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Master Chief Petty Officer
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Vync last won the day on July 21

Vync had the most liked content!

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About Vync

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    E-9 Master Chief Petty Officer
  • Birthday October 15

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  • Military Rank
  • Location
    Ft.Living Room, AL
  • Interests
    Family, fishing, movies, video games, gardening, hot rods, computer programming, electronics, music

Previous Fields

  • Service Connected Disability
  • Branch of Service

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  1. You are correct about this. We can trust they will do the right thing, but with the strange way they determine 30% or 50%, who knows. The migraine diary is not required, but can be beneficial if the VA gives you trouble about frequency and severity of the attacks. The VA denied my migraine claim initially, then on appeal gave me the lowball 10% rating. Between the time of my claim and denial, I kept a brief migraine diary and submitted it with my appeal. They granted me 30%. This is a situation where the VA can rate based on documented evidence. It's not like you will go to the doctor every time your head hurts. Yes, when you go to the VA neurologist, they will have you fill out a questionnaire form and add the results to your records. Having the diary is something you personally can send in to help. You might consider looking into reasonable accommodations under the ADA which could help alleviate your symptoms. There are some requirements depending on the kind of employer you have, but you can find more info at the Job Accommodation Network (www.askjan.org). Just remember they are advisors, not enforcers.
  2. It depends on which fields in the DBQ were checked. Let's take a look at the rating criteria: 8100 Migraine: With very frequent completely prostrating and prolonged attacks productive of severe economic inadaptability 50 With characteristic prostrating attacks occurring on an average once a month over last several months 30 With characteristic prostrating attacks averaging one in 2 months over last several months 10 With less frequent attacks 0 The 10% and 30% criteria are based on the average frequency of your attacks. This is why keeping a migraine diary can be very important. The 50% criteria is a bit trickier because it is vague and open to interpretation. The part that stands out is "productive of severe economic inadaptability". This is a fancy way of saying they affect your ability to work. However, it doesn't state you must not be working to qualify.
  3. Remember that VSO's are human too. There are good ones who are very thorough and some which are not as good to varying degrees. When I got out of the service in 1995, my VSO submitted a single sentence for the disability claim and said I could trust the VA to be thorough. Found out that was completely incorrect and I spent years on appeal. Keep in mind that you can file secondary disability claims for side effects of medications used to treat your existing SC disabilities. If you have no SC disabilities, you can file against the initial claimed disabilities (pending SC). It does take a considerable amount of effort, but it sounds like you are on the right track.
  4. Welcome to Hadit! It sounds like they might have considered Individual Unemployability (IU) because your service connected disabilities prevent you from being able to work. If you have a 70% or higher rating and meet a couple of other criteria, they will bump you up to 100%. When you get your award letter in the mail, it will detail all of this. If you are not considering going back to work, you might consider also filing for SSDI (different criteria) and/or exploring Vocational Rehab (for schooling or Independent Living Program depending on your situation). Also explore any state benefits you might be entitled to. Keep in mind that it should not take two and a half years after the DRO visit for the VA to get back to you. I could understand it taking a few months, but not that long.
  5. Welcome to Hadit! I'm glad you know about nexus letters and their purpose. That often is the key factor that causes trouble. Here are some good links to help you out: https://www.hadit.com/nexus-letter -and- My nexus letters stated: - Doctor described his curriculum vitae (qualifications) - Doctor explained how long he has treated me - The doctor reviewed my service and post-service medical treatment records from (start date) to (end date) - Details of the examination (i.e. labs, imaging, physical examination, range of motion including where pain begins), basically what you can find in the DBQ's provided by the VA - Nexus based on strong medical rationale explaining why your disability is related to service - Just make sure they don't use vague terms like "probably" or "possibly". "As likely as not", "more/most likely", or "due to/caused by" are the best Most VA doctors will not write a nexus, but I was surprised when I had one do it. They simply wrote one paragraph in my VA progress notes and used the correct jargon. This is rare from what I hear. You can ask your doctor to fill out a DBQ, but not all will do it. It is pretty much a C&P without the nexus or record review, but they can add a nexus if they want. Some folks have asked their doc if they would do this and then brought back the form on their next visit. There are a number of non-VA doctors who do IMO's. The first one that comes to mind is Dr. Craig Bash. A lot of veterans used him, but he is not cheap. Also, keep in mind that just because you pay a doctor for an exam, that doesn't mean they will opine in your favor. Definitely ask around first. If you can get everything tied up, you can submit a fully developed claim. The VA will review and bring you in for a C&P if they need additional exams or imaging. If you cannot get everything tied up, consider filing a claim to preserve your effective date. This is when you tell the VA you want to file for X, Y, and Z, but am still putting things together. You have a year to get it submitted otherwise the VA will just deny the issues. You could always reapply at any time. It took me quite a while to go through all of my service treatment, VA, and non-VA medical records. I made a list of every diagnosis and dates. I also obtained a copy of my VA claims file (took months) because it contained some additional information that was not present in the preceding records. This process took quite a while. I researched the VA rating criteria for each potential disability. Get very familiar with this, especially when your decision letter arrives. For cervical, the most common ratings are based on limited range of motion. Keep in mind that maximum range of motion and when pain begins are two completely different things. The VA is supposed to rate on the latter, but doesn't always do it. They are also supposed to use a special protractor (goinometer) to measure the range of motion, but some just eyeball it (could be grounds for a new exam if they deny). Allergic rhinitis ratings are based on blockage and potential presence of polyps. Sleep apnea has criteria based on hypersomolnence (daytime sleepiness) or the use of a CPAP machine. Just make sure you are compliant in using the machine. The crazy thing is that the VA considers sleep apnea a respiratory condition in most cases. If you happen to get SC for SA and the rhinitis, the VA might consider it pyramiding and grant the higher of the two ratings for percentage calculation purposes. I hope this helps. You are doing the right thing by asking questions.
  6. This is not the first time something like this has happened. A VA doc said I needed to have open heart surgery, but I demanded a second opinion and it proved him wrong. Scary...
  7. Imagine the VA almost performing the wrong kind of surgery to resolve abdominal pain. After a couple of ultrasounds, a CT scan, and an MRI scan, the VA was eager and ready to dive into my urinary tract and perform surgery. The VA diagnosed me with a kidney stone too large to pass on its own. At the pre-surgical appointment, the VA-contracted urologist looked at the imaging and determined it is not a kidney stone. He showed me on the image and pointed to a the VA radiologist's note indicating I needed a CT scan "with contrast" to figure out what might be growing in there. VA doctor's missed it.
  8. Here's a direct link to the latest VA rating criteria for dental issues (just in case the other link might be out of date): §4.150 Schedule of ratings—dental and oral conditions Does he happen to have pain or limited motion when opening his jaw, chewing, etc... ? Just asking because TMJ (9905) may apply. DeLuca (painful motion = limited motion) may also be a factor. Worth checking with a ruler. Remember, he needs just a single dental SC rating to get his dental covered by the VA.
  9. Wow, that sounds very promising Wow, that sounds very promising
  10. Regarding rhinitis, the evidence should speak for itself. I assume it could be a case of the ENT marking the wrong box and/or not completely reading the CT results. I recommend submitting the CT results as part of a request for reconsideration. If you don't hear back before your 1 year NOD clock expires, submit a formal Notice of Disagreement so your effective date is preserved. Regarding sinusitis secondary to your rhinitis, keep in mind the criteria is considerably different. They should have included their justification for denial in the Reasons and Bases section of your decision letter. Keep in mind for secondary SC, you would need: 1. Existing SC condition (you have that) 2. Current diagnosis 3. Nexus connecting 1 and 2 §4.97 Schedule of ratings—respiratory system
  11. @pmchugh7 I'm glad they finally got you taken care of!
  12. The VA sometimes can be sticklers about things like this. They might want you to have had the final evaluation in-person, not just a potentially prior appointment. Keep in mind it might be worth it to get a letter from Dr El-Khatib stating you were seen in the office and his recommendation still stands. Submit the letter as a reconsideration and hopefully you might hear back soon. If you don't hear back within the 1 year appeal timer, convert it to a regular Notice Of Disagreement so you don't lose your effective date.
  13. Good luck Hamslice! Crossing fingers!
  14. Good advice from Broncovet about being on the lookout for phone scammers. If you encounter any, be sure to go to FCC's web site and report them: https://consumercomplaints.fcc.gov/hc/en-us Adding your number to the "do not call" registry can also help: https://donotcall.gov I haven't got any calls from the VA pharmacy about my medications. When the VA succumbed to the red tape, my primary care doc simply said they could not refill any. Instead, I had to go through the VA pain clinic.
  15. Vync

    False HBP readings scam Kentucky

    During BP/temp triage, my VA nurses didn't need the BP machine indicator. They just usually told me the initial reading was too high. So, they just asked me to wait a moment and took it again, sometimes more than once. They only entered the lower of the numbers and did not indicate it took a second or third reading during triage (checked my treatment notes).

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