Jump to content

Ask Your VA Claims Questions | Read Current Posts 
Read VA Disability Claims Articles
Search | View All Forums | Donate | Blogs | New Users | Rules 

  • tbirds-va-claims-struggle (1).png

  • 01-2024-stay-online-donate-banner.png

     

Can You Believe "we" Proved My Claim 44 Years Later

Rate this topic


Josephine

Recommended Posts

  • Replies 149
  • Created
  • Last Reply

Top Posters In This Topic

I see the story now...

You obtained SMR's from St. Louis in 2004 that the VA should have obtained for you in the 1992(or 1978) decision. You submitted those in 2004 and they were considered new and material in 2004 to re-open your claim. Did the SMRs you submitted in 2004 have an assesment of anxiety in service? These were not the records from the Dr. that you needed clarification on, correct? When and why did the RO deny you in 2004?

If everthing above is correct then it was the IMO that won it for you. Because you had inservice(smrs from 2004) occurance, a current disability(100% pension 1983) and the IMO linked the two together. You should definitley get retro to 2004. If they give you retro back to 1992 and you say you did not reopen in 1992 then I would get a copy of the c-file and try to find that denial. Or, make them produce the denial. You think your last denial (prior to 2004) was 1978, correct?

Link to comment
Share on other sites

  • HadIt.com Elder
I see the story now...

You obtained SMR's from St. Louis in 2004 that the VA should have obtained for you in the 1992(or 1978) decision. You submitted those in 2004 and they were considered new and material in 2004 to re-open your claim. Did the SMRs you submitted in 2004 have an assesment of anxiety in service?

The service treatment records are new in that they reflect inservice treatment for psychiatric symptoms which were determined to preclude further military service. These documents include inservice assessments as to the veterans psychiaric complaints. This evidence is considered new in that it contains information that was not considered at the time of the 1992 decision, and it is material because it purports to show treatment for psychiatric disability during service which was not objectively show by the evidence previously.

The service treatment records reflect that behavior problems was discussed in February 1964 and in March 1964 it was noted that she was unhappy in the military precipiated psychiatric evaluation. In February 1964 Librium was prescribed. As a result of an exam in March 1964, it was determined that she had long standing personality traits of emotional immaturity, dependence, and instability. It was determined that this personality disorder ( personality disorder is not stated in the doctors consultation) precluded her from rendering further useful military service. In an April 1964 service document, it determined that she was to receive an honorable discharge from the navy by reason of unsuitability. On this document is it noted that she was examined twice in regards to her psychiatric complaints. After the first evaluation, it was thought that she might be able to resolve some of her personal problems and mature to the extent where she could expend effort constuctively. However, she returned to her command vented her feelings to everyone that would listen to her, and stated that the psychiatrist refused to listen to her and failed to help her. ( They sure did not wish to hear of physical assault).

It was noted she refused to listen to her peers in the performance of her duties. Accordingly a second consultation was arranged with a board certifed psychiatrist. He recommended that she be separated from service. It was noted on this document that she was being separated from military service. It was noted on this document that she was being separated due to her immature approach to life and her inability to accept responsibility whatsoever. As she could not be relied upon to do the most menial task. It was questionable if she would ever be of any value to the service.

The consultation states I was referred by the medical doctor for nervousness, irratability and dissatisfied with working conditions and living in the barracks. ( This is not mentioned in the Judge's write-up.

These were not the records from the Dr. that you needed clarification on, correct? No.

When and why did the RO deny you in 2004? I had the first C&P of More Likely than Not this veteran was suffering from anxiety.

If everthing above is correct then it was the IMO that won it for you. Because you had inservice(smrs from 2004) occurance, a current disability(100% pension 1983) and the IMO linked the two together.

Yes, It was the IME because of this statement:

My review of the records show no documentation which would support the diagnosis of Personality Disorder. There simply are no data which would support that diagnosis under the criteria provided in the Diagnostic and Stastical Manual of the American Psychiatric Association. No psychological or personality testing was done. There was never any showing of an " enduring pattern of inner experience and behavior that deviates markedly from the expectations of the individual's culture... is inflexible and pervasive across a broad rage of personal and social situations... is stable and of long duration... (and) is not better accounted for as a manifestation or consequence of another mental disorder." DSM IV TR, pages 287 - 288.

The " other mental disorder" which she clearly DID and DOES have, and for which she has been treated for 43 years, is Anxiety Disorder.

The veteran had no childhood psychiatric, difficulties or treatment, Her anxiety disorder began during her time in service. She has been treated for anxiety disorder for 43 years by a number of physicians.

Diagnosis: 300.00 Anxiety Disorder, NOS,Chronic, Severe, with Depressive Features.

You should definitley get retro to 2004. If they give you retro back to 1992 and you say you did not reopen in 1992 then I would get a copy of the c-file and try to find that denial. Or, make them produce the denial.

I don't think they can produce the 1992 denial, for I did not file in 1992. My husband had an aneurism that year, No way.

You think your last denial (prior to 2004) was 1978, correct?

Yes, I do and both of the two C&P's by the VAMC also state the veteran filed for service connection in 1978 and was denied.

That is about it.

Betty

Edited by Josephine
Link to comment
Share on other sites

Praise God from whom all blessings, and VA victories, flow!!

Betty,

CONGRATULATIONS!! :lol:

It has taken me the better part of an hour to read all 5 pages of comments here!! I believe this is the longest post I've ever read and it's all because we have been behind you and are, along with Cowgirl, doing the Hokey Pokey on your behalf! I am so tickled for you, thrilled beyond words. :-)

Now, having said all that, and having read this entire thread and posted a few facts into a doc just to put them together, I have tried to get a clear picture of the timeline of events. Please tell me if this is correct:

1978 - You first applied for VA benefits, they did not have your SMRs, and were denied (though I am uncertain what year you were actually first denied). Also, you have copies of "the two C&P's by the VAMC also state the veteran filed for service connection in 1978 and was denied" so you have proof that you filed in 1978 and were denied in the absence of SMRs. If that is accurate, then I agree with Free that the whole rule about finding SMRs should prevail and they should go back to 1978.

1983 - You were awarded a non-service pension at 100% for your anxiety but did not get the pension because your husband made too much money. Where you awarded the pension as a result of filing for VA benefits or filing for a VA pension?

1992 - The VA states you were "initially denied" in 1992? Is that correct? But your husband had an anyerisum and your neice was a DRO so to the best of your recollection you did not file in 1992? Correct?

2004 - You submitted your SMRs as New and Material Evidence which allowed you to reopen your claim.

2007 - You just got your SECOND (?) BVA Decision awarding you service connection (woo hoo!!) and your C-file is on its way back to the Huntington WVA VAOR.

One point I'm unclear on - As I understand it, at some point in there - please clarify the date - weren't you initially denied service connection at the BVA? If that is so, then I assume the BVA will have the initial 1978 filing date in it.

Please review this and make corrections to it. Based on my understanding and reading what the IMO doc and your private doc wrote along with the VA awarding you 100% pension, the question is not going to be whether or not you are 100% due to IU since you have never mentioned symptoms in the 100% rating schedule but what is your effective date, which, IMO, should go back to the initial filing date of 1978 since they didn't have your SMRs in 1978. This is conjecture on my part, I would have to read Free's posts more closely to understand the applicable regs and since I'm still new at this I would rely on Berta, Free and others to help you with the nitty gritty legal end of things however, I would like to understand the timeline of your claim so I can understand the situation better.

Either way, know that I am absolutely thrilled for you and appreciate how gracious you are in giving credit to hadit for your claims success. Now, I'll close, go see what icon Cowgirl is using tonight and join her in putting my left foot in and putting my left foot out.....

God Bless,

TS Snave

Edited by tssnave
Link to comment
Share on other sites

I am not an expert on the Regs at all. I just read a lot - and keep searching trying to put together the bigger picture.

That is why I suggested that she pose the effective date to the VA in more of a question format - than a declarative stance.

That way - she has not STATED anything - she has merely ASKED questions...

(Please help me understand this. The BVA said my SMRs were material because ___. But they were not in my record until __. I notice the law says ___. Could you tell me if YOU are going to take care of dating my claim back to ___ when I first filed but the SMRS were not of record - or am I supposed to file something for that to occur?)

Another important factor is that SHE had to get the SMRs from the record center. I think if the Vet has them in their possession - and doesn't submit them - and the VA can't get them - they don't "count" for some reason (as far as earlier effective date) - I guess because the vet SHOULD have submitted them - and they were NOT available to the VA. But in Betty's case - the VA kept telling her they were not available and she FOUND them at the records center - where the VA should have gotten them from. So this case should be the same regardless of WHO got them from the record center. They WERE in the possession of a government agency. She was TOLD they didn't EXIST. She FOUND that they DID - and she got them in her claim file.

Who knows how many copies they shredded before SHE let them know she was aware they existed.

Free

Praise God from whom all blessings, and VA victories, flow!!

Betty,

Please review this and make corrections to it. Based on my understanding and reading what the IMO doc and your private doc wrote along with the VA awarding you 100% pension, the question is not going to be whether or not you are 100% due to IU since you have never mentioned symptoms in the 100% rating schedule but what is your effective date, which, IMO, should go back to the initial filing date of 1978 since they didn't have your SMRs in 1978. This is conjecture on my part, I would have to read Free's posts more closely to understand the applicable regs and since I'm still new at this I would rely on Berta, Free and others to help you with the nitty gritty legal end of things however, I would like to understand the timeline of your claim so I can understand the situation better.

Think Outside the Box!
Link to comment
Share on other sites



  • Tell a friend

    Love HadIt.com’s VA Disability Community Vets helping Vets since 1997? Tell a friend!
  • Recent Achievements

    • Lebro earned a badge
      First Post
    • stuart55 earned a badge
      Week One Done
    • stuart55 earned a badge
      One Month Later
    • Lebro earned a badge
      Conversation Starter
    • Sparklinger earned a badge
      First Post
  • Our picks

    • Caluza Triangle defines what is necessary for service connection
      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”
      • 0 replies
    • Do the sct codes help or hurt my disability rating 
    • 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.   
    • 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

       
    • 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. 
×
×
  • Create New...

Important Information

Guidelines and Terms of Use