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cavscout1967

Seaman
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About cavscout1967

  • Rank
    E-3 Seaman

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    hammerman15@hotmail.com
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    0

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  • Location
    MN

Previous Fields

  • Service Connected Disability
    50%
  • Branch of Service
    Army

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627 profile views
  1. Hi, all, I received a letter from the VA on my claim. It is being redeveloped at the local level on remand from DC. It says the following "We have submitted a request to the Records Managment Center and the National Personnel Records Center to corroborate your account of injury( left out what it is on purpose) especially given your assertions that your psychiatric disorder was aggravated by military vehicle accident at Fort Irwin CA which resulted in the deaths of " two of the men in the 163rd Armor battalion (OP4) There are two separate events that took place. One was ------injury took place then months later the second event where guys died. Somehow this has gotten all screwed up here. The guys killed were out of Ft. Stewart in the 24th and we were the opfor unit (1-63 armor) they were fighting at night. I called the VA and they said fill out a 21-4138 form and fax it in stating the correct units and what happened. Basically, they (VA) got the units mixed up. Is this the correct thing to do? I have 30 days to submit evidence. I have news articles of the deaths and a buddy statement. ( buddy statement is already in the file and I want to submit news articles) Please advise. Thank You!
  2. cavscout1967

    Aggravation Proof?

    I do have a nexus. I guess what i was wanting to know is if my VA doc stated in his notes that it was in fact aggravated is that enough to be awarded and I should continue to appeal for depression. I am not asking what percentage I would get. I am only concerned and looking for input on whether or not the doc saying it was aggravated in his VA notes if that is sufficient. If that question was answered above then I missed it and apologize but I didn't see that answered. Thanks again
  3. Hello all. I am looking for some thoughts on how much of an impact a VA psychiatrist note in my record. I am filing for aggravation of mental conditions the pre-existed prior to service. I had a special waiver signed prior to joining where the military doctor granted me permission to enter because I had been taking lithium trials. The psychiatrist note from 2016 therapy session that states "In brief, -------- has contended with depression, anxiety, and anger as far back as teenage years. There were aggravating circumstances during his time in the Army (1988-96), though he was not in combat, and for quite a period of time alcohol misuse exacerbated his symptoms, but he says today he's been sober since 2011, when he went through treatment in the VA hospital. He doesn't attend AA; he just knows he's better off not drinking. -------- has contended with hostility and paranoid perceptions and ideation for many years. When it's been bad he'll use Abilify to counteract those symptoms. I have been seeing the VA doctors for mental health problems since 2009 and have an extensive history in my VA records of meds and groups etc. Do I have a nexus? I have been appealing this for years. Happy to provide more info if needed. Thank you
  4. cavscout1967

    BVA remand shoulder exam results

    Anything?
  5. cavscout1967

    BVA remand shoulder exam results

    Any thoughts?
  6. Hi, I am currently rated at 20% for my shoulder. I went in for a CP exam recently and these were the results. This is a remand exam from the BVA. Am I looking at a decrease to 10 or even zero? I am not bending my shoulder so it may dislocate for any of these people or any examination and I think it may have hurt me. If you could take a look I'd appreciate it. Thanks for your time! Shoulder and Arm Conditions Disability Benefits Questionnaire Name of patient/Veteran: Is this DBQ being completed in conjunction with a VA 21-2507, C&P Examination Request? [X] Yes [ ] No ACE and Evidence Review ----------------------- Indicate method used to obtain medical information to complete this document: [X] In-person examination Evidence Review --------------- Evidence reviewed (check all that apply): [X] VA e-folder (VBMS or Virtual VA) [X] CPRS 1. Diagnosis ------------ a. List the claimed condition(s) that pertain to this DBQ: Strain with radicular sx b. Select diagnoses associated with the claimed condition(s) (check all that apply): [X] Shoulder strain Side affected: [ ] Right [X] Left [ ] Both ICD Code: S46.019A Date of diagnosis: Left UNK- S/C c. Comments, if any: No response provided d. Was an opinion requested about this condition? [ ] Yes [X] No [ ] N/A 2. Medical history ------------------ a. Describe the history (including onset and course) of the Veteran's shoulder or arm condition (brief summary): *** Note - Veteran was notified that this evaluation is for Compensation and Pension purposes only and he/she is to return to his/her treating clinician for regular medical care =========================================================================== ===== Veteran served in the US Army as a Cav Scout E-5 from 1988-1996 - reports that he is s/c for L shoulder strain with radicular sx. Reports current condition includes the following sx- L shoulder Pain- intermittent Daily lasting 10 minutes to hours 3-7/10 dull to sharp depending on activity Dislocations - Last occurred was 3 years ago - has popping and clicking, sensation of weakness Reports constant L lateral 1st metatcarpal numbness Has additional numbness from axillary region to the Lateral aspect of the L 1st metacarpal- occurs 3-5 x weekly lasting 10 minutes to 2 hours Condition impacts Occupation/Recreation/Daily activities- Limits carrying, lifting, pushing, pulling and overhead work Current Tx Type Duration Response to Medications 1. Medications OTC ASA, Tylenol, Advil as directed PRN- fair results 2. Denies Physical therapy Occupation since discharge- HVAC mechanic now on SSDI since 2013 2. DOMINANT HAND: right 3. POSTURE & GAIT: straight; gait stable, smooth, symmetric b. Dominant hand: [X] Right [ ] Left [ ] Ambidextrous c. Does the Veteran report flare-ups of the shoulder or arm? [X] Yes [ ] No If yes, document the Veteran's description of the flare-ups in his or her own words: L shoulder Pain- intermittent Daily lasting 10 minutes to hours 3-7/10 dull to sharp depending on activity Dislocations - Last occurred was 3 years ago - has popping and clicking, sensation of weakness Reports constant L lateral 1st metatcarpal numbness Has additional numbness from axillary region to the Lateral aspect of the L 1st metacarpal- occurs 3-5 x weekly lasting 10 minutes to 2 hours Condition impacts Occupation/Recreation/Daily activities- Limits carrying, lifting, pushing, pulling and overhead work Pain, weakness, fatigability, or incoordination could significantly limit functional ability during flare-ups, or when the joint is used repeatedly over a period of time. Veteran would have additional limitations in ROM but unable to quantify the degree of ROM loss as it would vary due to severity of pain , weakness, fatigability and overuse. d. Does the Veteran report having any functional loss or functional impairment of the joint or extremity being evaluated on this DBQ (regardless of repetitive use)? [X] Yes [ ] No If yes, document the Veteran's description of functional loss or functional impairment in his or her own words: L shoulder Pain- intermittent Daily lasting 10 minutes to hours 3-7/10 dull to sharp depending on activity Dislocations - Last occurred was 3 years ago - has popping and clicking, sensation of weakness Reports constant L lateral 1st metatcarpal numbness Has additional numbness from axillary region to the Lateral aspect of the L 1st metacarpal- occurs 3-5 x weekly lasting 10 minutes to 2 hours Condition impacts Occupation/Recreation/Daily activities- Limits carrying, lifting, pushing, pulling and overhead work Pain, weakness, fatigability, or incoordination could significantly limit functional ability during flare-ups, or when the joint is used repeatedly over a period of time. Veteran would have additional limitations in ROM but unable to quantify the degree of ROM loss as it would vary due to severity of pain , weakness, fatigability and overuse. 3. Range of motion (ROM) and functional limitation -------------------------------------------------- a. Initial range of motion Left Shoulder ------------- [ ] All Normal [X] Abnormal or outside of normal range [ ] Unable to test (please explain) [ ] Not indicated (please explain) Flexion (0 to 180): 0 to 130 degrees Abduction (0 to 180): 0 to 150 degrees External rotation (0 to 90): 0 to 90 degrees Internal rotation (0 to 90): 0 to 90 degrees If ROM is outside of normal range, but is normal for the Veteran (for reasons other than a shoulder condition, such as age, body habitus, neurologic disease), please describe: Veteran refuses to move L shoulder beyond stated range due to fear of pain and dislocation- poor effort If abnormal, does the range of motion itself contribute to functional loss? [X] Yes (please explain) [ ] No If yes, please explain: limits ROM Description of pain (select best response): Pain noted on exam and causes functional loss If noted on exam, which ROM exhibited pain (select all that apply)? Flexion, Abduction Is there evidence of pain with weight bearing? [ ] Yes [X] No Is there objective evidence of localized tenderness or pain on palpation of the joint or associated soft tissue? [ ] Yes [X] No Is there objective evidence of crepitus? [ ] Yes [X] No b. Observed repetitive use Left Shoulder ------ ------- Is the Veteran able to perform repetitive use testing with at least three repetitions? [X] Yes [ ] No Is there additional functional loss or range of motion after three repetitions? [ ] Yes [X] No c. Repeated use over time Left Shoulder ------------- Is the Veteran being examined immediately after repetitive use over time? [X] Yes [ ] No Does pain, weakness, fatigability or incoordination significantly limit functional ability with repeated use over a period of time? [ ] Yes [ ] No [X] Unable to say w/o mere speculation If unable to say w/o mere speculation, please explain: Pain, weakness, fatigability, or incoordination could significantly limit functional ability during flare-ups, or when the joint is used repeatedly over a period of time. Veteran would have additional limitations in ROM but unable to quantify the degree of ROM loss as it would vary due to severity of pain , weakness, fatigability and overuse. d. Flare-ups Left Shoulder ------------- Is the exam being conducted during a flare-up? [ ] Yes [X] No If the examination is not being conducted during a flare-up: [ ] The examination is medically consistent with the Veteran's statements describing functional loss during flare-ups. [ ] The examination is medically inconsistent with the Veteran's statements describing functional loss during flare-ups. Please explain. [X] The examination is neither medically consistent or inconsistent with the Veteran's statements describing functional loss during flare-ups. Does pain, weakness, fatigability or incoordination significantly limit functional ability with flare-ups? [ ] Yes [ ] No [X] Unable to say w/o mere speculation If unable to say w/o mere speculation, please explain: Pain, weakness, fatigability, or incoordination could significantly limit functional ability during flare-ups, or when the joint is used repeatedly over a period of time. Veteran would have additional limitations in ROM but unable to quantify the degree of ROM loss as it would vary due to severity of pain , weakness, fatigability and overuse. e. Additional factors contributing to disability Left Shoulder ------------- In addition to those addressed above, are there additional contributing factors of disability? Please select all that apply and describe: Less movement than normal due to ankylosis, adhesions, etc., Other (please describe) Please describe additional contributing factors of disability: Condition impacts Occupation/Recreation/Daily activities- Limits carrying, lifting, pushing, pulling and overhead work 4. Muscle strength testing -------------------------- a. Muscle strength - Rate strength according to the following scale: 0/5 No muscle movement 1/5 Palpable or visible muscle contraction, but no joint movement 2/5 Active movement with gravity eliminated 3/5 Active movement against gravity 4/5 Active movement against some resistance 5/5 Normal strength Right Shoulder: Rate Strength: Forward flexion: 5/5 Abduction: 5/5 Is there a reduction in muscle strength? [ ] Yes [X] No Left Shoulder: Rate Strength: Forward flexion: 5/5 Abduction: 5/5 Is there a reduction in muscle strength? [ ] Yes [X] No b. Does the Veteran have muscle atrophy? [ ] Yes [X] No c. Comments, if any: No response provided 5. Ankylosis ------------ Complete this section if the Veteran has ankylosis of scapulohumeral (glenohumeral) articulation (shoulder joint) (i.e., the scapula and humerus move as one piece). a. Indicate severity of ankylosis and side affected (check all that apply): Left side: [ ] Ankylosis in abduction up to 60 degrees; can reach mouth and head (Favorable ankylosis) [ ] Ankylosis in abduction between favorable and unfavorable (Intermediate ankylosis) [ ] Ankylosis in abduction at 25 degrees or less from side (Unfavorable ankylosis) [X] No ankylosis b. Comments, if any: No response provided 6. Rotator cuff conditions -------------------------- Is rotator cuff condition suspected? Right Shoulder: [ ] Yes [ ] No Left Shoulder: [X] Yes [ ] No If "Yes" complete the following: Hawkins' Impingement Test (Forward flex the arm to 90 degrees with the elbow bent to 90 degrees. Internally rotate arm. Pain on internal rotation indicates a positive test; may signify rotator cuff tendinopathy or tear.) [ ] Positive [X] Negative [ ] Unable to perform [ ] N/A Empty-can Test (Abduct arm to 90 degrees and forward flex 30 degrees. Patient turns thumbs down and resists downward force applied by the examiner. Weakness indicates a positive test; may indicate rotator cuff pathology, including supraspinatus tendinopathy or tear.) [ ] Positive [X] Negative [ ] Unable to perform [ ] N/A External Rotation/ Infraspinatus Strength Test (Patient holds arms at side with elbow flexed 90 degrees. Patient externally rotates against resistance. Weakness indicates a positive test; may be associated with infraspinatus tendinopathy or tear.) [ ] Positive [X] Negative [ ] Unable to perform [ ] N/A Lift-off Subscapularis Test (Patient internally rotates arm behind lower back, pushes against examiner's hand. Weakness indicates a positive test; may indicate subscapularis tendinopathy or tear.) [X] Positive [ ] Negative [ ] Unable to perform [ ] N/A 7. Shoulder instability, dislocation or labral pathology -------------------------------------------------------- a. Is shoulder instability, dislocation or labral pathology suspected? [X] Yes [ ] No If yes, complete questions 7b - 7d below: b. Is there a history of mechanical symptoms (clicking, catching, etc.)? [X] Yes [ ] No If yes, indicate side affected: [ ] Right [X] Left [ ] Both c. Is there a history of recurrent dislocation (subluxation) of the glenohumeral (scapulohumeral) joint? [X] Yes [ ] No If yes, indicate frequency, severity and side affected (check all that apply): [X] Infrequent episodes [ ] Right [X] Left [ ] Both [X] Guarding of movement only at [ ] Right [X] Left [ ] Both shoulder level d. Crank apprehension and relocation test (with patient supine, abduct patient's arm to 90 degrees and flex elbow 90 degrees. Pain and sense of instability with further external rotation may indicate shoulder instability.) [ ] Positive [X] Negative [ ] Unable to perform [ ] N/A 8. Clavicle, scapula, acromioclavicular (AC) joint and sternoclavicular joint conditions ------------------------------------------------------------------------------ a. Is a clavicle, scapula, acromioclavicular (AC) joint or sternoclavicular joint condition suspected? [X] Yes [ ] No If yes, complete questions 8b, 8d and 8e below: b. Does the Veteran have an AC joint condition or any other impairment of the clavicle or scapula? [ ] Yes [X] No c. Does the clavicle or scapula condition affect range of motion of the shoulder (glenohumeral) joint? No response provided d. Is there tenderness on palpation of the AC joint? [ ] Yes [X] No e. Cross-body adduction test (Passively adduct arm across the patient's body toward the contralateral shoulder. Pain may indicate acromioclavicular joint pathology.) [ ] Positive [X] Negative [ ] Unable to perform [ ] N/A 9. Conditions or impairments of the humerus ------------------------------------------- a. Does the Veteran have loss of head (flail shoulder), nonunion (false flail shoulder), or fibrous union of the humerus? [ ] Yes [X] No b. Does the Veteran have malunion of the humerus with moderate or marked deformity? [ ] Yes [X] No c. Does the humerus condition affect range of motion of the shoulder (glenohumeral) joint? No response provided d. Comments, if any: No response provided 10. Surgical procedures ----------------------- No response provided 11. Other pertinent physical findings, complications, conditions, signs, symptoms and scars ------------------------------------------------------------------------ a. Does the Veteran have any other pertinent physical findings, complications, conditions, signs or symptoms related to any conditions listed in the Diagnosis Section above? [ ] Yes [X] No b. Does the Veteran have any scars (surgical or otherwise) related to any conditions or to the treatment of any conditions listed in the Diagnosis Section above? [ ] Yes [X] No c. Comments, if any: No response provided 12. Assistive devices --------------------- a. Does the Veteran use any assistive devices? [ ] Yes [X] No b. If the Veteran uses any assistive devices, specify the condition and identify the assistive device used for each condition: No response provided 13. Remaining effective function of the extremities --------------------------------------------------- Due to the Veteran's shoulder and/or arm conditions, is there functional impairment of an extremity such that no effective function remains other than that which would be equally well served by an amputation with prosthesis? (Functions of the upper extremity include grasping, manipulation, etc., while functions for the lower extremity include balance and propulsion, etc.) [ ] Yes, functioning is so diminished that amputation with prosthesis would equally serve the Veteran. [X] No 14. Diagnostic testing ---------------------- a. Have imaging studies of the shoulder been performed and are the results available? [X] Yes [ ] No If yes, is degenerative or traumatic arthritis documented? [ ] Yes [X] No b. Are there any other significant diagnostic test findings or results? [ ] Yes [X] No c. If any test results are other than normal, indicate relationship of abnormal findings to diagnosed conditions: No response provided 15. Functional impact --------------------- Regardless of the Veteran's current employment status, do the condition(s) listed in the Diagnosis Section impact his or her ability to perform any type of occupational task (such as standing, walking, lifting, sitting, etc.)? [X] Yes [ ] No If yes, describe the impact of each of the Veteran's shoulder conditions providing one or more examples: Condition impacts Occupation/Recreation/Daily activities- Limits carrying, lifting, pushing, pulling and overhead work 16. Remarks, if any: -------------------- Impression- 1. L shoulder strain with residuals of radicular sx as noted- Veteran refused to move L shoulder beyond stated range due to fear of pain and dislocation
  7. cavscout1967

    Math is hard

    Hi, thanks for responding. What I am asking is what will the back pay be. I dont understand why they included all these different rates of pay in this letter but I do know that one disability was increased by 10% from aug 2009 to present and the other was granted an effective date of aug 2009 so I guess 20% for 6 yrs sounds right. There was just so many different numbers I didnt know how to make heads or tails of it. Thanks! Also is there a website or place I can call to see when I will get it?
  8. I am trying to figure out if I am getting backpay and how much. Can anyone who's good at math help me out? I appreciate it. I tried figuring it out myself and it came to 26k but I am not sure if I even did it right. $541 sept 1 2009 $770. oct 1 2011 $797 dec 1 2011 $810 Dec 2012 $822 de 2013 $836 dec 2014 $917 nov 1 2015 $976 Jan 2016 $917 Mar 2020 You can expect payment the first month following your effective date. What we decided is open reduction fracture which is currently 10% disabling is increased to 20% effective from Aug 2009. Also the 10% knee strain effective date is granted to august 2009 Your overall rating is 50% I was at 10% for years then up to 20% for a few more years and been at 40% for the last few yrs. Do you need more info? What does all this mean in laymans terms? Thanks for your time and input.
  9. Yes I checked it and its says nothing new. But it does sound to you like I am going to get some backpay then? Whatever the amount I guess it will go back to 2009 then. I just have trouble with the math is it 20% for 5 years or 10% or...hahahaha math sucks. Thanks again for taking the time to respond to me. I appreciate it!
  10. Yes it does apply to backpay. I was hoping someone could tell me what roughly it would be or tell me how I could try and figure it out or even tell me if I am getting any. Thanks for responding.
  11. Hi all, I got this letter from the VA today and I don't understand what it means. I am going to type it in and see if someone can help me out. We have implemented the decision form the board of veteran appeals of march 12 2016 This letter tells you about your entitlement amount and payment start date and what we decided. Your monthly entitlement amount is shown below: $541 sept 1 2009 $770. oct 1 2011 $797 dec 1 2011 $810 Dec 2012 $822 de 2013 $836 dec 2014 $917 nov 1 2015 $976 Jan 2016 $917 Mar 2020 You can expect payment the first month following your effective date. What we decided is open reduction fracture which is currently 10% disabling is increased to 20% effective from Aug 2009. Also the 10% knee strain effective date is granted to august 2009 Your overall rating is 50% I was at 10% for years then up to 20% for a few more years and been at 40% for the last few yrs. Do you need more info? What does all this mean in laymans terms? Thanks for your time and input.
  12. Got my decision today. Denied for all. All denied because I cant prove the depression or anxiety. The other four denied because I can flex this degree or that degree. So I now see that going to the VA monthly and whining how sore I am and having my cane and walking slowly etc is how this game is played. So for the next 2 GD yrs I will be doing just that and then I will try and get my four I can appeal raised. The four are finger 0, shoulder 0, ankle 10%, knee 0 plus tinnitus but thats at 10% already. They didnt even look at my new VA records and evrything was evaluated from my intial exam but I suppose thats how it works they only review the inital case. I will do a BVA but I am not holding my breath. Least I think I now understand how this GAME gets played. Wish I had known it sooner. Just keep going down for everything..New pimple on my back..I complain and get it documented. Thanks for all your help folks.
  13. PS. I want to add the waiver thing was brought up by a VARO officer at the va hosptal when I went to ask what the status was of my appeal. I thought he was supposed to be on my side. Seems after reading what you guys wrote here he was wanting to screw me over.
  14. I was on lithium for treatment of depression before I went in the Army. Thanks to all of you who have taken the time to respond and give me your input. I find it hard to comprehend how the VA will now say shit like I signed a waiver etc. I did have a meps doc sign a waiver certifying me as fit for service but that was it.. I think I have a pretty good case for aggravation of condition by service. At least I hope thats the case. I will be happy to answer anymore questions you may have. Thank you all
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