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

Need Suggestions On How To Proceed

Rate this question


Dolphin25

Question

I filed for a DRO decision on two denied RO claims and receieved a response on Dec 15, 2011. One claim was filed in 2008 and the other in 2009. One was for a Special Housing Grant and the other was for a Higher level of Aid and Attendance to R2 although I didn't ask for the R2 just a higher level than my current "L" rate. Since I was granted the "L" rate in 2002 I have lost the use of my legs and upper body strength has been reduced. I am also now required to wear a cathether and have loss of bowel control on top of that along with a host of other things that are not getting any better.

I have had 3 C&P exams and all 3 recognized the severity of my medical condition stating I am unable to do anything by or for myself including writing this...I can but it would take me a few days to get it right. The DRO who originally had my case was in New Orleans but since my family has moved me to be near them so they can help me as I had absolutely no help in Louisiana. The DRO that decided my claim was from St. Louis and to be frank this guy disputed everything the Doctor's stated in that his words "were questionable"...I have never seen an examiner like this dispute a total of 4 or 5 different doctors examinations and conclusions. To me he is saying they are all lying in their diagnosis...but that is not my problem as I am sure or hope when the BVA reviews my file they will make the correct determination.

After the C&P hearings when I received my RO decision they apparently decided to use the Doctor's findings as a request for a claim for compensation on the following:

Loss of use (bilateral legs) (Increase), peripheral neuropathy (Increase), diabetic neuropathy (Increase), loss of bowel control (New), incontinence (Increase), loss of memory (New), depression and anxiety (New), Ischemic heart disease (New), severe impairment of upper extremities (bilateral) (Secondary), persistent edema in lower legs, with varicose veins and discoloration (New), general malaise, weakness, lethargy, nausea (New), high blood pressure/hypertension (New),

All of these were mentioned in the Doctor's finding at the C&P exams. They haven't been working on this claim even though it is currently listed as "Review of Evidence" having been filed on October 29, 2010. So I am faced with what to do...do I file an Appeal with the BVA now or wait for a

decision from the RO on this current claim. This may bolster my current appeal if they award me some or all I just don't know but I only have 60 days to make my Notice of Appeal. Should I give it up to a week before then file off my Appeal if I have heard nothing back or file the Appeal and submit any new evidence that may come from the decision of this current claim??

Any insight would be helpful....

Link to comment
Share on other sites

  • Answers 13
  • Created
  • Last Reply

Top Posters For This Question

Recommended Posts

  • HadIt.com Elder

It really yanks my chain when the RO's or DRO's make medical decisions on their own. Get a lawyer or find someone very good at appeals. Make sure that you question the RO's medical opinion and ignoring the Doc's.

Good Luck

Veterans deserve real choice for their health care.

Link to comment
Share on other sites

It really yanks my chain when the RO's or DRO's make medical decisions on their own. Get a lawyer or find someone very good at appeals. Make sure that you question the RO's medical opinion and ignoring the Doc's.

Good Luck

Pete

I have been in contact with about 12 law firms and attorney's who handle vet claims according to their website and 10 have replied stating they would be unable to take my case because I am already 100% disabled. I know these guys have to eat but surely there are some attorney's that will at least give me a look see....how do other's get attorney's to represent them before the BVA as I see in the BVA decisions where most are represented by attorney's. The DAV has done nothing in my opinion to help or make contact with me even though they have been appointed my rep although I don't feel too comfortable with them going into an Appeal like this. I have about 6 weeks left to file an appeal so I'll keep my fingers crossed and keep looking.

Dolphin26

Link to comment
Share on other sites

  • HadIt.com Elder

Dolphin:

I am sure someone on Hadit can help you. Don't wait until the last minute start working on your NOD. Lawyers mostly are in it for the money. However, you would be entitled to retro and they could still get paid?

Good Luck you deserve better,

Veterans deserve real choice for their health care.

Link to comment
Share on other sites

  • HadIt.com Elder

I got a lawyer to represent me because of the potential retro. If you can point out the potential retro of your claim you might find it easier to get a lawyer to represent you at the BVA. My BVA claim was denied and I had a lawyer, so just appeal and stay inside the time limits for appeals.

Link to comment
Share on other sites

I got a lawyer to represent me because of the potential retro. If you can point out the potential retro of your claim you might find it easier to get a lawyer to represent you at the BVA. My BVA claim was denied and I had a lawyer, so just appeal and stay inside the time limits for appeals.

I am not as versed in the VA as John but I agree with the advice to appeal within the time-frame. I find the VA to be particularly frustrating because even if you claim everything at the same time, they split it off into different decisions, and send letters about one issue, but indicate the decision is for everything.

To help assure that I keep all my claims alive (DIC, Helpless child, Accrued Benefits, Burial) I send an NOD / appeal to any decision that does not grant me full benefits of everything I have applied for - which thus far, has been every decision. In my appeals I reiterate all parts of my claim.

I am sure there are people who know far more than I do who will also offer advice. So please pay heed to them. I was just adding my two cents.

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

Are you in the St Louis Mo area now? There are attorneys in Hannibal Mo www.ddrm.net who handle vets claims. They are about 110 miles from St Louis. 1-800-452-9825 I and Mo. Maybe they can help you. Dempsey Dempsey and Moellring are the Attorneys names.

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

    • spazbototto earned a badge
      Week One Done
    • Paul Gretza earned a badge
      Week One Done
    • Troy Spurlock went up a rank
      Community Regular
    • KMac1181 earned a badge
      Week One Done
    • jERRYMCK 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