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Caluza Triangle defines what is necessary for service connection
Tbird posted a record in VA Claims and Benefits Information,
Caluza Triangle – Caluza vs Brown defined what is necessary for service connection. See COVA– CALUZA V. BROWN–TOTAL RECALL
This has to be MEDICALLY Documented in your records:
Current Diagnosis. (No diagnosis, no Service Connection.)
In-Service Event or Aggravation.
Nexus (link- cause and effect- connection) or Doctor’s Statement close to: “The Veteran’s (current diagnosis) is at least as likely due to x Event in military service”-
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Tbird, -
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Post in ICD Codes and SCT CODES?WHAT THEY MEAN?
Timothy cawthorn posted an answer to a question,
Do the sct codes help or hurt my disability ratingPicked By
yellowrose, -
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Post in Chevron Deference overruled by Supreme Court
broncovet posted a post in a topic,
VA has gotten away with (mis) interpreting their ambigious, , vague regulations, then enforcing them willy nilly never in Veterans favor.
They justify all this to congress by calling themselves a "pro claimant Veteran friendly organization" who grants the benefit of the doubt to Veterans.
This is not true,
Proof:
About 80-90 percent of Veterans are initially denied by VA, pushing us into a massive backlog of appeals, or worse, sending impoverished Veterans "to the homeless streets" because when they cant work, they can not keep their home. I was one of those Veterans who they denied for a bogus reason: "Its been too long since military service". This is bogus because its not one of the criteria for service connection, but simply made up by VA. And, I was a homeless Vet, albeit a short time, mostly due to the kindness of strangers and friends.
Hadit would not be necessary if, indeed, VA gave Veterans the benefit of the doubt, and processed our claims efficiently and paid us promptly. The VA is broken.
A huge percentage (nearly 100 percent) of Veterans who do get 100 percent, do so only after lengthy appeals. I have answered questions for thousands of Veterans, and can only name ONE person who got their benefits correct on the first Regional Office decision. All of the rest of us pretty much had lengthy frustrating appeals, mostly having to appeal multiple multiple times like I did.
I wish I know how VA gets away with lying to congress about how "VA is a claimant friendly system, where the Veteran is given the benefit of the doubt". Then how come so many Veterans are homeless, and how come 22 Veterans take their life each day? Va likes to blame the Veterans, not their system.Picked By
Lemuel, -
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Post in Re-embursement for non VA Medical care.
broncovet posted an answer to a question,
Welcome to hadit!
There are certain rules about community care reimbursement, and I have no idea if you met them or not. Try reading this:
https://www.va.gov/resources/getting-emergency-care-at-non-va-facilities/
However, (and I have no idea of knowing whether or not you would likely succeed) Im unsure of why you seem to be so adamant against getting an increase in disability compensation.
When I buy stuff, say at Kroger, or pay bills, I have never had anyone say, "Wait! Is this money from disability compensation, or did you earn it working at a regular job?" Not once. Thus, if you did get an increase, likely you would have no trouble paying this with the increase compensation.
However, there are many false rumors out there that suggest if you apply for an increase, the VA will reduce your benefits instead.
That rumor is false but I do hear people tell Veterans that a lot. There are strict rules VA has to reduce you and, NOT ONE of those rules have anything to do with applying for an increase.
Yes, the VA can reduce your benefits, but generally only when your condition has "actually improved" under ordinary conditions of life.
Unless you contacted the VA within 72 hours of your medical treatment, you may not be eligible for reimbursement, or at least that is how I read the link, I posted above. Here are SOME of the rules the VA must comply with in order to reduce your compensation benefits:
https://www.law.cornell.edu/cfr/text/38/3.344
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Lemuel, -
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Post in What is the DIC timeline?
broncovet posted an answer to a question,
Good question.
Maybe I can clear it up.
The spouse is eligible for DIC if you die of a SC condition OR any condition if you are P and T for 10 years or more. (my paraphrase).
More here:
Source:
https://www.va.gov/disability/dependency-indemnity-compensation/
NOTE: TO PROVE CAUSE OF DEATH WILL LIKELY REQUIRE AN AUTOPSY. This means if you die of a SC condtion, your spouse would need to do an autopsy to prove cause of death to be from a SC condtiond. If you were P and T for 10 full years, then the cause of death may not matter so much.Picked By
Lemuel, -
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Question
jessie0054
Hello again:
I am trying to write the NOD letter for my son.
Can you look it over and give me any pointers [ Be gentle it my first time!!]
Dear Sir/Madam
I received a rating decision dated November 20th 2006.
Consider this letter to be an offical Notice of Disagreement [NOD] regarding the following disability:
Degenerative Disc Diease of the Lumbar Spine, Rated at 10%
I disagree with Rating decision due to the following reasons:
[a] At no time during my C&P examination on October 4th 2006 did the examiner measure my range of motion with a goniometer. Title 38 part:
Accurate measurement: Accurate measurement of the lenght of stumps, excursion of Joints, dimensions and location of scars with repect to landmarks should be insidted on. The use of a goniometer in the measurement of limitation of motion is indispensable in examinatios conducted within the department of Veterans Affairs. Muscle atrophy must also be accurately measured and reported.
The Range of motion measurements used in my rating decision were results taken from the December 9th 2002 examination done by Dr. C----- 4 years prior to my C&P exam [ this record is in my file.
[c] The C&P examiner stated on page 28 of his c&p report this " The Range of Motion was deffered because he [ the examiner] didn't want to risk a Flare Up of my back pain.
[d] The examiner also stated in his report that i was to avoid twisting, bending or stooping.
[e] On page 29 of the C&P exam on October 4th 2006 the examiner also writes that there are effects on my usual daily activies = Chore= moderate, Exercise= Moderate, Sports=Prevented.
[f] The examiner also wrote that i only have intermitted low back pain which you treat with non-steroidal anti-inflammatory medication as needed. THIS WAS NOT A TRUE statement. I was taking on a daily routine basis as perscribed by my pcp for my chronic back pain the following medications and dosage;
Aleve 220mg tablets, 2 tablets 4 times a day.
Flexeril 10mg tablets, 2 tablets 3 times a day.
Gabapentin 300mg capsules. 3 capsules [900mg] 3 times a day.
At the time of the C&P exam i had just broken on right wrist the day before and was on Demerol 50mg tablets 1 tablet 4 times a day.
In March 2007 my pcp added an analegsis ointment applied to my back 4 times a day.
[g] The side effects of my medications, Drowsiness, dizziness, incoodination, mental confusion also interfer with my activies of daily living. Puts myself and others around me in danger on the job and while working.
[h] The C&P examiner also wrote on page 24 of the exam report " The lumbar spine condition more likely than not prevents him from working his mechanic job in my opinion. Mechanic work would require him twisting, bending and stooping which should be avoided. [Please see the attached Job description for a mechanic]
The Examiner also wrote " he [me] states Range of Motion of the l spine is not additionally limited by pain, fatque or repetitive use and that the additional loss of motion due to pain, fatique, weakness or lack of endurance. He answered "No"
This is not a fair and true statement as i was not ask about the above statement during the exam. If i had been ask i could have told him that just about any activity that i have to use my back for causes Pain. Standing to just wash the dishes i have to avoid the usual twisting and turning mmotions. i step from side to side. Same goes for sweeping the floor. I try to do whatever i can to avoid a flare up.
[j] Ankylosis is mentioned in the decision letter. Due to the 2 level disectomies and the spinal fusion fixed my lower spine in a neutral position [ zero degrees] But it wasn't taken into consideration.
[k] Statement in the decision letter states: Follow up report 6 weeks after surgery you reported only mild discomfort in the low back with no recurrence of radicular pain down the right leg. Dr C----- provided the opinon that you would be able to be gainfully employed with limitations on heavy lifing by the end of june 2006.
I was still at that time at 6 weeks post surgery still taking large doses of Narcotic pain medications. I'm sure that would have had a strong influence on the level of pain i was experencing on that day and things i might have said. I didn't seek treatment of the addiction i had developed over the prior 10 months before surgery until sometime in July 2006.
As for the limitation as to the heavy lifting he placed on me i was not employed at the time i was under Dr C------ care and hadn't worked since July of 2005 so he wasn't aware that i was a diesel mechanic by profession. The only work i have done or trained for since getting out of the military. It requires actions and movements that i can no longer do due to the 2 plates, rods and screws in my back tha prevent these actions.
[l] The last statement in the decision letter " since there is likelihood of improvement, The assigned evaluation is not considered permanet and is subject to future examination"
Please see the attached NEW MRI dated October 4th 2007. My condition continues to deteriate and now includes changes to the T11 and T12 as well as new changes to L1-L2, L2-L3,L3-L4, L4-L5, L5-S1.
Also see the New Progress notes attached with new stripations placed on my activities by my pcp as to no Prolonged Sitting or Standing.
[m] i beleive the whole picture of my disability warrants a highter rating of at least 40%.
I fully intend to continue to appeal until the benifits i seek have been granted.
I am requesting a DE Novo review.
I will be waiting your reply:
Sincerely:
Anything i need to change?? Add??
Thanks Jessie
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