brokensoldier244th

Getting better on a sustained basis, finding an error if you were misdiagnosed the first time, filing an increase, filing for IU, and for some conditions just a set time after an initial rating because they aren't stable yet. After 5, then 10 yrs there are more layers of protection on your rating and it's harder to try to reduce. Look up "protected ratings" I work for the VA for the last 3.5 yrs. I started with regular claims but now I only work on specialized claims that involve just PTSD from sexual trauma. I am not a rater. I am the one that gets it before they do and tries to research it and your records to build it up as well as I can, or request more info from you.

https://www.va.gov/disability/va-claim-exam/#:~:text=You can't get the,VA Form 20-10206).&text=You can submit the form by mail or in person.

When we are waiting for exams from a provider we aren't calling them. They all have their own direct portals to upload those records. Until it goes over at least 30 days, usually more like 60, we don't contact the vendors to track them down. 30 days is the legal minimum that we have to wait, on average it is longer than that, especially if it is a vendor in a highly populated area with more veterans. QTC wouldn't be reviewing anything- they have no say in how your case is adjudicated. All they do is the examination report, and upload. That's it. If there is a 'review' of some kind going on it is happening on the VA side, either they are re-requesting the records from the provider, or they are ordering a new exam based on the information on record (so you don't have to go in again for the same thing). I haven't had a situation where the contract examiner no longer was around, the records they would have created would have remained the property of the contract vendor not the doctor, so even if the doctor disappeared under a bus tomorrow their workload would still remain with (in this case) QTC. Sometimes, though, yes, we suggest that you approach them to request the records- its often faster than if we do it, though that doesn't mean that they aren't still being requested from our end- it just means that you, as the veteran, sometimes carry more PR weight than WE do and if you call and complain you'll often get more action out of it than we would.

If nothing has changed, or if you have perhaps slightly gotten worse, or at least more sustained in some of your symptoms there isn't much to worry about. SSDI can't just access your record without a reason- there has to be a legitimate review reason to do so, they can't just monitor them, and every access to your VA records is audited and needs a reason attached- even when I do it within the context of a claim. I may log two or three instances for the same veteran over a 2 day period if I have to do something, wait for an update, then do something again the next day. Every access I do has my name attached and can be cross-referenced against my queue of cases for the day in question. If I don't have a claim in my queue I'm not supposed to be accessing it. It's no different with the SSDI people. So, in short, if SSDI is asking for information its probably in your best interest to provide it and not assume what they have and don't have access to. If they could just pull it whenever they wanted they wouldn't be asking.

It will be based on the symptoms as they were starting after the two years.

That depends- is your current degree and training no longer suitable for you in the context of your SC disabilities preventing you from doing it anymore? Voc won't pay for you to step up your current degree.

Your other claimed issue may not be finalized yet.

? You need to change your direct deposit information with the VA? That won't take effect instantly- whatever deposit you have coming on Thursday will still go to whatever information is there already. You can call 1-888-224-2950 to get information about changing your direct deposit. You can also upload form 1199A, or you can go to https://www.va.gov/change-direct-deposit/ and follow the instructions there.

Outstanding, Charlie!

Necro thread revival. I use CBD tincture or distillate for pain. I either put it under my tongue (tincture) or the distillate you can add to other things and drink, etc- its flavorless. It reduces its effectiveness, though, if you do it this way, because it takes longer to be absorbed through the stomach. Most shops will have it- if you can find 'full spectrum' get that, it has other CBD compounds that are usually distilled out in the cheaper types. Those other compounds (still not THC) together are usually more effective. Good luck and I hope you have found something that works for you. Its hard, believe it, I know.

Hlr is what used to commonly be referred to as a "de Novo" review, or "submitting to dro" in a lot of online forums, and Google searches will often turn these posts up. I've worked with a few vets that read about those and think they are a different category from hlr. Moreso it's just a change in terminology from some years ago although legally it's still a de Novo review.

FYI, and you may be aware, but you may not be, the number of drugs that have a negative outcome with alcohol- whether by reducing their effect, canceling them out completely, or worse, causing side effects, could fill a book (my BIL is a pharmacist). I had to stop alcohol almost entirely because, while I was not a heavy drinker at 1-2 drinks per week, a few of my medications were likely suffering effects from it because when I quit drinking but for once or twice a year aspects of my health that aren't alcohol affected started improving slightly, but noticeably.

It is a statement of the case that is provided during a remand, after submission of new evidence, or due to a partial grant with other contentions still undecided. M21-1 7.D.2.a, M21-1 7.D.4.a

Depends on the reason for denial. Without that there's not much anyone can advise you on.

-0781 is for ptsd, 0781a is for personal trauma/MST (non combat trauma)

Have you looked for a local dental college? Many of the students in residency to graduate have clinics where they are supervised by their instructors. What about Medicaid for low-income persons? It covers dental in most states, if not all. You can also check with local social services, etc. If you aren't a veteran, though, the VA won't be able to assist.

They won’t, you can only be rated for one MH condition. They will likely combine them.

Not or the PTSD dx, just the stressor events you are claiming. I'm assuming this is a 21-0781 or 0781a?

It's doesn't have to be exact dates, but a general range so we can find it in your records without guessing helps.

21-4138's are VBA forms and only go to VBA. Not sure on the call center people, if they have access to one or both but I do know that what access they have is limited and they aren't cleared to see as much as I can.

We can only access VAMC in the context of a claim. Every login is audited. No, you can't un-authorize it. We are required by federal law to gather all federal records that we can find, and private, but, private is a different form and it only authorizes gathering records for a period of 1 yr.

Its convoluted but you could try this.... https://www.itgeared.com/how-to-make-tiktok-photo-slideshow-slower/

You should slow down the auto advance to the next screen.

The two systems are separate on purpose. We have limited ability to look at VHA- to get Capri records and whatnot for VAMC treatment. We cannot alter or update anything on that side. They can't alter anything on the VBA side. They are umbrella'd under "VA" but they are, legally, and for privacy purposes, 2 separate organizations that require permissions and/or authorizations in order to examine each other's systems, and even then only to a limited ability.

I agree, they don't. I have to get into the weeds with Quality raters sometimes to justify actions that I take on the claims that I work. 3.156 addresses evidence that was previously submitted but not considered due to VA error, or subsequent evidence that clearly shows that the contention should have been rated X from Y date instead of whatever they decided originally, and since you were appealing for an EED the general rules do not apply. In the abstract, most veterans that file a claim after a decision closes that isn't based on something like EED, or 1151 (VA malpractice), or some special OIG review, will fall under the rule that the effective date is the date of the new claim since it was not a continued appeal. We all kinda got off the subject of the OP, though- he was asking why evidence submitted after the decision wasn't considered as part of the prior claim. Who said LandNav was easy, right?