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sparkle

First Class Petty Officer
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Posts posted by sparkle

  1. For Example mine is rolled up into one.

    My medical description reads:

    Post traumatic stress disorder, PTSD with Depressive Disorder, (also claimed as Bi-polar disorder) 70%

    An examination will be scheduled at a future date to evaluate the severity of your service connected PTSD, with depressive disorder, (also claimed as bi-polar disorder).

    Note: if you wish, please complete enclosed VA form 21-8940 "Vet Application for increased compensation based on unemployability"..

    Your overall or combined rating is 70%. We do not add the individual percentages of each condition to determine your combined rating. We use a combined rating table that considers the effect from the most serious to the least serious conditions.

    -----

    I also have sleep apnea, so they added that to this mental condition. But remember, when they add things, it is not simple math. They take the highest number and use it as the base. then they take the other numbers and divide them by three.. so my 70 + 50 = 90...

    If they medically retire me from my job, I suppose I will do the 21-8940 to increase my pay, but I will cross that hurdle when I get there.

    Iam the same as you for all the mental disorders, just add the mst to mine. as you know i got 100% (you know i have it bad) plus P&T. all combined... i put in for the increase with unemployability. You need to have some good medical note from your pcp from the va plus IMO would help as well. I had to dot all eyes and cross all t's .... do you get ssd that helped me as well.

  2. Bravo, Sparkle - great to hear of your success! smile.png

    And congrats on a new kiddo to spend it all on.

    Hi my friend, and thank you for the congrats. BTW Kelly, do you think i may have got P&T....ebenefit is down right now.

  3. Congrats and check your state for all Bennies, free license, registration, hunting and fishing license, state parks and some states no property taxes, just depends on which state you live in!

    NJBB62, i live in Burlington, NC and all i will get from them is THANK YOU FOR YOUR SERVICE and thats about it. no free license, registration, and you better believe no property taxes benefits., thats ok been doing it without help any way.... no love lost. God Bless.

  4. Congrats for the Grand baby. That will be better than any amount of money. :)

    That is so true, i feel so good that i will be able to do some of the things grandmothers would like to do for their grand kids. cssamo thanks for the congrats and God bless you and yours.

  5. They usuaally send the E transmission to DFAS Austin by Friday if the approval signatures are there depending ont he amount of retro involved.. If they get it early enough check the Bank Saturday AM.

    It looks like it is definatly P and T. Do you have a spouse. If you do he is eligible for champ VA even if he does have medicare.

    J

    Thanks J, no spouse...just me

  6. When they get Ebefits updated, be sure to look at the Commissary and Exchange and Deers for the ID card. It is P and T if Chapter 35 is available.

    Congratulations.

    Feels good don't it. Wait til the retro hits, It will feel even better,

    J

    jbasser, i was hoping for p&t i think someone said this is the best one you can get. How long do i have to wait be for i see my retro if rep say i will get the letter by mid-week next week?

  7. Hi all, Carlie and Berta you guys hit the nail on the head....got 100% TDIU with no much exams. Amvet Rep. called me today to let me know that the rater told him that my claim will be in the system on Thurs. and should get my formal va letter by mid-week. Not sure when retro will hit the bank. Hope it will be this weekend...new grandbaby will be here next week and sure would love to get her a few more things. What's getting me is e-bennie still say in notification and not closed, I know I just need to patient. Oh, BTW, my rep also said I got chapter 35, dental, so I think I may have gotten P&T was so happy forgot to ask. so at this point do you think I may have P&T? Once more thanks to all for the uplifting words of kindness. Stay persistence and never give up the fight. will come back with update as it comes in..

    *Sparklebiggrin.png

  8. UPDATE:

    checked ebenefits today and my claim is prepared for mailing. I called my amvet rep and was told by him my claim is closed, and he would check today to see what my rating is. Letter is still the same % 40. So could anyone tell me when my money should hit the bank or will this take 3 or 4 more months. winston can be slow at times. any one have WS as their RO.

  9. Ain't God Good ? biggrin.png Congrats !!!!!

    you said it, God is good, so I put my claim in his hands and took a step back, took my hands off my claim so he can do his work. Iam so happy for Big Mac and wish him and his the best this year and years to come.

  10. Sparkle,

    From my understanding you are currently being compensated for a mental health disability.

    There is only one rating for a MH disability.

    Why did you, " I put in for iu and depression second to tbi."

    if you already have a rating for MH ?

    Sorry bout that, the depression is for a increase. I know you can only claim one MH disability.

    PD can be secondary to TBI as long as a doc states so.

    Your evaluation percentage is based on what the medical evidence supports.

    Regardless if it's depression, MDD, PTSD, etc...

    http://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&SID=f5a60781f191072d99ac400a42f83e20&rgn=div8&view=text&node=38:1.0.1.1.5.2.111.73&idno=38

    Thanks Carlie

  11. I think the PD diagnosis the way the VA has written it up would undermine you getting TDIU. The VA is saying your most severe problem is a personality disorder. An IMO/IME shrink of your own to refute the controlling factor of the PD on your employability and overall mental health is necessary. I had C&P exams worse than that back in the day, and good IME's overcame truly awful military hatchet job and VA low ball rating. It sounds to me they whipped up this PD dx out of thin air. Plus they say you are faking some of your symptoms. This is bad. I had the same thing happen to me and IMO/IME overcame it.

    Thanks John, its hard to find a imo/ime shrink that knows va lango. if its like you say, I'll do good to go from my 40% to get 50%. woo hoo 19mos of waiting for 10% more, how lucky can I get.

  12. "Oh, btw, do you think that I could get Dr. Bash to take my case if I

    need a IMO. I know cost will be high but Iam willing to go that route."

    Yes I do."

    "I put in for iu and depression second to tbi"

    I expect them to award the TDIU with depression as secondary.to TBI.

    That might well set you up for SMC too at some point.....but I hesitate to go there yet..... we just never know what the VA will do...

    If you consider the IMO ,and Dr. Bash needs to contact an MH professional on the depression, he has many MH contacts for that.

    Thanks Berta, I did as you said and read the new regs for TBI. As you know Iam sc for TBI and headaches and Major depression secondary to TBI. It said that "if a veteran who has a service-connected TBI also has one of these diagnosable

    illnesses, then that illness will be considered service connected as secondary to the TBI. Depression (which also was associated with mild TBI); and diseases of hormone deficiency that may result from hypothalamo-pituitary changes. Berta, I checked my medical records and found out I was diagnosis with Axis III Hypreprolactinemia TBI s/p fall, which is a growth on my pituitary that cause hypothalamo-pituitary changes, which cause a butt load of other things (boy do I have some) that had to be fee bases out to my area medical center which put me in the hospital for a week in Oct. 2012 and had to go back this Jan. 2013 and have a second because of the first. Part of all this came from depression med's. All is stated in my IMO and VA notes. So as you said I'II just wait and see what my RO say, in hope I get that TDIU. 2 hospitalization in 3 months, and still may need more he said, but will have to wait 6mos. Berta, you are a blessing and believe it or not you have givin me some hope that the va will do the right thing. If anyone could pick this crap I posted from my exam you could and once more I thank you and all others That has helped (Phil, Carlie, John, etc.)me. Have to go having one of my momentsmad.gif the va has done a good job of F------ me up. Sorry guys, just need to vent.

    *Sparkle

  13. Yeah......

    "While the vet's axis I diagnosis (primary

    current concern of depression s/t tbi with headaches), is likely to

    cause mild to moderate impartent in occupational and social functioning,

    impairment is signifcantly compounded by axsis II concerns, it is

    likely that axis II symptoms described above cause moderate to severe

    impairment in both social and occupational functioning, as these

    symptoms would causeadditional impairment in her ability to cope

    with/adjust to changes, and would make it difficult for her to

    develop/maintain sound interpersonal relationships required to function

    appropriatly in social and work settings"

    Please read the proosed new TBI regs I posted here and better yet comment on them at the Regulations web site if you can.......

    PD NOS Compounded my butt (a way out for VA).............the TBI is more then likely causing personality changes.....

    I think this can go OK for you........that new TBI reg has to get into 38 USC and CFR....... Please listen to the SVR show we did last week with Dr. Bash

    here in Archives.... I talked about this reg on the show 25 minutes in and at the end of the show.....

    Dr. Bash can prepare excellent TBI IMOs because he is a Neuro Radiologist and this is all in his field of expertise.

    Best to see what VA says first however....they might do the right thing knowing the TBI regs will be changing.....(if the ROs know that???)

    This sounds like a QTC exam or was it done by VA?

    Berta, who would know better than you about all the tricks the va play on vet's, with all the crap you have been taking from them. I will listen to the SVR show from Dr. Bash, I must say I really love the show and try to down load them so I can go back later and listen with my dog winston buttin in trying to made his move on the dog in the back ground (remember that show) having a dog stoke rolleyes.gif !!!. I feel IU will not come my way because of some of the things she put in my exam. I sure hope the new regs will work in my favor. Like you said it's best to wait and see what va says first. At this point my claim is at the raters desk waiting to be sent for a appoval. Berta just off the top of your head, do and what would I be looking at for %. Thanks for all you do to help all vets. Oh, btw, do you think that I could get Dr. Bash to take my case if I need a IMO. I know cost will be high but Iam willing to go that route.

    Thanks in advance,

    *Sparkle

  14. I agree. When did that personality disorder appear?? Was it by the military at discharge??

    pr

    Yes, PR the personality disorder was done at discharge, just a way for the va to hold down my sc rating. So with that being said do you think I could as less get my increase if not iu, and what would you think (off the top of sweet little head tee heebiggrin.png !) that would be.

  15. Hi all, and thank you for your service. I put in for iu and depression second to tbi. Will give some info of what my examiner stated. Hope this is not to long.

    1. Diagnosis

    a. vet ever been diagnosed with menta disorders? yes

    Diagnosis-Mood Disorder, nos

    icd code 296.90

    axis

    Comments

    The diagnosis Mood d/o, nos is continuation/progression of her already sc diagnosis of major depression disorder. Symptoms have presented intermittently, often in response to significant stressors (e.g. difficulty coping with health problems such as headaches since tb suffered durig military service, divorce/husband leaving, sexual assaults. She has been diagnosis and treated in the va for many years, with current diagnosis of bipolar d/o, ptsd, and alcohol abuse. Regarding current mood symptoms, the veteran described persistently depressed mood for the past "few years" with sadness, anhedonia, irritability, fear of negative evaluation and low self-esteem, rumination, sleep disruption, feeling of worrthless, and passive thoughts of her own death (absent of intent/plan to harm herself). Based on her performance on objective psychological testing , it is likely that she endorsed a greater severity of symptoms of mood disruption than objectivety exist. Today, vet endored "servere" range symtoms of depression and anxiety on self-report measures.

    Social impairment associated with depression: difficulty making/sustaining social relationship due to mood lability and irritability, fear of negative evaluations/low self-esteem results in persistent reassurance seeking that is difficult for others to tolerate,strainted relationship with children.

    Occupational im

    pairment associated with depression: Symptoms of depression (i.e. irritability,low self-esteem, sleep disruption d/t rumination and related fatigue, emotional lability.reactivity,and low energy level) are likely to cause mild to moderate impairment in work functining should she pursue gainful employment . She has quit or been terminated from various jobs over the past 20 years, reportedly due to difficulty getting along with others, memory/concentration diffculty. and irritability/agitation.

    Diagnosis #2: Personality Disorder, NOS

    icd code: 301.9

    axis II

    Veteran demonstrated various personality disorder (cluster B) features, including: fear of abandoment, changes in self-image, affect, and behavior in response to threats of separation/abandoment (e.g., comments regarding suicidality or worsening depression). A tendency to feel victimized.

    While the vet's axis I diagnosis (primary current concern of depression s/t tbi with headaches), is likely to cause mild to moderate impartent in occupational and social functioning, impairment is signifcantly compounded by axsis II concerns, it is likely that axis II symptoms described above cause moderate to severe impairment in both social and occupational functioning, as these symptoms would causeadditional impairment in her ability to cope with/adjust to changes, and would make it difficult for her to develop/maintain sound interpersonal relationships required to function appropriatly in social and work settings

    Diagnosis # 3; If additional diagnosis that pertain to mental health disorders,list using axis format:

    Axis III-medical diagnoses (to include tbi)

    Axis IV-Psychosocial and Environmental Problems: Limited social support; poor coping skills financial stress; psychological symptoms interfering with social/family and occupational functioning, personality features causing significant difficulty in concentration.

    Axis V- Current globel assessment of functioning (GAF) score: 50

    I feel mood disorder axis I, nos and the nsc axis II personality disorder is going to cause me not to get my iu and increase. I know this is long, but i felt in order to get some good eyes on my concern it was needed.

    Thanks

    Sparkle

    BTW-My Psychiatrist gave me 45 for my GAF

  16. Hi Sparkle. I swear I sent you a response yesterday. I must of not hit send.

    Anyway I think you should apply for TDUI at some point. I am no expert on the timing of this since you have a pending claim. Other folks here might share some insight on this.

    Anyway,here are my thoughts. You need this increase. Think about any secondary conditions. I assume your MH condition is at 30%. What is the other 10% Sc for?

    Best wishes to you.

    Mike.

    Hi Mike, 30% is for depression, and 10% for tbi with depression being secondary. Guess i will just wait to see what i get from this claim and go from there. I will keep you posted Mike.dry.png

  17. Hey Sparkle. I talked with you last year when we both were dealing with SSDI. Did you make sure that the VARO obtained your SSDI records? If they have those and your C&p exam all you can do is sit back and wait. I was told SSDI was a slow process. That was fast and easy for me compared to the VA. Your a nice person with a big heart. Hang in there.

    Mike.

    Hi Mike, I gave my ssdi award letter to my rep. and my ssdi was awarded based on my smc. just 3mos and i got my ssdi, that was fast. Mike no one has said any thing about me getting iu, do you think i could get it? i also had a imo statement and a letter from my va pysh and the c&p that said i would likely not be able to be in a work setting. All the c&p statements was:

    likely could not work in a work sitting

    likely is do to my depression

    likely can not work do to whats in her smc and what i can see today (my way of putting it)

    it never said more likely than not at any time. I feel likely could still mean a good thing or maybe 80%. Just waiting for more feed back on this.sad.png

  18. Hi Sparkle,

    The reason it went so quickly, it was a claim that

    was treated as a reopened claim from 1976. I got case

    management involved & they expedited it. Also it was

    1 issue (para. schitz.). My claim was filed in July 2011.

    Best of luck to you,

    Bob K

    I only have one claim in as well. I will be posting the out come of each stage.

  19. John

    You are way to kind to me. The fact is it takes everyone on Hadit making contributions to knowledge. The leader on Hadit is Tbird if not for her we would not have this wonderful web site.

    I never was much of a leader but I will admit that I do take interest in trying to decipher just what makes the VA tick.

    I just love myself some PETE!!!! he has always made me feel that know matter what is going on I will be ok, just never give up the fight. John also knows he's on point as well. U - GUYS - ROCK!!!biggrin.png

  20. wow Bob that was fast the winston salem ro in NC is so slow. I was thinking things would go quick because I just have one thing Iam filing for. Is there something I can do to make things speed up? and thank you for your service as well.

  21. Hi all and thank you for your service. I took my c&p exam for depression/ iu, on 10/09/12 and on the work sheet was this: 3. Symptoms

    For VA rating purposes, check all symptoms that apply to the Veteran's diagnoses:this is what the c&p dr. checked.

    depressed mood

    anxiety

    chronic sleep impairment

    circumstantial, circumlocutory, or stereotyped speech

    impaired judgment

    disturbances of motivation and mood

    difficulty in adapting to stressful circumstances, including work and social relationships

    difficulty in adaping to stressful circumstances, including work or a worklike setting

    impaired impusle control, such as unprovoked irritability with periods of violence

    capable of managing her financial affairs

    Not sure this will help me get my iu or a increase from 40% to maybe 70%, BTW GAF is 45.

    claim filed 8/19/11, claim is in the rating stage as of 11/19/12

    completion date: 1/8/13 - 4/20/13 just hope its not 1 more year of waiting. any one got input on my quest for IU/Increase.

    Thanks In Advance,

    *Sparkle

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