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Gastone,   apologies getting back at ya so late. been recovering from 13 level spinal fusion. Morphine pills of two size dosages and water P.T. has me house bound, basically. Any how, i can use some advice, please. After last claim i ended up at 90% overall from 80%. also awarded TDIU. My 1st visit is October 2018 for flat feet. for which i already have a 30% rating. My goal is P & T 100%. The back surgery i just had 2 1/2 months ago was not yet considered or claimed in my last claim for increase. What was part was a 20% from a 10% for DDD. I went through the choice program for a private Neuro. 8 1/2 hrs surgery. scar about 21 inches up middle of my back. yes the scar is sore. From searching alot of other vets claims  i have picked up alot. Obviously the total and order of merit is a huge grey area. My wife and i basically did my last two claims on our own. no DAV rep. previously had 20% taken back overall for a new claim after i had 3 surgeries on my knee. still have no idea how that happened but crooked ass doctor lied all over my C & P exam. Here is where i am at. I have been in contact with a DAV rep and he has given his advice. He says to finish out my P.T.(26) more visits at 2 to 3 a week. That would be another 3 plus months for a total of 6 months after surgery. He says at that point is when i can jump back into the claim for increase or reconsideration. That sucks! sure i have dental but i bleed like a siv because of eloquis thinners. what hurts is no health insurance for the wife and boy. we are using cobra off my last jobs insurance. costs wife 650.00 a month. havent added son on yet. $$ issues. all the benefits from TDIU over to P & T. This is alot i know. I could use some advice on some or all or none! i have sent this to you and not sure if others will see it. not savvy enough or patient at this point to figure it out! Thanks again for your help. RLTW Sua Sponte!

Gastone, Top of the morning. Update. I was granted IU without P&T. I have an appointment Oct 2018 for flat feel which has been rated 30% for 3 years now>>>not related at all! weird right! RO raised my back rating from 10% to 20%. Left knee from 0% to 10%. I was given 50% for Depression anxiety. This moved my overall rating from 80% to 90%. But now being paid at 100% IU. My big question or questions...Because i respect your advice, is this....since the completion of this last claim i have had 13 level spinal fusion completed by an outside Neurosurgeon. i am on my way today to physical therapy. (outside VA) (yes i am taking advantage of choice program!)#6 visits 3 times a week. I have about a 21 inch scar down my back and yes its painful. ROM limited. Should i file an increase from the 20% prior claim or file a new claim? Should i also file for SMC-S home bound? My wife is caring for me? Should i also increase my new 50% rating to a possible 70%? 100% means i can no longer work correct? My goal is P&T 100% so work as a building inspector is still a posibility in my future ?   Thanks Gastone! Thanks to any and all for your advice as well.  RLTW

Gastone, Top of the morning. Update. I was granted IU without P&T. I have an appointment Oct 2018 for flat feel which has been rated 30% for 3 years now>>>not related at all! weird right! RO raised my back rating from 10% to 20%. Left knee from 0% to 10%. I was given 50% for Depression anxiety. This moved my overall rating from 80% to 90%. But now being paid at 100% IU. My big question or questions...Because i respect your advice, is this....since the completion of this last claim i have had 13 level spinal fusion completed by an outside Neurosurgeon. i am on my way today to physical therapy. (outside VA) (yes i am taking advantage of choice program!)#6 visits 3 times a week. I have about a 21 inch scar down my back and yes its painful. ROM limited. Should i file an increase from the 20% prior claim or file a new claim? Should i also file for SMC-S home bound? My wife is caring for me? Should i also increase my new 50% rating to a possible 70%? 100% means i can no longer work correct? My goal is P&T 100% so work as a building inspector is still a posibility in my future ?   Thanks Gastone! Thanks to any and all for your advice as well.  RLTW