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broncovet

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Everything posted by broncovet

  1. Welcome to hadit. Now, some bad news and good news: First, the bad news: You probably dont understand it. VA compensation is paid "in arrears". Nobody gets paid because they think they will be disabled next month. Instead, you get paid for last month. And, VA "does not pay" a part of a month. Full month or none. Therefore, if your effective date was April xx, then your first check would be the first day of the month FOLLOWING APRIL, (aka May)or the first of June. Dont feel like the lone ranger, most vets get it wrong by a month, for reasons I just posted above. Now, the good news, which could be very good. VA has gotten every one of my effective dates wrong, I appealed them, and eventually won. Shorting you on effective dates is the VA 3 most favorite thing, after delays, and denials. You should carefully review your decision and, you may well need your records at hand, to see if you should have gotten: A. A higher percentage (VA loves to lowball) B. Hornswaggle the effective date. My first question is are you working..if you are not, and it is because of sc conditions, then you should be 100 percent or tdiu. The regulations state the effective date is the later of your claim date, or facts found, (the date the doc said you were disabled). But there are multiple exceptions, and see if one or more of these apply to you: 1. If you applied within a year of your military discharge. you should get an effective date back to date of discharge. 2. If you were seeking an increase. 3. If you submitted new evidence. 4. If there was a change in regulations, such as AMA, pact act, etc. 5. If you are Nehmer class, or Pact Act. 6. If va committed clear, unmistakable error that was "outcome determinative". (There are probably others, but, heck, maybe Im in a senior moment)
  2. Correct, by Broken soldier. HLR "specifically excludes new evidence". I am actually not sure what happens when the Vet tries to submit new evidence to a HLR. I have "heard" that they either drive toothpicks under the Veterans fingernails until they promise never to try to submit new evidence on an HLR again, or take your first born child. Broken Soldier may know which, but I would not recommend giving up your children. There is some talk they may convert an HLR to a supplemental claim or BVA appeal, but that has never been proven to suit my taste. For now, if you do try to submit new evidence with an HLR, wear thick gloves so that toothpicks can not be driven under your fingernails, and tell your first born children to hide whenever the VA (or the FBI/police comes around. In the future, however, take NOTE: Now new evidence with an HLR.
  3. For more information read this: https://veteranclaims.wordpress.com/2020/03/08/single-judge-application-delayed-onset-tinnitus-tinnitus-can-manifest-years-after-an-underlying-cause-va-training-letter-10-028/
  4. Its a completely bogus denial, the exact same as I got. The VA is required to rate benefits "by the criteria". And, "Length of time since military service" is NOT one of the criteria for Tinnitus. You can look it up. People who understand hearing loss understand that hearing loss is "progressive" from the time of exposure. That is, you get exposed to a loud noise, and it negatively affects your hearing/tinnitus. Typically, hearing loss in many people declines around 5 percent per year. The "length of time" since your exposure in military service, again, is not one of the criteria to award deny. Could they deny you because you have purple hair, listen to rock music and play xbox? No, that is not part of the criteria. Its a "fairness" issue. Otherwise, VA could deny based on the color of our skin, our sex, nationality, or because they dont like your handwriting. My advice, since its been over a year, is to file a supplemental claim for the benefit again. If it were me I would consider asking them to show you the 38 CFR demonstrating the applicable "length of time" since military service and exactly WHAT that length of time is? 1 month? 1 year? 20 years? Where does it say that. This is likely a Clear, Unmistakable Error. Why? Because there is no criteria in the regulations which limit the time since military service. However, I would issue CAution with CUE. CUE has to be "outcome determinative". To get SC for tinnitis this is what you DO need. 1. A diagnosis by a competent audiologist of tinnitus. You probably have that, but check your medical records. 2. An "in service event(s) which", in your case, would likely be the ships logs demonstrating your exposure "to 5 inch 38 caliber guns". And or buddy letters, where one or more of your buddy's can testify that he was around when you were exposed to especially loud ship noises such as gunfire. 3. Last, you need a nexus. This means your audiologist needs to opine that, in their professional medical opinion YOUR tinnitus is "at least as likely as not" due to loud noise exposure from 5" 38 caliber guns" while in military service. Get the Caluza elements, which I described 1,2,3 above, and get service connected. THAT is the criteria. But, it would not be CLEAR error "if" for example you did not have a valid nexus as in number 3, above. Thus, your "Cue" would fail, as it would not be outcome determinative. In other words you would still be denied, but your denial would be based on not having a valid nexus, not because of the length of time since military service. While you are at it, consider filing for an increase in hearing loss, and/or perhaps other service connected related conditons. Again, Since 2020 there is a great chance your hearing loss worsened and it can not be service connected, or the percentage increased. Further, its well known that hard of hearing people suffer from depression. VA had a pamphlet out years ago, which explained that hard of hearing people suffer from depression. The VA quit publishing the pamphlet, because they did not want too many Vets getting SC for depression secondary to hearing loss. To get service connected for depression secondary to hearing loss THIS is what you need: 1. Service connection hearing loss. 2. A diagnosis of depression and a letter from your doctor who makes an opinion that its at least as likely as not that your depression is related to your Service connected hearing loss. Im hearing impaired. I can not understand my grandchildren, nor can I communicate with them. Their voices are so high I only hear maybe 30 percent of what they say, not enough to really carry on a meaningful conversation. Its depressing not to be able to have a relationship with your grandkids because your can not communicate with them. I get it completely. To add. You should get SC for tinnitus, assuming you have, or can get the Caluza elements I described above. And, you should get retro back pay back to when you applied. If you get awarded, but not back pay back to 2020 then ask on hadit and we can show you how to appeal the effective date.
  5. You may well need this with a power chair. Of course, I have not seen your home. For ME, I love the idea of a walk in shower/tub, because I know lots of people get injured falling in the shower. And, I read where a broken him, sometimes caused by falls in the shower, can be devastating. I read somewhere that about 50 percent of people over 70 who break their hip do not survive more than 2 years. My father in law broke his hip. He was gone in less than a year. Having a very safe bathroom/shower so that you dont have to step high over a tub can literally be a life saver for some vulnerable people. I think the walk in shower/tub would do that, if correctly installed.
  6. The Caluza elements with secondary conditions are abbreviated to 2: 1. Current diagnosis of condition applied for. 2. Nexus, or doctors opinion that your current condition is at least as likely as not related to one or more of your already SC conditions. You need not establish an in service event, as that has already been established with the primary condition. In addition to SMC, some Veterans who are 100 percent P and T sometimes persue other claims for purposes of their family. That is, DIC will be paid to your spouse under 2 general conditions: 1. If you die of a Service connected condition. OR 2. If you die of any condition after you have been 100 percent P and T for 10 full years. Apart from SMC, and your family, personaly I would not put up with the VA to get additional ratings just for fun. While it would offer some additional protection against a reduction, that is generally negligible in most cases when you are already P and T UNLESS you have returned to work full time.
  7. Few people, if any, ever regret applying for an increase. The worse that can happen is that it gets denied, and you can always appeal. Its an old wives tale that if you apply for an increase you will be reduced instead, and its inconsistent with regulations. Anyone can get reduced, whether or not you apply for an increase, "if" your conditions improve to the extent of the following regulations: (Its actually hard for the VA to reduce you if you are P and T or over 5 years, as the following regs show):
  8. It takes medical evidence to win claims...whether it be c and p exams or from other competent medical evidence. You could/should ask for a copy of the c and p exam, and you should read it and know if its favorable or not. Absent a medical professional's opinion that your conditions are at least as likely as not due to an event in service, the chances of service connection are near zero. If this is a claim for increase, then you need medical documentation of your symptoms worsening. You posted: If you are 100 percent P and T, the only way to get increased compensation is through Special monthly compensation, and you should focus on that. "One way" to get SMC is to have a single 100 percent rating plus additional ratings seperate and distinct combining to an additional 60 percent. This would be good for SMC S, which is good for about another $450 per month.
  9. The form to apply for aid and attendance and SMC S (housebound) are on the same form. My advice is to fill it out, as well as apply for an increase on your disabilities which may have worsened as well as other conditions which may have been caused by a service connected condtion, such as meds for high blood pressure. Here is the form. Read the directions: https://www.va.gov/find-forms/about-form-21-2680/#:~:text=Use VA Form 21-2680,monthly compensation or pension benefits. Specifically the regulation says you CAN be granted the benefits "if" Aid and attendance is provided by a family member. https://www.law.cornell.edu/cfr/text/38/3.350 Source: https://www.law.cornell.edu/cfr/text/38/3.352
  10. We may be able to give a more precise answer, if we have a more precise question. Example: I went to my VAMC in Boston on April 24 and had a c and p exam done. (I had filed on Feb. 1, 2024). I checked at my "release of records" at my VAMC and the records were there. How long will it take for VA to receive the information? My Answer: Since the c and p exam is in the system, you probably have a copy or can go back and get one. Then, you can send it to Janesville yourself, and, perhaps speed up the process. Since I cant tell "where" your medical opinion is in the process, its impossible to give more than a guess as to when VA will receive it. Its unclear if the doctor has processed it, or if its a contractor or VAMC exam, or if the exam is available for you to copy and send in yourself. "Many" people work on your claim. Doctors, contractors, raters, claim processors, administration, medical records, and more. Perhaps, a more relevant question would be "what can you do" to speed it up?" For an answer to that question, re read the above, as well as below. You probably want to get a copy of your file. One way is to get a VSO with VBMS access. VBMS access should give you "real time" access to your file, so you would/should know what is going on in real time. To get this, you can sign up with a VSO (grant him/her your POA (power of attorney), but dont do that, until you get an affirmative answer to "Do you have VBMS access"? Not all VSO's have VBMS access. There is a process and hoops to jump through before VA will grant access. Not all VSO's are willing/able to do this. Pick one who will/has already done it. If they dont have vbms access, ask them to direct you to a vso with VBMS access. Once you have a vso with VBMS access, you can review stuff like c and p exams, especially with a VSO with some experience who knows what is going on with a cfile and vbms access and what you need to get your claim approved. Another great question to ask a potential VSO: "Can you help me get the Caluza elements?" If he does not know what the Caluza elements are, go to the next VSO. Caluza elements are the 3 main requirements for service connection: 1. current diagnosis 2 in service event 3. Nexus. A clueless VSO can do more harm than good.
  11. I dont work for VA, but I dont think there is a seperate form for this, just list them and list "chronic multisymptom illness". Just file. Since you are already at 90 percent, this will be an increase. Are you working? If not, consider filing it with TDIU, if you think the reason you are not working has anything to do with SC conditions, "whether or not" the VA has yet recongized them as SC or not. You stated something about they are "all on record at VA". Good. But, are you sure? Have you gotten a copy of your records and do you know they are complete? If you have, good, you are ahead of the curve. If not, you have some alternatives: 1. Do nothing. Not recommended. "Assuming" va has all your records (like I did) led to disappointments and delays. And worse. Denials. 2. Be proactive by doing one, or more of the following: A. Make an appointment with your VSO "who has VBMS access" and review your records, and make sure they are complete, including c and p exams, "in service events" which may have led to service connection, such as in service medical records documenting an illness or injury. B. Order your own copy of your records (if you dont have them) and keep them. When they arrive compare them with the VBMS records and send in new relevant evidence which may be missing. C. You may also be able to get paper copies of at least some of your records at your local VAMC, if you ask at the "release of information" office. I have done all of the above, over the years, "beginning with number 1. (big mistake). I was a shreddergate victim, and did not know it. Many, many Veterans have had key evidence "mysteriously disappear from their file". Yep. I assumed "that wont happen" with VA. Boy, was I ever wrong.
  12. Stop worrying. It wont help. It sounds like you already have an attorney who is looking out for you. Generally, once you give the law firm POA, they dont call you or even inform you each time they file a document, to include a HLR. It sounds like you "not only" have retro coming, but you also may have still more Retro, with the DTA (duty to assist), because, it sounds like there is "something" in those federal records the VA failed to get that will help you. Under 38 CFR 3.156 C, New Service records, when VA finds service records related to your claim that were not previously available (for whatever reasons, it sounds like the previous reason was laziness) then you get an effective date back to when you first applied, if awarded benefits. While I have not reviewed your file, and your attorney has, this could well mean more retro for you. Instead of worrying, you can start thinking of what you will do with your retro. I recommend you do that. When I knew mine was coming, but I did not know how much, I did a "3 tiered plan". I knew the retro could be up to about 100kplus. I also knew it could be less. So, I built a financial plan that went something like this: A. Retro 5000 to 25,000 Tithe to my church. Pay off bills. From that left over, Save 50 percent. Enjoy spending 20 percent of wants, such as take my wife on a trip (short). B. Retro. 25000 to 50,000. Tithe. Pay off bills. From that left over. Save 50 percent. Invest in dividend stocks. Take wife on longer trip. C. Retro 100k or more. Tithe. Pay bills. From the left over. Invest. Go on a longer trip. Consider new car. Sure enough, the retro was (C).
  13. The VA has a duty to maximize your benefits. Further, the maximum "is not" 100 percent, contrary to a popular myth. 100 percent is about 3737 per month, while SMC R2 is over $10,000 per month. Therefore, 100 percent "is not" the max benefit. "Within reach" for you is "at least" SMC S. SMC S, (statuatory) whenever the Veteran has a single 100 percent (tdiu counts) plus additional disabilities that combine to 60 percent seperate and distinct. You may even already be there. I have not reviewed your file, nor your disabilities so IDK, but the Board has. Thus, at a minimum, the BVA wants the VARO to "adjuticate" SMC S, that is, to consider you for it. (Its about another 450 or so per month). A service connection for OSA would almost certainly put you at SMC S, if the other rating(s) did not. Remember, they have to be "seperate and distinct", and I dont know about that. Service connection for SMC is inferred. That means the VA is supposed to award it, whenver you meet the criteria, that is, you do not have to apply for it. Its presumed you want it once you reach 100 percent. This said, if SMC has not been awarded, you can still apply. It wont be the first time VA failed to adjuticate or award SMC, even tho they are supposed to. This is regulation, and the Board insists the VARO follow regulation and adjuticate SMC. Generally, when ever you are awarded a single 100 percent, the VARO should adjuticate SMC S. Thus, the Board remanded the claim to do that. You can read the decision, it should specify the reasons for remand, but, for sure that is one, based on your post. In short, its good news, you could/should be getting additional compensation and/or retro. Now, if you have "loss of use" of hand, foot, reproductive organ, eyes, ears, etc. OR if you need help of others for ADL (daily living activities like bathing eating, dressing, etc, then you could should be eligible for aid and attendance. You should apply for any of these if you need A and A, have loss of use due to Service connected injuries.
  14. Lemeul: While it is possible that VA insists on a single company VA wide, that would raise some big red flags with competitors and they would likely complain to their congressmen. I cringe whenever I hear "I was told". You were told that by who? Were they authorized to tell you that, such as the VASEC's office? While Possible, Probably not. More likely the person who said that may have some incentive to lead people to a certain VA provider. VA, for example, has many different kinds of VAns to transport Veterans: Chevy, Ford, Toyota, Dodge, ETC. The VA does not have an "official Veteran transport VAn" of any particular make. The other companies would scream bloody murder. I would not blame them. The US government purchases many government vehicles each year, and buys many brands, virtually never limiting it to a single brand. As a sales person of supplies sold to companies, I once called on the VA hospital in Grand Junction, Colorado. I was offered for my company to Bid, the bids were so low, they were below my company's costs. However, Between Denver, where most products come from, and Grand Junction is the continental divide, a huge mountain often closed with snow or even avalanches in some places. I knew that. So, I got business from VA by simply telling them, "if your supplier cant make it across the mountain, call us, we are local and we can supply you the same day". The comepetitors cant do that because we were in the same town, and they were hundreds or thousands of miles away. Even tho we were not price competitive, we got orders every time the roads closed and VA was out of supplies. They were appreciative, as patients, and employees, were not happy, for example, when there was no toilet paper in the hospital because of a road closure, which happened sometimes 2 or 3 or more times per year in most years. They had the flexibility to buy from pretty much who ever had it when they needed it. My boss was stunned and amazed I got business from VA, tho not every week, but over a years time, they ordered a lot from us. All of the sales people told me, "Dont bother calling on VA. You never get anywhere with them. You will get in a bidding war which will go nowhere". I did not listen to the naysayers, and my boss was thrilled.
  15. Yes, it would likely take congress change. VA has a built in system, where delays profit VA, at the Veteans expense, so we wonder why there are so many delays. If I got paid for delays, I would make sure they were plentiful also.
  16. Go for an increase AND for SMC. (They could be one and the same). Example: SMC S is a single 100 percent, plus an additional 60 peercent, (combined) seperate and distinct. While I dont know what your other disabilities are, this increase "could" get you SMC S, and an extra 450 or so per month. OR, if you have "loss of use" of your foot. (And I dont know that), then ask for that as an increase also. SMC for a foot loss of use will help, depending upon the rest of your disabilites.
  17. The VA is gonna require MEDICAL EVIDENCE for service connection. Not your opinion, not my opinion, and not the presidents opinon..but a medical opinion. Your doctor has just pretty much told you what you need to do to get Service connected. You do not have to take his advice, BUT, if you do want to be service connected the easy/best way is to take his advice, and the hard way is to disagree with him. This is especially true when he pretty much told you if you apply, he will provide the medical evidence necessary for your claim to suceed. If it were me, and, I was looking at the same thing a number of years ago, and, yes, I took my doctors advice and it was the best thing I did. He provided a nexus, which is "the" evidence I needed for service connection. Your doctor has "handed you the W" (win), and, yes, you can be too proud to take it, but some point down the road you will likely regret not taking his advice. Two choices: 1. Take the doctors advice, and get service connected. Let's assume you are right, the doc is wrong, for a moment. Call the VA, tell them you feel fine, you have no problems with pact act or toxic exposure, you are able to work just fine, and dont need disability compensation and they can keep their money and you have a good job and dont need it. GReat. 2. Decline the doctor adivce. Now, 2 possible things can happen: A. The doc is right, you need compensation are sick and need benefits. Now, you have to try to undo the mistake you made trying to decline the docs advice. That may not be easy to back off. B. You are correct, and, again, you dont need the money, are not sick, and dont need the compensation as you can make good money working a job as you feel no ills from toxic exposure. The hard way to is to fight the doc. The easy way is to embrace the doc and do what he says. Many Vets would love to be in your shoes. They have to fight the doc. The doc is trying to talk them out of pact act, applying for SC. Your doc is giving you a gift. Accept the gift, and if it turns out you dont need it, well, give it back. Your doc has seen many patients and understands the progression of the disease and you probably dont. He is acting in your best interest.
  18. While Im not sure of your health records, nor your disabilities, many/most Veterans seek "at least" 100 percent as the goal, "assuming of course" that you are unable to work. Remember, VA compensation is used to compensate us for the loss in earning capacity due to a service connected illness or injury. Thus, if you are unable to work, the idea is to get to 100 percent or more. Yes, there is "above" 100 percent. Its a common myth that benefits max out at 100 percent. Example: 100 percent, for a married Vet is $3946 per month, while an SMC R2 is over $10,000 per month. If my grade school math teacher was right, $10,000 per month is "much more" than 100 percent $3946 per month. Almost 3 times as much. 100 percent "is not" the maximum. Above 100 percent, you seek special monthly compensation, and, of course, not everyone qualifies. My advice is simply to seek an increase "and" convalescent rating for your TKR. You could be awarded one, none, or both. Your conditions have obviously worsened or else your surgeon would not have recommended TKR. (My opinion, only). Dont forget disabilities that you may be aware of, but wasnt sure if you could get those SC, also. Arthritis, for example, often comes with knee issues, and sometimes spreads to other parts of the body. As always, however, as you pointed out, yep, you will have to deal with the VA. YOu may get lucky and get awarded benefits from the get go, or you may get an ornery rating speciallist who makes you work for it and appeal, like I had to do. While it did take significant time and effort on my part, I can tell you few things worthwhile are ever easy. And, the harder it is to get benefits, the sweeter it is when you do get the victory. Wild card: Your family. Your kids can get DEA Chapter 35 education benefits when you get to 100 percent P and T.. My son got his bachelors degree on it. Further, your spouse can get DIC when you pass from a SC condition or from any conditon if you are 100 percent P and T for over 10 years. DiC means "about" 1500 or so per month to your spouse. Your comp will not continue after you die, but the DIC should take care of her. So, to take care of your family, you really should try to get to 100 percent P and T. Education for kids, DIC for your wife. Its a huge deal, not to mention being able to take care of yourself, and not have to ask your kids for money to make ends meet. Remember, inflation will go much fasster than Cola. My advice is to check your health records and apply for any all benefits that you think may be able to be SC, to include an increase, and or tdiu if you are not working. The sooner you apply, the sooner you can start getting paid. And the sooner you can start on your "10 year" for Dic, I explained above. Finally, as your kids get too old, they are no longer eligible for education benefits. Its age 26, I think is the max age, but that could have changed.
  19. While I agree with Lemeul, in that Vets are shafted: We pay interest on Taxes and Veterans loans, but get no interest from the government on money due to us. Its not right. However, CCK law "may" not be willing to take the VA on this one. More likely, Congress would have to change this. And change it they should. There is a "built in financial incentive" for VA to delay our claim. Please allow me to explain with 2 examples, all of which benefit the government none of which benefit the Veteran. 1. The Veteran applies for benefits. The VA takes 20 years to approve, and pays the Veteran, but not in money from 2024, but instead in 2004 dollars, which are paid to him in 2024. He should get paid, (looking at 100 percent) comparing it to 2004 rates: 2004 rate $2299 2024 rate $3737.85. This means the Veteran looses $1438 per month or $17,256 per year, times 20 years or $345,120 worth of interest...all because the VA delayed the Veterans claim for 20 years. 2. The Veteran applies for benefits. The VA again takes 20 years, but the Veteran dies and the spouse is unable, to weak, or does not understand she must file a substititution of claimant. The Veteran and his family losses, including interest 3737.85 times 240 months (20 years) $897,084 In all cases, the VA makes money, lots of it by simply delaying the Veterans claim as long as possible, sometimes more than 20 years.
  20. Its quite possible, but its up to the judge. "If" the judge decides you were disabled "earlier" on the newly applied disability, then yes you could/should get back pay. Its all gonna depend upon the facts of your case, and we have not reviewed your file. In my case, I was 100 percent effective date 2006. I was appealing tdiu. Eventually I was granted tdiu, effective date 2004, so I got 2 years of 100 percent back pay. Of course, the details of my case are far different than yours. The effective date (which determines back pay) is the later of the facts found (which generally means the date the doc said you were disabled) or the date you applied. I dont know what date you applied, and I dont know when the doc said you were disabled. There are, however, multiple exceptions to this general effective date rule. Some of the exception to the general effective date rule are: 1. If you applied for benefits within a year of exit from service. 2. If this was an application for increase. (you should get an extra year) 3. If new or relevant evidence was involved. (38 cfr 3.156). I have no idea if you submitted new evidence within the one year period or not. Example: Lets say you went to a c and p exam on Dec. 1, 2023. The doc said you were disabled but did not give a date. So, the VA used Dec. 1, 2023 as the "facts found" date. You hire a smart attorney. He notices..Gee, you have had this same problem documented in your medical records since 2004. So, he hires an IMO, who reviews your file, and notes that you were disabled in 2004, as so stated in his review of your medical records. Then, your facts found could be 2004, 19 years earlier. This could be new and relevant evidence, as you were within the one year period. More on effective dates here: READ TO SEE IF YOU MAY GET AN EARLIER DATE: Its possible reading this could means thousands, or even hundreds of thousands of dollars to you. Let us know if you see something that applies to you and we will try to guide you. https://www.law.cornell.edu/uscode/text/38/5110
  21. Also, you should be eligible to temp 100 percent, provided that the knee was service connected. If you are already service conncected at 100 percent, you should get another 100 percent convalescent (temp) for the knee replacement. Generally, that means you should get SMC S, or about another 450 per month, for a year. It will likely be re evaluated at after a year. That is the way convalescent (temp) ratings work. Get meals on wheels, if you can while you are recovering. You are probably not going to be able to cook hobbling on a walker. To apply, fill in the application form and ask for convalescent 100 percent for TKR. IF SC, you should likely get it. The sooner you apply the sooner you are likely to get paid.
  22. I have had a TKR. (AT VA). I got an excellent result. (year 2017). My advice: 1. Vette the Doctor. Look him up. Ask other patients. Check reviews. Do not skip this part. A great doc often gives you a great result. A poor doc often gets a bad result. Make sure you have the spelling of the doctors name. If in doubt, consider another surgeon. 2. Be ready to commit YOUR part. YOU will need to commit to the physical therapy. Many start physical therapy BEFORE surgery. Good habit to get into, and strengthens the knee..stronger knees heal better and faster. If you are not willing to commit to the physical therapy, then rethink your surgical committment. You can put it off...up until the last day. 3. Have someone lined up to care for you "for at least" one to 2 months. (live in). My wife is a retired nurse, and she was fantastic. Dont even think about getting the surgery and then going home alone. You will re injure yourself, if the doc would even allow it. You will also need someone to drive you home. They generally wont let you drive home the day of surgery, you are under the influence of way too many pain meds. Dont even consider it. My doc did not release me to drive for about a month, as I was on pain meds. 4. Go to physical therapy and actually do the in between sessions they will give you. Dont skip them. Yes, they hurt. Do you want to gain use of your knee or not? It does come at a cost. Yes, it hurts to bend that knee where it does not want to bend, but yes it needs to be done. The better you do your PT, the better your knee works. Its a fact. 5. You will likely be given or need to get a walker. yep one of them old people things. USE it. Ditching the walker "too soon" is a common source of injury. Wait until the physical therapist says you are ready. 6. Follow the advice of your doctor, and physical therapists. If you dont get a good result, but dont do what they say, who should you blame? Things can go wrong. But dont make the things that can go wrong YOUR fault, by not doing what they tell you. The day I got my surgery, they told me, "Dont walk anywhere without help. Call for a nurse if you need to use the bathroom or need anything." Well, I had to use the bathroom. Sure its only 5 steps, I can make that, right? Wrong. I made 1 step, fell on a new surgery. My wife had gone for a soda or she would never have allowed that stupid mistake. My wife came back, I was on the floor. (I could not get up with new surgery). It was 100 percent my fault. But, I was under the influence of strong pain meds. I know better now. I learned the hard way. Nothing was broken, but I upset a lot of people. A fall is serious in a hospital. They xrayd me to make sure nothing was broken. (I would not have known, I was completely numb with pain meds). Be sure to ask questions. Stupid questions are much preferred to stupid mistakes.
  23. I almost forgot. Get a tape measure, and measure your bathroom door width, as well as the width of your bedroom door, front door, etc. "If" you need the chair to go to the bathroom, and only you can answer that, then the chair needs to fit through those doors, so, if your door is 30 inches wide, for example, then you can tell them you need a chair that will clear 30 inches. The width of the chair can be super super important, depending upon the width of the doors in your home. Of course, I dont know how wide the doors are in your home, but some have "standard" width 32, or 36 inches, while, especially older homes can have almost any width door. Measure the door opening with the door wide open, as some doors simply wont open all the way for various reasons. The "size of the opening" is important, not necessesarily the size of the door. This is especailly true with bedroom and bathoom doors where the door wont open all the way. Its possible you need modifications to your home to accomodate a power chair. And, this may be a good time to think about those, also. You could (or should) call a local reputable contractor and ask them for a quote assessment to see if your home would work for a power chair, if in doubt. There should not be a charge for an inspection to see if the doors, hallways, bathrooms, etc need modifications. And, if so, how much those would cost. If you dont have "grab bars" to keep from falling, in/near the shower, those should likely be installed BEFORE you fall and break something, rather than after. You probably know if you have stairs/wheel chair ramps. Popular with seniors is the "walk in" shower tubs. People sometimes get injured stepping over a bathtub/shower. A walk in shower tub is a much lower step so you are less likely to lose your balance. And, of course, you can sit down in the shower. Your local "medmart" type of store may be able to help you with some of these things. Consider asking for "meals on Wheels" if you are not able to cook healthy meals, and/or you dont have someone to cook for you. Your health will go down fast if you eat poorly. I think you may have mentioned you get A and A, if I recall. Hire the help you need. You may be able to get some help through community (senior) services, not necessarily just VA. My wife got a total knee replacement on Jan. 10, and I asked for, and got meals on wheels for 90 days. We get them for both of us. (She's 73, Im 72 this year.). I really did not want to cook 21 meals per week. We got the meals on wheels by asking her social worker at the hospital where she got the surgery, when she got discharged from the hospital. (Its the community, not VA). Take any advice that helps, disregard that which does not apply to you. I wont be offended either way. Our church is wonderful, and people their bring us meals while Rhonda was "down" with surgery and I was also down with a bad cold. We have many friends there, and have helped others, and they are more than willing and cheerfully they help us when we need it as well.
  24. You can find a source, for regulations on Aggravation (of a pre service disability), here: nowva.ebenefits.va.gov/system/templates/selfservice/va_ssnew/help/customer/locale/en-US/portal/554400000001018/content/554400000180483/M21-1-Part-V-Subpart-ii-Chapter-2-Section-C-In-Service-Aggravation-of-a-Pre-Service-Disability If it was "just" aggravation, EVERYONE should get service connected for aggravation, because, getting service connected and dealing with VA is most certainly frustrating and aggravating.
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