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MKAH

Second Class Petty Officers
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About MKAH

  • Rank
    E-4 Petty Officer 3rd Class
  • Birthday 12/01/1959

Profile Information

  • Location
    California
  • Interests
    Beating PTSD - MST so I can function again (like leaving the house)
    Being a better Husband, Father and Son
    PTSD-MST claim denied, filed NOD (I was crushed by this incorrect judgment)
    SC Bilateral Hearing Loss 60%

Previous Fields

  • Service Connected Disability
    60%
  • Branch of Service
    Army

Recent Profile Visitors

1,612 profile views
  1. Thanks for the replies, I found the setting at this location: Click on your username drop down control: navigate to "account settings" located at the link below: https://community.hadit.com/settings/ then navigate to the right middle of the screen and look for "Edit Profile": Other Settings Notification Settings Edit Profile Ignored Users then select Edit Profile Boom!
  2. Hi everyone. I was looking over my account today and noticed a number of -My Attachments- files. I can't figure out how to delete them? Years ago I added some photos of myself and wife that I would like to remove if possible? Thanks in advance
  3. Hello everyone, Thank you for all the replies. I thought I would answer a question which is not included in the original information I provided. a. About two months after filing my claim, back in late 2015 I was weened off of narcotics & alcohol with Naltrexon and put on traditional mental health medications. Since then I have not been able to, and have not worked at all. My social security earnings statement since 2015, confirms zero earnings. (It's shameful for me to admit, but narcotics and booze allowed me to get out and at least hold down a job. However, at the direction and insistence of VA mental health staff, I completely stopped all narcotic drugs and was RX'd every conceivable psychiatric medication. Unfortunately, I now have great difficulty in any public place. The Rx meds just don't work that well for me). Thank you again for all your replies
  4. I am completely at a loss as to what it all means and just want it all to end. The more interesting parts I highlighted with BOLD text, to make reading easier. I am currently 60% SC with hearing loss/tinutus. Any insight would be great. Thank You ***************** see below ***************** Medical Opinion Disability Benefits Questionnaire LAST NAME, FIRST NAME, MIDDLE NAME (SUFFIX): SOCIAL SECURITY NUMBER/FILE NUMBER: TODAY’S DATE: MARK XXXXX XXX-XX-XXXX 08/09/2019 HOME ADDRESS: EXAMINING LOCATION AND ADDRESS: XXXXXXXXXXX Redding, CA 96001 VES HOME TELEPHONE: XXXXXXXXXX CONTRACTOR: VES NUMBER: VA CLAIM NUMBER: VES 22619376754 IMPORTANT - THE DEPARTMENT OF VETERANS AFFAIRS (VA) WILL NOT PAY OR REIMBURSE ANY EXPENSES OR COST INCURRED IN THE PROCESS OF COMPLETING AND/OR SUBMITTING THIS FORM. PLEASE READ THE PRIVACY ACT AND RESPONDENT BURDEN INFORMATION ON REVERSE BEFORE COMPLETING FORM. NOTE TO PHYSICIAN - The Veteran is applying to the U.S. Department of Veterans Affairs (VA) for disability benefits. VA will consider the information you provide on this questionnaire as part of their evaluation in processing the Veteran’s claim. For the Claimed Compensation Condition of - ACQUIRED PSYCHIATRIC DISORDER TO INCLUDE MAJOR DEPRESSIVE DISORDER AND OBSESSIVE COMPULSIVE DISORDER ACCEPTABLE CLINICAL EVIDENCE (ACE) 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 [] Not requested [] No records were reviewed [] VA claims file (hard copy paper C-file) [X] VA e-folder (VBMS or Virtual VA) [] CPRS [] Other (please identify other evidence reviewed): Evidence comments: The veteran's file was reviewed. STATEMENT OF VETERAN RECEIPT DATE 1/26/16 BVA DECISION RECEIPT DATE 6/4/19- (REMAND ORDER) VAMC TX RECS RECEIPT DATE 5/28/19 Medical Opinion Name: MARK XXXXXXX Disability Benefits Questionnaire VA Claim Number: Page 2 of 5 Contractor: VES SERVICE TREATMENT RECORDS RECEIPT DATE 2/22/16 SERVICE TREATMENT RECORDS RECEIPT DATE 3/25/11 STRESSOR STATEMENT RECEIPT DATE 3/10/16 PERSONNEL RECS RECEIPT DATE 2/22/16 PERSONNEL RECS RECEIPT DATE 2/22/16 BUDDY STATEMENTS WITH RECEIPT DATES, 2/28/19, 12/27/16, 12/19/16, 6/20/16, 6/6/16, 5/9/16, 1/26/16, 3/24/11, 3/10/11, 3/3/11 SECTION I - DEFINITIONS Aggravation of preexisting nonservice-connected disabilities. A preexisting injury or disease will be considered to have been aggravated by active military, naval, or air service, where there is an increase in disability during such service, unless there is a specific finding that the increase in disability is due to the natural progress of the disease. Aggravation of nonservice-connected disabilities. Any increase in severity of a nonservice-connected disease or injury that is proximately due to or the result of a service-connected disease or injury, and not due to the natural progress of the nonservice- connected disease, will be service connected. SECTION II – RESTATEMENT OF REQUESTED OPINION 2A. Insert requested opinion from general remarks: THE EXAMINER IS ADVISED THAT THE VETERAN IS COMPETENT TO ATTEST TO OBSERVABLE SYMPTOMS. IF THERE IS A MEDICAL BASIS TO SUPPORT OR DOUBT THE VETERANS REPORTS OF SYMPTOMATOLOGY, THE EXAMINER SHOULD PROVIDE A FULLY REASONED EXPLANATION. PLEASE NOTE THIS IMO IS TO ACKNOWLEDGE THAT RECORDS HAVE BEEN REVIEWED AS WELL AS ADDRESSING ANY ADDITIONAL QUESTIONS NOTED AT THE BOTTOM OF THE DBQ. POTENTIALLY RELEVANT EVIDENCE: STATEMENT OF VETERAN RECEIPT DATE 1/26/16 BVA DECISION RECEIPT DATE 6/4/19- (REMAND ORDER) VAMC TX RECS RECEIPT DATE 5/28/19 SERVICE TREATMENT RECORDS RECEIPT DATE 2/22/16 SERVICE TREATMENT RECORDS RECEIPT DATE 3/25/11 STRESSOR STATEMENT RECEIPT DATE 3/10/16 PERSONNEL RECS RECEIPT DATE 2/22/16 PERSONNEL RECS RECEIPT DATE 2/22/16 BUDDY STATEMENTS WITH RECEIPT DATES, 2/28/19, 12/27/16, 12/19/16, 6/20/16, 6/6/16, 5/9/16, 1/26/16, 3/24/11, 3/10/11, 3/3/11 2B. Indicate type of exam for which opinion has been requested (e.g. skin diseases): Mental Disorder DBQ SECTION III – MEDICAL OPINION FOR DIRECT SERVICE CONNECTION Choose the statement that most closely approximates the etiology of the claimed condition. 3A. [] The claimed condition was at least as likely as not (50 percent or greater probability) incurred in or caused by the claimed in- service injury, event, or illness. Provide rationale in section c. 3B. [] The claimed condition was less likely than not (less than 50 percent probability) incurred in or caused by the claimed in-service injury, event, or illness. Provide rationale in section c. 3C. Rationale: Medical Opinion Name: MARK NICHOLSON Disability Benefits Questionnaire VA Claim Number: Page 3 of 5 Contractor: VES SECTION IV - MEDICAL OPINION FOR SECONDARY SERVICE CONNECTION 4A. [] The claimed condition is at least as likely as not (50 percent or greater probability) proximately due to or the result of the Veteran’s service connected condition. Provide rationale in section c. 4B. [] The claimed condition is less likely than not (less than 50 percent probability) proximately due to or the result of the Veteran’s service connected condition. Provide rationale in section c. 4C. Rationale: SECTION V - MEDICAL OPINION FOR AGGRAVATION OF A CONDITION THAT EXISTED PRIOR TO SERVICE 5A. [] The claimed condition, which clearly and unmistakably existed prior to service, was aggravated beyond its natural progression by an in-service injury, event, or illness. Provide rationale in section c. 5B. [] The claimed condition, which clearly and unmistakably existed prior to service, was clearly and unmistakably not aggravated beyond its natural progression by an in-service injury, event, or illness. Provide rationale in section c. 5C. Rationale: SECTION VI - MEDICAL OPINION FOR AGGRAVATION OF A NONSERVICE CONNECTED CONDITION BY A SERVICE CONNECTED CONDITION 6A. Can you determine a baseline level of severity of (claimed condition/diagnosis) based upon medical evidence available prior to aggravation or the earliest medical evidence following aggravation by (service connected condition)? [] Yes [] No If “Yes” to question 6A, answer the following: I. Describe the baseline level of severity of (claimed condition/diagnosis) based upon medical evidence available prior to aggravation or the earliest medical evidence following aggravation by (service connected condition): II. Provide the date and nature of the medical evidence used to provide the baseline: III. Is the current severity of the (claimed condition/diagnosis) greater than the baseline? [] Yes [] No If yes, was the Veteran’s (claimed condition/diagnosis) at least as likely as not aggravated beyond its natural progression by (insert “service connected condition”)? [] Yes (provide rationale in section 6B.) [] No (provide rationale in section 6B.) If “No” to question 6A, answer the following: Medical Opinion Name: MARK NICHOLSON Disability Benefits Questionnaire VA Claim Number: Page 4 of 5 Contractor: VES I. Provide rationale as to why a baseline cannot be established (e.g. medical evidence is not sufficient to support a determination of baseline level of severity): II. Regardless of an established baseline, was the Veteran’s (claimed condition/diagnosis) at least as likely as not aggravated beyond its natural progression by (insert “service connected condition”)? [] Yes (provide rationale in section 6B.) [] No (provide rationale in section 6B.) 6B. Provide rationale: SECTION VII - OPINION REGARDING CONFLICTING MEDICAL EVIDENCE 7. I have reviewed the conflicting medical evidence and am providing the following opinion: Is there a need for the Veteran to follow up with his/her primary care provider regarding any life threatening findings in this examination (not limited to claimed condition(s))? [] Yes [X] No Additional Question 1: PLEASE PROVIDE AN OPINION AS TO WHETHER IT IS AT LEAST AS LIKELY AS NOT (50 PERCENT OR GREATER PROBABILITY) THAT THE VETERANS MAJOR DEPRESSIVE DISORDER AND OBSESSIVE COMPULSIVE DISORDER WERE INCURRED DURING, CAUSED BY OR ARE OTHERWISE RELATED TO HIS ACTIVE SERVICE. Answer Question 1: It is at least as likely as not (50 percent or greater probability) that the veterans major depressive disorder and obsessive compulsive disorder were incurred during, caused by or are otherwise related to his active service. Additional Question 2: PLEASE PROVIDE YOUR MEDICAL RATIONALE. Answer Question 2: The veteran had no prior history of mental health issues before serving in the military. He reported learning the value of routine and ritual while serving and reported this seemed to become maladaptive in response to stress. He reported becoming very depressed after leaving the service and being unable to pursue a career in medicine. He appears to have developed Obsessive Compulsive Disorder and Major Depressive Disorder in response to an in-service stressor (MST.) Though there are not apparently sufficient markers to support a claim for PTSD due to MST, the evidence in the record and presented by the veteran appear sufficient to this examiner to conclude that a serious stressor occurred during his service in Germany. This stressor appears to be the proximate cause of his subsequent Major Depressive Disorder and Obsessive Compulsive Disorder. The Obsessive Compulsive Disorder appears to have developed as a way to maintain control and ensure that he could not be victimized again and the Major Depressive Disorder developed when his experience prevented him pursuing further education. SECTION VIII - PHYSICIAN'S CERTIFICATION AND SIGNATURE CERTIFICATION - To the best of my knowledge, the information contained herein is accurate, complete and current. 8A. PHYSICIAN’S SIGNATURE: 8B. PHYSICIAN’S PRINTED NAME: JAMIE L. XXXXXXX, PsyD Medical Opinion Name: MARK NICHOLSON Disability Benefits Questionnaire VA Claim Number: Page 5 of 5 Contractor: VES Mental Disorders (other than PTSD and Eating Disorders) – DSM V Disability Benefits Questionnaire LAST NAME, FIRST NAME, MIDDLE NAME (SUFFIX): SOCIAL SECURITY NUMBER: TODAY’S DATE: MARK XXXXXX XXX-XX-XXXX 08/09/2019 HOME ADDRESS: EXAMINING LOCATION AND ADDRESS: XXXXXXXXXXXXXXX, Redding, CA 96001 VES HOME TELEPHONE: XXX-XXX-XXXX CONTRACTOR: VES NUMBER: VA CLAIM NUMBER: VES 22619376754 Your patient is applying to the U.S. Department of Veterans Affairs (VA) for disability benefits. VA will consider the information you provide on this questionnaire as part of their evaluation in processing the Veteran’s claim. Please note that this questionnaire is for disability evaluation, not for treatment purposes. This evaluation should be based on DSM-5 diagnostic criteria. NOTE: If the Veteran experiences a mental health emergency during the interview, please terminate the interview and obtain help, using local resources as appropriate. You may also contact the Veterans Crisis Line at 1-800-273-TALK (8255). Stay on the Crisis Line until help can link the Veteran to emergency care. NOTE: In order to conduct an initial examination for mental disorders, the examiner must meet one of the following criteria: a board- certified or board-eligible psychiatrist; a licensed doctorate-level psychologist; a doctorate-level mental health provider under the close supervision of a board-certified or board-eligible psychiatrist or licensed doctorate-level psychologist; a psychiatry resident under close supervision of a board-certified or board-eligible psychiatrist or licensed doctorate-level psychologist; or a clinical or counseling psychologist completing a one-year internship or residency (for purposes of a doctorate-level degree) under close supervision of a board-certified or board-eligible psychiatrist or licensed doctorate-level psychologist. In order to conduct a review examination for mental disorders, the examiner must meet one of the criteria from above, OR be a licensed clinical social worker (LCSW), a nurse practitioner, a clinical nurse specialist, or a physician assistant, under close supervision of a board-certified or board-eligible psychiatrist or licensed doctorate-level psychologist. This Questionnaire is to be completed for both initial and review mental disorder(s) claims. For the Claimed Compensation Condition of - ACQUIRED PSYCHIATRIC DISORDER TO INCLUDE MAJOR DEPRESSIVE DISORDER AND OBSESSIVE COMPULSIVE DISORDER Is this DBQ being completed in conjunction with a VA21-2507, C&P Examination request? [X] Yes [] No If no, how was the examination completed (check all that apply)? [] In-person examination [] Records reviewed [] Other, please specify: Comments: SECTION I: DIAGNOSIS 1. DIAGNOSIS 1A. Does the Veteran now have or has he or she ever been diagnosed with a mental disorder(s)? Mental Disorders Disability Benefits Questionnaire Name: MARK NICHOLSON Page 2 of 7 VA Claim Number: Contractor: VES [X] Yes [] No ICD code: F33 NOTE: If the Veteran has a diagnosis of an eating disorder, complete the Eating Disorders Questionnaire, in lieu of this questionnaire. NOTE: If the Veteran has a diagnosis of PTSD, the Initial PTSD Questionnaire must be completed by a VHA staff or VA contract examiner in lieu of this questionnaire. If the Veteran currently has one or more mental disorders that conform to DSM-5 criteria, provide all diagnoses: Mental Disorder Diagnosis #1: Major Depressive Disorder, Severe, Recurrent ICD code: F33 Comments, if any: Mental Disorder Diagnosis #2: Obsessive Compulsive Disorder ICD code: F42 Comments, if any: Mental Disorder Diagnosis #3: ICD code: Comments, if any: If additional diagnoses, list using above format: 1B. Medical diagnoses relevant to the understanding or management of the Mental Health Disorder (to include TBI): None relevant ICD code: Comments, if any: 2. DIFFERENTIATION OF SYMPTOMS 2A. Does the Veteran have more than one mental disorder diagnosed? [X] Yes [] No (If “Yes,” complete the following question 2B) 2B. Is it possible to differentiate what symptom(s) is/are attributable to each diagnosis? [X] Yes [] No [] Not applicable (N/A) (If “No,” provide reason): (If “Yes,” list which symptoms are attributable to each diagnosis and discuss whether there is any clinical association between these diagnoses): His obsessional rituals and compulsions are due to his Obsessive Compulsive Disorder. His suicidal ideation and prominent depressed mood are due to his Major Depressive Disorder. Mental Disorders Disability Benefits Questionnaire Name: MARK NICHOLSON Page 3 of 7 VA Claim Number: Contractor: VES There is a clinical association as the disorders tend to exacerbate each other. 2C. Does the Veteran have a diagnosed traumatic brain injury (TBI)? [] Yes [X] No [] Not shown in records reviewed Comments, if any: (If “Yes,” complete the following question 2D) 2D. Is it possible to differentiate what symptom(s) is/are attributable to each diagnosis TBI and any non-TBI mental health diagnosis? [] Yes [] No [X] Not applicable (If “No,” provide reason): (If “Yes,” list which symptoms are attributable to each diagnosis TBI and which symptoms are attributable to a non-TBI mental health diagnosis): 3. OCCUPATIONAL AND SOCIAL IMPAIRMENT 3A. Which of the following best summarizes the Veteran’s level of occupational and social impairment with regards to all mental diagnoses? (Check only one) [] No mental disorder diagnosis [] A mental condition has been formally diagnosed, but symptoms are not severe enough either to interfere with occupational and social functioning or to require continuous medication [] 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 [] Occupational and social impairment with occasional decrease in work efficiency and intermittent periods of inability to perform occupational tasks, although generally functioning satisfactorily, with normal routine behavior, self-care and conversation [] Occupational and social impairment with reduced reliability and productivity [X] Occupational and social impairment with deficiencies in most areas, such as work, school, family relations, judgment, thinking and/or mood [] Total occupational and social impairment 3B. For the indicated level of occupational and social impairment, is it possible to differentiate which impairment is caused by each mental disorder? [] Yes [X] No [] Not applicable (If “No,” provide reason): The symptoms and relative impairment overlap and exacerbate each other to such an extent that differentiation is not possible. (If “Yes,” list which occupational and social impairment is attributable to each diagnosis): 3C. If a diagnosis of TBI exists, is it possible to differentiate which occupational and social impairment indicated above is caused by the TBI? [] Yes [] No [X] Not applicable (If “No,” provide reason): (If “Yes”, list which impairment is attributable to TBI and which is attributable to any non-TBI mental health diagnosis): Mental Disorders Disability Benefits Questionnaire Name: MARK NICHOLSON Page 4 of 7 VA Claim Number: Contractor: VES SECTION II: CLINICAL FINDINGS: 1. EVIDENCE REVIEW Evidence reviewed (check all that apply): [] Not requested [] VA claims file (hard copy paper C-file) [X] VA e-folder [] CPRS [] Other (please identify other evidence reviewed): [] No records were reviewed Evidence Comments: The veteran's file was reviewed. STATEMENT OF VETERAN RECEIPT DATE 1/26/16 BVA DECISION RECEIPT DATE 6/4/19- (REMAND ORDER) VAMC TX RECS RECEIPT DATE 5/28/19 SERVICE TREATMENT RECORDS RECEIPT DATE 2/22/16 SERVICE TREATMENT RECORDS RECEIPT DATE 3/25/11 STRESSOR STATEMENT RECEIPT DATE 3/10/16 PERSONNEL RECS RECEIPT DATE 2/22/16 PERSONNEL RECS RECEIPT DATE 2/22/16 BUDDY STATEMENTS WITH RECEIPT DATES, 2/28/19, 12/27/16, 12/19/16, 6/20/16, 6/6/16, 5/9/16, 1/26/16, 3/24/11, 3/10/11, 3/3/11 2. HISTORY NOTE: Initial examinations require pre-military, military, and post-military history. If this is a review examination only indicate any relevant history since prior exam. 2A. Relevant Social/Marital/Family history (pre-military, military, and post-military) : Pre-military He reported being raised in an intact family until age 8 when his parents divorced. He initially lived with his mother, but was then raised by his father. He reported having strict, but fair parents. He has an older sister. He reported having good relationships with his family growing up. He endorsed an abuse attempt by a stepbrother, but denied anything actually occurred. Military He denied any changes to his marital or family status while in the service. Post-military He met his wife after he was discharged and they married in 1989. He had daughters born in 1994 and 1997. 2B. Relevant Occupational and Educational history (pre-military, military, and post-military): Pre-military He graduated high school before joining. Military He was an Army medic. Post-military He did not continue his education following the military. He got his EMT license and worked at a waterpark for 13 years. 2C. Relevant Mental Health history, to include prescribed medications and family mental health (pre-military, military, and post- military): Mental Disorders Disability Benefits Questionnaire Name: MARK XXXX Page 5 of 7 VA Claim Number: Contractor: VES Pre-military He denied any personal or family mental health history. Military He reported feelings of guilt and self-blame following the reported MST. Post-military He reported feeling distrustful of others. He has a hard time being around strangers. He reported beginning to have rituals and processes in the military. This appears to have come about due to his blaming himself for having poor judgment and being victimized. He is currently in therapy for PTSD and takes prazosin, duloxetine, and trazadone. He reported being irritable with his family. He reported feeling sad and disappointed with himself since leaving the service. He endorsed frequent suicidal ideation and has been placed on two psychiatric holds due to danger to self. 2D. Relevant Legal and Behavioral history (pre-military, military, and post-military) Pre-military He denied any disciplinary issues Military He denied any disciplinary issues. Post-military He denied any legal issues 2E. Relevant Substance Abuse history (pre-military, military, and post-military) Pre-military He denied any substance abuse issues. Military He denied any excessive substance use. Post-military He reported a history of taking micro doses of narcotic medication to function on a day to day basis. He reported a history of alcohol abuse up until a few years ago. He currently only drinks a few times per year. He no longer uses narcotic medication. 2F. Other, if any: SECTION III: SYMPTOMS For VA rating purposes, check all symptoms that actively apply to the Veteran’s diagnoses [X] Depressed mood [X] Anxiety [X] Suspiciousness [X] Panic attacks that occur weekly or less often [] Panic attacks more than once a week [] Near-continuous panic or depression affecting the ability to function independently, appropriately and effectively [X] Chronic sleep impairment [] Mild memory loss, such as forgetting names, directions or recent events [] Impairment of short and long term memory, for example, retention of only highly learned material, while forgetting to complete tasks [] Memory loss for names of close relatives, own occupation, or own name [] Flattened affect [] Circumstantial, circumlocutory or stereotyped speech Mental Disorders Disability Benefits Questionnaire Name: MARK NICHOLSON Page 6 of 7 VA Claim Number: Contractor: VES [] Speech intermittently illogical, obscure, or irrelevant [] Difficulty in understanding complex commands [] Impaired judgment [] Impaired abstract thinking [] Gross impairment in thought processes or communication [X] Disturbances of motivation and mood [] Difficulty in establishing and maintaining effective work and social relationships [X] Difficulty in adapting to stressful circumstances, including work or a work like setting [] Inability to establish and maintain effective relationships [X] Suicidal ideation [X] Obsessional rituals which interfere with routine activities [] Impaired impulse control, such as unprovoked irritability with periods of violence [] Spatial disorientation [] Persistent delusions or hallucinations [] Grossly inappropriate behavior [] Persistent danger of hurting self or others [] Neglect of personal appearance and hygiene [] Intermittent inability to perform activities of daily living, including maintenance of minimal personal hygiene [] Disorientation to time or place SECTION IV: BEHAVIORAL OBSERVATIONS He was alert and oriented. His affect was dysthymic and congruent with the conversation. He communicated his ideas clearly. He denied any current suicidal or homicidal ideation. He denied any perceptual disturbance. There were no cognitive or memory deficits apparent during the interview. SECTION V: OTHER SYMPTOMS 5. Does the Veteran have any other symptoms attributable to mental disorders that are not listed above? [] Yes [X] No (If “Yes,” describe): SECTION VI: COMPETENCY Is the Veteran capable of managing his or her financial affairs? [X] Yes [] No (If “No”, explain): SECTION VII: REMARKS Remarks (Including any testing results), if any: Additional comments regarding suicidal ideation, if any: In the text box below please provide specific details on whether you feel the veteran is considered to be a current imminent risk (active ideation with current plan and/or intent) or increased but not current imminent risk (no current plan or intent to take action) of harm to him/herself. NOTE: If you believe the veteran is a current imminent risk please contact your local authorities (police, 911, etc) and document in the Remarks section that you have done so. He reported feeling frequent suicidal ideation without intent. He denied any current plan or intent. He discussed protective factors including his concern about negatively impacting his family. [] I believe this Veteran/Service Member should be considered a CURRENT IMMINENT RISK. [X] I believe this Veteran/Service Member should be considered an INCREASED but not current imminent risk. [] I do not believe this Veteran/Service Member should be considered a current imminent or increased risk. Mental Disorders Disability Benefits Questionnaire Name: MARK NICHOLSON Page 7 of 7 VA Claim Number: Contractor: VES Please advise whether the Veteran was equipped with the VA crisis line (800-273-TALK): He was provided the crisis line. Is there a need for the Veteran to follow up with his/her primary care provider regarding any life threatening findings in this examination (not limited to claimed condition(s))? [] Yes [X] No SECTION VIII: PSYCHIATRIST/PSYCHOLOGIST/EXAMINER CERTIFICATION AND SIGNATURE CERTIFICATION - To the best of my knowledge, the information contained herein is accurate, complete and current. 8A. PSYCHIATRIST/PSYCHOLOGIST/EXAMINER SIGNATURE: 8B. PSYCHIATRIST/PSYCHOLOGIST/EXAMINER PRINTED NAME:
  5. Hi everyone. My BVA appeal for PTSD-MST on Vets.gov was just updated with a curious message as follows: "Current Status The Board made a decision on your appeal The Board of Veterans’ Appeals sent you a decision on your appeal. Here’s an overview: Please see your decision for more details. What happens next? The Veterans Benefits Administration completes the remand instructions They may contact you to request more evidence or medical exams as needed. When they’ve completed the remand instructions, they’ll determine whether or not they can grant your appeal. If not, your appeal will return to the Board of Veterans’ Appeals for a new decision. 16–29 monthsThe Veterans Benefits Administration usually takes between 16 and 29 months to complete remand instructions." One footnote: I have never received a C&P for PTSD-MST. I am surprised the BVA has updated "The Board made a decision on your appeal", and then state the need to "complete(s) the remand instructions" #1) Is this pretty common? #2) When they mail me this decision, I assume I'll be able to read the remand instructions? Thank You
  6. Hey Vync, " Have you checked this out yet?" I did follow the links on the VA.gov URL that you suggested. The closest location from where I live is San Francisco, roughly 5.5 hours away (each direction). I called them anyway, and they said the program is not available in every city, but they were very polite and professional. I could tell that they would much rather have been able to given me better news. Your suggestion of checking at my local VSO is a good one and I will do that today. " It sounds like you are unable to work. It might be worth also exploring TDIU and/or SSDI. " I am not service connected for Menier's disease, so TDIU is out for me. I did not start having symptoms until pretty recently (well after my ETS from the military) , so I think connecting Menier's to military is out of the question? Currently, I am receiving SSDI for PTSD-MST with a case review of (MIE) 3 years with a start date of July 2016. Interesting that my SSDI was approved after only 45 days from the date of submission which included my VA medical file. Since being diagnosed and treated for Menier's disease, I have contemplated updating my SSDI claim information to include that, but I am not sure if I should do that now or see if I get better closer to the expiration of my PTSD-MST SSDI review period? Any suggestions on that point? "Your profile mentions being SC for bilateral hearing loss, so if you suffer from vertigo and cerebellar gait issues more than once a week, you may qualify. " Yes, I am SC 50% bilater hearing loss and 10% tinnitus and it is getting worse every year. Yes, even after TTG ablation treatment for my Menier's, I still have more than one huge episode per week and stagger around like a drunk with a cane the rest of the time. The worse part right now, is uncontrolled head shaking due to the ablation treatment. I'm hoping that this settles down at some point, but its been going on since my first TTG treatment. The TTG treatment has reduced the severity of my Menier's episode which I am grateful for but has unfortunately further damaged my hearing. Sine I have not seen any medical or scientific studies linking NIHL to Menier's, I am not planning on perusing that a SC course of action. The fact is, this disease is such a mystery that no one seems to have a real grasp on what actually causes it. Vync, were you having vertigo attacks while in service, or did this occur later on? Thanks again Vync, Off to the VSO now to see of I can get information regarding a ride(s) to the VA Dr. office :)
  7. Several months ago the VA diagnosed me with severe Menier's disease which required Trans Typanic Gentamicin Ablation. This treatment was performed in San Francisco SFVAMC and have been approved for NON-VA CARE for vestibular rehabilitation therapy for three months twice per week, in the city where I live. I am absolutely unable to drive due to the Menier's and/or the TTGA treatment. The VA ENT has approved and I am now have a parking placard so that I can limit the distance I need to travel with my cane, in order to go to the grocery store and my VA appointments. My wife has had to get a job in order for us to make ends meet, and it is very difficult for me to find someone that can take me, then pick me up at from Vestibular rehab appointments. I contacted to local VAMC travel office and they do not offer a shuttle service for local transportation. I have also contacted to DAV and they also do not have service available where I live. Question: Should I take a bus or maybe an Uber to my VR appointments during the next three months, and submit them to travel? Or am am on my own regarding this matter? Thank You
  8. I am so happy that you have made it thru this process. Many years ago when I was rated for hearing loss, I received a direct deposit notification from my bank and about two weeks later I got the brown envelope explaining the decision. Interestingly, the letter misstated the rating decision percentage and award, so I had to file a CUE with my VSO (clear, unmistakable error) which got corrected about three months later. If you have a premium account on benefits, you make be able to login take a look at the following link to see "possibly updated" current ratings: { https://eauth.va.gov/ebenefits/download-letters } . However, as senior member will certainly advise, the actual printed letter that you will eventually receive is the document that matters. Congratulations,
  9. Just wondering, does the RO's claims specialist opinion / interpretation of evidence, appear in C-File? Thank You
  10. Knap-Sack, Sorry to hear that it has been so long. I thought my NOD was going long at about 1.5 years old. Do you have a VSO? What Regional Office is handling your NOD? I wish you well.
  11. You are absolutely correct MikeR. I thought I was doing the hard core soldier thing by sucking it up and getting my $hit together. 30+ years later (at 57 years old) , it finally caught up to me and I spent nearly 5 months of last year locked up in phyc ward of various VA Mental health care facilities accross the country . The RO denied my claim without a C&P, since I did not tell my commander or ave a police report. However, the denial letter confirmed a medical diagnosis of PTSD pursuant to the criteria in DSM-V The denial was the second worse thing that ever happened to me in my life.
  12. Great advice Buck52, I will certainly keep that in mind going forward.
  13. Smoothc100, Gastone; Thank you for the replies, I really appreciate the feedback. It must be pretty busy at the RO's.
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