Post a clear title like ‘Need help preparing PTSD claim’ or “VA med center won’t schedule my surgery”instead of ‘I have a question.
Knowledgeable people who don’t have time to read all posts may skip yours if your need isn’t clear in the title.
I don’t read all posts every login and will gravitate towards those I have more info on.
Use paragraphs instead of one massive, rambling introduction or story.
Again – You want to make it easy for others to help. If your question is buried in a monster paragraph, there are fewer who will investigate to dig it out.
Post straightforward questions and then post background information.
Question A. I was previously denied for apnea – Should I refile a claim?
Adding Background information in your post will help members understand what information you are looking for so they can assist you in finding it.
Rephrase the question: I was diagnosed with apnea in service and received a CPAP machine, but the claim was denied in 2008. Should I refile?
Question B. I may have PTSD- how can I be sure?
See how the details below give us a better understanding of what you’re claiming.
Rephrase the question: I was involved in a traumatic incident on base in 1974 and have had nightmares ever since, but I did not go to mental health while enlisted. How can I get help?
This gives members a starting point to ask clarifying questions like “Can you post the Reasons for Denial of your claim?”
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Most Common VA Disabilities Claimed for Compensation:
You’ve just been rated 100% disabled by the Veterans Affairs. After the excitement of finally having the rating you deserve wears off, you start asking questions. One of the first questions that you might ask is this: It’s a legitimate question – rare is the Veteran that finds themselves sitting on the couch eating bon-bons …Continue reading
1989-I was medically discharged for eczema and rated at 10% service connected.
1999 and 2000-The VA rated my ankle (5271-Moderate Ankle Limited Motion) at 10% and shoulder (5202-Dislocations) at 20% service connected. Total rating: 40%.
Oct 2012-I filed for reevaluation and increase for all three service connected disabilities.
Mar 2013-C & P Exam. Examiner stated that x-rays will be order. I was never contacted or afforded the opportunity to have x-rays done according to the examiner.
Aug 2013-Received VA Decision. No change in the three ratings, but received an increase of 10% for limited motion of the shoulder. Total rating: 40%.
Feb 2014-Seeked private medical appointment (overseas) and was referred for Ankle x-rays and shoulder MRI.
Right ANKLE FINDINGS:
Frontal, lateral and oblique views of the right ankle show no fracture or dislocation. Two screws are present in the distal right fibular metaphysis without evidence of loosening or fracture. The ankle mortise and other imaged joint spaces are maintained. Mild osseous sclerotic changes are present in the medial and lateral malleoli. Plantar enthesophyte is noted. There is no significant soft tissue swelling.
IMPRESSION: 1. No acute osseous abnormality. 2. Two screws in the distal right fibula without evidence of complication. 3. Mild degenerative changes in the ankle.
Right SHOULDER FINDINGS:
SUPRASPINATUS: The tendon is intact. There is heterogeneous fluid signal and thickening, consistent with tendinosis.
INFRASPINATUS: Chronic articular sided partial thickness tear with a large segment of scarring, measuring 1.5 ern, Some fibers remain intact, as the tendon does not appear retracted,
TERES MINOR: Intact.
SUBSCAPULARIS: Intact. There is heterogeneous fluid signal and thickening, consistent with tendinosis.
LONG HEAD OF THE BICEPS TENDON: Normal. MUSCLE VOLUME: Normal in signal and bulk. ROTATOR CUFF INTERVAL:
AXILLARY POUCH: Evaluation is limited given the relative absence of fluid in the glenohumeral joint space. No large bone fragments.
LABRUM: There is near complete circumferential degenerative tearing of the labrum. A small amount of anterior labrum maintained. Multiple para-labral cyst involving both the anterior inferior and posterior inferior labrum.
ACROMIOCLAVICULAR JOINT: Abnormal with hypertrophy of the capsule and fluid within the joint space. No widening of the joint space. Subchondral cystic and sclerotic changes.
ACROMION TYPE: II, small enthesophyte at the deltoid insertion. Undersurface osteophyte at the acromioclavicular joint. No downsloping.
BONES: There is extensive amount of subchondral sclerosis and cystic changes of the glenoid. Ring osteophyte of the humeral head.
SUBACROMIAL/SUBDELTOID BURSA: Small amount of fluid in the bursa. OTHER: Unremarkable.
IMPRESSION: 1. EXTENSIVE OSTEOARTHRITIC CHANGES OF THE GLENOHUMERAL JOINT.
2. PRIOR HIGH-GRADE PARTIAL-THICKNESS ARTICULAR SIDED TEAR OF THE INFRASPINATUS TENDON.
3. SUBSCAPULARIS AND SUPRASPINATUS TENDINOSIS.
4. ACROMIOCLAVICULAR JOINT ARTHROSIS.
Used this radiology report with NOD as medical evidence.
June 2014-Filed NOD for insufficient C&P Exam and noted that Right Ankle should be rated under (5262- Fibula Impairment with Moderate Ankle Disability) at 20% secondary to (5003- Painful Motion) at 10% vice the current (5271-Moderate Ankle Limited Motion) at 10% and Right Shoulder (5201-Arm Limitation and Painful Motion) at 20% secondary to my existing (5202-shoulder dislocation) at 20%..
July 2014-Seeked private medical appointment with Ortho Doc (stateside) for ankle and shoulder pain. Additional x-rays taken of ankle and shoulder. Prescribed ankle support brace and recommended brace fitting for shoulder. Ortho Doc also suggested in report for ankle a well-defined lucent lesion in the distal fibula and plantar calcaneal enthesophyte/spur. Also submitted this report as supporting medical evidence.
Your opinion and thoughts are appreciated.
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USMC2311 2 posts
JR Reihs 1 post
Berta 1 post
Gastone 1 post
Sep 1 2014
Sep 2 2014
Did the IMO docs come close to adhering to the IMO criteria here at hadit? Did they make a full medical rationale as to how your disabilities fit into a higher rating criteria? You did your home
USMC2311: I agree with Berta. It appears that you have the DXing covered, how do you compare to 38 CFR 4 rating schedual? You should be able to come fairly close to what your SC rating should be.
You may want to add ankle scar and Arthritis of both shoulder and ankle to your claim.
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