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Rockhound
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Posts posted by Rockhound
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John999: I served about 3 3/4 years and had just been recommended and approved for re-inlistment under the Navy star program, to attend Deep Sea Diving School. I was thinking of going into deep dive medicine, but I couldn't take more than 100 ft depth of water pressure so I was looking at my options when I had my psychotic episode.
If anything, my record was pretty good, my personal evals were average to above average and I was advanced in Rank to E-4 by my second year in service. I had my NAUI scuba diving certification, and was one of two to be chosen to attend a Police science class at a Police Academy at my last duty station. Marks were good and attitude was excellant. I was even Recruit Chief Petty Office of the Military Training Office in Boot Camp while keeping up with my schooling and training classes. Oh yea, since I didn't have enough credits in high school due to being some physical illness, I opted to join the Navy. I got my G.E.D. about mid way through my time in service.
With out sounding to conseted, I'd say I was a better than average, highly motivated Sailor and was looking forward to another tour of duty. Once I would have settled on a school, I completed it, I would be advanced in grade again to E-5. Not exactly someone who had a personality disorder, inadequate type. Maybe more like an A type over achiever, but I still had friend and dated, keeping a normal social life.
Yea on the Meds, Serentil and Mellaril, both to treat schizophrenia. Three months in the psychatric ward with a short time home to attend my fathers funeral, which even today I feel was my fault he had a heart attack, having his youngest go nuts like I did.
Rockhound
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My Dr.'s are reluntant to write anything other than to list my current diagnosis. In order for it to do me any good, they would have to request my C-File, to review the pertinent medical files in order to make a nexus statement. I can provide the same records, but how do you prove to the VARO that your records are as complete as yours with out them being able to compare the two?
I would like to just take everything from when I was in the Navy up till the C&P examiner's report and see if they determine from that, that the personality disorder was either wrong or at least not used as an alternative diagnosis. Once that is done, the rest should come easy.
Next week I am going to check with the state run Adult Mental health Services. It a sliding fee service, but the original intake, I'm told takes four hours. but I got nothing better to do I guess.
rockhound
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I am being treated by the VA for my depression and that is all they are doing for it, They give me a pill for that, for sleep, and for the schizophrenic thoughts and ideals.
As far as the VARO is concerned unless I get a Dr to say otherwise, is that my Adjustment disorder with major depression and anxiety is the product of my NSC problems, not that my existing AD with depression and anxiety is worsened by my NSC problems.
I'm sort of over a barrel right now, since I don't have the resources to get an IMO for any of my claims SC or Not. Even the Adult Mental Health Center here is Fee basis, which means I will have to spend some money out of pocket, regardless of having Medicare and with my winter bills, well lets just say, I'd even go to all the trouble to pick up a penny if I saw it, I am that strapped for spendable cash.
Rockhound
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Thanks guys, I've read in some court decision that medication/treatment shows that you were treated for a condtion you may claim and the VA doesn't but kind of what your saying is that the VA can care less.
Since leaving service, and up till after 2001 or so, I have only been treated briefly for depression, which up till then was kind of managable, if you call having more than a dozen jobs, only two of those for any length of time, a lousy period in College, three failed marriages, no kids thank goodness and moved back and forth between two states and one foriegn country, if you call that managing it.
Talked with AMVET today, the guy was the supperviser for this area and he didn't even know what filing of Equitable Relief was, besides he wouldn't even answer any of my questions with out first I sign a POA to represent me, since I went through DAV back in 2004 for my last claim, who did jack &%#$ for me, except mess everything up. They only had a temporary guy their then and they still only have a temporary guy now. This AMVET guys supposed to have 20 years as a SO but I was kind of turned off on his pushy attitude:
Get in, sign the POA, then he will tell me, how he can help me, as if to say it didn't matter what I thought or what I would like to file a claim for.
Right now the only other thing on my mind is figuring out how I am going to dig myself out of the snow we got, I have to go into town tomorrow on unrelated business and theirs no way my electric wheel chair is going to make it out to the road otherwise.
Thanks again
Rockhound
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Question: How much weight in the claims decision process does medication for a specific disease and/or disorder play?
I was given both Serentil and then Mellaril for an acute schizophrenic episode during a three month hospital stay on a psychiatric ward in the Navy, in 1973. Both are use to treat specifically for schizophrenia, but now are only recommended when at least two other types of medication are tried, because of bad side effects on the heart beat.
I am now taking Quetiapine Fumarate, which is also used to treat schizophrenia. Basically it is to keep the bezare thoughts and ideals that I get from time to time.
None of these meds are exactly a drug that you give someone to treat him for a personality disorder, inadequate type. HuH!
Rockhound
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Hey guys, I'm confused. I was going thru my paper files and came across a development letter and it says or eludes to the fact they would not schedule an exam unless my claim was re-opened. theat was to say that I could supply new and material evidence in order to get it that far.
My biggest hurdle for my main claim is getting the personality disorder, inadequate type over ruled by an IMO, so I can show a nexus of a current diagnosis of adjustment disorder with depression and anxiety was as likely or more likely as not the result of my pschotic episode where I had diminstrated at the time moderate impairment to future social and industrial adaptability.
As far as my boken nose and deviated septum and nocturnal Hypoxia are concerned, I know that if i get an increase for the broken nose an deviated septum, it will only be 10% according to the schedule of disabilities. I don't know how they would treat or score the exsaserbation of a NSC condition such as the nocturnal hypoxia, since I could not find that condition listed in the schedule. It's a form of sleep apnea, but yet its differenent.
If I could get 30% or better for both, it would be nice. although I am looking at corticosteroid nasal spray and oxygen when I sleep the rest of my life, if I don't end up with a CPAP machine eventially.
Rockhound
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LuvHIM: You must be blessed! None of my Dr's hear at my VA Hospital will give any IMO opinion, they just diagnose and treat and that's it. I've asked and their has only been one taker and that was a Psychologist intern and her internship ended before she could either look over my records I supplied her, or her supervising Dr. stopped her from doing it. I will never know.
It was VA Dr. when I had a sleep study done, who diagnosed my Nocturnal Hypoxia, with mild sleep apnea and restless leg syndrome. They put me on Oxygen and game me more meds for my RLS.
It was my primary care Dr. who put me on the nasal spray to help my breathing.
Yea, I'd say you were blessed to get a VA Dr. to give you a nexus opinion, especially one that is favorable to your claim.
Rockhound
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John999: Yea, Yea, Yea. I hear you. It's a matter of finding a specialist that will either work on consignment or take Medicare. Winter is hear and any extra money I have right now has to go towards heating fuel and electricity use increase. Living on just SSDI is a real bummer and I've tried to find a part time job, but my disabilities preclude me from just to many likely jobs. It's not that they wouldn't hire me, I just couldn't hold up long enough to do the job well enough for their purposes.
IMO are your best ticket to getting past the garbage that the VA will dish at you. I just waited way to long, wrongly telling myself I was Ok and I could make it without any help from anyone. boy was I ever so wrong. If they only had the computers they had when Hadit first came on line back in 1974.
My problem now is the bad weather we're having and the fact I have to pay for my Access rides to and from town, by the time I get what business I need to get done this coming week, my budget for transportation will be gone and I will have to wait till week after this one coming to get in to town again and hopefully find someone to take me in given my financial situation.
Anyway, I hear you.
Rockhound
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Berta: I thought I said that the nasal fracture was SC (service connected) at 0%
I know a Ear, Nose, & Throat Dr. who may be able to help me, but I'll have to check on what a consult cost will be. I assume that I will have to provide everything in my medical records that concerns both my Nasal fracture and the use of the coticosteroid and also on the Noctural Hypoxia when I go for the consult.
It's pretty much the medication and the use of oxygen that connects the two. with out the medication, I couldn't keep my nasal passages clear and open for the oxygen to do me any good.
I have to do some for resurch and reading on the matter.
rockhound
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Firts: I am SC for a Nasal Fracture, rated at present 0%
Secondly: I also have a NSC disorder called Nocternal Hypoxia, which basically means, that when I sleep and reach Rem sleep, my oxygen saturation levels drop below normal and to a level that is dangerous. I could just fall asleep and never wake up. I receive 2 liters of supplamental oxygen by way of a nasal canula to treat this condition when I sleep.
Thirdly: I use a nasal spray, which is a corticosteroid, at its highest recommended dosage, in order to keep my nasal passages dry and open. Due in part, that any amount of swelling from allergies or any other causes, will cause a complete blockage and make the use of the oxygen I need, by way of a nasal canula, quite useless.
Question: If in this case, if my NSC nocturnal hypoxia is exasserbated or worsened by my Nasal fracture, with the deviated septum and subsequant need of a corticosteroid medication at its highest dosage, can the NSC nocturnal hypoxia be then SC because of the need and delivery method of oxygen?
I hope that makes sense.
Rockhound
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Berta: Good morning I hope, not as much snow as I thought I would have by today, but until I dig out, my electric chair stays where it is at. Ever try to shovel snow from a dinning room chair. LoL You shovel at bit, then move the chair, shovel a bit, then move the chair.
My most recent claim, It is sitting in my computer as I try to recreate my files, since they went bye, bye when my computer went south on me. Would have bought a new one with a double processor and more ram memory, but I need the money for heating costs.
Thanks for the address, I'll look it over.
I'm looking for information now that deals with the use of corticosteroids at their highest recommended dose. I have to use it to keep my nasal passage clear, it is due in part that my broken nasal bone has caused a deviated septum and that I have to use oxygen at night for a nocturnal hypoxia problem. I get the oxygen by way of a nasal canola
Plan to start another thread on this subject, because of a service connected condition exacerbating a non service condition or something like that.
Cat is hungry, won't stop meowing, be back later
Rockhound
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cffour1950:
I went the route you did, I got a ncs pension first, then I took all my records and filed for SSDI.
If you win your claim with SSDI, it will depend on how much it is. I believe you have to be disabled and unable to work for 6 months before you can apply or be eligible for SSDI, also be ready to pay some of your award back to the VA, It was already done for me by their accounting at SSDI
I lost out on my Pension because my SSDI award was for more than my pension. but it was nice to get more money than the pension per month, I could still use a bit more. only got a 2.3 cost of living raise this year, by the time they got through taking out more for medicare, I made about a 12 dollar rasie. It kind of hurts, becasue the programs that help me out have income limits and they count SSDI in that figure. I can't even get food stamps, or any of the city, and county programs.
I could use a nice grant to do something about my utility needs, retrofiting for more cost efficent water heating and to get some new windows that don't leak air so bad.
Good luck on you attempts at SSDI, just make sure you have as much medical information, includeing medications that keep you from operating equiptment or machinery, Personal statements from friends or family who see how you live from day to day. The more information the better.
Rockhound
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Berta: let me see if I can make this clear, a bit slow or down today, bad storm just blew thru and dumpt a lot of snow.
Yes I get SSDI, that is Social Security Disability Insurance. I have a multitude of physical problems as well as a sever adjustment disorder with chronic major depression and anxiety. If I remember correctly, they approved my SSDI on the physical problems alone. I will have to check my award letter to see what it is, if i can remember what I did with it.
According to what I have read, all you have to do is right out a letter requesting the Equitable Relief, spelling out a statement regarding the applicable provision and a concise justification of the request, including a brief history of events, citation of the VA/Government error, Description of the loss, damage, or some other disadvantage was due to the reliance on an erroneous determination of eligibility or entitlement and a discussion of the recommended relief.
When the VA C&P Dr. wrote that his prefered diagnosis at the time was that of a personality disorder the VA claims officer took it to mean that he was offering a change in the diagnosis from the Acute schizophrenic episode to that of a PD, inadequate type, get this, associated with inadequate educational experience. "Even though I showed a high average intellectual quotient" from test I had at the Navy Hospital.
As far as the denial goes, they just say that the psychotic episode was alternatively diagnosed as a personality disorder and not a disability under the law.
The Dr doesn't even come close to saying his diagnosis is change in the original diagnosis only that on the basis of the history, it would be difficult to substantiate in his opinion a solid diagnosis of schizophrenia. How could he, The acute schizophrenic episode was in remission, only the other stuff remained, adjustment disorder, depression and anxiety that he didn't even bother to write about.
Sorry for not getting back on this sooner, it's been a day for sure.
Rockhound
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Scars are not usually life threatening, but a cyst can be, I would go for the chronic condition of the cysts. The longer you wait to get the cyst service connected the harder it is going to be. get your condtion service connect now, not down the road when you feel like it or it becomes a certifiable necessity. A couple of scars won't bring you much if any more compensation, where as if you get your chronic condition approved, you probably will. If it gets worse, it will be easier to get an increase, because you will have addition documentation from the VA for its treatment.
Just my thoughts, from a hard nose procrastinater.
Rockhound
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I too suffer from depression, Major chronic depression and have been on medication for it for over four years now. If your not on medication for your depression now, you better think of getting some, before you are completely over whelmed by your depression. I know, been their done that. Being on medication can also help raise the level of severity your depression has gotten, you'll have to check the schedule for mental disorders to see where you might be at, disability wise.
If your looking for a new GAF, you'll have to either ask for it directly. but If you want a true GAF, you'll have to act how you feel and not the way you want people to see you. having pride in ones self is commendable, but be realistic. If your dirty and missurable at home, that's the way your psychiatrist should see you.
If your looking to stop work, it would be best if your psychiatrist tells you it is time, and have him back it up in writing.
I don't think your Dr is out to get you, they schedule those appointments in hopes you will continue to go to the sessions. Otherwise they would have to give your slot to someonw else.
The groups we have here are very limited and they fill up fast.
I'm not kidding when I say, if your missurable and dirty at homw, that is the way you should look during your appointments. If you don't comb your hair at home, don't do it make yourself look nice. If you don't brush your teeth, If you don't wash. what ever you don't do at home, don't do it when you go to your appointment.
If you can't get into seeing your Dr/psychiatrist, and your VA Hospital has an emergency room, go their and ask for a social worker, tell them your having problems coping. Tell them your over whelmed. You might even think of a 72 hr commitment so you can just let go, you'll at least get your GAF and you may get some additional test to see where your at mentally wise.
If you got vacation time, use that to get away from work and use the time for a 72 hr commitment. Don't let things just snow ball down the hill on you.
Got to go, I'm sort of ranting myself, got a couple more hours before I can take my meds again. whoppee.
Rockhound
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Berta: I was three months in a Navy hospital for an Acute Schizophrenic episode. For what ever reason, I had a psychotic break and when I didn't show up for duty, I lived of base, they sent one of my co-workers to see if I was alright, it was out of character for me not to show up for duty. when he arrived I started shoting a gun at him and others. I then lapsed into a catatonic state and remained that way for about 2 or 3 days, I came out of the catatonia when I passed out in the shower and busted my nose and got the concussion. I went through all that and they tell me I have a personality disorder.
No, as far as I know I have not gone that far off the deep end since then, but it has left its mark on me with ongoing boughts with depression, anxiety attacks lousy college grades, to many jobs to count, three failed marriages, no kids thank goodness. An now my depression is chronic and major, If I try to go off my meds, I can't keep enough crying towel dry for me to use. I just loose it and withdraw from everything and everyone.
I've only gotten help in the past a couple of times, and those records are also in the C-File but they say their is nothing new or material about them and denied my claim. It only been within the past five to ten years that I have been seeing the VA on a regular basis, but they only treat my symtoms and don't care what the cause is. I think the Drs here are afraid of loosing their jobs if the write an opinion that would help a vet get disability.
I'm getting all worked up, so maybe I should back away from the keyboard for awhile.
Rockhound
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Thanks Berta, I've read it. Added another question about Equitable Relief.
Rockhound
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Berta: Yes! all this was in my claim, but I got no where with it. Since they say they didn't find it on my last exam back in 1974 it was a non issue to them i guess. I will talk to my primary care Dr. to see if I can get a C&P exam to find out if I might have TBI. I do know that I had an electroencephlagram, hope I spelled that right. LoL that showed a slow frontal region wave form and even after they took me off medication and did the tests twice more times, it still remained abnormal, and because some VA C&P Dr looks me over and asks me questions, he can see into my brain and write in his report that their is no residual effects from the TBI.
The Nasal Fracture and Concussion were delt by the same blow. I was a paitent for my psychotic episode, on who knows what drugs other than Meluril, which its use is band now, I read. I don't remember doing this, but I got out of bed to take a shower and while in the shower I passed out, falling across to another stall and busting my nose on the raised lip of the shower stall. I don't even have any idea how long I was out. but I was told I was gone just about long enough to have taken a shower. Boy did it hurt when they tried to straighten the bone.
Rockhound.
p.s. What do you think of my chances of getting a positive result if I make a request for
EQUITABLE RELIEF? . Section 503 of title 38, United States Code, authorizes the Secretary of Veterans Affairs to provide equitable relief if he or she determines that VA benefits have not been provided due to an administrative error by the Federal government or that a veteran, surviving spouse, child of
a veteran, or other person has detrimentally relied upon
an erroneous determination by VA regarding eligibility
or entitlement to benefits.
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The appeal time limit has past on my last claim, which was denied, you needn't have guessed. I am wondering about trying the process again, but I am afraid it will be denied as well with them saying nothing new and material to reopen the claim.
I was wondering about filing a claim to reconsider my old claim, but I am afraid there also, that they will say their is nothing new or material to reopen the claim.
I am wanting to sit across from a claims officer who can then point to me where it is in the records that the VA C&P Dr. stated that his current diagnosis was an alternative diagnosis to the one the Navy discharged me for. Namely that they changed a psychiatric disorder that was subject to service connection to one of a Personality disorder, which is not.
Further I wish for an explanation why the correct application of their statutes and/or regulation extent at the time were not followed that led to what I believe was an erronious decision that an alternate diagnosis was being offered?
Also why when the VA C&P examiner could not clarify a difinitive answer to the pre-existing psychiatric disorder the report was not sent back for clarification and or for further testing results?
Rockhound
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T-bird and others, I didn't think it would make a difference to anyone, least of all me. I am a returning member who, due to a complete computer melt down, I've had to re-enter quite a few of my old sights under a new login in name and user name, etc. But as I said, I began to feel like I had done something terribly wrong as I read all the posts refering this sight as T-Birds Home.
I certainly wouldn't try to go in to someones home, under an assumed name. So I shouldn't here.
I believe I was logged in as J Scott or Jim Scott aka. now Rockhound
This sight is like someones home, they pay the rent, their for they have the right to ask people to act in a civil manner and obey a few, and I mean a few rules to keep order in that house. This is not a sight that deals with free speech, it is a sight to help those who would otherwise protect your right to it. But their again, I defy you to go into one of these members home and disrespect their house rules and see how fast your &%$ gets shown the door. Although some may tolerate you, I and others I see, would not.
My apologees to T-Bird and the rest of the members. My last claim was in 2004 and after it was again denied, I had problems dealing with my depression and was so medicated I could hardly function, then my computor died. its been a long road back and I for one, casting my Vote:
T-Bird: Thank you for still being here, it is truely a miracle, given I have seen other sights that have gone offline because they got tired of dealing with flammers.
I will willfully admit that I am guilty as some, but I look upon myself as a work in progress and try to refrain from such, when I am posting. Thanks again T-Bird
Rockhound
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Ricky: I see I am not the only one who is sleepless tonight: Just took my meds so I can, but it will take a while to kick in:
I get my medical care thru the VA Hospital here, but they only treat my symptoms and only diagnose those problems I have without giving a causel link to anything that might have happened in my past.
I have a broken nasal bone that is rated at 0%. I got a concussion when I broke my nasal bone, while in-service, but it is not rated. There too, their could be causel link to my depression, but I can't get anyone at the VA Hospital to look into it. ie. CT scans of brain, electroencephlagram, etc. I also have compression injuries in neck which are pinching nerves that cause numbness and weakness in my left arm and hand, I had a test to prove this was true. which could have been caused by the severe blow to my frontal lobe of my head, when I broke my nasal bone and concussion, but their too, no one at the VA hospital wants to give an opinion on this either.
I tried once to seek services here at the Adult Mental Health Services run by the State, but their funds are limited and since I get treatment at the VA Hospital, they will not help me unless I become violent or suicidal and local authorities are called in. Likely as not, once they learn I am a Veteran, they would send me back to the VA Hospital to their psych ward.
I get Medcare, since Social Security thinks I am unable to work, mostly in part to my physical problems and medications I am on. They too, sidestepped the issue of my Psychiatric problems in determining my eligability, deciding on the merits of only my physical disabilities.
Maybe Medicare will pay enough of a private psychiatrist consult to help out. that is if I can find one who will take medicare and wants to look through 30 years of medical history. Although their isn't been nearly as much as their has been in the past ten years or so.
Rambling again I think, Rockhound
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Ricky: My understanding is that once a diagnosis is presented, such as the diagnosis the in-service Dr."s gave, must be either agreed upon and only the severity determined or that it must be dissproved to change it to another diagnosis. Since the VA C&P Dr could attest to niether, then how can they accept a seperate and present diagnosis as such a change. The Dr did not state in his diagnosis that his current diagnosis was such a change.
The C&P exam should have been sent back for clerification, not to have a claims officer made such a diagnostic leap and say their was a change. How could he interpret what the Dr was saying if the Dr didn't even say it was a change in the diagnosis.
sorry, starting to repeat myself, I get upset every time I think about this.
Maybe it is Cue for the Claims officer to make such a determination without proper documentation of the change to back his assertions, that Dr was making such a change.
rockhound
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Ricky: My appeal time has way since run out, nothing new or material to add to keep it going: They will not accept my cronic major depression disorder as part of my ongoing problem with the Acute Schizophrenic Episode where I have demonstrated moderate and now severe impairment of social and industrial adaptability because my other non service connected health issues are causing it. Besides the fact they don't even recognize the Acute Schizophrenic Episode as such, they changed the diagnosis and called it a personality disorder, inadequate type.
I had an unfortunate experience, not of my choosing, where I was slipped a Micky of LSD in some punch at a party prior to all this problem. I wasn't and nor I have I ever been a drug user, but I feel that the psychotic break I had was due to this. But I have only my word that the LSD insedent occurred. It's been a bum rush ever since. and now I have to take medicine to keep my thoughts in check or I'm liable to go off the deep end agian. The last time involved a gun and shooting, thank God and the Great spirits that pertect me, no one was hurt and no, I do not own or keep any such weapons around me. I get paniky just seeing them on Cops.
I'm rambling, so I better go and take a chill pill. LoL
Rockhound
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carlie: This is the diagnosis part of the C&P exam, I had to type it out, my page editor wouldn't work so I could not otherwise delete the personal information. If you need more information, such as the C&P request form or history summery, it will take me a while to type those out as well.
DIAGNOSIS
At the present time my preferred diagnosis would be that of a personality disorder, inadequate type associated with an inadequate educational experience. There is no evidence of any psychosis present curently. The patient does give a history of convincing visual perceptial distortions on several occasions which, by virtue of their being totally and completely visible, would suggest a toxic etiology, The events precipitating his hospitalization in June of 1973 are very puzzling. The patient did appear to be catatonic at the time of admission. However it is difficult on that basis to explain the firing of shots and the uproar which preceded his admission on the basis of catatonic schizophrenia. The fact that the patient did have a blood alcohol level of 4 mg%, the fact that he has total annesia for the events of 2 or 3 days and the fact that he has total recall after waking up in a shower stall would suggest either a disassociative reaction or some kind toxic brain syndrome. It is not unusual in acute schizophrenic episodes to have amnesia for a great part of the acute episode, however, generally there is some recall with period. I am uncertain whether there is any specific connection between the bizarre behavior prior to his admission and alcohol and/or drug ingestion. Patient does not give a history of regular ingestion of excessive amounts of alcohol or psychoactive drugs. A blood level of 4mg% of alcohol cannot be assessed in terms of its significance unless one knew at what time the blood alcohol was drawn in relation to his admission to the hospital in the emergency room. In summary my major opinions at this time are that the person does represent an inadequate personality with very modest intellectual capabilities (despite the fact that he has tested dueing hospitalization on as having a high average intellectual quotient). No evidence of psychosis is present and on the basis of the history it woud be difficult to substantiate in my opinion a solid diagnosis of schizophrenia.
Disability Access Qualification:
in VA Disability Claims Research
Posted
Sorry I won't be here to read your replies. Headed out to get re-approved by the Local agency that qualifies people as handicapped and have access to the Handicap Transit Bus System here and through out the U.S. since it follows Federal Guidlines for Handicap Access.
It's a bummer in the winter, their is about a foot of standing snow and I nearly passed out trying to dig out, took me two days just to dig from my front door to the road so the Access Bus can pick me up for my appointment.
Here's to wishing me luck, electric wheel chair and all.
Rockhound.