Chief1954

Greetings! I received back pay of 69K for my lacey Claim last week. I has very happy to see that deposit. I haven't received the package/letter yet from the VA explaining how the audit error worksheet calculation was done. Again, thanks for you assistance in helping me through this process. Best Regards Chiefhouse00

Greetings UPDATE: I checked VA.gov yesterday and it said that VA completed the Implementation Decision on 21 Jun 2022 and I should receive a letter within 10 days. Seems like things are moving along. I should get my retro pay within a month or so. Best Regards Chiefhouse00

Greetings I was able to find more medical treatment records pertaining to my seizures in 2012 that may have been overlooked during my C&P and rating decision. I am still waiting on my ration decision letter before doing anything else at this moment. Please review attachment and give me your comments. Best Regards Chiefhouse00Seizures 2012.pdf

GreetingsUpdate!!! I searched my medical files and found a document stating my seizures were witnessed by ER medical staff at Tripler Medical Hospital in 2012. Should I submit that report to the VA now or wait until I get their decision letter first. Currently, eBenefits show that I was rated for TIA at 10 percent with no seizure activity. Please see attached document. Best Regards Chiefhouse00 Seizure Witnessed Updated.pdf

GreetingsI searched my medical files and found a document stating my seizures were witnessed by ER medical staff at Tripler Medical Hospital in 2012. Should I submit that report to the VA now or wait until I get their decision letter first. Currently, eBenefits show that I was rated for TIA at 10 percent with no seizure activity. Please see attached document. Best Regards Chiefhouse00 Seizure Witnessed.pdf

Greetings Berta Here's a copy 2009 MRI: Radiology Result Details Procedure Exam Date MRI, TIA W & W/0 CONTRAST (GROUP) 17 Sep 2009 @ 0700 Status: Complete (Amended) Report Text: Procedure:MRI, TIA W & W/0 CONTRAST (GROUP) 20090901154900 Order Comment: NO BRIEF COMMENT Reason for Order: TIA Exam #:09127872 Exam Date/Time:20090917070000 Transcription Date/Time:20090917091600 Provider:27497 MANGROBANG, CECILIA M (VA) Requesting Location:VA CLINIC, HON VETERANS AFFAIRS DIVISION Status:COMPLETE Result Code: 9 SEE REPORT TEXT Interpreted By:23154 BURGOS, RICARDO MIGUEL Approved By: 23154 BURGOS, RICARDO MIGUEL Approved Date:20090917091500 Report Text: CHCS 09127872 Procedures: 1. MRI brain with and without IV contrast. 2. MR angiogram of the brain without contrast. 3. MR angiogram of the neck with IV contrast. Comparison: None available. MRI BRAIN WITH AND WITHOUT IV CONTRAST. TECHNIQUE: Sagittal T1, axial T2, axial FLAIR, and axial diffusion weighted images. Post IV contrast axial and coronal T1-weighted images. FINDINGS: There is mild to moderate diffuse brain parenchymal atrophy with commensurate enlargement of the intra and extra axial CSF-containing spaces. There are multiple small left greater than right bilateral basal ganglia and bilateral supratentorial white matter lacunar infarcts. Multiple subcentimeter patchy foci of T2 hyperintensity in the supratentorial white matter without diffusion weighted imaging correlate are compatible with chronic microvascular ischemic disease. Multiple large prevascular spaces are also noted in the bilateral parietal white matter. There is no acute infarct, hemorrhage, mass-effect, hydrocephalus or space-occupying lesion. Calvarial bone marrow signal is normal. There is no pathologic enhancement after IV contrast. MRA HEAD WITHOUT CONTRAST. TECHNIQUE: 3D TOF images of the brain without gadolinium. Multiplanar reformations of the brain MRA data were also performed. FINDINGS: The distal internal carotid arteries are patent, with adequate flow related signal intensity and give rise to patent bilateral anterior middle cerebral arteries. The distal vertebral arteries are nearly symmetric and terminate in a patent basilar artery and demonstrated posterior fossa branches. There is no evidence of flow limiting disease in the circle of Willis. There is no aneurysm larger than 3 mm, flow-limiting disease, or evidence to suggest vascular malformation. MRA OF THE NECK WITH IV CONTRAST. TECHNIQUE: Post IV gadolinium first pass MRA of the neck from the aortic arch to the skull base with maximum intensity multiplanar reformations. FINDINGS: There is a normal anatomic branching pattern of the brachiocephalic vessels from the top of the aortic arch. The brachiocephalic vessel origins are patent. The bilateral common and internal carotid arteries and the carotid bifurcations are patent, without flow limiting disease. The vertebral arteries are symmetric and terminate in patent vertebrobasilar junctions. The basilar artery demonstrates normal contrast enhancement. IMPRESSION: 1. No acute infarct, hemorrhage or MRI evidence of acute intracranial pathology. 2. Findings compatible with chronic microvascular ischemic changes, as well as small chronic lacunar infarcts in the bilateral basal ganglia. Please correlate for cardiovascular risk factors. 3. No flow limiting disease in the circle of Willis on MRA of the head. 4. No flow limiting carotid artery disease on MR angiogram of the neck with IV contrast. Amended Result Code: 9 SEE REPORT TEXT Interpreted By:23154 BURGOS, RICARDO MIGUEL Supervised By:23154 AO4 Ricardo M. Burgos, ARMY Approved By: 23154 BURGOS, RICARDO MIGUEL Approved Date:20090917091500 Supervised By: 23154 AO4 Ricardo M. Burgos, ARMY Report Text: CHCS 09127872 Note is made of a small chronic mucous retention cyst in the floor of the left maxillary sinus. Notes: TIA Approved By: BURGOS, RICARDO MIGUEL Reading Radiologist: BURGOS, RICARDO MIGUEL Transcription Date: 17 Sep 2009 @ 0916 Supervising Radiologist: Supervised Date: Final Report Verifier: BURGOS, RICARDO MIGUEL Verification Date: 17 Sep 2009 @ 0915 Facility: TAMC, HI Amendments CHCS 09127872 Note is made of a small chronic mucous retention cyst in the floor of the left maxillary sinus.

Greetings Berta Here's a copy of my 2009 MRI: Radiology Result Details Procedure Exam Date MRI, TIA W & W/0 CONTRAST (GROUP) 17 Sep 2009 @ 0700 Status: Complete (Amended) Report Text: Procedure:MRI, TIA W & W/0 CONTRAST (GROUP) 20090901154900 Order Comment: NO BRIEF COMMENT Reason for Order: TIA Exam #:09127872 Exam Date/Time:20090917070000 Transcription Date/Time:20090917091600 Provider:27497 MANGROBANG, CECILIA M (VA) Requesting Location:VA CLINIC, HON VETERANS AFFAIRS DIVISION Status:COMPLETE Result Code: 9 SEE REPORT TEXT Interpreted By:23154 BURGOS, RICARDO MIGUEL Approved By: 23154 BURGOS, RICARDO MIGUEL Approved Date:20090917091500 Report Text: CHCS 09127872 Procedures: 1. MRI brain with and without IV contrast. 2. MR angiogram of the brain without contrast. 3. MR angiogram of the neck with IV contrast. Comparison: None available. MRI BRAIN WITH AND WITHOUT IV CONTRAST. TECHNIQUE: Sagittal T1, axial T2, axial FLAIR, and axial diffusion weighted images. Post IV contrast axial and coronal T1-weighted images. FINDINGS: There is mild to moderate diffuse brain parenchymal atrophy with commensurate enlargement of the intra and extra axial CSF-containing spaces. There are multiple small left greater than right bilateral basal ganglia and bilateral supratentorial white matter lacunar infarcts. Multiple subcentimeter patchy foci of T2 hyperintensity in the supratentorial white matter without diffusion weighted imaging correlate are compatible with chronic microvascular ischemic disease. Multiple large prevascular spaces are also noted in the bilateral parietal white matter. There is no acute infarct, hemorrhage, mass-effect, hydrocephalus or space-occupying lesion. Calvarial bone marrow signal is normal. There is no pathologic enhancement after IV contrast. MRA HEAD WITHOUT CONTRAST. TECHNIQUE: 3D TOF images of the brain without gadolinium. Multiplanar reformations of the brain MRA data were also performed. FINDINGS: The distal internal carotid arteries are patent, with adequate flow related signal intensity and give rise to patent bilateral anterior middle cerebral arteries. The distal vertebral arteries are nearly symmetric and terminate in a patent basilar artery and demonstrated posterior fossa branches. There is no evidence of flow limiting disease in the circle of Willis. There is no aneurysm larger than 3 mm, flow-limiting disease, or evidence to suggest vascular malformation. MRA OF THE NECK WITH IV CONTRAST. TECHNIQUE: Post IV gadolinium first pass MRA of the neck from the aortic arch to the skull base with maximum intensity multiplanar reformations. FINDINGS: There is a normal anatomic branching pattern of the brachiocephalic vessels from the top of the aortic arch. The brachiocephalic vessel origins are patent. The bilateral common and internal carotid arteries and the carotid bifurcations are patent, without flow limiting disease. The vertebral arteries are symmetric and terminate in patent vertebrobasilar junctions. The basilar artery demonstrates normal contrast enhancement. IMPRESSION: 1. No acute infarct, hemorrhage or MRI evidence of acute intracranial pathology. 2. Findings compatible with chronic microvascular ischemic changes, as well as small chronic lacunar infarcts in the bilateral basal ganglia. Please correlate for cardiovascular risk factors. 3. No flow limiting disease in the circle of Willis on MRA of the head. 4. No flow limiting carotid artery disease on MR angiogram of the neck with IV contrast. Amended Result Code: 9 SEE REPORT TEXT Interpreted By:23154 BURGOS, RICARDO MIGUEL Supervised By:23154 AO4 Ricardo M. Burgos, ARMY Approved By: 23154 BURGOS, RICARDO MIGUEL Approved Date:20090917091500 Supervised By: 23154 AO4 Ricardo M. Burgos, ARMY Report Text: CHCS 09127872 Note is made of a small chronic mucous retention cyst in the floor of the left maxillary sinus. Notes: TIA Approved By: BURGOS, RICARDO MIGUEL Reading Radiologist: BURGOS, RICARDO MIGUEL Transcription Date: 17 Sep 2009 @ 0916 Supervising Radiologist: Supervised Date: Final Report Verifier: BURGOS, RICARDO MIGUEL Verification Date: 17 Sep 2009 @ 0915 Facility: TAMC, HI Amendments CHCS 09127872 Note is made of a small chronic mucous retention cyst in the floor of the left maxillary sinus.

Greetings I have attached a portion of my recent Appeal Document from the BVA regarding my granted, remanded, and denied service connected conditions. Please take a look at it and let me know how you think the VA will rate my TIA condition. ThanksBest RegardsChiefhouse00 Appeal Document 2 May 2021.pdf

GreetingsRecently, the VA completed a regulatory and procedure review of my six remanded claims. Has anyone received favorable results from a regulatory and procedure review? I will get the decision in the mail soon. Any comments will be helpful.Remand Service connection, Degenerative Arthritis (Denied decision was vacated by the USC of Appeals last year) Service connection, Bunion Increased rating, Lumbosacral or cervical strain Increased rating, Sciatic nerve paralysis Service connection, hemorrhagic stroke Increased rating, Diabetes Best RegardsChiefhouse