brokensoldier244th

What are you asking?

Vync- Not saying it should have, don't know why it was. They are rolling it back out in pieces because, as I understand it, the way that VSO's/POAs are notified has changes to it. I don't know what changes- I'm not in Operations and I'm not a VSO. Thats all I know, is that it was re-introduced late last year.

Well, gee whiz, as long as you got yours, I guess.

That extra work you're proud of X's several 1000 = BF because it takes twice as long to go through everything meaning we aren't working on someone else's claim.

The 48 hr prescreen is back, it's just being rolled out in sections (regions). I don't know what order, that's another my pay grade

Yes. When you do, the notes of the call they type up on an 27-0820- basically a contact report, that gets uploaded to your file. Since it is 'new mail' it triggers the claim to be viewed by somebody by pulling it out of queue and assigning it to someone, usually one of 'us'.

GO to your claim, click on details, then the Files tab, then Add

Section IV only relates to pension or survivors benefits (see pg 3 instructions) "Complete this part only if the benefit being claimed or received is a disability Pension or Survivors' Pension. Each income block must be completed. If you do not receive income from a particular source, write "0.00" in the boxes provided. Do not leave the space blank. VA will interpret a blank space as "0" or "None". Report the gross amounts before you take out deductions for taxes, insurance, etc. "

It sounds like they are going to do a record review, and ultimately, whatever they find will go to VA. They still have to write up an opinion for the exam, or provide a good reason why they canceled it. They can't just call you up and say "ok, okay..." and cancel the exam. VA would likely already know you have OSA (unless its private) so the purpose of the exam wasn't to ascertain a Dx but to opine on the severity and etiology (why) you have OSA.

If your claim is not yet decided then call the call center and also upload a separate 21-4138, and if you have a VSO, tell them, also. All three contacts will come into your folder and each will trigger 'new mail/activity' and force your claim to be auto-pulled from the national queue and looked at. Make sure you clearly and succinctly explain on the phone, and also write what you wrote above- more or less- illustrating the information that was provided and that exists vs. what the write up says.

They probably sent both by mistake, or they mistook something in your claim as a claim for MST. Just send back the 0781 and indicate that you are filing for combat stressors only. If you can get lay statements, get them. They do contribute to the claim by establish times, places, symptoms, etc.

Good call.

I truly hope it is, for your sake. Some of the "pro veteran' doctors will rubber stamp anything on a DBQ since you pay them. If it doesn't track with the stressors of record and your medical from other sources then there is a conflict that needs to be resolved, usually with an internal C&P.

They may rate off the private DBQ- it depends on the Dr's credentials and the quality of their write-up, and if they make an actual opinion or if they just fill it out. If it conflicts with the medical of record then yes, you might end up with a C&P.

Also true, and also know that appeals are running about 2.5 years right now.

?? Why?? Only if they are hemp based. They cannot contain THC.

Resubmit it and point specifically to where/when in your STRS and your post-service records this treatment appears. If you have records, send them, don't assume that when VA requested them from the Service that what they got was complete- what I usually see is far from it and I have to more than one request. Usually someone else did one months or years ago, and I do another one and end up with more stuff that wasn't originally in the STR or personnel record. If you have private treatment send those, too, or at least fill out a 21-4142/4142a with the info on it that gives VA your authorization to request from that provider (its only good for a year, then it expires).

LOL, see, even a stopped clock.....

Yes. They way they do it now appeals, reviews, etc all fall under supplemental claims, and, for you, you would want to do the 20-0995 because that allows you to submit new evidence. If you do the 20-0996 its a review (like what you did before, it sounds like) but you can't submit new evidence.

Youll have to find an ortho that states otherwise, from the look of it.

It could be that new evidence was found in your file and sent to them, or the RVSR could have kicked it back as being insufficient the first time with instructions on what needs to be relooked at and/or answered. Or, possibly, the clinician could just have a similar last name (just speculating, not questioning you, but it does happen). CAS

Well, that depends. If its ruled a TBI it can have all sorts of cognitive effects, some more or less profound than others, but if you can point to the physical incident where it occurred I wouldn't waste time trying to go Secondary because the chance is high that your MDD/PTSD are masking each other and have nothing to do with the head injury. I would file for the head injury based on your STRs and let the doc sort out if the mental stuff is connected or not. For a TBI claim there is usually a cognitive exam of some kind, anyway so you can bring up the MH stuff and if its in your records, all the better.

You can request it, and provide a reason, but that doesn't mean it will happen. It may be that the VAMC closest to you doesn't have capacity to do that exam (staff, etc). If they schedule you it may go faster, or it may add weeks or months to waiting for the exam. If it adds too much time we can't change it without a really good reason because we are supposed to go with whatever option is closest and most advantageously scheduled.

Mh counseling is usually required before bariatric surgery.

Those things have nothing to do with hypertension.