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Bilateral Factor


Guest jangrin

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Guest jangrin

Good Mornig ALL,

I downloaded and read the DM training letter. It states diabetic neuropathy as secondary condition. When PN is dx and SC to DMII, how is the rating done and specifically how is the "bilateral factor" applied in determining a rating? Thanks.

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  • HadIt.com Elder

jangrin

That is a good question since I was rated 10% for both arms and legs for PN but the bilateral factor was not taken into account. I believe I should have been rated as 21% for arms and 21% for legs. I wonder if it is worth filing on that since I am 80% TDIU?

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jangrin

That is a good question since I was rated 10% for both arms and legs for PN but the bilateral factor was not taken into account. I believe I should have been rated as 21% for arms and 21% for legs. I wonder if it is worth filing on that since I am 80% TDIU?

John,

You wouldn't get 21% for each set of limbs. You COMBINE all four 10s for a value of 34 then add 10% for a total of 37.4.

In most cas4es the bilateral factor is incorporated in your overall rating, even when they don't specifically show it; however, you should check on it!

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Guest terrysturgis

The C&P I had for PN kinda addresses the Bilaterial factor because the exam checks each extremity, IF REQUESTED. I did not file for upper body till later in my claim, my mistake. The Bilaterial factor gets appilied at the rating board upon service connection of the PN. I requested Bilaterial on my claim for PN as I did not think the VA would automatically apply it if not requested. Terry Sturgis

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Wally and Terry

If the VA had combined the 4 10%'s as Wally says I should have been made 100% instead of 80% so I don't think the VA considered the bilateral factor in my case. I wonder if this might be worth having the VA look at this again.

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Guest jangrin
Wally and Terry

If the VA had combined the 4 10%'s as Wally says I should have been made 100% instead of 80% so I don't think the VA considered the bilateral factor in my case. I wonder if this might be worth having the VA look at this again.

Hi John999,

Thanks for your imput. The best that I understand this is....the doc does his exam on each extremity. Upper body (hands, arms, shoulders), and lower extremities, (legs, kness, hips, feet). since upper body and lower body are seperate for the sake of this exam each quadrant can be rated at a different amount. So ideally you could have one foot be a 10% and the other be a 20% AND EACH HAND BE A 10%. Then given the bilateral (i believe is for ones inability to use the body systems together in a normal fashion, ie walking, holding, grasping, these require both body members in order to do things properly)therefore becaause of mal-function you can be awarded another 10%. John999, personally I think you should apply for everything you are entitled to, even if it is only 10% (or less) with VA math. It is a certqainity,that as we age these problems will increase and become more severe. Best to get the bilateral now and then later if things progress more you can file for the increase in symptoms. Just a thought.

Jangrin :unsure:

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Thanks maybe I will do that. My feet and now my upper extremities hurt all the time. I have fallen down because of my feet. I walk even though it hurts but my feet become dead after a while and I have to be careful of not tripping and falling down.

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Guest terrysturgis

John999, I thought you were 100% TDIU P&T as am I and I am staying away from the system as there is nothing for me to gain. I am at 94% and had a NOD for HBP that I am sure I could win based on information given to me by Berta but my SO suggested that now I am 100% to drop it and I did. Others on the board have said to persue the NOD and maybe I am wrong but I am tired of dealing with it.

The only other advantage to 100% schedular would be the ability to earn income. I do still hold the part time ellected position that I have held for 10 years that pays below the poverty ( $700.00 per month ) and it helps to keep me busy. Terry Sturgis

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Terry

You have a big issue here to make a decision on and it seems like maybe you have already made it.

My husband also received 100% TDIU/P&T and was lucky because at the same time he received this, his claim for hypertension was approved as well, but 0%. But, that was okay, because he did get service connection for the hypertension. His claim was made retro back to 2001. This means he is now 5 years into the 10 years he needs which would allow me to draw DIC in the event something happened to him. But, since they service connected him for hypertension, God forbid, if something happened to him before the next 5 years are up and it can be related to his hypertension, then I can draw some money from the VA,

This is at least my take on what I have heard. If this is not right, then please someone correct me.

I do understand that since Terry is 100%, he doesn't want to screw this up by continuing with the hypertension claim.

mssoup1

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Terry

If I had a service-connected disease that might kill me I would file on it even though I am TDIU P&T.

The reason being the ten year rule for your spouse to get DIC. I am P&T so I don't think I will file on anything again right away unless it is something that could lead to my sudden death. I want my wife to get DIC so I can rest in my grave knowing the VA is paying.

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