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My original decision is attached. I posted later regarding the lack of connection for my neurogenic bowel (ileostomy with colectomy). My VSO advised me not to rock the boat since my STRs didn't have any neck documentation. That was dealt with in the IMO I submitted and was successful in getting the neck connected and the cascade with it. My health has been up and down and I have not gotten around to filing for the neurogenic bowel. We're in the process of the Specially Adapted Housing grant right now...long process to get bid from contractor but not complaining at all!! Feel blessed to have it. However, I talked to my VSO once again, about my concerns of my neurogenic bowel not being rated and I was told not to worry because if I had a bowel obstruction, rupture and died from sepsis, the Death Certificate would link it to the spinal cord injury. I think that was a crock but...now I have other issues and am ready to take them on. Issues I would like to file for are: Neurogenic bowel requiring ileostomy and subsequent colectomy due to disuse syndrome. Gastroparesis. This has been brewing for awhile along with my GERD but it is to the point now where I'm losing weight too quickly and sometimes can't get anymore than 600 calories in a day even using high calorie supplements recommended by the dietician. I feel as if I've eaten a Thanksgiving dinner all the time. A few weeks ago, it resulted in a hospitalization and my small intestine had ileus for a couple of days where nothing moved. Not sure if Gastroparesis is a ratable and connectable condition to my SCI. I'm scheduled for a suprapubic catheter to be placed on November 14 because I leak around my foley. I can no longer Cath intermittently because my hand is getting to weak to manipulate clothing and I don't have 24 hour help. Am I correct that a suprapubic is ratable at 100% especially since I already have a 60% Neurogenic bladder rating (not related to my neck issues) Is is worth it to file. My husband is 60 and taking care of me is becoming very taxing. The VA covers some home care/homemaker through the standard care but not near enough. So I don't know if these issues, if granted would bump me higher than an M w/K. Also does anybody know if Loss of use of both bowel and bladder sphincter control plus paralysis requires the paralysis to be complete (as in ASIA A) or does it also apply to incomplete. I'm listed as a C1 ASIA C SCI. It is not clear in the regs which state, "(2)Paraplegia. Paralysis of both lower extremities together with loss of anal and bladder sphincter control will entitle to the maximum rate under 38 U.S.C. 1114(o), through the combination of loss of use of both legs and helplessness. The requirement of loss of anal and bladder sphincter control is met even though incontinence has been overcome under a strict regimen of rehabilitation of bowel and bladder training and other auxiliary measures." Any advice or thoughts would be greatly appreciated. Blessings, toomnyhats toomnyhatsRedacted.pdf
AshMur posted a question in VA Disability Compensation Benefits Claims Research ForumHello! Long-time lurker, first-time poster. I've gained a lot of valuable information from this site in the past, and I am hoping to gain some insight on my particular issue/question. I went through an MEB in 2013/2014. I was found UNFIT for a neurogenic bladder condition (complication during a total colectomy) and rated at 40%. I had several other conditions claimed and rated as part of the MEB. Ulcerative Colitis (they combined it with GERD and a permanent ileostomy) rated at 20% and many other minor conditions related to my joints and scars at 10% each. This all added up to 80% (a year later, I was summoned for a C&P exam to check on my bladder which resulted in an increase from 40% to 60% which raised my overall rating to 90%). At the time, I was confused as to why my UC was only rated at 20% since it led to me losing my colon completely, but I was urged by a Senior Chief working alongside my PEBLO to accept the findings since it granted me a medical retirement and to appeal anything after I was out of the military. Hindsight 20/20--I probably should have appealed the findings when I was still active duty and made sure things were correct before signing anything. However, I didn't know anything about the Schedule for Rating Disabilities/VASRD/38 CFR, so I didn't know any better back then. Fast forward several months, and I now realize that the VA may have made a mistake in my claim (or that there was important information missing from my medical records). According to the VASRD, ostomies are rated under code 7333 (which is for colostomies) making it look like my permanent ostomy should have been rated at 100% from the start. I met with a DAV rep at the North Chicago VA who helped me submit a claim including a DBQ filled out by a GI noting the reason for my ostomy, the fact that it's permanent, and the date that I had it created. My rep didn't seem interested in hearing about how I felt the original rating was probably incorrect. He kept interrupting me to tell me to just get the DBQ filled out and that we would submit the claim. "Let's keep this simple," he kept saying. He either knows that the VA will see my claim for an ostomy, review my current ratings and see that I have had this ostomy for a while, and will notice the error (is this likely? I'm asking honestly), or he didn't understand what I was saying. I haven't received a return call from him in weeks and he is always out of the office when I make the 45-minute drive up to the VA where he works. I have been following my claim on eBenefits and taking the info with a grain of salt. It's being worked on in the National Work Queue (mostly out of San Diego), and I've been at PFD since the end of June and it's past the ECD of July 15, 2016, with no new ECD listed. It would have surprised me to have a closed claim by July 15th, so I am trying to be patient and see how long this takes. Anyway, my main question is this: since I've had this ostomy since the original award letter, do I have a reason to make sure the results of this current claim has an effective date of that original rating decision from 2014? Or, have I missed that window because I didn't appeal the VA's decision within one year? Also, I'm curious to know if there are any other veterans with ostomies here and how the VA rated theirs. Thanks in advance for any info/discussion on this topic!