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

Prior Medical Conditions

Rate this question


Papa

Question

When one goes to their Entrance Exams, and you tell the Doctors that you have a medical issue, but they ignore it. They do not advise you to get any medical records from your private Doctor, they just laugh and send you through and pass you. Now, you are out of the military, and you file a claim for disability based upon your prior condition. Now, the VA denies you because they say that you had this prior to your military time. I always wondered how this could be since at the Entrance Exam they basically tell you that you are full of cr*p. Once, they pass you, are they not telling you that you were in 100 percent physical condition at the time you entered the military? So, how can the VA tell Veterans that were honest at the Entrance Exam that they are denied?

Papa

Link to comment
Share on other sites

  • Answers 13
  • Created
  • Last Reply

Top Posters For This Question

Top Posters For This Question

Recommended Posts

  • Content Curator/HadIt.com Elder

John,

I haven't started challenging the pre-existing reduction. I am going to double-check my records and pull everything together to get a full picture.

acesup,

The hip-neck deal doesn't surprise me. The same logic sounds very similar to this quote from the movie Hot Shots: http://www.imdb.com/title/tt0102059/quotes?qt0350387

"If it's stupid but works, then it isn't stupid."
- From Murphy's Laws of Combat

Disclaimer: I am not a legal expert, so use at own risk and/or consult a qualified professional representative. Please refer to existing VA laws, regulations, and policies for the most up to date information.

 

Link to comment
Share on other sites

I have a law firm that is working the aggravation part, but I still believe that once they pass you and accept you, they are saying that you are 100 percent mentally and physically fit. While, I did tell them about my condition, they basically called me a liar. It appears to me that the VA can not now come back and deny people when they were accept as mentally and physically fit on the entrance exam, but now says it was pre-existing. I hope I said that correctly.

Papa

Link to comment
Share on other sites

  • HadIt.com Elder

Papa

I think you are right. Once they accept you they are saying you are fit for service. If they do not note anything in the records they don't have a leg to stand on IMO. If they could get away with it they would say everyone has pre-existing condition or perdisposition for some injury or illness. If they ask if anyone in your family has ever suffered from any form of mental illness they could say you have genetic factor. They can't do it even if they try funny business.

Link to comment
Share on other sites

They did the same thing to me. I have it on appeal, and my VSO is confident this will be a slam-dunk. Again, we'll see what happens, but I did get a copy of my original enlistment documents, and nothing is noted about any pre-existing conditions.

Limbo is status quo for the VARO.

Link to comment
Share on other sites

The key to this is combing through your service medical records to find the entrance and separation physicals to see what they say. If it's not on your entrance physical, it never happened. If it's on your separation physical, it was caused during service. The presumption of soundness rule, as someone else stated here previously, is pretty clear. Of course, that doesn't mean the VA will follow it, as in the case of a veteran I worked with recently regarding a claim for deviated septum.

He entered the Army and there was no DS on the entrance physical. After a few years, he separated and there was no DS noted on the separation physical. About a year after that, he decided to enlist in the USAF. No DS noted on entrance physical, but during this enlistment, he suffered a few sports-related injuries, one of which was a DS. Since his discharge from the USAF, he's developed sleep apnea. We claimed DS as the primary cause of the sleep apnea, and of course, the VARO came back after a C & P exam claiming the DS was congenital and not caused by trauma, although there was clear evidence in his service medical records that was not the case.

We ended up appealing that based on copies of his entrance and separation physicals, so had we not had those, we wouldn't have been successful. Plus reminding the VARO that we were aware of the presumption of soundness statute. They granted service-connection but at 0%, so now we're pressing the sleep apnea as a secondary outcome for service-connection.

Link to comment
Share on other sites

I understand the soundness and aggravation issues. However, when I went through the entrance exam, it was I that mentioned my pre-existing condition. The Doctors showed zero interest. So, how do they even know that I had a pre-existing condition? On my separation exam, it is noted, but only as a note. At the time of my separation I was having so much stomach pain, and Maalox does not cure everything, that I had to hurry and get out so that I could get some proper medical care. The only way that they know or think thery know that I have a pre-existing medical condition is that a non-medical person (me) told them I did. They did not believe me then, so how can the VA come back now and say that I had a pre-existing condition.

Papa

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