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    • How to get your questions answered...


      All VA Claims questions should be posted on our forums. Read the forums without registering, to post you must register it’s free. Register for a free account.

      Tips on posting on the forums.

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Buck52

PTSD C&P what is it like?

Question

What is a C&P  Exam of PTSD like?  I mean what type of questions does the Doc ask?...Do they pay attention has how your dressed &  your body language ect,,ect,,

or do you just set there and answer the questions?  what happens if you get pissed during the exam?

My patients are very then these days.

 

Any opinion and suggestions welcome

Thank you in Advance

 

...................Buck

 

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I looked that examiner dead in the eyes with a stone cold dead gaze. I looked right through that man and when he asked how am I doing I didn't say a word. Let your presence do the talking. They know who's faking and who's not.

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I looked on ebennys at my report ''Notes'' and everyone I talk to in MH says things in the report ''Notes''  the social worker &  the NP that drilled me for questions and about my meds, and the Psychiatrist  says she explain to the veteran and he understands how to take his meds  ect,,ect,,& the therapist says things  that are what we talked about  but I don't think it will help my claim.? just things like I need to let go  ect,,ect,,, deal with my life.

   they  all mention my vietnam days and my stressors  boots on ground ect,,ect,, 3 or 4 times....my psychiatrist ask me if I was filing a claim?  I said I don't know  never thought about it..

i WILL File a claim but I wanted to make sure I have all the documentations I need and evidence  and list it accordingly with high-litghted  paragraphs in neon color and present my claim in an orderly fashion to make it eazy to read and understand....for those idiot raters

 

I go see her (psychiatrist) again the 16th of Sept  I guess for a check up and see how the meds are doing for me?

Should I ask her if she will help me with a claim? or write me a letter for evidence to present to the rater?

I don't know if she will do it or not  but I wanted to get all this information before I file the claim.

 

Right now I been trying to find a private Dr that will help me and take his/her pay  after I win...so for no luck on that!  and I can't afford to get a IMO  it maybe the right thing to do but my spouse just was declared disabled and were waiting on her 1st SSDI Check   which we can't expect until Dec of this year, it takes all I got coming in to pay the bills and we just sit at home  never get out  I just go to my VA  and thats it.

I do save aluminium cans  I I have about 12 big 40 gallon sacks full of crushed beer &soda pop cans in my storage building   waiting on the price of aluminium/metal to go up  right now its to low to sell.

 

...............Buck

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Buck!!!

I'm behind you all the way!  I'm standing in your corner!

As for memory, I told my MH doc that I can't remember what I forgot, that my mind is like swiss cheese! He said "ok, we'll work with what you got"

Andy

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After a C&P or any VA appt. you feel like the Dr. or whoever it was threatening in any way or even rude, find the Patient Advocate's office.  They are supposed to be there for us Vets when something like this happens.  The incident will be documented in your own words.  Sorry you had to go though that Tdubya82.

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I looked on ebennys at my report ''Notes'' and everyone I talk to in MH says things in the report ''Notes''  the social worker &  the NP that drilled me for questions and about my meds, and the Psychiatrist  says she explain to the veteran and he understands how to take his meds  ect,,ect,,& the therapist says things  that are what we talked about  but I don't think it will help my claim.? just things like I need to let go  ect,,ect,,, deal with my life.

   they  all mention my vietnam days and my stressors  boots on ground ect,,ect,, 3 or 4 times....my psychiatrist ask me if I was filing a claim?  I said I don't know  never thought about it..

i WILL File a claim but I wanted to make sure I have all the documentations I need and evidence  and list it accordingly with high-litghted  paragraphs in neon color and present my claim in an orderly fashion to make it eazy to read and understand....for those idiot raters

 

I go see her (psychiatrist) again the 16th of Sept  I guess for a check up and see how the meds are doing for me?

Should I ask her if she will help me with a claim? or write me a letter for evidence to present to the rater?

I don't know if she will do it or not  but I wanted to get all this information before I file the claim.

 

Right now I been trying to find a private Dr that will help me and take his/her pay  after I win...so for no luck on that!  and I can't afford to get a IMO  it maybe the right thing to do but my spouse just was declared disabled and were waiting on her 1st SSDI Check   which we can't expect until Dec of this year, it takes all I got coming in to pay the bills and we just sit at home  never get out  I just go to my VA  and thats it.

I do save aluminium cans  I I have about 12 big 40 gallon sacks full of crushed beer &soda pop cans in my storage building   waiting on the price of aluminium/metal to go up  right now its to low to sell.

 

...............Buck

Buck, off topic from VA stuff but i wanted to pass on a few ways to make some side cash if it will help.

When i was going to school on GI Bill, i had a wife and a kid on the way and while the 9/11 is pretty generous compared to montgomery, where we were living it was expensive for cost of living so i started to work and hustle on the side to make ends meet (i wasnt rated at that time so i was paying private insurance for all the OB visits, was probably about 5k in expenses once it was all said in done for all the visits, birth and post)

Books.

If you go into any bookstore (used) and/or my favorite, public/university library they all have wifi usually.  get a laptop or if you phone has a browswer and connect to that (so you dont incur data charges). 

Go to Amazon.com and then start looking through the books they are selling (usually in public/university libraries its free or .25ish for the books).  start to look up the books on amazon and see what they are going for.  dont be fooled by the highest price look and see what the median price is for the book, i have seen 20 people selling a book for $5 and one guy selling it for $95. $95 is not the real price, $5 is, and since you want to move the merchandise i would cut your price by 25% so that it sells quick.  if i was getting the book for free or under $1 and the price was <$5 i would buy it and list it.

to list it, google, "amazon seller".

If you already have an account with amazon you will jsut sign up to be a seller, if you dont you will have to sign up for the whole shebang.

Advice -

1) be careful about amazon fees they are not a set rate like ebay (example 3% of selling price, etc), they vary and i found that i would always profit if the price (selling) was over $5.  i could profit lower than that, but to me unless i got to the point i was mailing out 100 books a day it wasnt worth the trips to the PO for just .45 profit.  I got burned a few times on a book, it was listing for like $2 and i sent it out and after mailing and amazon fees i was actually PAYING to send it out, make sure you know your margins.

2) make sure you mail them out via "Media Mail" this is a special rate via USPS that lowers cost for sending books, CD's and DVD's.  You cannot have anything other than that in there, no correspondence or "thank you for buying" letters.  its cheap.  send it that way.  You get a specific amount on to mail it regular and more for "expedited" i also went with regular.

3)this is not a get rich deal, but it would give me a few hundred extra a month if i was smart about it.

 

POOP

The second way i made money was by picking up dog poop. if you live in any city/town or decent size there are people with dogs/cats.  a certain percentage of those people do not want to pick up the poop and are willing ot part with money to not do it. 

all the tools required are a hand trowel, rubber gloves and a trash bag, old shoes, hand sanitizer.

I would look up local dog popp picker uppers in the area, find out their prices (say $20 for one dog per week) and then undercut them by 25% (at first to get customers).  I would charge $15 for one dog per week with an additional $4 per dog after that.  I had one lady with 3 dogs of various sizes who paid me $45 a to come twice a week.  place fliers at supermarkets and on craigslist.  offer 1st week free or something to get people to call, basically you clean up once, they like what you do they can sign on.  I also got secondary jobs doing this, i would come to pick up and they would say "he would you weed wack the fencline for $50 or would you shovel the snow off the deck for $30, etc.  I could have made it a full time business, but we were going to move once i graduated so i stuck with 3 clients and made around 300-350 extra a month.  when i worked it out, it was good money for my time.  I would plan around their schedule but also mine so that when i came when i was already coming to or close to that area anyways to save on extra trips for gas. basically it worked out to liek 40 bucks an hour since i could do a yard in under 15 minutes.  some folks used those rakes and stuff i found it faster to just have a rubber glove and grab it. 

i also offered kitty litter removal. go in scoop out the poop once a week, once a month i would change the kitty litter out completely.  If it was a larger box, one medium bag of kitty litter or 1/2 a large bag would usually fill it.  I would buy the litter and keep the receipt, i would invoice them and write 1/2 bag @ 12.49 per bage = 6.25 and charge them cost for the litter plus $10 for the clean up, its fast and easy.  people gain trust in your when you are transparent about nove overcharging them for the litter, etc.  some would provide their own, and thats fine, one les spiece of overhead cost for me.

Advice

1) have  a pair of dog shit shoes, only use these for the cleanups, you will step in dog poop.  hose them off at home.

2) hand sanitizer, dog poop can have bacteria, etc.  so use hand sanitizer after every cleanup.  plus you dont want to spread one dogs disease to another clients pets.

3) I found it builds trust that i invoice AFTER the month is over, sure you might get burned once or twice, but people like paying after the job is done.  you can switch after a relationship is built, say 1 year into it.

4) always, always, always require that the dogs be inside.  work out with the owner the best time. so say they tell you between 130-1445 is the best time, make sure you tell them that the dogs have to be inside during this time.  I dont care how "friendly" they are and how "they would never hurt a fly", that is true for many dogs, but it doesnt take but one time to be screwed over.  I should have known better, but i had a client with two shepherds he had me come over and clean and he brought them out to "get used to me" this was a initial clean up so it was about 30+ minutes to do. he was out there for awhile so they would know i was ok, then he left to go back to work, i was supposed to leave out the fence gate.  about 5 minutes after he left, the one dog was really nice, happy go lucky, the other was just kindof walking around but staying close ot where i was and watching.  He then started to low growl, once he started that the other went from oh im fine to, ok ill join in, they were herding me to a back corner but i was able to slip closer to gate.  by then they were barking and barring teeth.  i got out but then realized that i had taken off my hoodie and my phone and keys were in there.  cant go home, cant call the client.  I finally remembered i had beef jerky in the truck so i through some over the fence they focused on that, i opened the gate and kept throwing if farther away from me and towards the deck.  then i threw some through the open glass door into the house, and shut the door on them.  finished the job and then went home.  never again.  Pluse its a pain in the ass to try and pick up poop as they are sniffing around you.

 

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       left foot, three views: degenerative changes in the MP joints.
       
      What does this all mean to me and my ability for a VA claim?
       
      So move forward to current day unfortunately since I left the Marine corps I never have had any health insurance had a plethora of problems. In 2017 after years and years of back pain lower back pain ( as well as my feet and lower legs the entire time since I left the Marine corps) I finally went to a doctor and complained I was in so much pain something had to be done and he ordered an MRI.  I do have an MRI establishing my s1 – l5 lower back an S5 through s1 does have sacral nerve damage bulging and deteriorating disc etc enough to meet the classification for social security disability. The MRI was in 2017 and my lower back pain has been with me since I was in the Marines. I may have had three or four emergency visits and some urgent Care but there has not been any paper trail or evidence that a normal person would have 20 to 30 years of it I have almost nothing because I never went to the doctor or hospital.
       
      The catalyst that started this was in August 2019 I had a bicycle accident I broke my scapula in five places. I had no insurance I went to the emergency room they x-rayed it said yes it's a terrible break and gave me the number of a doctor who sees patients without insurance or money. As it turns out the man retired and no one replaced him. I called every resource clinic site et cetera… they had no one to look at my shoulder for without having insurance. I never had any follow up. After being out of work 9 months and realizing it's going to be a full year I will meet the requirement for SSI disability then upon seeing the one piece of medical evidence I possessed my MRI and its prognosis I asked a doctor and yes, it appears I do meet the listing for that with my 2017 MRI, not even taking into account the new injury and the further damage it has done. The point is that it is now 2020 and I have never had a follow-up appointment for the shoulder and obviously the shoulder is horrible but the back is even much worse now after the accident than before my 2017 MRI. With this knowledge and the fact that I do not have barely any evidence I knew if I filed for SSI disability they will send me to a local doctor to verify my injury and give me a NEW MRI which should show that is is even worse now than in 2017, which was physically bad enough to qualify then, it should be more than bad enough in nature to qualify for disability now. My research into SSI disability I kept seeing about veterans and that is how I return to my discharge papers and looked at them, and am planning and filing for VA disability.
       
      I have read about obviously I need documentation to prove any of this, VA especially and I have almost none, that is my main concern.
       
      I have read a little about pyramiding and primary injury secondary at cetera.
       
      My end result of filing for VA disability in this case will be to try and achieve 100% disability. In my research it may be possible but I will put down what I am thinking now.
       
      Because of the presumption of soundness and I had no waivers they cannot deny that the mild pes planus and bunions and the other damage listed in the X-rays I had for my medical board could not have existed previous to my service in the Marine corps or else it would have to have been noted at m e p s or I would have had to have had a waiver.
       
      My VA Claim thought process?
       
       The rating for mild pes planus is 0%, after review, mine is pronounced bilateral pes planus a 50% rating (my feet have gotten terribly worse over the years, my feet truly are flat as a pancake now pronating inward and very painful, has changed my gate, this is not official as I've never been to a doctor, but this is my honest opinion). Since this had to have happened in service this will be a primary injury I believe as well as the bunions or hallux valgus deformity. They are noted in my 1991 medical x-rays so as a primary I can safely say they have gotten much worse and both toes are affected now not just the right. The rating for bilateral hallux valgus is 10% each foot or a total of 20%. Bringing the total to 70% rating. Of course that is if I am awarded the  maximum for the bilateral pes planus and both feet hallux valgus.
       
      Now this is where I have some more questions?
       
      I also have all the symptoms and am very positive I have peripheral neuropathy which I'm very familiar with as my mother has it but, but the rating for that looks like it can be deemed secondary cause from my pes planus. If correct shouldn't I receive x% for bilateral peripheral neuropathy as a secondary result from my primary injury?
       
      Next,is tying in the primary pes planus to my SSI disability case that my lower back secondary (sacral nerve, herniated discs, degenerative disc disease) is aggravated and hurt from my primary bilateral pes planus as well as my bilateral neuropathy affects it as well. The listing for lower back pain is x percent up to a 100%
       
      And lastly the whole affair has caused me PTSD and that rating is 0% to 100% rating. I don't want to go into how I have it or not but I have read all the symptoms and can present a very strong case that I definitely have had PTSD since the day I was told I was being discharged. And with no insurance I have never gotten it treated but I have definite evidence of it in my life.
       
      I filed the SSI disability last week and am awaiting them to call me and set up a doctors appointment. I also called the veterans administration about filing disability. I called my local VA and ask about a veteran's service officer who could help me with filing questions.
      I started to go over some basics in my case and when PTSD was brought up he inquired how I could have it without being in combat and only in the service six months and I immediately shut down and felt that it was horrible a veteran service officer would make me feel as though I don't have valid reason to have PTSD. So that is why I searched the internet and found this forum.
       
      So another question since how do I establish PTSD?
       With no insurance can't really get a counseling thing even as a veteran I tried and since I was not in 2 years I did not qualify for any health benefits. I guess should I call the veterans hotline PTSD number and tell them I am suicidal just in order to get this documented and at least someone would have a file then from the VA about whatever I tell them my story?
       
       Also should I be trying to find my own doctors who would be favorable to my situation, and to further explore the tibia stress fractures and if I can associate that injury to another rating?
       
       I don't have insurance but I might be able to find a clinic, and my thought process is a podiatrist who will substantiate my pes planus condition. Should I be actively looking for a civilian doctor who will know the whole story I just recited and work with me to try to get my VA disability? 
       
      Or should I just file my claim with just the limited information (presumption of soundness) the x-rays that I have from 1991 and prognosis and hopefully my SSI disability case once I see the doctor who will also have some more evidence, hopefully providing more evidence of my infirmaries?
          
      Also is a question that would I be getting any kind of back pay disability for all these past 30 years if the decision is in my favor?
       
      Another question is that should I contact a lawyer? Also a veteran service officer should I contact someone like the American legion or which one would someone recommend I use because I truly do not know what I'm doing and I feel if I had the right direction I'm someone who knows all the intricacies and workings of the VA if I filed this correctly the first time and knew what type of evidence to gather it would make my claim so much more positive in my favor. if I have to, I will get the money somehow,a loan from family to see the right doctor but should I be going to a doctor, a veteran Dr who will be in my corner and spend money on it before I file this claim?
       
      Thank you everyone, I'm sorry if I'm rambling, I have many questions but I've already asked too many. I am grateful for finding this forum and I really hope someone has some real answers for me that can assist me. Thank you.
       
      Happy Easter!
       
      Sincerely,
      Marine from MI living in central FL now.
    • By nckingmatt
      Recently I have finally decided to seek help for my PTSD. Since I got out of service almost 10 years ago I have seen the shrink on the civilian side twice. I was diagnosed with PTSD but stopped going. I was even prescribed meds but never took  them out of fear. Today, I finally decided to get real help this time. During my PTSD with the VA PA. She told me that I scored really high on the PTSD screening and that she would set up a C and P exam for me. That someone would call to set up the appointment. I checked my health summary on myhealthevet a day after my phone screening. She Added "Acute stress reaction ICD10 F43.0 with Provider Comments: Acute Stress Reaction" 
      Can someone tell me what this means? Ive been diagnosed by civilian doctors for PTSD and she writes "Acute Stress reaction".. 
      She said she could not diagnose PTSD but she was a counselor. I am confused by this. Is she basically saying Im lying or is this normal?
       
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    • How to get your questions answered...


      All VA Claims questions should be posted on our forums. Read the forums without registering, to post you must register it’s free. Register for a free account.

      Tips on posting on the forums.

      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’.


      Knowledgable 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 huge, 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.


      Leading to:

      Post clear questions and then give background info on them.

      Examples:

      A. I was previously denied for apnea – Should I refile a claim?


      I was diagnosed with apnea in service and received a CPAP machine but claim was denied in 2008. Should I refile?



      B. I may have PTSD- how can I be sure?

      I was involved in 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 from your claim?” etc.

      Note:

      Your firsts posts on the board may be delayed before they show up, as they are reviewed, this process does not take long and the review requirement will be removed usually by the 6th post, though we reserve the right to keep anyone on moderator preview.

      This process allows us to remove spam and other junk posts before they hit the board. We want to keep the focus on VA Claims and this helps us do that.
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