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Found 7 results

  1. Hi everyone I recently had a C&P on December 17th for migraines. And today I get a call from LHI stating that I have to do anthor C&P exam for migraines again and I wanted to know is this common.
  2. Hi there, Recently actually yesterday the 21st of February the VA gave me notice that my supplemental claim had been decided and that they had sent out the letter that morning as well (meaning the decision was actually made on the 20th). This of course prompted me to check Ebenefits, where I saw no change in my rating. I'm currently rated at 40% for other issues. And in the past Ebenefits updated almost instantly leading me to believe that this supplemental claim was denied. I originally submitted my Epilepsy claim back in august, it was denied about 4 months later due to conflicting phraseology given by one of my doctors (mind you i still have a diagnoses of Epilepsy with 15 witnessed Grand Mal seizures at this point). Once i got the original decision letter I contacted my County VSO's office and set up an appointment. After they reviewed everything they we surprised that my claim was denied as it has a clear nexus and on top of that falls under the conditions; that if they manifest within a year its considered service connected (I separated 02/01/2019, first seizure onset was 05/25/2019). They did review the 112 pages of evidence from my civilian doctors and did see the conflicting phraseology. They told me that if I could get my Neurologist to just confirm my diagnoses and say i was and have been under treatment since 05/25/2019 that we could submit a supplemental claim since that's the fastest route. So that's what we did. That brings us to now. Under the standards for Epilepsy I was looking at a single rating of anything between 80%-100%. An 80% from 40% would have resulted in something Close to 90%. While i'm holding out, since in either case the retro pay (if my claim was awarded) would be greater then 20K that the additional signatures required are slowing down Ebenefits from updating, but as in most cases if the letter has sent and Ebenfits doesn't updated, 90% of the time you Claim/Supplemental/Appeal is denied. ( I mean correct me if I'm wrong). Whats the moral of the story? No matter how much evidence you have to support you the VA will be the VA. I'm lucky that I'm rated for other conditions so that I can at least have the VA help me cut down on the costs of treatment for Epilepsy, but it would have been nice to have it service connected so that I wouldn't have to wait months on months for Neurology appointments since I don't have priority. If any one has any information for me that might help moving forward, I'm all ears as once my letter is received and upon reading of the denial ill be filling an appeal.
  3. Hello, I am currently SC and rated at 10% Tinnutis & 20% bilateral hearing loss. Below is an examination and a review of that examination. I am not sure how to interpret it? Thanks for any help reading it. Social Worker Signed: 06/03/2016 17:04 Date/Time: 02 Jun 2016 @ 0824 Note Title: C&P Audiology 13294 Location: No CA Healthcare Sys-Martinez Signed By: BASS,ROBERTA Co-signed By: BASS,ROBERTA Date/Time Signed: 02 Jun 2016 @ 0824 Note LOCAL TITLE: C&P Audiology 13294 STANDARD TITLE: AUDIOLOGY C & P MULTIPLE EXAM NOTE DATE OF NOTE: JUN 02, 2016@08:24:04 ENTRY DATE: JUN 02, 2016@08:24:04 AUTHOR: BA…ROBERTA EXP COSIGNER: URGENCY: STATUS: COMPLETED Hearing Loss and Tinnitus Disability Benefits Questionnaire Name of patient/Veteran m…..Xxxxxx 1234 Is this DBQ being completed in conjunction with a VA 21-2507, C&P Examination Request? [X] Yes [ ] No ACE and Evidence Review ----------------------- Indicate method used to obtain medical information to complete this document: [X] Review of available records (without in-person or video telehealth examination) using the Acceptable Clinical Evidence (ACE) process because the existing medical evidence provided sufficient information on which to prepare the DBQ and such an examination will likely provide no additional relevant evidence. Evidence Review --------------- Evidence reviewed (check all that apply): [X] VA e-folder (VBMS or Virtual VA) XXXXXX, MARK CONFIDENTIAL Page 18 of 44 [X] CPRS This exam is for: Hearing loss and/or tinnitus (audiologist or non-audiologist clinician, using audiology report of record that represents Veteran's current condition) If using audiology report of record, date audiology exam was performed: 2.16.16 SECTION 1: HEARING LOSS (HL) ----------------------------- 1. Objective Findings --------------------- a. Puretone thresholds in decibels (air conduction): RIGHT EAR +==============================================================+ | A | B | C | D | E | F | G | |========+========+========+========+========+========+========+========+ | 500 | 1000 | 2000 | 3000 | 4000 | 6000 | 8000 | Avg Hz | | Hz* | Hz | Hz | Hz | Hz | Hz | Hz | (B-E)**| |========+========+========+========+========+========+========+========| | 30 | 50 | 75 | 85 | 95 | 105+ | 100+ | 76 | +=======================================================================+ LEFT EAR +==============================================================+ | A | B | C | D | E | F | G | |========+========+========+========+========+========+========+========+ | 500 | 1000 | 2000 | 3000 | 4000 | 6000 | 8000 | Avg Hz | | Hz* | Hz | Hz | Hz | Hz | Hz | Hz | (B-E)**| |========+========+========+========+========+========+========+========| | 35 | 50 | 70 | 80 | 85 | 105+ | 100+ | 71 | +=======================================================================+ * The puretone threshold at 500 Hz is not used in determining the evaluation but is used in determining whether or not a ratable hearing loss exists. ** The average of B, C, D, and E. *** CNT - Could Not Test b. Were there one or more frequency(ies) that could not be tested: No c. Validity of puretone test results: Test results are valid for rating purposes. d. Speech Discrimination Score (Maryland CNC word list): +=======================+ | RIGHT EAR | 56% | |=============+=========| XXXXXX, xxxxxx CONFIDENTIAL Page 19 of 44 | LEFT EAR | 56% | +=======================+ e. Appropriateness of Use of Word Recognition Score (Maryland CNC word list): Right Ear: Is Word Discrimination Score available? Yes Word Discrimination Score appropriateness: Use of word recognition score is appropriate for this Veteran. Left Ear: Is Word Discrimination Score available? Yes Word Discrimination Score appropriateness: Use of word recognition score is appropriate for this Veteran. f. Audiologic Findings Summary of Immittance (Tympanometry) Findings: +=============================================================================+ | | RIGHT EAR | LEFT EAR | |=====================+===========================+===========================| | Acoustic immittance | [ ] Normal [ ] Abnormal | [ ] Normal [ ] Abnormal | |=====================+===========================+===========================| | Ipsilateral | | | | Acoustic Reflexes | [ ] Normal [ ] Abnormal | [ ] Normal [ ] Abnormal | |=====================+===========================+===========================| | Contralateral | | | | Acoustic Reflexes | [ ] Normal [ ] Abnormal | [ ] Normal [ ] Abnormal | |=====================+===========================+===========================| | Unable to interpret | | | | reflexes due to | [ ] | [ ] | | artifact | | | |=====================+===========================+===========================| | Unable to obtain/ | | | | maintain seal | [X] | [X] | XXXXXX, MARK CONFIDENTIAL Page 20 of 44 +=============================================================================+ 2. Diagnosis ------------ RIGHT EAR --------- [ ] Normal hearing [ ] Conductive hearing loss ICD code: [ ] Mixed hearing loss ICD code: [X] Sensorineural hearing loss (in the frequency range of 500-4000 Hz)* ICD code: H90.3 [X] Sensorineural hearing loss (in the frequency range of 6000 Hz or higher frequencies)** ICD code: H90.3 [ ] Significant changes in hearing thresholds in service*** LEFT EAR -------- [ ] Normal hearing [ ] Conductive hearing loss ICD code: [ ] Mixed hearing loss ICD code: [X] Sensorineural hearing loss (in the frequency range of 500-4000 Hz)* ICD code: H90.3 [X] Sensorineural hearing loss (in the frequency range of 6000 Hz or higher frequencies)** ICD code: H90.3 [ ] Significant changes in hearing thresholds in service*** NOTES: * The Veteran may have hearing loss at a level that is not considered to be a disability for VA purposes. This can occur when the auditory thresholds are greater than 25 dB at one or more frequencies in the 500-4000 Hz range. ** The Veteran may have impaired hearing, but it does not meet the criteria to be considered a disability for VA purposes. For VA purposes, the diagnosis of hearing impairment is based upon testing at frequency ranges of 500, 1000, 2000, 3000, and 4000 Hz. If there is no HL in the 500-4000 Hz range, but there is HL above 4000 Hz, check this box. *** The Veteran may have a significant change in hearing threshold in service, but it does not meet the criteria to be considered a disability for VA purposes. (A signi ficant change in hearing threshold may indicate XXXXXXX, MARK CONFIDENTIAL Page 21 of 44 noise exposure or acoustic trauma.) 3. Etiology ----------- [X] Etiology opinion not indicated as: [X] Service connected condition [X] VBA did not request etiology 4. Functional impact of hearing loss ------------------------------------ Does the Veteran's hearing loss impact ordinary conditions of daily life, including ability to work: Yes If yes, describe impact in the Veteran's own words: DIFFICULTY HEARING 5. Remarks, if any, pertaining to hearing loss: ----------------------------------------------- PLEASE SEE PREVIOUS EVALUATIONS FOR FULL HISTORY. SECTION 2: TINNITUS -------------------- 1. Medical history ------------------ Does the Veteran report recurrent tinnitus: Yes Date and circumstances of onset of tinnitus: FROM 2.16.16 EVALUATION: "Vet describes a subjective, bilateral, constant tinnitus with an unsure onset." 2. Etiology of tinnitus ----------------------- [X] Etiology opinion not indicated as: [X] VBA did not request etiology 3. Functional impact of tinnitus -------------------------------- Does the Veteran's tinnitus impact ordinary conditions of daily life, including ability to work: No 4. Remarks, if any, pertaining to tinnitus:: -------------------------------------------- No response provided NOTE: VA may request additional medical information, including additional examinations if necessary to complete VA's review of the Veteran's application. NIC…., MARK CONFIDENTIAL Page 22 of 44
  4. Folks: Today, I got into ebenefits and noticed that my second claim has already moved into the "review of evidence" phase without any CP exams for the contentions? Earlier, in one of my "statements of support", I mentioned as a way of "explanation" that my long standing "claustrophobia" sometimes limits my ability to do some MRI's? However, I was still able to do a few more a couple of years ago which are still key evidence in my overall case, but it's harder and harder for me to do them now. This claustrophobia is directly associated with a tragic experience that I had in the Army and I started treatment today with the VA for the first time. Last weekend my wife said, "enough is enough" as I told her about my claustrophobia during a work trip 2 weeks ago in which the confined space of the commuter flight affected me a lot and she advised "you are getting this checked out as soon as possible? I've been married 34 years and my wife is really amazing. That said, now I'm pretty sure that it was a very big mistake to bring this to light in any capacity to my rater? The rater made a veiled statement in my last A8 that my inability to do some of the MRIs hurt my ability to gather sufficient evidence for my case but I have provided key medical documentation? However, I did provide the actual MRI that was so difficult for me to do as evidence and they have it. Currently, my file has over 200 smr documents that are related to the same condition and the evidence is overwhelming. The absolute worst part of this is that I never thought that something like this ( a medical condition) would actually be used against me and I see now that I was very naïve to disclose that information? When I asked friends it was about 50/50 if I should bring up the issue? Who knows, in retrospect, I probably should have run releasing this information past this forum first to see what you Vets would do before I told my rater about it? Any Advice or Comments on the Subject? Godspeed ...Roobeer22
  5. I went to my second C&P Exam for my knees. The first exam about 9 months ago went well and normal based on the board stories. The doctor measure my ROM while I was sitting in a chair. No big deal I just move it forward to I feel pain. Well today exam I expected the same thing. During the exam, instead of sitting down measuring my range of motion I was told to lay down on the table. The doctor had me move my leg by bending and measuring that way. I thought it was very strange for ROM measurement. Has anyone else experience a measurement for ROM on legs while laying down vs in a chair/sitting up? Concerns.....
  6. Folks: I just opened up "ebenefits" and it says 80% (140% Overall) Service Connected! But the claims status says "Status Change" then from "Pending Decision Approval" (for 10 weeks) then back to "Gathering Evidence" today in claim status area? It never went to "Prep for Notification" ? So I then checked and it gave me a status of all of my original FDC submitted contentions, and said most were approved for SC, a few were deferred and a handfull were not service connected. Also, a friend at my office said to quickly download all of the posted letters because mistakes are made sometimes, but they all say the 80% and also provided the extended benefits that go with 80% if it were official? Anyway, I wanted to jump (and still do) for joy at first but if you remember my earlier posts, there were some odd delays with my claim? Consequently, I was pending "Decision Approval" for 10 weeks, so I called the 1 800 # rep 2 weeks ago and he said "your claim had been decided already and signed off"? But then he hesitated and he said, "wait just a minute as he looked at the claims notes, then he said, "it appears that they've re-orderd more DBQ tests" for your claim and it's not done yet? So, I have those additional tests scheduled over the next week and do the first one tommroow. But, when I looked at the new DBQ's/ tests that were ordered and they also are related to the same contentions for the new exams for this week? It says that they are all of the newly ordred exams are for defered contentions -which makes sense because they need to be finished? But, earlier the 1 800# rep left me with the impression that I first needed to get these last DBQ's tests done before my claim would be finished and the results would be officially announced? Although, he would not tell me directly, I could hear from his demeanor that the results may have been favorable for me - his voice pepped up while he was reading the notes? Once, I saw the ebenefits updates -I make copies of everything-just in case... At first, I thought it was someone else's claim but all of the contentions match up--so it is my claim- without a doubt. Anyway, So, I'm perplexed now; does this mean my claim is done for the first claims stage and this is really official now, and/or am I now just working thru the deferd contentions now as part of the original claim? Or does, it appear that this information on "ebenefits" was released prematurely before the results of my newly scheduled DBQ/exams are finalised and reviewed by this week by VBA? My biggest fear was that although I knew I had solid smr evidence, I was worried that it was not digitised in VBMS due to the FOIA issues I went thru? This is very interesitng turn of events because I've been working on an article to publish regarding what I've gone thru with the ups/downs of the FDC Program from the start and I hear that the FDC is going away soon as the backlog gets down? Anyway, does this seem offcial or does it seem to be a premature release of information since the claim never went to the "Notification Stage" and therefore not officially completed? Has anyone had experience with something like this before?
  7. Folks: Back in Feb 2015, I had what looks like my final CP Exams for this first ever FDC Claim. Consequently, 98%of my SMR evidence was turned in originally with the first claim as well. So, during the exams I handed the SMRS and some other CT/MRI Evidence that I had gotte just after I turned my intial claim in to the Docs and they both said, Do you want this added to your claim and I said.."absolutley!". Anyway, this week I found out that the records were not scanned into the VBMS system and no one at the CBOC or RO can confirn that they received the hard-copies at the RO? When I asked the CBOC what their SOP for this kind of action was, to ship the CP exam record to the RO- andthey were not sure? Also, I can see the actual CP electronic exams in "MyhealthyVet" Bluse Button so at least that got done? Anyway, since, I'm close to a decision now on this claim, should I just ride it out and hope for the best at this stage of the game? The other option is to make an issue of it which with the RO which may delay my claim substantially? I'm already very concerned because as soon as I had the CP exams and submitted the 5103 waiver, my claim quickly jumped from gathering evidence to the Decision Approval Stage...and I know that fast is not always better--but we'll see???
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