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

     

  • 0

Cue Question About Denied Claim

Rate this question


smilen66

Question

Good Evening Everyone,

Many of you may know my claim was denied last week. I've settled down some and was finally able to read the entire claim decision today.

In Section 3, sc was denied for degenerative joint disease for thoraculmbar because my service treatment records show only 1 complaint of low back pain (Oct. 20, 1982).

My tour of Duty was 9-22-80 through 9-23-84

Entries in my treatment record:

  • 11-6-1980 back pain

  • 12-3-1980 Thoracic Back Pain (Taken by Ambulance to Emergency Room)Note made by Dr.: Injury 3 weeks ago with persistent pain.
  • 1-16-1981 Right Lower-Mid Thoracic Pain
  • 10-20-1982 Pain in Mid Section of Spine
  • 7-8-1983 Back Pain Inferior border of Right Scapula
  • 3-7-84 Right Thoracic back pain

My question is wouldn't the above be considered a mistake made by the rater, if there are other treatment days in my service treatment record?

Thanks for responding!

Smilen

Link to comment
Share on other sites

  • Answers 36
  • Created
  • Last Reply

Top Posters For This Question

Recommended Posts

I dont see the basis for a CUE here-

You should have received a VCAA letter a few months after you filed this claim. It should have stated exactly what evidence the VA needed to have.

Based on your post you are claiming "7 autoimmune diseases"-due to exposure to 'environmental agents.'

You need medical proof that environmental agents caused your disabilities and then proof of exposure to the environmental toxins or agents.

I deal with Agent Orange issues a lot so I know you don't mean AO- do you mean Project SHAD (112)? --what environmental agents did you identify?

"They were denied because there was not evidence of the environmental agents I had stated except asbestos"

Did VA confirm you were exposed to Asbestos?

Do you have any medical evidence that asbestos could have -as likely as not- caused the Auto immune diseases you have?

Wow!!, Lets see the Veteran's Hospital has diagnosed me with COPD,Emphysema, Sarcoidosis of the lungs and skin, Fibrosis of the heart and liver, Obstructive/Central sleep apnea, Narcolepsy, Hypothyroidism, Hypertension, Rheumatoid arthritis of the knee and ankles, Sjogern Syndrome,Major depression with anxiety and panic attacts and on oxygen thearpy 3 liters 24 hours a day. The evidence I was talking about that was listed under Notic of Disagreement has statments from former sailors that were on the two commands with me stating that the exposure to asbestos, sandblasting duct(silica) mold, fumes from lead based paints used on submarines, anti-skid grinding for welding jobs, and toxie raw seweage from trial and error methord of learning the sewage treatment system on the USS Fife. Yes, the Veteran Affairs has confirmed the exposure to the asbestos only at the time of the decision. I do not have a doctor saying, MORE LIKELY THAN NOT, I only have 6 entries into my medical records of Upper Respiratory Infections and on my exit physical marked as having medical problem with ear nose and throat. That decision was made almost 2 years ago and have not heard a word. I did file my form 9 for a BVA appeal when the judge comes through my regional office and my VSO says he hopes it will be in the Spring of 2010. I am still planning on asking each doctor for that statment but I was hoping the evidence I had stamped would be use and be enough to prove the exposure. I appreciate any constructive information at this time for help. Thank you.

Link to comment
Share on other sites

  • HadIt.com Elder

1978

If you are going to prove service connection due to exposure to toxic agents you are going to need a lot more than just symptoms you listed. You are going to need medical opinions that the agents caused your problems, and that you were exposed to the agents. If the only thing you have in your SMR's ear, nose and throat infections and respitory infections you need major, major help with this claim. Are the autoimmune diseases presumptive for exposure to the agents in question? If they are not they you have to prove it. Just because some sailors say all those problems were caused by the agents you talk about is not proof. You are claiming Service Connection for 7 autoimmnune diseases from different agents? You might as well get a shotgun and load it up with birdshot and shoot it at the claims process. Do you have any evidence in your SMR's besides ear, nose and throat infections to claim all the diseases you list that you have now? Are you by any chance a heavy smoker?

Link to comment
Share on other sites

You definiteley have conditions that are consistent with exposure to asbestos.

you stated:

"7 autoimmune diseases were denied."

Did your claim specifically list the disabilities that you attribute to asbestos?

such as the COPD and sarcoidosis?

There is a VA training letter for asbestos- I posted it here and will try to find it.You need to read it and maybve even use it for your claim-

You have to be Specific in stating the disabilities you claim and the nexus to your service-in each case.

It looks to me that the claim might have been worded too generally-

and you might need an independent medical opinion.

I think this topic should be moved up to claims research-

are you able to scan the last decision you got (cover the personal info)?

GRADUATE ! Nov 2nd 2007 American Military University !

When thousands of Americans faced annihilation in the 1800s Chief

Osceola's response to his people, the Seminoles, was

simply "They(the US Army)have guns, but so do we."

Sameo to us -They (VA) have 38 CFR ,38 USC, and M21-1- but so do we.

Link to comment
Share on other sites

BINGO!

http://www.asbestos.com/navy/destroyers/uss-fife-dd-991.php

There is more on the net- USS Fife had asbestos on it-

I will try to get this topic moved up to claims research forum

GRADUATE ! Nov 2nd 2007 American Military University !

When thousands of Americans faced annihilation in the 1800s Chief

Osceola's response to his people, the Seminoles, was

simply "They(the US Army)have guns, but so do we."

Sameo to us -They (VA) have 38 CFR ,38 USC, and M21-1- but so do we.

Link to comment
Share on other sites

  • HadIt.com Elder

1978 what ships were you attached to and what was your Naval rate.

I may be able to assist you.

J

A Veteran is a person who served this country. Treat them with respect.

A Disabled Veteran is a person who served this country and bears the scars of that service regardless of when or where they served.

Treat them with the upmost respect. I do. Rejection is not a sign of failure. Failure is not an option, Medical opinions and evidence wins claims. Trust in others is a virtue but you take the T out of Trust and you are left with Rust so be wise about who you are dealing with.

Link to comment
Share on other sites

jbasser= I have the VA PIES list- we need to know his MOS too -certain Navy occupations have been classified by VA as possible and probable exposure to asbestos.

There are 3 different issues from 3 separate posters in the thread- hard to keep it straight- thanks for moving this.

His ship USS Fife definitely had asbestos in it-he might have slept under asbestos covered pipes.

Edited by Berta

GRADUATE ! Nov 2nd 2007 American Military University !

When thousands of Americans faced annihilation in the 1800s Chief

Osceola's response to his people, the Seminoles, was

simply "They(the US Army)have guns, but so do we."

Sameo to us -They (VA) have 38 CFR ,38 USC, and M21-1- but so do we.

Link to comment
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now


  • Tell a friend

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

    • kidva earned a badge
      First Post
    • kidva earned a badge
      Conversation Starter
    • Lebro earned a badge
      Week One Done
    • spazbototto earned a badge
      Week One Done
    • Paul Gretza earned a badge
      Week One Done
  • Our picks

    • These decisions have made a big impact on how VA disability claims are handled, giving veterans more chances to get benefits and clearing up important issues.

      Service Connection

      Frost v. Shulkin (2017)
      This case established that for secondary service connection claims, the primary service-connected disability does not need to be service-connected or diagnosed at the time the secondary condition is incurred 1. This allows veterans to potentially receive secondary service connection for conditions that developed before their primary condition was officially service-connected. 

      Saunders v. Wilkie (2018)
      The Federal Circuit ruled that pain alone, without an accompanying diagnosed condition, can constitute a disability for VA compensation purposes if it results in functional impairment 1. This overturned previous precedent that required an underlying pathology for pain to be considered a disability.

      Effective Dates

      Martinez v. McDonough (2023)
      This case dealt with the denial of an earlier effective date for a total disability rating based on individual unemployability (TDIU) 2. It addressed issues around the validity of appeal withdrawals and the consideration of cognitive impairment in such decisions.

      Rating Issues

      Continue Reading on HadIt.com
      • 0 replies
    • I met with a VSO today at my VA Hospital who was very knowledgeable and very helpful.  We decided I should submit a few new claims which we did.  He told me that he didn't need copies of my military records that showed my sick call notations related to any of the claims.  He said that the VA now has entire military medical record on file and would find the record(s) in their own file.  It seemed odd to me as my service dates back to  1981 and spans 34 years through my retirement in 2015.  It sure seemed to make more sense for me to give him copies of my military medical record pages that document the injuries as I'd already had them with me.  He didn't want my copies.  Anyone have any information on this.  Much thanks in advance.  
      • 4 replies
    • 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.   
×
×
  • Create New...

Important Information

Guidelines and Terms of Use