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Top 10 VA Disability Claims Articles

sbrewer

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Posts posted by sbrewer

    Nod

    in VA Disability Claims Research

    Posted

    If you have a C&P and the dr. list your GAF as 53, but says overall disability-severe range and social adaptability-severly impaired and occupational adaptablity-considerably impaired.....so you are given 50%.

    Before the C&P and since the C&P, at the mental health appointments the GAF was listed as 50, could you use this to file a NOD to try to get 70%?

    Thanks,

    sbrewer

    Doa

    in VA Disability Claims Research

    Posted

    Thanks Berta for quick response. He was happy to get the 0 because they at least admitted fault. He is still in pain with the toe, however he also in the mail today received an app. for pain management. Oddly enough he has been doing his own research and b-12 deffeciancy can cause a number of problems including tingleing like neuropathy. He is a diabetic and his primary care dr. put him on metformin(please read attached article)http://www.umm.edu/altmed/ConsSupplements/VitaminB12Cobalamincs.html

    She also started giving him b-12 injections and according to the neurologist she didn't do that right and only gave him 5 shots. He talked to the neurologist about it and all of a sudden she(primary care) precscribed b-12 tablet. Now we are wondering if he didn't just have a b-12 deffeicency all along causing all these problems which would mean unneccssary toe surgery to start with...He is currently filling out paperwork to change primary care dr. This is the same one that told him "she couldn't stand all these people coming there for government handouts". Instead of playing MD, she likes to pretend to be a pych, podiatrst, cardiologist, and neurologist. She also had him on Elavil for neuropathy-the neurologist immediatly took him off of it and said with his history of depression he should not have been of it.....She also had him on something for depression and the pych. took him off of it and said no to it.....anyway did you know what this meant.... $112.00 Jan.1, 2006 This is a DRO grant with no change on amend

    thanks,

    sbrewer

    Doa

    in VA Disability Claims Research

    Posted

    Okay so apparently it was DRO. He got his letter in the mail today. 0% for the left toe, but at least they somewhat admitted they screwed it up. Does a 0% mean anything?

    The front of letter stated the following:

    Monthly entitlement amount/ payment start date/reason for change

    $112.00 Jan.1, 2006 This is a DRO grant with no change on amend

    $757.00 Jun1,2006 No change on amend

    He had been 10% for 26 yrs., so why does the first line say Jan.1,2006 and what does "this is a DRO grant with no change on amend"?

    thanks,

    sbrewer

    Pharmacy Co-pay

    in VA Disability Claims Research

    Posted

    My husband was awared an increase from 10 to 50% and on the letter it said effective date may 1.

    He took the letter to whoever at the VA for them to put the effective date into the system.

    Now, we are still receiving pharmacy bills. I called for the may bill and they took care of it. Then another bill comes for the month of June, I call and they take care of it. Oh by the way, I call the National Pharmacy number on the bill. Anyway, so we get another bill for the July charges with a late fee of 1.78, so I called and the woman called back today and said they ran a HINQ (whatever this is) and they said the combined effective date was 6-1. I asked what that meant and she said he had more than 1 disability and I said No he doesn't.

    My question is would the effective date on the letter for 5-1 be the correct effective date? Does anyone else have this problem or know what the combined date is they're talking about?

    Thanks,

    sbrewer

    Tort And 1151

    in VA Disability Claims Research

    Posted

    Hi,

    What is the difference between a Tort and an 1151 claim? I know or at least I think I know, that a Tort would be lump sum and an 1151 is monthly as far as pay, but what are other differences? Is a tort harder to prove then 1151? How do you file a Tort and what is the time frame that you have to file a claim? Can you file both and if so why would you file both?

    Thanks,

    sbrewer

    Doa

    in VA Disability Claims Research

    Posted

    Thanks Berta,

    I just talked to my husband and he said it did not say DRO, so I guess we'll find out soon. I beleive when he heard from the SO Friday, that he said they would make a decision then.

    What is Dept. of Adjucation?

    sbrewer

    Doa

    in VA Disability Claims Research

    Posted

    Thanks everyone,

    I could have been a typo for the SO.

    Maybe this will help..

    the claim was denied and then the SO appeled that decision. He was then sent for a C&P and the dr. wrote "as likely as not" caused from the VA. After this, do you know who would make the decision on the claim? What is DRO? I haven't seen any paper work, this is what my husband told me that the email from his SO said that he received from him on Friday.

    sbrewer

    ? About C&p

    in VA Disability Claims Research

    Posted · Edited by sbrewer

    When you have a C&P, your c-file is also read, correct?

    To bring you up to speed-my husband put in a claim for mental increase and went from 10 to 50 within about 2 months. He also filed an 1151 for his toe. It was denied and appealed. He was then sent for the C&P for the toe. He never got a copy of the mental C&P, but did get the toe C&P. In the toe C&P under general remarks, the dr. notes "I also noted his long history of severe depression with suicide attempts".

    Question- Should he had gotten 70% instead of 50% (I do know that his GAF on mental c&p was 53)

    if so, should he appeal this decision and how long do you have before it's too late to appeal?

    I read somewhere that the GAF wasn't everthing that they go by and was just wondering about that statement which I assume is in the C-File.

    thanks,

    sbrewer

    Need Some Advice Another Denial

    in VA Disability Claims Research

    Posted

    Could this be used?

    HEY VA! HAVE YOU HEARD? July 26, 2006

    Could a connection between depression and heart problems put you at

    risk? San Francisco VA Medical Center's Dr. Mary Whooley, M.D., thinks

    so. Her recent study of heart patients suggests that depression and

    heart disease often go hand-in-hand. Dr. Whooley surveyed current

    research on the connection between heart disease and depression, and her

    findings were recently published in the Journal of the American Medical

    Association. "The majority of studies have found that depression is

    associated with an increased risk of heart attacks," she said. She said

    that the research literature shows that one out of every three heart

    failure patients is clinically depressed. Dr. Whooley noted the possible

    physical impact of depression in her article. "It may be that patients

    with depression have elevated levels of stress hormones that might

    damage

    their heart, or there may be behavioral consequences of depression such

    as not taking mediations as prescribed, not eating as well or not

    exercising," she said. "Treating depression first might help a patient

    recover better from other illnesses. According to the America Heart

    Association, heart disease is the number one killer in America. More

    than 71 million Americans are suffering from some type of cardiovascular

    disease. Research also shows that physical illness can be exacerbated

    by

    depression, causing patients to heal more slowly.

    Sbrewer

    Need Some Advice Another Denial

    in VA Disability Claims Research

    Posted

    Testvet,

    Did you have a heart stress test at the Columbia VA last Oct or Nov? The reason I ask is because my husband did in Nov. and then in Feb. this yr, he was sent a letter from the VA about the chemical used in the stress test was contaiminated. It was recalled from the manufacture after it had already been used on him. He got sick and missed 2 weeks of work and was on 3 different antibotics. He also since then has had more shortness of breath than before. That's why I asked about you to see if maybe you too had received this letter.

    Thanks,

    sbrewer

    Menere's Sysdrome

    in VA Disability Claims Research

    Posted

    Hi,

    My brother-in-law was in the Navy and was in the Gulf War. He got out I think in 1995. When he was discharged, he was told he had Menere's Disease and think he also had vertigo with it. Anyway, he can't seem to hold a job at all and might make a couple 1000 dollars a yr. if that, is there anything he can do at this point or is it too late?

    He never filed a VA claim and I don't know why.

    Thanks,

    sbrewer

    C&p Repeat?

    in VA Disability Claims Research

    Posted

    Thanks everyone,

    It looks like a 0% for hammer toe but the thing is the toe is locked at the middle joint and does not bend at all so I don't know what that would be considered. With that being said, I have another question...

    He got a copy of the C&P and there were things in it that were wrong as in the constant pain that he is in, they said he denies constant pain..not true

    And medicines...he takes Tramadol as well as other things trying to ease the pain and they said he does not take Tramadol..

    What should he do about this? Do we wait to here from the RO or can you say anything about the C&P?

    Thanks,

    sbrewer

    C&p Repeat?

    in VA Disability Claims Research

    Posted

    Thanks guys,

    I just talked to my husband who had his C&P results and the dr. wrote it "was as likely as not" that the surgery caused a hammer toe. He noted that there was no mention of hammer toe before surgery and no mention of it until 4 months after the surgery. I think this is good news, but don't know if it will rate at anything or not. This is the toe next to the big one. Any input would be appreciated...

    Thanks,

    sbrewer

    C&p Repeat?

    in VA Disability Claims Research

    Posted

    Just to catch you up to speed, Here's the story and a question...

    My husband filed 1151 for his toe which was denied and appealed.. He had a C&P on July 17. The NP that did the C&P said he could see the toe did not bend but could not say it would bend previous to surgery and it would probably be best for myself and our daughter to write a letter stating that it would bend. Well, he was going to wait and get a copy of the C&P to see what the NP wrote before we wrote our letters. Oh and he works at the VA as well, so yesterday 7/19 he gets a call from a dr. so and so who tells him he needs to come back to him for more examinations. So he went and then today he was sent back for another x-ray, which the radiologist said would be better I guess to compare it the the previous two x-rays. One was taken before surgery and one after. Does anyone know what this means?

    Thanks,

    sbrewer

    Heart Disease

    in VA Disability Claims Research

    Posted

    My husband too suffers from CAD. He had a quadruple by-pass in 1997. He has always had an outside cardiologist. He was having problems about 6 months ago and went to urgent care at the VA(he works there too), the very young Indian dr. did an EKG and said he thought his pain was from his scar tissue from the heart surgery....Of course he went to the outside cardiologist who said that was no such a thing, the kid didn't know what he was talking about. If you can always go outside for main issues. I think the VA relies way too much on young medical drs and NOT specialist..

    Sbewer

    Letter After C&p

    in VA Disability Claims Research

    Posted

    Thanks for your response..

    The C&P was done yesterday, but my husband also works at the VA, so he'll get a copy when it's ready, but the guy that did the C&P acted like we should write letters stating that the toe would bend prior to surgery. The toe is not SC and he filed an 1151 for this. I sure nothing will come of it(or I haven't been able to find anything on single toes, not great toe) but he just wanted it to at least be acknowged that the dr screwd the toe up...

    Again thanks,

    sbrewer

    Letter After C&p

    in VA Disability Claims Research

    Posted

    My husband had a C&P today for his toe. A NP did the C&P, and said "he could see that the toe did not bend, but he couldn't say that it did not bend before the surgery". So my husband asked if our daughter and myself could write a letter stating that it did bend before surgery and he said that would be a good idea. His primary care dr. knows that it would bend before surgery, but she will not write a note or say anything about it. Does anyone have any idea of how we should write this and who we should address it to?

    Any help would be appreciated.

    Thanks,

    sbrewer

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