hypertension Bilateral Factor/single Disease Entity

[pat100]

Hello All:

I need help computing the bilateral factor. I have read 4-25 Combined Rating Table until I am brain dead. I'm normally good at military/va regs but for some reason I am having problems with this. Please do not only quote the regs because this will not help me.

My husband who is a 21 year navy retired vet, was awarded 100% sc for stage 3b cancer in April of 2006. This week we recieved notification that the Va is proposing to drop his cancer disability from 100% to 60% with an overall rating of 90%. Since it has been over 6 months since his last chemo treatment, the Va can re-eval and lower his cancer percentage. But I need to know if their math is correct. The following is a list of his disabilities:

Colon cancer: 60%

Depression : 30%

Neuropathy Rt hand: 10%

" Lt hand: 10%

RT Foot: 10%

Lt Foot: 10%

Scars Colon Surgery: 10%

Port a cath implant: 10%

The above listed disabilities are all arising from a single disease entity i.e. colon cancer. The Neuropathy should be computed as bilateral four estremities per 4.26 bilateral factor.

He also has received awards not related to the cancer and they are as follows:

Asthma: 30%

Reflux: 10%

Hypertension: 10%

I love Va Math which in my husband's case 200%=90% combined rating. Anyway if someone a lot smarter than me could double check the va math using the bilateral factor for four extremities per 4.26 it would be most appreciated. And how does the single entity come to play into computation?

At this point we don't know what to do. Is their math correct? Should we appeal (They keep requiring the same c&p exams over and over ie 3 colon exams within one year and my husband is getting upset with all the bull) or should he just put in for unemployability? He put in for unemployability in 2006 but it was drop without a decision because they awarded him the 100%. I feel that we shouldn't do anything until we know if their computations are correct so if someone could double check their figures and show me how you did it, it would be greatly appreicated.

Thank You,

Pat

[pat100]

Greetings!

I used one of the VA Calculators and below show the results. It appears actual rating is 92% rounded up to 90%.

For BILATERALS FIRST WHICH ARE: Neuropathy Rt hand: 10%;" Lt hand: 10%;RT Foot: 10%; and Lt Foot: 10%

1/////10%

2/////10%

3/////10%

4/////10%

9/////38%/////(BILATERAL TOTAL)

-------------------------------------------

Thanks so much for the calulations in a way that I can understand. One more question, does the fact that he has several conditions related to his colon cancer have any bearing on the calulations?

Adding Bilateral Total (9)to rest below:

/////RATING/////COMBINED RATING

9/////38%////////(BILATERAL TOTAL)

1/////60%/////75%

2/////30%/////83%

3/////30%/////88%

4/////10%/////89%

5/////10%/////90%

6/////10%/////91%

7/////10%/////92%

TOT//198%/////92%

[tancho]

One more question, does the fact that he has several conditions related to his colon cancer have any bearing on the calulations?

To figure this out you must read the rating decision letter(s). I would guess that depression, scars colon cancer, port cath implant, have impact. But it is the precentages that is the bottom line for the final rating. Nothing else.

[tancho]

One more question, does the fact that he has several conditions related to his colon cancer have any bearing on the calulations?

To figure this out you must read the rating decision letter(s). I would guess that depression, scars colon cancer, port cath implant, have impact. But it is the precentages that is the bottom line for the final rating. Nothing else.

[tancho]

One more question, does the fact that he has several conditions related to his colon cancer have any bearing on the calulations?

To figure this out you must read the rating decision letter(s). I would guess that depression, scars colon cancer, port cath implant, have impact. But it is the precentages that is the bottom line for the final rating. Nothing else.

[tancho]

One more question, does the fact that he has several conditions related to his colon cancer have any bearing on the calulations?

To figure this out you must read the rating decision letter(s). I would guess that depression, scars colon cancer, port cath implant, have impact. But it is the overall results of the disabilities that determine the calculations that include the bilateral factor.

[tancho]

One more question, does the fact that he has several conditions related to his colon cancer have any bearing on the calulations?

To figure this out you must read the rating decision letter(s). I would guess that depression, scars colon cancer, port cath implant, have impact. But it is the overall results of the disabilities (percentage) that determine the calculations that include the bilateral factor.