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      Hadit Podcast Radio Show 'Tonight'' 7:00 pm EST.   05/04/2017

      Just a Reminder for all you vets that have questions you need an answer to  please feel free to call in to the show tonight and ask your question/question's  John Basser and Jerrel Cook Will be glad to take your call. The # TO CALL 347-237-4819..After you get in just hit the number 1 Tonight they will have Hadit Elder Member Asknod  (Alex) as there guest Host and he is very Intelligent with VA  Claims and VA Related Information, if anyone can answer your questions it  is Alex. so call in to the show tonight  John & Jerrel will make * you feel at ease* you will be glad you called In...I promise ya.

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  1. good afternoon all, i am a new member on this, former US army reservist, and currently employed full time. i separated in 2009 but filed my claim in Aug 2015 (i wasnt aware as a reservist of only 6 yrs total enlistment that i could actually apply for anything). my decision finally moved in the Preparation for Decision phase two days ago, 6/21/2016. i have two questions: 1 - how quickly does it go from here?...(im guessing the answer is that there is no answer. everyone's claim is handled differently but has anyone experienced the claim to wrap up rather quickly from here?) 2 - i am trying to determine what sort of rating i may get for my mental health based off my C&P results. anyone with experience please take a look (below) and offer their opinion? thank you kindly for any assistance and response: SECTION I: ---------- 1. Diagnostic Summary --------------------- Does the Veteran have a diagnosis of PTSD that conforms to DSM-5 criteria based on today's evaluation? [X] Yes [ ] No ICD code: F 43.10 2. Current Diagnoses -------------------- a. Mental Disorder Diagnosis #1: PTSD ICD code: F 43.10 Mental Disorder Diagnosis #2: Unspecified Depressive Disorder ICD code: F32.9 -------------------------------------------------------- 4. Occupational and social impairment ------------------------------------- a. Which of the following best summarizes the Veteran's level of occupational and social impairment with regards to all mental diagnoses? (Check only one) [X] Occupational and social impairment with occasional decrease in work efficiency and intermittent periods of inability to perform occupational tasks, although generally functioning satisfactorily, with normal routine behavior, self-care and conversation ****i know by definition this summary may fall within the 30% rating, but please continue reading below****** a. Medical record review: ------------------------- Was the Veteran's VA e-folder (VBMS or Virtual VA) reviewed? [X] Yes [ ] No Was the Veteran's VA claims file (hard copy paper C-file) reviewed? [ ] Yes [X] No If yes, list any records that were reviewed but were not included in the Veteran's VA claims file: If no, check all records reviewed: [ ] Military service treatment records [ ] Military service personnel records [ ] Military enlistment examination [ ] Military separation examination [X] Military post-deployment questionnaire [X] Department of Defense Form 214 Separation Documents [X] Veterans Health Administration medical records (VA treatment records) [ ] Civilian medical records [ ] Interviews with collateral witnesses (family and others who have known the Veteran before and after military service) [ ] No records were reviewed [ ] Other: 3. Stressors ------------ Describe one or more specific stressor event(s) the Veteran considers traumatic (may be pre-military, military, or post-military): a. Stressor #1: [censored] Does this stressor meet Criterion A (i.e., is it adequate to support the diagnosis of PTSD)? [X] Yes [ ] No Is the stressor related to the Veteran's fear of hostile military or terrorist activity? [X] Yes [ ] No Is the stressor related to personal assault, e.g. military sexual trauma? [ ] Yes [X] No d. Additional stressors: If additional stressors, describe (list using the above sequential format): Stressor #4 [censored] This stressor meets Criterion A; this stressor is related to the Veteran's fear of hostile military or terrorist activity; this stessor is not related to personal assualt. 4. PTSD Diagnostic Criteria --------------------------- Please check criteria used for establishing the current PTSD diagnosis. Do NOT mark symptoms below that are clearly not attributable to the Criteria A stressor/PTSD. Instead, overlapping symptoms clearly attributable to other things should be noted under #7 - Other symptoms. The diagnostic criteria for PTSD, referred to as Criteria A-H, are from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). Criterion A: Exposure to actual or threatened a) death, b) serious injury, c) sexual violation, in one or more of the following ways: [X] Directly experiencing the traumatic event(s) Criterion B: Presence of (one or more) of the following intrusion symptoms associated with the traumatic event(s), beginning after the traumatic event(s) occurred: [X] Recurrent, involuntary, and intrusive distressing memories of the traumatic event(s). Criterion C: Persistent avoidance of stimuli associated with the traumatic event(s), beginning after the traumatic events(s) occurred, as evidenced by one or both of the following: [X] Avoidance of or efforts to avoid external reminders (people, places, conversations, activities, objects, situations) that arouse distressing memories, thoughts, or feelings about or closely associated with the traumatic event(s). Criterion D: Negative alterations in cognitions and mood associated with the traumatic event(s), beginning or worsening after the traumatic event(s) occurred, as evidenced by two (or more) of the following: [X] Persistent, distorted cognitions about the cause or consequences of the traumatic event(s) that lead to the individual to blame himself/herself or others. [X] Feelings of detachment or estrangement from others. Criterion E: Marked alterations in arousal and reactivity associated with the traumatic event(s), beginning or worsening after the traumatic event(s) occurred, as evidenced by two (or more) of the following: [X] Hypervigilance. [X] Problems with concentration. [X] Sleep disturbance (e.g., difficulty falling or staying asleep or restless sleep). Criterion F: [X] Duration of the disturbance (Criteria B, C, D, and E) is more than 1 month. Criterion G: [X] The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning. Criterion H: [X] The disturbance is not attributable to the physiological effects of a substance (e.g., medication, alcohol) or another medical condition. Criterion I: Which stressor(s) contributed to the Veteran's PTSD diagnosis?: [X] Stressor #1 [X] Other, please indicate stressor number (i.e., Stressor #4, #5, etc.) as indicated above: Stressor #4 5. Symptoms ----------- For VA rating purposes, check all symptoms that actively apply to the Veteran's diagnoses: [X] Depressed mood [this is a 30% symptom] [X] Anxiety [30% symptom] [X] Suspiciousness [30% symptom] [X] Panic attacks more than once a week [this is a 50% symptom] [X] Chronic sleep impairment [30% symptom] [X] Flattened affect [50% symptom] [X] Disturbances of motivation and mood [50% symptom] ****the symptoms listed above fall under both 30% and 50% criteria, so i am uncertain whether they will consider both or make the decision based off the Summary at the begining of the report, which technically defines the 30% rating****** 9. Remarks, (including any testing results) if any -------------------------------------------------- Based on this examination and a review of the records, it is determined that the Veteran meets DSM-5 criteria for PTSD. It is further determined that this diagnosis is at least as likely as not (50/50 probability) a result of the identified in service stressors. The Veteran is also found to meet criteria for Unspecified Depressive Disorder. This diagnosis is determined to be at least as likely as not (50/50 probability) proximately due to or a result of the PTSD. The Veteran gives a credible account of stressors deemed consistent with his MOS, and with service in the identified combat theater. While there are no related service treatment records, post-deployment questionnaires suggest that Veteran was experiencing subjective distress at the time of his redeployment. The claimed anxiety and sleep disturbance are deemed to be symptoms of both of the current diagnoses. this ends my report. thank you again for anyone's response and assistance. [The Silent Warrior of the Army Team]
  2. Hello Fam, I am extremely new to claims, so please be nice :). I have searched the message board but still have a few questions on this process. Yesterday was my first out of three C&P exams. First was mental health, next will be audio, and last will be TBI. I spoke with the assessor for a little over an hour and at the end of the session the assessor stated they are submitting me for 100% PTSD social and occupational and the report should be submitted within 48 hours. This morning I contacted my C&P evaluation agency and they stated that after the last eval has been completed they will submit to the VA within a few days. This is all I really know so far. As I continue my search in what I need to know I have a few questions for you generous souls. 1. What does 100% social and occupational PTSD mean? Does this have anything to do with TDUI or UI? 2. If I receive claims from the other two exams will this bump me above 100%? Is this good/bad? 3. After I receive my claim how often do the PTSD re-xams take place? 4. The C&P agency stated that after they submit the VA should have my letter of disability in around a month. What happens next after I get this letter? Is this when the compensation starts? Thank you all for the time you have taken to read this. Please let me know if you have any questions for me. -OMA
  3. I found a C&P exam entered into my medical record on a claim I have pending. The C&P exam was obviously biased and done by a PA. I did not receive any notice or asked to challenge it. I have a Nexus statement from a VA doctor that my medical condition supports my claim which is not cited. I know the VA make up its own rules, but is this common practice? Do I have a right to challenge its validity?
  4. Ok so I checked my ebenefits today for my disability clam and it's at : Preparation for notification. This was really fast but my question: is there anywhere on ebenefits I can see how much they rated my disability ? or if I got denied ? I look at the pending disabilities and it just shows them as new clams still. Is there any way I can find out before they send out the package ?
  5. Hi everyone! Hope all is well. I just wanted to stop in and say hello. I haven't been on here since late last year. Life is going good. As most know my story and it was a doozy, I finally got everything I deserved! Overall 90% and I couldn't be happier. It took a lot of hard work and sleepless nights and a lot of C&P exams and fighting the VA but I prevailed. I was thankful for this sight b/c without it I would have never met a great guy that helped me with the final phase of my rating. I am now just waiting on an EED for my contentions but I am really not really worried about it and if it happens great and if not, I am good. Don't give up EVER!
  6. Hi everyone this is my first time posting but i’ve been reading things on here for a few months now. I have my disability claim in and i’ve gone through my c&p exam and it’s still pending. But my question is simply if the doctor diagnoes you with something other then you put on your claim do you have to make a new one to get rated for that diagnosis? Edit: ok so to explain more i put in for anxiety even though i was suffering from other symptom while in the military aftrr my c&p the doctor said i have schizophrenia and happened while in service. So do i now have to re submit for schizophrenia?
  7. Hello,I am filing for presumptive SC for hypertension; working with VSO and my readings and diagnosis fit within the criteria for disabling (at least 10%) within 1 year of discharge from active duty, but the medical opinion from my c&p states there is no "direct service connection". Has anyone experienced this before? Will the VSR ask for another medical opinion based on presumptive SC or is this how the medical opinions are always worded regardless? Here is verbiage directly from the physician's medical opinion strictly for hypertension: SC:MEDICAL OPINION SUMMARY-----------------------RESTATEMENT OF REQUESTED OPINION: a. Opinion from general remarks: Veteran claims hypertension due to illness or event on active duty b. Indicate type of exam for which opinion has been requested: hypertensionTYPE OF MEDICAL OPINION PROVIDED: [ MEDICAL OPINION FOR DIRECT SERVICECONNECTION ] b. The condition claimed was less likely than not (less than 50%probability) incurred in or caused by the claimed in-service injury, event or illness. c. Rationale: Review of the STR shows no evidence of the diagnosis ortreatment for hypertension while on a period of active duty. The veteranwasdiagnosed in December 2004 with CHF due to valvular heart disease along with hypertension. MEDICAL OPINION SUMMARY-----------------------RESTATEMENT OF REQUESTED OPINION:a. Opinion from general remarks: Veteran claims hypertension due to illness or event on active dutyb. Indicate type of exam for which opinion has been requested: hypertension TYPE OF MEDICAL OPINION PROVIDED: [ MEDICAL OPINION FOR DIRECT SERVICE CONNECTION ]b. The condition claimed was less likely than not (less than 50% probability) incurred in or caused by the claimed in-service injury, event or illness.c. Rationale: Review of the STR shows no evidence of the diagnosis or treatment for hypertension while on a period of active duty. The veteran was diagnosed in December 2004 with CHF due to valvular heart disease along withhypertension.*******************************************************************
  8. I didn't go through what most of you real military went through. But, I am going through alot physically now at the age of 32. I been out of the military since Aug of 2014. I only did about 3 years before getting medically separated. I just filed my first claim increase for both knees, major depression, both wrist, headaches, lower back, and left foot for several conditions. Im sooo nervous. Im soooo paranoid. I keep thinking that everything and anything will be used against me. There are days where I can't leave bed...I feel like that will be used against me. "Ohhhh...so you just want to get a check? We're taking away your benifts." There are days where I refuse to let my depression and accompanying ailments beat me and I try to work somehow to ease the financial burden on my wife. "Oh....you're working...let me take away your benifits. Im not looking for a free ride. Im just trying to be wise. I hear the stories from many veterans about how bad their condition gets in 10 years. Then they are left high and dry and can't work, and can't improve themselves, and people end up leaving their life cause of the burden. I have a Va rep filing for an increase in my conditions. My C&P is not dated yet...but Im sooo anxious and paranoid thinking that everything will be used against me to take the little I do make a month to contribute towards my wife paying bills. Please share some, or direct me to some experiences of people filing their first claim increase stories...and leading to c&p . Please help me understand this process better. My va rep says I have a shot at 100 percent. Im so worried. I have red and met people who have been screwed. I can't take yet another thing going bad. I think i'll kill myself if it does.
  9. I visited my local DAV ( which was a f*%&#ng joke ) for assistance with filing a claim. He was so distracted with other things like talking on the phone and playing on the computer. Anyways, when he filed my claim he did not submit all of the dr"s notes that I had and he filed a FDC. My question is how can i submit the other information without making it a regular claim or can I wait and just bring it to the c&p exam. Thanks in advance.
  10. I recently completed my C&P exam on 3/14/17. Can anyone give me some insight on this. Some information I relayed to the Dr. apparently went in one ear and out the other. Any information is helpful. ThanksDBQ ( back ).pdf
  11. Ok guys and gals, im back after a few months with more information. So for a little background, my effective date is 12/12/16. It moved to prep for decision in 2 weeks and stayed there for a few months. then it went back to gathering evidence, at which time i recieved a phone call scheduling me for an exam on march 25. 10 minutes later they called back saying i could come in for an exam tomorrow (which was march 1st). I attended my c&p exam for bipolar/depression- and the examiner concluded the exam by telling me to go directly to MH because im not mentally healthy or stable. I have the results from ROI, i scanned them, and posted them online below. I am currently 80% disabled, none of which are MH related :-( (illness consumed my life beginning midway through my 4 years on AD) I know im crazy in the head, and this report only makes me feel worse about myself. please dont judge me, im receiving treatment as we speak. part1: part2: part3: part4: part5: part6: part7: part8:
  12. Looking at the results in my file from the C&P. Does this look favorable? I know the degree of anything awarded goes off other particulars ect. RESTATEMENT OF REQUESTED OPINION: a. Opinion from general remarks: Is Veteran's sleep disturbance secondary to his stress related disorder? b. Indicate type of exam for which opinion has been requested: psychological TYPE OF MEDICAL OPINION PROVIDED: [ MEDICAL OPINION FOR SECONDARY SERVICE CONNECTION ] a. The condition claimed is at least as likely as not ( 50% or greater probability) proximately due to or the result of the Veteran's service connected condition. ******************************** Intestinal Conditions (other than surgical or infectious), including irritable bowel syndrome, Crohn's disease, ulcerative colitis and diverticulitis Disability Benefits Questionnaire 11. Remarks, if any: -------------------- GULF WAR STATEMENT: In reviewing electronic files in VBMS and CPRS in conjunction with today's examination, the Veteran has a diagnosable, but medically unexplained illness of unknown etiology. * The disability pattern most closely correlates with a diagnosed illness of unknown etiology. * He indicates he has intermittent episodes of diarrhea/constipation/bloating and pain. * It is my medical opinion that this condition at least as likely as not (50 percent or greater probability) qualifies as a presumptive condition from service in SouthWesttAsia per website http://www.publichealth.va.gov/exposures/gulfwar/medically- unexplained-il lness. *************************** RESTATEMENT OF REQUESTED OPINION: a. Opinion from general remarks: IS THE VETERAN'S CURRENT DIAGNOSIS OF OBSTRUCTIVE SLEEP APNEA AT LEAST AS LIKELY AS NOT 950 PERCENT OR GREATER PROBABILITY) RELATED TO OR INCURRED DURING HIS MILITARY SERVICE? b. Indicate type of exam for which opinion has been requested: OSA TYPE OF MEDICAL OPINION PROVIDED: [ MEDICAL OPINION FOR DIRECT SERVICE CONNECTION ] a. The condition claimed was at least as likely as not (50% or greater probability) incurred in or caused by the claimed in-service injury, event or illness. ******************************* RESTATEMENT OF REQUESTED OPINION: a. Opinion from general remarks: IS THE VETERAN'S ERECTILE DYSFUNCTION AT LEAST AS LIKELY AS NOT (50 PERCENT OR GREATER PROBABILITY) PROXIMATELY DUE TO OR RELATED TO THE MEDICATION (PROZAC) USED TO TREAT HIS SERVICE CONNECTED MENTAL HEALTH CONDITION? b. Indicate type of exam for which opinion has been requested: ED TYPE OF MEDICAL OPINION PROVIDED: [ MEDICAL OPINION FOR SECONDARY SERVICE CONNECTION ] a. The condition claimed is at least as likely as not (50% or greater probability) proximately due to or the result of the Veteran's service connected condition. *************************************** RESTATEMENT OF REQUESTED OPINION: a. Opinion from general remarks: IS THE VETERAN'S CURRENT DIAGNOSIS OF SPERMATOCELE AT LEAST AS LIKELY AS NOT (50 PERCENT OR GREATER PROBABILITY) RELATED TO THE TESTICULAR PAIN DURING ACTIVE MILITARY SERVICE? b. Indicate type of exam for which opinion has been requested: SPERMATOCELE TYPE OF MEDICAL OPINION PROVIDED: [ MEDICAL OPINION FOR DIRECT SERVICE CONNECTION ] a. The condition claimed was at least as likely as not (50% or greater probability) incurred in or caused by the claimed in-service injury, event or illness. ***************************************** RESTATEMENT OF REQUESTED OPINION: a. Opinion from general remarks: IS THE VETERAN'S CURRENT DIAGNOSIS OF PATELLOFEMORAL SYNDROME RIGHT KNEE AT LEAST AS LIKELY AS NOT (50 PERCENT OR GREATER PROBABILITY) INCURRED IN OR RELATED TO HIS RIGHT KNEE PFS DURING ACTIVE MILITARY SERVICE? b. Indicate type of exam for which opinion has been requested: PATELLOFEMORAL PAIN SYNDROME RIGHT KNEE TYPE OF MEDICAL OPINION PROVIDED: [ MEDICAL OPINION FOR DIRECT SERVICE CONNECTION ] a. The condition claimed was at least as likely as not (50% or greater probability) incurred in or caused by the claimed in-service injury, event or illness. ******************************************* RESTATEMENT OF REQUESTED OPINION: a. Opinion from general remarks: IS THE VETERAN'S CHRONIC CERVICAL STRAIN AT LEAST AS LIKELY AS NOT (50 PERCENT OR GREATER PROBABILITY) DUE TO OR THE RESULT OF HIS MILITARY SERVICE? b. Indicate type of exam for which opinion has been requested: CHRONIC CERVICAL STRAIN. TYPE OF MEDICAL OPINION PROVIDED: [ MEDICAL OPINION FOR DIRECT SERVICE CONNECTION ] a. The condition claimed was at least as likely as not (50% or greater probability) incurred in or caused by the claimed in-service injury, event or illness. ********************************************** 4. Erectile dysfunction ----------------------- Does the Veteran have erectile dysfunction? [X] Yes [ ] No If yes, complete the following section: a. Etiology of erectile dysfunction: prozac (medication used to treat service connected mental health condition) b. If the Veteran has erectile dysfunction, is it as likely as not (at least a 50% probability) attributable to one of the diagnoses in Section 1, including residuals of treatment for this diagnosis? [X] Yes [ ] No If yes, specify the diagnosis to which the erectile dysfunction is as likely as not attributable:prozac (treatment for service connected mental health condition) ***************************************** GULF WAR STATEMENT: In reviewing electronic files in VBMS and CPRS in conjunction with today's examination, the Veteran has a diagnosable condition (GERD), but medically unexplained illness of unknown etiology. The condition GERD is at least as likely than not (50 percent or greater probability) related to his military service in Southwest Asia. ********************************************
  13. Looking at the results in my file from the C&P. Does this look favorable? I know the degree of anything awarded goes off other particulars ect. RESTATEMENT OF REQUESTED OPINION: a. Opinion from general remarks: Is Veteran's sleep disturbance secondary to his stress related disorder? b. Indicate type of exam for which opinion has been requested: psychological TYPE OF MEDICAL OPINION PROVIDED: [ MEDICAL OPINION FOR SECONDARY SERVICE CONNECTION ] a. The condition claimed is at least as likely as not ( 50% or greater probability) proximately due to or the result of the Veteran's service connected condition. ******************************** Intestinal Conditions (other than surgical or infectious), including irritable bowel syndrome, Crohn's disease, ulcerative colitis and diverticulitis Disability Benefits Questionnaire 11. Remarks, if any: -------------------- GULF WAR STATEMENT: In reviewing electronic files in VBMS and CPRS in conjunction with today's examination, the Veteran has a diagnosable, but medically unexplained illness of unknown etiology. * The disability pattern most closely correlates with a diagnosed illness of unknown etiology. * He indicates he has intermittent episodes of diarrhea/constipation/bloating and pain. * It is my medical opinion that this condition at least as likely as not (50 percent or greater probability) qualifies as a presumptive condition from service in SouthWesttAsia per website http://www.publichealth.va.gov/exposures/gulfwar/medically- unexplained-il lness. *************************** RESTATEMENT OF REQUESTED OPINION: a. Opinion from general remarks: IS THE VETERAN'S CURRENT DIAGNOSIS OF OBSTRUCTIVE SLEEP APNEA AT LEAST AS LIKELY AS NOT 950 PERCENT OR GREATER PROBABILITY) RELATED TO OR INCURRED DURING HIS MILITARY SERVICE? b. Indicate type of exam for which opinion has been requested: OSA TYPE OF MEDICAL OPINION PROVIDED: [ MEDICAL OPINION FOR DIRECT SERVICE CONNECTION ] a. The condition claimed was at least as likely as not (50% or greater probability) incurred in or caused by the claimed in-service injury, event or illness. ******************************* RESTATEMENT OF REQUESTED OPINION: a. Opinion from general remarks: IS THE VETERAN'S ERECTILE DYSFUNCTION AT LEAST AS LIKELY AS NOT (50 PERCENT OR GREATER PROBABILITY) PROXIMATELY DUE TO OR RELATED TO THE MEDICATION (PROZAC) USED TO TREAT HIS SERVICE CONNECTED MENTAL HEALTH CONDITION? b. Indicate type of exam for which opinion has been requested: ED TYPE OF MEDICAL OPINION PROVIDED: [ MEDICAL OPINION FOR SECONDARY SERVICE CONNECTION ] a. The condition claimed is at least as likely as not (50% or greater probability) proximately due to or the result of the Veteran's service connected condition. *************************************** RESTATEMENT OF REQUESTED OPINION: a. Opinion from general remarks: IS THE VETERAN'S CURRENT DIAGNOSIS OF SPERMATOCELE AT LEAST AS LIKELY AS NOT (50 PERCENT OR GREATER PROBABILITY) RELATED TO THE TESTICULAR PAIN DURING ACTIVE MILITARY SERVICE? b. Indicate type of exam for which opinion has been requested: SPERMATOCELE TYPE OF MEDICAL OPINION PROVIDED: [ MEDICAL OPINION FOR DIRECT SERVICE CONNECTION ] a. The condition claimed was at least as likely as not (50% or greater probability) incurred in or caused by the claimed in-service injury, event or illness. ***************************************** RESTATEMENT OF REQUESTED OPINION: a. Opinion from general remarks: IS THE VETERAN'S CURRENT DIAGNOSIS OF PATELLOFEMORAL SYNDROME RIGHT KNEE AT LEAST AS LIKELY AS NOT (50 PERCENT OR GREATER PROBABILITY) INCURRED IN OR RELATED TO HIS RIGHT KNEE PFS DURING ACTIVE MILITARY SERVICE? b. Indicate type of exam for which opinion has been requested: PATELLOFEMORAL PAIN SYNDROME RIGHT KNEE TYPE OF MEDICAL OPINION PROVIDED: [ MEDICAL OPINION FOR DIRECT SERVICE CONNECTION ] a. The condition claimed was at least as likely as not (50% or greater probability) incurred in or caused by the claimed in-service injury, event or illness. ******************************************* RESTATEMENT OF REQUESTED OPINION: a. Opinion from general remarks: IS THE VETERAN'S CHRONIC CERVICAL STRAIN AT LEAST AS LIKELY AS NOT (50 PERCENT OR GREATER PROBABILITY) DUE TO OR THE RESULT OF HIS MILITARY SERVICE? b. Indicate type of exam for which opinion has been requested: CHRONIC CERVICAL STRAIN. TYPE OF MEDICAL OPINION PROVIDED: [ MEDICAL OPINION FOR DIRECT SERVICE CONNECTION ] a. The condition claimed was at least as likely as not (50% or greater probability) incurred in or caused by the claimed in-service injury, event or illness. ********************************************** 4. Erectile dysfunction ----------------------- Does the Veteran have erectile dysfunction? [X] Yes [ ] No If yes, complete the following section: a. Etiology of erectile dysfunction: prozac (medication used to treat service connected mental health condition) b. If the Veteran has erectile dysfunction, is it as likely as not (at least a 50% probability) attributable to one of the diagnoses in Section 1, including residuals of treatment for this diagnosis? [X] Yes [ ] No If yes, specify the diagnosis to which the erectile dysfunction is as likely as not attributable:prozac (treatment for service connected mental health condition) ***************************************** GULF WAR STATEMENT: In reviewing electronic files in VBMS and CPRS in conjunction with today's examination, the Veteran has a diagnosable condition (GERD), but medically unexplained illness of unknown etiology. The condition GERD is at least as likely than not (50 percent or greater probability) related to his military service in Southwest Asia. ********************************************
  14. Hello, I am rated 70% for Major Depression Disorder. I filed for IU and was denied. I filed an appeal and chose a BVA hearing. I was recently sent a letter for a C&P exam.
  15. My claim for ervice connection for Irritable Bowel Syndrome (IBS) as a presumptive service connected disability due to my service in the Gulf War per 38 C.F.R §3.317 was denied. Wondering how I can succesfully appeal. VA DENIAL LETTER “ Service connection is not permitted if there is affirmative evidence that the disability was unrelated to military service in the Gulf War. Service connection for unexplained chronic multi symptom illness to include irritable bowel syndrome is denied because evidence established that this disability result from poor diet and fitness. Your service treatment records do not contain complaints, treatment, or diagnosis for this condition. We did not find a link between your medical condition and military service. On examination, the examiner indicated that your stated symptoms do not meet the criteria for a diagnosis for irritable bowel syndrome and are most likely the result of poor dietary and fitness habits.” SERVICE INFORMATION & MEDICAL DIAGNOSIS: I served in Southwest Asia during Operation Iraq Freedom. My unit did participate in ground combat in Iraq. I have been diagnosed with IBS from VA medical doctor. I currently take both RX & non-RX medication for IBS. This information was submitted in my claim but not listed as evidence considered C&P EXAM Examined at VA Loma Linda. Examiner is a physican assistant. Examiner did not ask about fitness or diet patterns. Blue Button says I am unable to view the exam notes.
  16. I have a C&P on March 14, and wanted to know can i bring additional information to submit to the examiner to help with my claim? And If so do they suppose to take that into consideration?
  17. I was hoping that someone can tell me how and where I can read the notes from my C&P or any of my notes from my Dr.'s appointments. Thanks in advance.
  18. If I file for a new disability will the VA review my prior claims that have been deemed permanent, can they make me take the old C&P exams over again or will they only look at the new claim.
  19. This is what my examiner put for functional level I was happy about it but it true. How might this effect my claim for TDIU or IU? I am 90 right now. 4. Functional impact Do any of the Veteran’s residual conditions attributable to a traumatic brain injury impact his or her ability to work? [X] Yes [] No If yes, describe impact of each of the Veteran’s residual conditions attributable to a traumatic brain injury, providing one or more examples: (1) Trauma effects on Veteran's Memory seem to create one of his most significant impairments. Work on aircraft, where the lives of pilots & passengers are at risk, and much of the tasks are quite technical, seems particularly inappropriate for an individual with his apparent level of cognitive impairment. (2) In most employments, relationships & cooperation with coworkers & customers are important. The Veteran's emotional impairments would seem to be a liability. (3) What he interprets as chronic headache, may be a response to cognitive impairment. An employer would be prudent who asks himself whether this Veteran with his impairments is the individual who should be working on aircraft engines. The Veteran's Physician requested from the employer a modification of his work schedule because of concerns about circadian rhythms in the Veteran. That request was nixed because granting it would in the employer's view, it would be a violation of the collectible bargaining agreement with the Union. However, the Veteran's positives with respect to employment were well stated by him when he said to this examiner, "I'm as strong as an O
  20. back in 2011 I filed for a plethora of disabilities that i received during my time in the air force as a load master. I was given an 80% rating. One of the claims was for depression an ptsd. However, I missed that c&p appt (i forget everything) and i obviously was not given a rating. However, I was sent a letter that says: "You were denied service connection for depression/anxiety/stress because you did not report for the scheduled exam in order to determine if the current disability began on active duty and to obtain sufficient information for evaluation of the disability. Although there is a record of treatment in service for anxiety/depression/stress, no permanent residual or chronic subject to service connection is shown by the service medical records or demonstrated by evidence following the service." Now this was sent to me in 2011. Since then ive received a ton of treatment but ive also have had some unfortunate events happen as a result of the depression, anxiety, anger etc (jail, a stint at the mental health clinic, even a broken hand twice on two separate occasions on 2 separate faces, and few more incidents. i am working so hard on controlling my frustrations with the world and i am taking my meds and getting counseling - i hate living like this because i physically cant control it. And i was never like that prior to 06' my join date). so my question is what exactly does that quote from the va mean? does it mean that they recognize i was treated for depression during active duty but due to me missing the appointment, they need more information? And if i were to file a claim for depression and ptsd - and i were to receive the 80% I need in order to be rated 100%, how would the back pay work? Would the date go bak to my initial 2011 date? Or would they back pay me from the current date of filing? Sorry for the long post - thanks for the help. Also am i correct in saying that they would only be paying the difference between the 80% pay and the 100% pay right??
  21. I recently did a new C&P for PTSD when I filed for I.U. He neglected to mark a lot of my symptoms. I am currently rated at 50% PTSD, was wondering if you think this keeps me a the same or warrants an increase. He did forget to mark my suicidal ideations and a few other symptoms though so I am worried I won't be rated correctly. Is this DBQ being completed in conjunction with a VA 21-2507, C&P Examination Request? [X] Yes [ ] No SECTION I: ---------- 1. Diagnostic Summary --------------------- Does the Veteran now have or has he/she ever been diagnosed with PTSD? [X] Yes [ ] No ICD Code: F43.10 2. Current Diagnoses -------------------- a. Mental Disorder Diagnosis #1: PTSD ICD Code: F43.10 Mental Disorder Diagnosis #2: Panic Disorder ICD Code: F41.0 Mental Disorder Diagnosis #3: Major Depressive Disorder, Recurrent ICD Code: F33.1 Mental Disorder Diagnosis #4: No Axis II disorder b. Medical diagnoses relevant to the understanding or management of the Mental Health Disorder (to include TBI): No response provided. 3. Differentiation of symptoms ------------------------------ a. Does the Veteran have more than one mental disorder diagnosed? [X] Yes [ ] No b. Is it possible to differentiate what symptom(s) is/are attributable to each diagnosis? [ ] Yes [X] No [ ] Not applicable (N/A) If no, provide reason that it is not possible to differentiate what portion of each symptom is attributable to each diagnosis and discuss whether there is any clinical association between these diagnoses: The PTSD is currently the more severe and responsible for the veteran's current level of impairment; the clinical depression and the Panic Disorder are certainly significant, however. The depression and Panic Disorder are seen as more likely than not caused by the chronic PTSD symptoms. It is difficult to ferret out the contribution of the three disorders due to the overlap of symptoms and variability of degree; at times any of the three disorders may be the more severe, but the PTSD is responsible for the current level of impairment. c. Does the Veteran have a diagnosed traumatic brain injury (TBI)? [ ] Yes [ ] No [X] Not shown in records reviewed 4. Occupational and social impairment ------------------------------------- a. Which of the following best summarizes the Veteran's level of occupational and social impairment with regards to all mental diagnoses? (Check only one) [X] Occupational and social impairment with reduced reliability and productivity b. For the indicated level of occupational and social impairment, is it possible to differentiate what portion of the occupational and social impairment indicated above is caused by each mental disorder? [ ] Yes [X] No [ ] No other mental disorder has been diagnosed If no, provide reason that it is not possible to differentiate what portion of the indicated level of occupational and social impairment is attributable to each diagnosis: The PTSD is currently the more severe and responsible for the veteran's current level of impairment; the clinical depression and the Panic Disorder are certainly significant, however. The depression and Panic Disorder are seen as more likely than not caused by the chronic PTSD symptoms. It is difficult to ferret out the contribution of the three disorders due to the overlap of symptoms and variability of degree; at times any of the three disorders may be the more severe, but the PTSD is responsible for the current level of impairment. c. If a diagnosis of TBI exists, is it possible to differentiate what portion of the occupational and social impairment indicated above is caused by the TBI? [ ] Yes [ ] No [X] No diagnosis of TBI SECTION II: ----------- Clinical Findings: ------------------ 1. Evidence Review ------------------ Evidence reviewed (check all that apply): [X] VA e-folder (VBMS or Virtual VA) [X] CPRS 2. Recent History (since prior exam) ------------------------------------ a. Relevant Social/Marital/Family history: Veteran received his previous PTSD C&P on Mar 2016. At that time he was living in an aparments. He still lives in but has moved to a different aprtment. He lives with a roommate. He is not in a relationship. The veteran is not employed. His typical day consists of going to school, "I have classes five days a week but "I only go two days a week because of panic attacks. When I'm home I sometimes lay in bed and cry or think about everything." He noted he does not sleep much at all. He said he only gets out for school; is roommate will cook and get most of the groceries. b. Relevant Occupational and Educational history: The veteran has not worked since he was discharged from the Air Force in 2016. He has applied for jobs and tried to do a work study but quit because of panic attacks; at times he will scream and hit his back pack. He started there in August and is taking 12 units. He is schedule to attend classes five days a week but rarely makes all five days. "I'm close to failing a couple of classes for attendance. c. Relevant Mental Health history, to include prescribed medications and family mental health: The veteran is current being followed by a staff psychologist every two weeks; he has being seeing her since August. He is also followed by a staff psychiatrist who prescribes: prazosin and Celexa. He has taken other medications. He said they help only a little bit. d. Relevant Legal and Behavioral history: Denied by the veteran. He did say he got into an altercation about two weeks ago at the gym when he through a dumbbell at the floor; he was kicked out. e. Relevant Substance abuse history: The veteran has not drank alcohol for over one years; he denied ever abusing it. He does not use illegal substances. f. Other, if any: No response provided. 3. PTSD Diagnostic Criteria --------------------------- Please check criteria used for establishing the current PTSD diagnosis. The diagnostic criteria for PTSD, are from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). The stressful event can be due to combat, personal trauma, other life threatening situations (non-combat related stressors). Do NOT mark symptom s below that are clearly not attributable to the Criterion A stressor/PTSD. Instead, overlapping symptoms clearly attributable to other things should be noted under #6 - "Other symptoms". Criterion A: Exposure to actual or threatened a) death, b) serious injury, c) sexual violence, in one or more of the following ways: [X] Directly experiencing the traumatic event(s) Criterion B: Presence of (one or more) of the following intrusion symptoms associated with the traumatic event(s), beginning after the traumatic event(s) occurred: [X] Recurrent, involuntary, and intrusive distressing memories of the traumatic event(s). [X] Recurrent distressing dreams in which the content and/or affect of the dream are related to the traumatic event(s). [X] Intense or prolonged psychological distress at exposure to internal or external cues that symbolize or resemble an aspect of the traumatic event(s). Criterion C: Persistent avoidance of stimuli associated with the traumatic event(s), beginning after the traumatic events(s) occurred, as evidenced by one or both of the following: [X] Avoidance of or efforts to avoid distressing memories, thoughts, or feelings about or closely associated with the traumatic event(s). [X] Avoidance of or efforts to avoid external reminders (people, places, conversations, activities, objects, situations) that arouse distressing memories, thoughts, or feelings about or closely associated with the traumatic event(s). Criterion D: Negative alterations in cognitions and mood associated with the traumatic event(s), beginning or worsening after the traumatic event(s) occurred, as evidenced by two (or more) of the following: [X] Persistent, distorted cognitions about the cause or consequences of the traumatic event(s) that lead the individual to blame himself/herself or others. [X] Markedly diminished interest or participation in significant activities. [X] Feelings of detachment or estrangement from others. Criterion E: Marked alterations in arousal and reactivity associated with the traumatic event(s), beginning or worsening after the traumatic event(s) occurred, as evidenced by two (or more) of the following: [X] Irritable behavior and angry outbursts (with little or no provocation) typically expressed as verbal or physical aggression toward people or objects. [X] Problems with concentration. [X] Sleep disturbance (e.g., difficulty falling or staying asleep or restless sleep). Criterion F: [X] The duration of the symptoms described above in Criteria B, C, and D are more than 1 month. Criterion G: [X] The PTSD symptoms described above cause clinically significant distress or impairment in social, occupational, or other important areas of functioning. Criterion H: [X] The disturbance is not attributable to the physiological effects of a substance (e.g., medication, alcohol) or another medical condition. 4. Symptoms ----------- For VA rating purposes, check all symptoms that actively apply to the Veteran's diagnoses: [X] Depressed mood [X] Anxiety [X] Panic attacks more than once a week [X] Mild memory loss, such as forgetting names, directions or recent events [X] Disturbances of motivation and mood [X] Difficulty in establishing and maintaining effective work and social relationships [X] Difficulty in adapting to stressful circumstances, including work or a worklike setting [X] Neglect of personal appearance and hygiene 5. Behavioral observations -------------------------- No unusual behaviors observed. 6. Other symptoms ----------------- Does the Veteran have any other symptoms attributable to PTSD (and other mental disorders) that are not listed above? [X] Yes [ ] No If yes, describe: The veteran reports having suicidal thoughts 3-4 times a week but doesn't dwell on them. He said he would never attempt suicided because of his kids. 7. Competency ------------- Is the Veteran capable of managing his or her financial affairs? [X] Yes [ ] No 8. Remarks, (including any testing results) if any: --------------------------------------------------- No remarks provided.
  22. I filed a claim sometime in early October for an increase of my PTSD, a foot injury, as well as put in for 2 new conditions and one secondary condition. While I am largely very happy with how the claims for my physical disabilities has gone (my examiner told me within the first 5 minutes he was going to connect me for all the new stuff and that I rated an increase for the foot issue - after that I just had to actually do the C&P! My PTSD exam and resulting DBQ however were not nearly as smooth as my other C&P's had gone. Honestly I was actually kind of shocked when I finally got around to pulling it off myhealthevet and reading it. A big reason I was so surprised is that as far as "evidence" goes I've been piling it up over the last year. To get to how this all went down I have to run it back a little bit and explain my situation. I ran into a rough time around February of last year...... So I had my big sob story all typed up and then chickened out. Sufficed to say that I lost everything. Not only did I lose my wife and kids, I lost the dream property we had worked so hard to get to. I just walked away from it, I couldn't bring myself to walk back into the cabin. I literally just left everything I'd worked for the last 6 years of my life at 9,000 feet on the side of a mountain and just walked away. Sufficed to say I crashed and burned really hard. For about 3 weeks I spent every waking moment doing everything I could to make the pain go away, up to and including multiple attempts at OD'ing. I finally was able to get my wits together, did some searching online and ended up in a VA domiciliary program in Texas. While I've never identified myself as a drug addict, I definitely needed some help getting the wheels back on so the first thing I did was enroll myself in a 45 day substance abuse program. After that I was able to put in 3 1/2 months of inpatient trauma treatment, followed by 2 months of inpatient PTSD treatment. It's been about 9 months but I'm glad I did it, I honestly don't think I would have made it through to the New Year if I hadn't come here. Anyhow, after 9 months of inpatient therapy which included almost 6 months of trauma/PTSD treatment, daily group meetings, twice weekly counselor/psychologist one on ones, and intensive medication programs to help me through everything, I kinda thought I had a decent chance of getting an increase from 30%. I've tried for increases in the past but I haven't been the most consistent person over the years. I have a hard time following through on treatment and in addition to that due to having a non-combat trauma I haven't had a very easy time getting the VA to accept my diagnosis, at least on the disability side. The treatment side has no issue with it. Anyhow, like I said I had hope because in the past I had been told that I wasn't getting increases in my rating because I wasn't following through on treatment and because of that it made it difficult for me to build much of a case. Everything was simply my word as to how things were, or how I was getting by, but I didn't have anyone respectable to back me up about the things that I was going through and the troubles I have. So this leads me to my most recent C&P/DBQ. I've cut out a decent amount of personal information and trauma narrative stuff, but the meat and potatoes should be in there for anyone that's familiar with these things. I've been service connected since 2004 and my trauma is most definitely legitimate. I really hope there's a possible sunny side to all of this. I've done a massive amount of googling over the last few days and I've seen posts where people say that just because the examiner says one thing doesn't mean that's the direction the rater is going to go with things. I'm really discouraged right now. I've had a very contentious relationship with the VA for a long time. I have a very hard time trusting the VA anymore. I've had some very bad caregivers who were telling me one thing to my face while shredding me in their notes after I'd left (We have access to those you know....) One LCSW in particular went out of here way to push a personality disorder diagnosis on me, essentially getting the diagnosis put in my chart by filling up my psychiatrist with a lot of crap; all the while telling me how much she was trying to help me. Now here I am again. I feel like I'm really getting the short end of the stick by the VA and in particular this examiner, after I did have a pretty awesome doctor for my physical C&Ps and lord knows I'm not the first one to get the un-greased by the wonderful VA. That being said I'm just frustrated because I've really put in so much effort into my recovery and treatment. I'm working the DBT, mindfulness and challenging beliefs far more than I'm comfortable with, but I'm doing it. Anyhow I went from erasing my sob story to writing a whole new one. Thanks for taking the time to read through this and pass on any info/experience/ideas you might have. Thanks in advance, OGG The following is an excerpt from another thread I started about a DBQ for my back that ended up digressing a little. I figured there's no reason to type it all out again new so I just copy and pasted the "important" parts. Review Post Traumatic Stress Disorder (PTSD) Disability Benefits Questionnaire SECTION I: --------------------- 1. Diagnostic Summary -------------------- Does the Veteran now have or has he/she ever been diagnosed with PTSD? [X] Yes[ ] No 2. Current Diagnoses: ------------------- Mental Disorder Diagnosis #1: PTSD Mental Disorder Diagnosis #2: Cannabis Use Disorder, In Early Remission, In a Controlled Environment Mental Disorder Diagnosis #3: Alcohol Use Disorder, In Early Remission, In a Controlled Environment Mental Disorder Diagnosis #4: Inhalant Use Disorder, In Early Remission, In a Controlled Environment Alright I'm definitely not proud of the huffing. All I can say is that my life had fallen to pieces. My wife took my kids and left me while I was getting the car fixed overnight. She filed false abuse charges against me to keep me from the kids. I'm no saint but I never abused my wife or my kids. Up until this moment I hadn't had a drink in 5 years... I just smoked pot - which I was prescribed. Also I think this would be a good time to put what my actual working diagnosis list for a little bit of contrast. This list was pulled straight off my myhealthevet file and reflects 9 months of inpatient treatment. I can't help but feel like this lady was snowballing me. Yes there's some overlap. What's the difference between PTSD and Chronic PTSD? I don't know. Why do I have 2 types of insomnia DX'd? I don't know that either. #1)Chronic post-traumatic stress disorder (SCT 313182004) #2)Posttraumatic stress disorder (SCT47505003) #3) Anxiety (SCT 48694002) - symptom of PTSD #3) Depressive disorder (SCT 35489007) - symptom of PTSD #4) Insomnia (SCT 193462001) - symptom of PTSD #5) Psychophysiologic insomnia (SCT 425832009) - symptom of PTSD #6) Cannabis dependence (SCT 85005007) #7) Alcohol dependence (SCT 66590003) 3. Differentiation of symptoms ----------------------------- a. Does the Veteran have more than one mental disorder diagnosed? [X] Yes[ ] NO b. Is it possible to differentiate what symptom(s) is/are attributable to each diagnosis? [X] Yes[ ] No[ ] Not applicable (N/A) I have a problem with this part. Just how is she going differentiate between my various diagnosis which all are attributed to the PTSD? (besides the substance abuse issues) 4. Occupational and social impairment ------------------------------------ a. Which of the following best summarizes the Veteran's level of occupational and social impairment with regards to all mental diagnoses? (Check only one) [X] Occupational and social impairment with occasional decrease in work efficiency and intermittent periods of inability to perform occupational tasks, although generally functioning satisfactorily, with normal routine behavior, self-care and conversation. I have a problem with this as well. I haven't been able to work in 6 years. I've tried but it always ends up being a failed attempt. I usually end up getting myself too worked up about social situations, get too depressed to get out of bed, get fired for being late because I have serious sleep problems which sometimes lead me to not being able to wake up for my alarm, etc etc. In addition I barely go out. Hell I went out of my way to move 10 miles from the closest power poll 9,000' above sea level just to find myself some peace. I can't handle large groups, I psych myself out when I'm out at night, I see danger and trouble everywhere. Anyhow back to getting smeared. b. For the indicated level of occupational and social impairment, is it possible to differentiate what portion of the occupational and social impairment indicated above is caused by each mental disorder? [X] Yes[ ] No[ ] No other mental disorder has been diagnosed If yes, list which portion of the indicated level of occupational and social impairment is attributable to each diagnosis: Symptoms of PTSD and substance use contribute to social and occupational impairment. However, symptoms of PTSD have not increased in severity since the veteran's last C&P exam in 2013. A quick side note A: I've been in a treatment facility for almost a year now, I'm pretty sure my "substance abuse" isn't contributing to my issues. I smoked cannabis medicinally and I don't even drink. Why do I smoke pot because it helps with my PTSD as well as a laundry list of other issues. That being said I've been "clean" for a year now. So... now that she's basically said I barely have PTSD, and my troubles are simply because I'm a drug addict, let's get on to the next section. 3. PTSD Diagnostic Criteria -------------------------- Please check criteria used for establishing the current PTSD diagnosis. The diagnostic criteria for PTSD, are from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). The stressful event can be due to combat, personal trauma, other life threatening situations (non-combat related stressors.) Do NOT mark symptoms below that are clearly not attributable to the Criteria A stressor/PTSD. Instead, overlapping symptoms clearly attributable to other things should be noted under #6 - "Other symptoms". Criterion A: Exposure to actual or threatened a) death, b) serious injury, c) sexual violation, in one or more of the following ways: [X] Directly experiencing the traumatic event(s) Criterion B: Presence of (one or more) of the following intrusion symptoms associated with the traumatic event(s), beginning after the traumatic event(s) occurred: [X] Recurrent, involuntary, and intrusive distressing memories of the traumatic event(s).d [X] Recurrent distressing dreams in which the content and/or affect of the dream are related to traumatic event(s). [X] Marked physiological reactions to internal or external cues that symbolize or resemble an aspect of the traumatic event(s). Criterion C: Persistent avoidance of stimuli associated with the traumatic event(s), beginning after the traumatic events(s) occurred, as evidenced by one or both of the following: [X] Avoidance of or efforts to avoid distressing memories, thoughts, or feelings about or closely associated with the traumatic event(s). [X] Avoidance of or efforts to avoid external reminders (people, places, conversations, activities, objects, situations) that arouse distressing memories, thoughts, or feelings about or closely associated with the traumatic event(s). Criterion D: Negative alterations in cognitions and mood associated with the traumatic event(s), beginning or worsening after the traumatic event(s) occurred, as evidenced by two (or more) of the following: [X] Persistent and exaggerated negative beliefs or expectations about oneself, others, or the world (e.g., "I am bad,: "No one can be trusted,: "The world is completely dangerous,: "My whole nervous system is permanently ruined"). [X] Persistent, distorted cognitions about the cause or consequences of the traumatic event(s) that lead to the individual to blame himself/herself or others. [X] Persistent negative emotional state (e.g., fear, horror, anger, guilt, or shame). [X] Markedly diminished interest or participation in significant activities. [X] Feelings of detachment or estrangement from others. [X] Persistent inability to experience positive emotions (e.g., inability to experience happiness, satisfaction, or loving feelings.) Criterion E: Marked alterations in arousal and reactivity associated with the traumatic event(s), beginning or worsening after the traumatic event(s) occurred, as evidenced by two (or more) of the following: [X] Irritable behavior and angry outbursts (with little or no provocation) typically expressed as verbal or physical aggression toward people or objects. [X] Reckless or self-destructive behavior. [X] Hypervigilance. [X] Exaggerated startle response. [X] Problems with concentration. [X] Sleep disturbance (e.g., difficulty falling or staying asleep or restless sleep). Criterion F: [X] The duration of the symptoms described above in Criteria B, C, and D are more than 1 month. Criterion G: [X] The PTSD symptoms described above cause clinically significant distress or impairment in social, occupational, or other important areas of functioning. Criterion H: [X] The disturbance is NOT attributable to the physiological effects of a substance (e.g., medication, alcohol) or another medical condition. That last one is my favorite! Not only does she say that my disturbances are NOT attributable to substances be it medication or drugs nor are they attributed to another medical condition. She also manages to manages to assess me with 20 out of 24 possible sub-criteria or disturbances in the diagnosis of PTSD. I'm sure I'm reading into this wrong and I can't look at things like this but that certainly feels like more than 30% disabling. I dunno. 4. Symptoms ---------- For VA rating purposes, check all symptoms that actively apply to the Veteran's diagnoses: [X] Depressed mood [X] Anxiety [X] Suspiciousness [X] Chronic sleep impairment [X] Mild memory loss, such as forgetting names, directions or recent events 6. Other symptoms ---------------- In this section she just goes about telling whatever version of my life story she could piece together from old treatment records. Spends a lot of time on the fact that I smoke pot, that I didn't have a relationship with my father and various other fun facts that do a lot to distract you from the lack of a cohesive narrative or making any of what she wrote mean anything as far as the DBQ goes. She doesn't list a single "other symptom" like the line below talks about. She just kinda makes me out to be a flaky loser. Does the Veteran have any other symptoms attributable to PTSD (and other mental disorders) that are not listed above? [ ] Yes [X] No....... 7. Competency ------------ Is the Veteran capable of managing his or her financial affairs? [ ] Yes[X] No At this point she pulls out some more fun facts from my medical record. She says that "I frequently go on spending sprees", and brings up how when I was 25 and got my first backpay check and I blew it on fun stuff like a car, and a computer and whatnot (I was single going to university at the time). What this cluck of a woman doesn't see in her precious computer is that other than my time here at the VA facility I'd been able to support my wife and two kids on my 50% SC. Trust me there's no spending sprees going on there. 8. Remarks, (including any testing results) if any: -------------------------------------------------- Psychological Testing: A test of response bias specifically related to PTSD symptoms was administered to the veteran during this examination to assess the credibility of his self report. The name of this measure is withheld in this report in order to protect the integrity of the test. This test was specifically standardized on a sample of veterans applying for financial remuneration for a claim of disability resulting from PTSD. The veteran's score on this test was below the established cutoff, indicating that his performance was consistent with individuals responding in a valid manner. As such, he did not appear to be intentionally exaggerating signs and symptoms of PTSD or attempting to appear worse off that he actually is. Ahh what a finish eh? I think she should spend less time worrying about my credibility and a little more about hers. Well, last but not least let's hear her final word on the subject: Signed: 10/30/2015 13:35 11/03/2015 ADDENDUM STATUS: COMPLETED PTSD is less likely than not a result of military duties. /es/ Her Name Goes Here, PSYCHOLOGIST Signed: 11/03/2015 15:22 So yeah that's essentially where I'm at. I'm just hoping that whoever rates my PTSD takes what she says with a grain of salt and also takes time to look at the 1200 pages of treatment records I've added to my medical record in the last year as well as the weakly psychologist appointments, 20 page typed trauma narrative, the countless notes that were put in on my behalf. I hope they also see the weekly PCL-5s averaging between 65 and 72, the by weekly CAPs averaging around 66, the PHQ9 score of 23, the gad-7 score of 20 - All of which were administered by a Doctor or LCSW. Yah I've got this one too; World Health Organization Disability Assessment Schedule 2.0 Cognition: 75 Mobility: 12 Self-care: 70 Getting along: 83 Life activities (household): 100 Life activities (work/school): 85 Participation: 79 Summary: 70 *Range is 0 to 100 where 0 indicates no disability and 100 means full disability I realize I'm probably putting too much hope into all of this. I know that the disability tests and rating exams probably don't amount to anything as far as determining anything with the VA. If the particular examiner is up on their stuff they might know the significance of the WHODAS 2.0 or put stock in the CAPs screening but really they don't have to look at them at all. Hopefully at the very least I can use all I've put together to apply for SSDI. If you've gotten this far thank you so much for reading my rant and hopefully pulling out the important bits from what I did post of my DBQ. Hopefully I haven't over edited it but I just didn't think what she wrote was particularly applicable to the questions that the DBQ was asking and I generally feel she was just trying to prove out whatever she had come to believe based on small glimpses of my medical record. I really wish I had been afforded the opportunity to address some of the conclusions she was making about me and the picture she was painting.
  23. C&P(Compensation and Pension)Exams Sub-post, Mental Health/PTSD Exams (means you'll see a Psychologist or MH "Expert") Most of us here on Hadit.com LOVE to see C&P's. it is practically a GUARANTEE that we never see exams that are exactly the same. i believe the reason most of us look at these things is to help you all ease your own tensions, waiting for the Results of a C&P is no where near as intense as waiting for the Rating decision based of said exams. when you all come here, asking us to look, we do it for you, and us, because we are all still fighting as well. we learn, from your flaws and chaotic whirlpool of hope and despair, but we try to calm that storm for you. it's really rather sad that only us Veteran Civilians can give as much support and attention unlike those programs that claim to be lookin out for us. if Hadit.com was where ALL Veterans came to get the help they needed i believe our Veteran Community as a whole would be a lot better,but that isn't the case, so we make do with what we have. and what do we have you ask? Each other, that's it. just to the left and right of each one of us is someone still fighting a horrible system that seems not only to benefit, but THRIVE on denying a majority of us the Compensation's we've been guaranteed by Law. So, what's the point of this little post you may ask? well, look at it this way, those of us here, those of us who fight, not just for ourselves, but for each other, we have limited time. we DO have to fight our own cases as well, and we have to garner enough Information as we can.....so i despise when people waste my phukin time. and even more, i despise how they waste my fellow Shield brethren's time, it seriously feels to me as those who waste our time, literally waste moments of our Life. you know, that highly limited thing that we have so little of. Why am i posting this in the C&P Forum you may ask? Because, it is HERE, where it is the SIMPLEST to weed out the Scum.....those who would manipulate and twist all that WE do, for their own gains. How is it so simple you may be asking yourselves? well, lets take a look see at what exactly a C&P exam actually IS. and no i don't mean the fancy VA tracking numbers and Military-ish style jargon. i mean, what as LAYPEOPLE we must understand it as. Compensation and Pension- The underlined really only deals with us Vets here on Hadit.com, it's for those of us, who were broken, but since we signed a Contract, held up our Right Hand, and Swore an Oath, we are COMPENSATED for Damages that are based on a wonky azz math system that pretty much guarantees that you'll be Compensated, no matter how Slight or All Encompassing your injuries are. Mental Health Exams are ALWAYS conducted by MH professionals, personally, i wouldn't accept anything less than a PhD holding Psychologist, they actually get their Doctorates in Diagnosing Mental Health Disorders. most of us have been to them, SEVERAL times, always poking, prodding, asking questions that we deem unnecessary, and lots of times the Exams themselves seem to be rather scatterbrained. what one Doc does in St. Louis Mo is not even close to the tests ran by old Doc in Seattle Wa.....why is this? who knows? but the general theory of ALL MH medical evaluations is the same. they're not Medical Exams, they are FORENSIC Exams. which means, that PhD Doc ain't your buddy, he's a COP. they need to shock you, destabilize you, rile you up and see what is REALLY in there, if you're such a GOOD faker that you can fool a well trained Doc, then that is in and of itself another form of Psychosis, you all wonder why sooooo few cases of Fraud cause the termination of Compensation Benefits? because most of these "shifty" Docs are REALLY good at their jobs. even the way you react to how they react tells them many things. there is a common misconception of "buiding to deny" a case or something of that order, but for MH, not quite so. when it comes to MH, the VA HAS to be sure, it HAS to base all their decisions off of the Law, and MH is one area, where i believe we get very very very little Frauding of the system. the VA needs it's own Doc's, because lets face a solid fact, as a Treating Doc your own personal Doc is caught up in your well being and health, a VA Rating Officer has to know that what Information they get is 100% legit. i don't blame them, MH is only Treatable, not Curable. pretty much translates to benefits for life, i.e. Compensation on a Tax Free Check if you come here, and post your C&P Exam, and you think we're gonna sugar coat it and say try harder, you're sadly mistaken. this is my Callout, if you come here, looking to waste my time, and the time of the Veterans who kept me sane, who filled me with Hope, and even more, gave me the Knowledge i needed to win my Claims, i'm gonna shame you into Obscurity. we don't have time for you, if you post a C&P that you even THINK may cause some of us to think you're a liar, you better go find a Lawyer to look at your Shite, because you are NOT welcome here. i will find you, you can't lie to me, if you post your information, as i have done, as i have opened and bared my soul to my fellow Vets, and i see your Cancerous lies, i will call you out, and haunt your Posts. the few Rotten Apples such as yourself have caused a backlash against Broken Veterans on orders of magnitude that are both offensive and onerous in themselves. i would rather see a piece of Shite like you get your benefits, if it meant EVERY Vet who needed them right now got them, but that isn't how our System works, so you ain't gettin Shite from me..... Carry on Shield Siblings....
  24. I had this C&P exam back in January 2016, I have not yet received a rating for this exam. Currently, I'm at the baseline 30% for Parkinson's which I was given when I won my case at the BVA in July 2015. Does anyone have a guess to what my new rating will be? Once I receive my new rating I will update this post. 1. Diagnosis Does the Veteran now have or has he ever been diagnosed with Parkinson's disease (Paralysis Agitans)? Yes ICD Code: G20 Date of Diagnosis: 11/2011 2. Dominant hand: Right 3. Motor manifestations due to Parkinson's or its treatment (check aII that apply) Stooped posture [X] None [ ] Mild [ ] Moderate [ ] Severe Balance Impairment [ ] None [ X] Mild [ ] Moderate [ ] Severe Bradykinesia or slowed motion (difficulty initiating movement " freezing, " short shuffling steps) [ ] None [X] Mild [ ] Moderate [ ] Severe Loss of automatic movements (such as blinking, leading to fixed gaze; typical Parkinson' s faces) [ ] None [ ] Mild [X] Moderate [ ] Severe Speech changes (monotone, slurring words, soft or rapid speech) [ ] None [X] Mild [ ] Moderate [ ] Severe Tremor (characteristic hand shaking, "pill-rolling") [X] Yes [ ] No Extremities affected: Right Upper: [ ] Not affected [ ] Mild [ ] Moderate [X] Severe Left Upper: [ ] Not affected [X] Mild [ ] Moderate [ ] Severe Right Lower [ ] Not affected [ ] Mild [X] Moderate [ ] Severe Left Lower [ ] Not affected [X] Mild [ ] Moderate [ ] Severe Muscle rigidity and stiffness [X] Yes [ ] No Extremities affected: Right Upper: [ ] Not affected [ ] Mild [ ] Moderate [X] Severe Left Upper: [ ] Not affected [ ] Mild [X] Moderate [ ] Severe Right Lower [ ] Not affected [ ] Mild [ ] Moderate [X] Severe Left Lower [ ] Not affected [ ] Mild [X] Moderate [ ] Severe 4. Mental manifestations due to Parkinson's or its treatment Depression [X] None [ ] Mild [ ] Moderate [ ] Severe Cognitive impairment or dementia [ ] None [ ] Mild [X] Moderate [ ] Severe 5. Additional manifestations,/complications due to Parkinson's or its treatment Loss of sense of smell [ ] None [ ] Partial [X] Complete Sleep disturbance, (insomnia, day-time sleep attacks) [ ] None [ ] Mild [ ] Moderate [X] Severe Difficulty chewing,/ swallowing [ ] None [X] Mild [ ] Moderate [ ] Severe Urinary problems (incontinence or [X] None [ ] Mild [ ] Moderate [ ] Severe Constipation (due to slowing of GI tract or secondary to Parkinson's medications) [X] None [ ] Mild [ ] Moderate [ ] Severe Sexual dysfunction [X] None [ ] Mild [ ] Moderate [ ] Severe 6. Financial responsibility In your judgment, is the Veteran able to manage his,/her benefit payments in his,/her own best interest, or able to direct someone else to do so? [X] Yes [ ] No 7. Functional impact Does the Veteran's Parkinson's disease impact his or her ability to work? [X] Yes [ ] No If yes, describe impact, providing one or more examples: Veteran reports increased sleep disturbance and requires nonconsecutive work schedule days. Veteran reports difficulty manipulating computer mouse at work.