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dapilgrim

Second Class Petty Officers
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Posts posted by dapilgrim

  1. I will talk to the VSO and call Peggy.  The   claim was for bilateral. The left foot is worse since it has the Hallux Valgus as well.   The C&P examiner reported bilateral Pes Planus. The Xray show bilateral ples planus and Hallux Valgus  on the left foot.

  2. 1 hour ago, paulstrgn said:

    Mine show the following:

    pes planus and metatarsalgia, bilateral feet (previously rated as metarsalagia, bilateral feet and now claimed as bilateral flat foot) 10%

     

    I see yours says "Right foot" Did they only rate one foot? If so that would explain why it's not bilateral.

    If I am reading this correctly you were only awarded flat feet for one foot.

    I would think that if it says bilateral  it would mean both feet.

  3. 7 hours ago, paulstrgn said:

    No, I have flat feet and I get an additional 10%. I actually have several bilateral issues and I get an additional 10% on the total. When I received a copy of my C-File it actually had the breakdown for all my bilateral issues and it showed the additional 10%. I hope this helps.

    Mines say.

    bilateral pes planus also claimed as right foot condition with pain 30% Service Connected
     

     

    What does your say?

  4. 7 minutes ago, paulstrgn said:

    No, I have flat feet and I get an additional 10%. I actually have several bilateral issues and I get an additional 10% on the total. When I received a copy of my C-File it actually had the breakdown for all my bilateral issues and it showed the additional 10%. I hope this helps.

    i have 10 pct  for arrhythmia

    i have 10 pct  for tinnitus

    i have 30 pct  for bilateral pes planus  

     

    I though i would be at 50 pct if bilateral factors kicked in. but it has me at 40 pct. If the bilateral factors kick in i would be at 50 Pct.

     

     

     

  5.  

    What would be the proper percentage for the disabilities listed below

    first degree AV block and atrial premature depolarization

    10% Service Connected

     

    tinnitus 10% Service Connected

     

    bilateral pes planus also claimed as right foot condition with pain 30% Service Connected
     
  6. 8 hours ago, doc25 said:

    Since you did enter service with pre-existing Pes Planus, you'll need to see if the examiner was able to state "at least as likely as not" (equal to or greater than 50% aggravation of pes planus was due to military service. That would provide you with a favorable nexus of opinion. What was your MOS?

    i was a combat signaler 4  years and a combat medic 17 years

  7. 18 hours ago, doc25 said:

    #1. Were you diagnosed in-service for both, that you are aware of? 

    #2. Hallux Valgus is rated 10% if you had surgery or if it's severe enough that it's would be as if the big toe was amputated. 0% if it's mild or moderate.

    Flat feet are tricky with the VA. If you were not diagnosed in-service for either, it will be very difficult to get a granted decision. Even if you were diagnosed in-service the VA LOVES to say that Pes Planus are pre-existing or congenital. Furthermore, even though your entrance exam would say "normal archs" they will still make the arguement that your flat feet are pre-existing and congenital. LOL. I know because I've been fighting that since 2007.

    It was noted that i had it upon entry into the military. I claimed Pes Planus recently examiner stated it had gotten worser from military service.   They were asking the c&p examiner if they was evidence to secondary connect the Hallus Valgus. So my guess was that they would award the pes planus. i didnt think they would check for secondary hallus valgus if they were not going to award the Pes Planus.  You thoughts.

  8.  It Say for Secondary Service Connection... I claim bilateral flat feet also. I guess they are trying to connect it. i was not awarded for bilateral feet that i know of.

    Just thinking maybe they awarded for bilateral feet  (pes planus) and  i dont know it yet.

     

  9. Do you think this will get approved i am confused between  the two statements below?

    Request for Medical Opinion RESTATEMENT OF REQUESTED OPINION: 
    a. Opinion from general remarks: Is the veteran's left hallux valgus, left 1st MTP degenerative changes at least as likely as not (50 percent or greater probability) proximately due to or the result of bilateral foot condition with 

    b. Indicate type of exam for which opinion has been requested: Foot

    TYPE OF MEDICAL OPINION PROVIDED: [ MEDICAL OPINION FOR SECONDARY SERVICE CONNECTION ]
    b. The condition claimed is less likely than not (less than 50% probability) proximately due to or the result of the Veteran's service connected condition.
     
    c. Rationale: The veteran's current diagnosis of left hallux valgus and left 1st MTP degenerative changes are not related to the bilateral foot condition with pain during service. The veterans available str and mtr is silent for complaints of foot pain and the veteran denies medical evaluations for foot conditions. Hallux valgus exact causes is unknown but factors that can lead to hallux valgus include inherited foot type, foot injuries or deformities present at birth or can be caused by degenerative arthritis. Arthritis in the great toe can be caused by previous trauma, fractured or sprained toe. 

  10. Seem like the examiner  and the rater going back and forth.

     

    But the C&P examiner did state it was further aggravated by military service. I Do not  know if that is enough to warrant it being granted

  11. This is what the C&P examiner wrote to the RO when asked for more detail. 

    MEDICAL OPINION SUMMARY ----------------------RESTATEMENT OF REQUESTED OPINION: 
    a. Opinion from general remarks: Was the veteran's pes planus (bilateral) (which clearly and unmistakably existed prior to service) aggravated beyond its natural progression by (the) treatment during service? 
    b. Indicate type of exam for which opinion has been requested: Foot
    TYPE OF MEDICAL OPINION PROVIDED: [ MEDICAL OPINION FOR AGGRAVATION OF A CONDITION THAT EXISTED PRIOR TO SERVICE ]
    a. The claimed condition, which clearly and unmistakably existed prior to service, was aggravated beyond its natural progression by an in-service event, injury or illness. 
    c. Rationale: Per available str the veteran had a diagnosis of pes planus on enlistment. Flatfoot (pes planus) is a condition in which the longitudinal arch in the foot, which runs lengthwise along the sole of the foot, has not developed normally and is lowered or flattened out. With the excessive standing, walking, jumping and running can lead to pain in the plantar surface of the feet.

    Second Statement from C&P examiner.

    The veteran denies medical evaluations and has not tried arch supports.
     

    What the xrays stated...................

    1/3/2019 bilateral weight bearing x-rays
                    
                   There is bilateral pes planus.  There is mild hallux valgus on
                   the left.  Some mild degenerative change involves the left first
                   MTP joint. 
                    No soft tissue swelling.  

                 Impression:
                    Degenerative change as above.  

     

     

     

     

     

  12. On 1/19/2019 at 3:31 AM, Ddsr said:

    Keep fighting my brother. Never give up. Continue to study study study and seek those vets that have good knowledge. Not sure if you are TDIU or waiting to get scheduler. Sorry to hear about your spouse and how the VA is handling this. Prayers.

    I got off active duty 1993. No one briefed me or explained the VA to me. I didn't file my first claim until 2015. i was way behind the power curve when i started. Any suggestions would be helpful  i was not s sick call ranger

  13. 7 minutes ago, vetquest said:

    You might be able to apply for service aggravation if you were accepted with flat feet and it became a problem after acceptance.  You will need a record of treatment in the military noting that it has become worse or aggravated by your service.  Evidence of a chronic current problem.  And a nexus between your service and your current chronic condition.

    The examiner stated this.

    TYPE OF MEDICAL OPINION PROVIDED: [ MEDICAL OPINION FOR AGGRAVATION OF A CONDITION THAT EXISTED PRIOR TO SERVICE ]
    a. The claimed condition, which clearly and unmistakably existed prior to service, was aggravated beyond its natural progression by an in-service event, injury or illness

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