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About Combatmedic271

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    E-3 Seaman

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  1. Great information, thank you!
  2. Thank you Gastone. I do understanding that the bilateral factor is 10% of the rating and not 10% overall. Is it true that the max rating is 40% per extremity? How would that look if they rated me 30% for the flat feet condition..? The evidence of my TBI (s) is based on my account and what I told them in 2009 when I exited from active duty, however, there is some evidence of the combat I was exposed to in my awards, and I have at least 3 buddies that I'm still in contact with that will write statements that they were there. I don't have any external damage or scarring, however, I was exposed to more than a dozen IEDs striking my 4 vehicle patrol with 4 of them hitting or within very close proximity to my vehicle. We hit so many roadside bombs that it rarely spiked our adrenaline towards the end. I was never treated as we did not sustain severe injuries, but I was semi-unconscious at least once, maybe twice. I did read Berta's TBI post this morning and it seems like they are trying to figure it out. My MH provider was a NP from 2009-2015. I can tell you that I have been complaining of several conditions over the last 9 years without realizing how they may be related to TBIs, but the more I read, the more it makes sense. Is my "Award Letter" on ebenefits? Is it different from the document I uploaded? Thank you for your feedback.
  3. Gastone, It is my understanding that there is an additional 10% rating applied with the bilateral factor and I do not see that on the redacted award letter I attached. I have not filed for a copy of my C-file, but I will this week. I have been reading up on the new TBI rating policies and it sounds like PTSD is mental and TBI is physical, but the veteran has to really push to have it rated that way. Are you saying that unless there are visible signs of TBI it cannot be rated separately from PTSD? I do use my VMC for all my medical care, however, I have not been referred to OT/PT for my joint problems. Lastly, I was not referred to Neurology yet. My PCP had me have an MRI 2 weeks ago, and I have a follow-up in 2 weeks with her and my MH provider in the next 2 weeks. I understand I should she PT and neurology for these conditions. Should I also be pushing for DBQ's to be filled out for TBI, PTSD and my joint problems? Thank you. Rating Award.docx
  4. Thanks jfrei. Can anyone shed some light on the other questions? Thank you.
  5. Hello, this is my first time posting and I have a few questions that I would appreciate some input with. First, I'll give you my background. I was active duty army for 5 years and deployed as a medic with an infantry unit. I was awarded the Combat Medical Badge, "V" device for valor in combat, and I have several award templates describing some of the combat I was involved with to include treating 8 casualties under direct enemy fire during an ambush, that I saved the lives of at least 11 casualties, that I was involved in several IEDs, and a RPG attack, and that I conducted more than 500 missions and patrols in Iraq. When I was discharged from active duty in 2009 I was awarded 70% SC (PTSD-30%, knee- 10% each knee, plantar facittis-10% each foot, ankle deformity-10% each ankle, shin splints-10% each side) on my first go with the VA (with well documented medical records for all claims during active duty) and the process was expedited and approved within 2-3 months of my discharged. I'm currently in the National Guard with 14 years combined service. Since the initial ratings, my conditions have become worse and other issues arouse. The biggest issue being the residuals of TBI: headaches, tinnitus, insomnia, memory loss, trouble concentrating, depression, loss of sense of smell, fatigue, and chronic constipation. All listed residuals were documented in 2009 and periodically through the last 8 years. During the time of my initial rating I screened positive for TBI by my PCP, but I never applied to service connect it. My MH provider prescribed me Adderall for my symptoms of memory loss and concentration issues and stated she thought it was secondary to PTSD. I've really been having a tough time lately and in the process of filing for TBI with all the residuals I listed, worsening condition or my right ankle (VA has records of me breaking right ankle twice, one time in Iraq, and one time in the last 3 years during duty), flat feet (the cause of all my joint issues, not sure if it was noted on entrance exam), lower back pain, bilateral hip pain, and increased PTSD symptoms. So here are my questions: - Should my lower extremity ratings been rated using the bilateral factor, and how would that look considering theree are four ratings per side? Can I recommend they be rated with the bilateral factor? ( I understand the max rating per extremity is 40%?) -Now that I have a diagnoses of flat feet I will apply for benefits, but can they be compensated if I already have 40% per extremity? -Should I file all the residuals secondary to TBI or individually? Do I need an actual diagnosis for TBI other than the positive screening? I plan to have a DBQ completed. Should they rate TBI separate from PTSD? -My joint issues have progressed to the point that I can no longer run without severe pain and swollen lower extremities, and my thumbs go numb when I do push-ups... I was wondering if It may be possible to be separated with a medical retirement from the National Guard? If so, how do I start the process of being examined? Thank you all in advance for your time, I know it's a long post. GODSPEED! Rating Award.docx

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