Name
FLUTICASONE 50MCF/120D NASAL SPRAY 16GM
Issue Date
11/30/2015
SIG
USE 2 SPRAYS IN EACH NOSTRIL ONCE DAILY
Facility: DUBLIN VAMC
=============================================================================
==
SECTION III: Nose, throat, larynx or pharynx conditions
-------------------------------------------------------
Does the Veteran have any of the following nose, throat, larynx or pharynx
conditions?
[X] Yes [ ] No
[X] Sinusitis
[X] Rhinitis
1. Sinusitis
------------
a. Indicate the sinuses/type of sinusitis currently affected by the
Veteran's
chronic sinusitis (check all that apply):
[ ] None [X] Maxillary [ ] Frontal
[ ] Ethmoid [ ] Sphenoid [ ] Pansinusitis
b. Does the Veteran currently have any findings, signs or symptoms
attributable to chronic sinusitis?
[ ] Yes [X] No
If yes, check all that apply:
[ ] Chronic sinusitis detected only by imaging studies (see Diagnostic
testing section)
[ ] Episodes of sinusitis
[ ] Near constant sinusitis
If checked, describe frequency:
[ ] Headaches
[ ] Pain of affected sinus
[ ] Tenderness of affected sinus
[ ] Purulent discharge
[ ] Crusting
[ ] Other
For all checked conditions, describe:
c. Has the Veteran had NON-INCAPACITATING episodes of sinusitis
characterized
by headaches, pain and purulent discharge or crusting in the past 12
months?
[ ] Yes [X] No
If yes, provide the total number of non-incapacitating episodes over the
past 12 months:
[ ] 1 [ ] 2 [ ] 3 [ ] 4 [ ] 5 [ ] 6 [ ] 7 or more
d. Has the Veteran had INCAPACITATING episodes of sinusitis requiring
prolonged (4 to 6 weeks) of antibiotics treatment in the past 12 months?
[ ] Yes [X] No
NOTE: For VA purposes, an incapacitating episode of sinusitis means one
that requires bed rest and treatment prescribed by a physician.
If yes, provide the total number of incapacitating episodes of sinusitis
requiring prolonged (4 to 6 weeks) of antibiotic treatment over past 12
months:
[ ] 1 [ ] 2 [ ] 3 or more
e. Has the Veteran had sinus surgery?
[ ] Yes [X] No
If yes, specify type of surgery:
[ ] Radical (open sinus surgery) [ ] Endoscopic [ ] Other:
Type of procedure, sinuses operated on and side(s):
Date(s) of surgery (if repeated sinus surgery, provide all dates of
surgery):
If Veteran has had radical sinus surgery, did chronic osteomyelitis
follow
the surgery?
[ ] Yes [ ] No
f. Has the Veteran had repeated sinus-related surgical procedures performed?
[ ] Yes[X] No
2. Rhinitis
-----------
a. Is there greater than 50% obstruction of the nasal passage on both sides
due to rhinitis?
[ ] Yes [X] No
b. Is there complete obstruction on the left side due to rhinitis?
[ ] Yes [X] No
c. Is there complete obstruction on the right side due to rhinitis?
[ ] Yes [X] No
d. Is there permanent hypertrophy of the nasal turbinates?
[ ] Yes [X] No
e. Are there nasal polyps?
[ ] Yes [X] No
f. Does the Veteran have any of the following granulomatous conditions?
[ ] Yes [X] No
If yes, check all that apply:
[ ] Granulomatous rhinitis [ ] Rhinoscleroma
[ ] Wegener's granulomatosis [ ] Lethal midline granuloma
[ ] Other granulomatous infection, describe:
6. Other pertinent physical findings, complications, conditions, signs,
symptoms and scars
-----------------------------------------------------------------------
a. Does the Veteran have any other pertinent physical findings,
complications, conditions, signs or symptoms related to the conditions
listed in the Diagnosis Section above?
[ ] Yes[X] No
b. 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
c. Comments, if any:
No answer provided
d. Does the Veteran have loss of part of the nose or other scars of the nose
exposing both nasal passages?
[ ] Yes[X] No
e. Does the Veteran have loss of part of the nose or other scars causing
loss
of part of one ala?
[ ] Yes[X] No
f. Does the Veteran have loss of part of the nose or other scars causing
other obvious disfigurement?
[ ] Yes[X] No
SECTION IV: Diagnostic testing
------------------------------
a. Have imaging studies of the sinuses or other areas been performed?
[X] Yes[ ] No
[ ] Magnetic resonance imaging (MRI) Date:
Results:
[ ] Computed tomography (CT) Date:
Results:
[X] X-rays:
Procedure Name:
SINUSES 3 OR MORE VIEWS
Date: 06/30/2016 13:24
Results:
Exam Date/Time:
06/30/2016 13:24
Procedure Name:
SINUSES 3 OR MORE VIEWS
Reason for Study:
C&P EXAMINATION
Clinical History:
C&P EXAMINATION C/O SINUS PRESSURE
Impression:
Multiple views of the paranasal sinuses are submitted. No
comparison.
No mucoperiosteal thickening or air fluid level within
visualized
paranasal
sinuses. Hypoplasia of the frontal sinuses. Nasal septum is
slightly
deviated to the left. Middle and inferior nasal turbinates are
normal. No
bony dehiscence.
IMPRESSION: No radiographic evidence of inflammatory changes.
CT
scan is
imaging modality for evaluation of paranasal sinuses.
DIAGNOSTIC CODE: 1
D: 06/30/2016 T: 06/30/2016 15:21:52EDT Job number: 1634290
CMTS
Primary Diagnostic Code: NORMAL
Secondary Diagnostic Codes:
NONE
Report:
Facility:
DUBLIN VAMC
[ ] Other:
Date:
Results:
b. Has endoscopy been performed?: No
c. Has the Veteran had a biopsy of the larynx or pharynx?: No
d. Has the Veteran had pulmonary function testing to assess for upper airway
obstruction due to laryngeal stenosis?: No
e. Are there any other significant diagnostic test findings and/or results?:
No
SECTION V: Functional impact and remarks
----------------------------------------
1. Functional impact
--------------------
Does the Veteran's sinus, nose, throat, larynx or pharynx condition
impact
his or her ability to work?
[ ] Yes [X] No
2. Remarks, if any:
-------------------
None
****************************************************************************
Headaches (including Migraine Headaches)
Disability Benefits Questionnaire
Name of patient/Veteran:
Is this DBQ being completed in conjunction with a VA 21-2507, C&P
Examination
Request?
[X] Yes [ ] No
ACE and Evidence Review
-----------------------
Indicate method used to obtain medical information to complete this
document:
[X] In-person examination
Evidence Review
---------------
Evidence reviewed (check all that apply):
[X] VA e-folder (VBMS or Virtual VA)
[X] CPRS
1. Diagnosis
------------
Does the Veteran now have or has he/she ever been diagnosed with a headache
condition?
[X] Yes [ ] No
[X] Migraine including migraine variants
ICD code: 445322004 Date of diagnosis: SC
2. Medical History
------------------
a. Describe the history (including onset and course) of the Veteran's
headache conditions (brief summary):
Veteran isservie conencted for migraine headaches as stated on VA Form
21 2507. Veteran states the frequency of the ehadaches have increased.
States currently on leave from work due to the headaches.
b. Does the Veteran's treatment plan include taking medication for the
diagnosed condition?
[X] Yes [ ] No
If yes, describe treatment (list only those medications used for the
diagnosed condition):
Drug Name
IBUPROFEN 800MG TAB
Issue Date
06/30/2015
SIG
TAKE ONE TABLET BY MOUTH THREE TIMES A DAY
Facility: DUBLIN VAMC
========================================================================
=======
3. Symptoms
-----------
a. Does the Veteran experience headache pain?
[X] Yes [ ] No
[X] Pulsating or throbbing head pain
[X] Pain on both sides of the head
b. Does the Veteran experience non-headache symptoms associated with
headaches? (including symptoms associated with an aura prior to headache
pain)
[X] Yes [ ] No
[X] Nausea
[X] Sensitivity to light
[X] Sensitivity to sound
c. Indicate duration of typical head pain
[X] Less than 1 day
d. Indicate location of typical head pain
[X] Both sides of head
4. Prostrating attacks of headache pain
---------------------------------------
a. Migraine / Non-Migraine- Does the Veteran have characteristic prostrating
attacks of migraine / non-migraine headache pain?
[ ] Yes [X] No
5. Other pertinent physical findings, complications, conditions, signs,
symptoms and scars
-----------------------------------------------------------------------
a. Does the Veteran have any other pertinent physical findings,
complications, conditions, signs or symptoms related to any conditions
listed in the Diagnosis Section above?
[ ] Yes [X] No
b. 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
c. Comments, if any:
No response provided.
6. Diagnostic testing
---------------------
Are there any other significant diagnostic test findings and/or results?
[ ] Yes [X] No
7. Functional impact
--------------------
Does the Veteran's headache condition impact his or her ability to
work?
[X] Yes [ ] No
If yes, describe the impact of the Veteran's headache condition,
providing
one or more examples:
Veteran will have missed days from work during times of headaches.
8. Remarks, if any:
-------------------
None
****************************************************************************
Medical Opinion
Disability Benefits Questionnaire
Name of patient/Veteran:
ACE and Evidence Review
-----------------------
Indicate method used to obtain medical information to complete this
document:
[X] In-person examination
Evidence Review
---------------
Evidence reviewed (check all that apply):
[X] VA e-folder (VBMS or Virtual VA)
[X] CPRS
MEDICAL OPINION SUMMARY
-----------------------
RESTATEMENT OF REQUESTED OPINION:
a. Opinion from general remarks: Whether the Veteran have a diagnosis of (a)
Rhinitis that is at least as likely
as not (50 percent or greater probability) incurred in or caused by (the)
irritants during service?
b. Indicate type of exam for which opinion has been requested: RHINITIS
TYPE OF MEDICAL OPINION PROVIDED: [ MEDICAL OPINION FOR DIRECT SERVICE
CONNECTION ]
a. The condition claimed was at least as likely as not (50% or greater
probability) incurred in or caused by the claimed in-service injury, event
or
illness.
c. Rationale:
I have reviewed the electronic folder in VBMS. I have examined the veteran.
Veteran has a well documented history of Chronic Rhinitis. STRs are positive
for treatment of Rhinitis.
--VBMS:
Allertic Rhinitis p. 18 of 28.
11/20/1991 Upper Respiratory Infection p. 23 of 28.
Rash all over body.
--CPRs
06/27/2014 Sinusitis. Zpack
02/28/2014 Sinusitis Augmentin 875mg
Chronic Rhihnitis - Flonase
*************************************************************************
RESTATEMENT OF REQUESTED OPINION:
a. Opinion from general remarks: Whether the Veteran have a diagnosis of (a)
Skin condition that is at least as
likely as not (50 percent or greater probability) incurred in or caused by
(the) rash during service?
b. Indicate type of exam for which opinion has been requested: SKIN
TYPE OF MEDICAL OPINION PROVIDED: [ MEDICAL OPINION FOR DIRECT SERVICE
CONNECTION ]
b. The condition claimed was less likely than not (less than 50%
probability) incurred in or caused by the claimed in-service injury, event
or
illness.
c. Rationale: I have reviewed the electronic folder in VBMS. I have examined
the veteran. Veteran has a history of rash of the neck for which she is
service connected as stated on VA Form 21 2507. Veteran is now claiming to
have a rash "all over body." Although the STRs were positive for
treatment of
rash, "all over body", unfortunately, review of the treatment
records did not
show any treatment for rash "all over body."
--VBMS:
Rash all over body. P. 19 OF 28.
*************************************************************************
RESTATEMENT OF REQUESTED OPINION:
a. Opinion from general remarks: Whether the Veteran have a diagnosis of (a)
Sinusitis (also claimed as chronic
allergies) that is at least as likely as not (50 percent or greater
probability) incurred in or caused by (the) irritants during service?
b. Indicate type of exam for which opinion has been requested: SINUSITIS
TYPE OF MEDICAL OPINION PROVIDED: [ MEDICAL OPINION FOR DIRECT SERVICE
CONNECTION ]
a. The condition claimed was at least as likely as not (50% or greater
probability) incurred in or caused by the claimed in-service injury, event
or
illness.
c. Rationale: I have reviewed the electronic folder in VBMS. I have examined
the veteran. Veteran has a well documented history of treatment for
sinusitis. STRs are positive for treatment of sinus problems.
--VBMS:
Allertic Rhinitis p. 18 of 28.
11/20/1991 Upper Respiratory Infection p. 23 of 28.
Allergies and sinus problems. p. 14 of 28.
--CPRs
06/27/2014 Sinusitis. Zpack
02/28/2014 Sinusitis Augmentin 875mg
Chronic Rhihnitis - Flonase
************************************************************************
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I am already rated at 30% for MDD/anxiety so could this possibly mean a decrease if I am rated for PTSD/MST at 10%?
-
a. Mental Disorder Diagnosis #1: Posttraumatic stress disorder, chronic
ICD code: F43.12
Mental Disorder Diagnosis #2: Major depressive disordeer
ICD code: F32.9
b. Medical diagnoses relevant to the understanding or management of the
Mental Health Disorder (to include TBI): See medical records.
3. Differentiation of symptoms
------------------------------
a. Does the Veteran have more than one mental disorder diagnosed?
[X] Yes [ ] No
b. Is it possible to differentiate what symptom(s) is/are attributable to
each diagnosis?
[X] Yes [ ] No [ ] Not applicable (N/A)
If yes, list which symptoms are attributable to each diagnosis and
discuss whether there is any clinical association between these
diagnoses:
Major depression does not include PTSD DSM-5 Criterion B or C
symptoms-reexperiencing and avoidance.
c. Does the Veteran have a diagnosed traumatic brain injury (TBI)?
[ ] Yes [X] No [ ] Not shown in records reviewed
4. Occupational and social impairment
-------------------------------------
a. Which of the following best summarizes the Veteran's level of
occupational
and social impairment with regards to all mental diagnoses? (Check only
one)
[X] Occupational and social impairment due to mild or transient symptoms
which decrease work efficiency and ability to perform occupational
tasks only during periods of significant stress, or; symptoms
controlled by medication
b. For the indicated level of occupational and social impairment, is it
possible to differentiate what portion of the occupational and social
impairment indicated above is caused by each mental disorder?
[X] Yes [ ] No [ ] No other mental disorder has been diagnosed
If yes, list which portion of the indicated level of occupational and
social impairment is attributable to each diagnosis:
Equal portions to each condition.
c. If a diagnosis of TBI exists, is it possible to differentiate what
portion
of the occupational and social impairment indicated above is caused by
the
TBI?
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Navy4life,
I am in therapy twice a month and I have just started my enrollment into an additional group therapy with a local VET center. I am going post the social and occupational impairment for you all to review. Thanks for your support.
-
-
-
Morning,
Just got my result from a MST please tell me what do you all think?
Opinion:
It is as likely as not (50% likelihood) that the current symptoms of the patients diagnosed PTSD and depressive disorder are the result of an in service MST-related event.
Rationale: Markers of symptoms in the patient's medical history (Statement in Support of Claim and MAP-D Development letter) would/could fall in line as MST markers with her claimed stressor and substantiate that stress. Exam utilized DSM-5 diagnostic criteria.
-
Thank you for all of the help and support on this. I will stay away from ebennies, because now it states that I am in the prep for notification stage as of this morning. I will keep you all posted on the outcome.
-
Thank you for the quick response and I really appreciate this. Since my claim is in the pending decision phase should I be concerned, because I have not had a C & P exam? The end is nearing and I would like to be rated fairly based on the criteria above. How can that be done without a C & P? Does this mean a decision will be based solely on the last MH appointment that I had?...... or If a decision is a made and I don't agree with the outcome could a CUE be justified?
-
I was just wondering if anyone has ever jumped to the pending decision phase without a C & P? I have a rating at 0% for headaches; and 30% for MDD. I have been actively going to VA clinic here in Georgia for MDD since 2011; and was diagnosed through the VA with PTSD. I originally filed the claim for PTSD in June 2014. I know that I can only be rated for one MH, but do any of you think that with the addition of PTSD and MDD that my rating would increase? The Regional office recently called me to ask more questions about my issues and then she stated that I should have added MST. She then asked me if I had the address of witnesses etc. so I gave her the information that she requested. I am really nervous because I noticed that in my VA medical records the GAF score is no longer included and my VA mental notes from my last MH appointment were pretty much on how I was doing for that day.
Finally the last of my C and P results what do you all think?
in Veterans Compensation & Pension Exams
Posted
Hello my friends,
As you all know I was rated 30% for MDD; 0% for migranes; and 0% for skin rash. I asked for increases in MDD, migranes, and skin rash. I also asked to re-open sinusitis/rhinitis and then asked for PTSD and MDD to be reopened because I was originally denied for this in 2014. Well the decision is final today on Ebenefits, and my AB8 states that I am now 70% and it looks like they will retro me back from Dec 2014. Here is the information below. I really appreciate the help from the members and I will continue to stick with Hadit because the fight is never over. I am one happy lady.:))))
PTSD - Personal Trauma