Jump to content


  • veteranscrisisline-badge-chat-1.gif

  • Advertisemnt

  • Trouble Remembering? This helped me.

    I have memory problems and as some of you may know I highly recommend Evernote and have for years. Though I've found that writing helps me remember more. I ran across Tom's videos on youtube, I'm a bit geeky and I also use an IPad so if you take notes on your IPad or you are thinking of going paperless check it out. I'm really happy with it, I use it with a program called Noteshelf 2.

    Click here to purchase your digital journal. HadIt.com receives a commission on each purchase.

  • 14 Questions about VA Disability Compensation Benefits Claims

    questions-001@3x.png

    When a Veteran starts considering whether or not to file a VA Disability Claim, there are a lot of questions that he or she tends to ask. Over the last 10 years, the following are the 14 most common basic questions I am asked about ...
    Continue Reading
     
  • Ads

  • Most Common VA Disabilities Claimed for Compensation:   

    tinnitus-005.pngptsd-005.pnglumbosacral-005.pngscars-005.pnglimitation-flexion-knee-005.pngdiabetes-005.pnglimitation-motion-ankle-005.pngparalysis-005.pngdegenerative-arthitis-spine-005.pngtbi-traumatic-brain-injury-005.png

  • Advertisemnt

  • VA Watchdog

  • Advertisemnt

  • Ads

  • Can a 100 percent Disabled Veteran Work and Earn an Income?

    employment 2.jpeg

    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

  • fundraising.jpegGive a financial gift to help with the upkeep of HadIt.com. HadIt.com is NOT a non profit. Gifts are not tax deductible, they are just gifts. 

  • Donation Box

    Please donate to support the community.
    We appreciate all donations!
  • Our picks

    • So, my lawyer sent an IME w/ IMO and filed a supplemental claim solely for IU on March 20.

      It was closed on March 25, and va.gov just states claim closed and nothing more.

      Hopefully, I get good news.
    • Thanks for the responses. I am filing a new claim but will continue pushing the NOD. My new question is it stated in law or statute that if during the claims process the VA finds conditions that could possibly rate service connection that was not originally filed for, the VA will “invite” the veteran to file the claim on the claims form. Reason I ask is that my private DBQs, NEXUS letter, and even the VA nurse examiner's DBQs lists bilateral upper radiculopathy as present. If it is written in statute or official guidance it might qualify as a CUE. Just looking at all angles. 
    • Everyone needs to read our stories so they can try to avoid these screws by the va...
      Thank you, everyone contributes, good or bad, all of our stories will help others, and yes, they have been stated by others for ages, over and over, but we just get depressed, and the time turns into years as they screw us..

      Welcome to the department of Veterans Affairs!  I can honestly say, "been there, done that".  

      Even after winning my tdiu in 2017, it was back to the drawing board as VA hornswaggeld my effective date.  (but of course).  

      I finally won my tdiu effective date in Feb. 2020, 18 years after I first applied!!!  

      Here is how they managed to drag mine out 18 years:

      1.  They never adjuticated my decison until 2009, where they called it "moot".  

      2.  I appealed, said it was not moot because it could result in an earlier effective date and SMC S under Bradley vs Peake.  The judge agreed with me, and ordered VARO consider me for extra schedular TDIU, under 4.16 b.  

      3.  The VARO piddles with  the remand for 3 years, and hoped I wouldnt notice.  I noticed and raised cane until they adjuticated it.  (denied of course).  

      4.  Finally, after the baord denied again, I hired a lawyer, in 2014, and appealed to CAVC.   

      5.  The lawyer won a remand, got an IMO and I won tdiu in 2017.  But at the wrong effective date, even after 15 years.  

      6.  I hired another lawyer, Chris Attig, and appealed the effective date, and he won a remand for effective date.  Trip 2 to CAVC.  

      7.  Mr. Attig won a remand, and advised me to get another IMO.  

      8.  The board awarded my earlier effective date in Feb. 2020.  

           So, I do have advice fighting VA for TDIU, they fought and fought and I hung in there and won it all.  

      ADVICE:  Dont count on VA, they could easily throw your fax in the trash.  Follow up!  
    • "Keep in mind that due to the nature of the digestive system, VA would most likely combined your conditions and pay you at the higher rate to avoid pyramiding".    That is one of my main gripes.  They are only listing the GERD with hiatal hernia and ignoring the rest of my gastric issues such as the gastritis which I also had in service.  I included it in my 2007 request for increase and again in 2019.  The info from the civilian dr that stated I had the gastritis with H pylori was not even provided to the examiner in 2007, nor did he have my VA health records. The 2019 request was based on an EGD I had AT THE VA in Jan 2019.   I filed for an increase 6 Mar and they did an ACE on 27 Mar and downgraded to noncompensable on that date.  The only reason I was thinking CUE:  38 CFR § 3.326 - Under Examinations  it states (c) Provided that it is otherwise adequate for rating purposes, a statement from a private physician may be accepted for rating a claim without further examination".  
    • Enough has been said on this topic. This forum is not the proper forum for an attorney and former client to hash out their problems. Please take this offline
  • Advertisemnt

  • 0
Sign in to follow this  
garion

Anyone been rated for Pancreatitis?

Question

From my C&P exam, it looks like I fall under the 100% for Pancreatitis.  I also have Anemia and Diabetes.  Have anyone on the board been rated for Pancreatitis? 

Does the Veteran have any of the following symptoms attributable to any pancreas conditions or residuals of treatment for pancreas conditions?
[X] Yes [ ] No If yes, check all that apply:
[X] Abdominal pain, confirmed as resulting from pancreatitis by appropriate laboratory and clinical studies If checked,
indicate severity and frequency of attacks (check all that apply):
[X] Severe (disabling)
Indicate number of attacks of Severe (disabling) abdominal pain in the past 12 months:
[ ] 0 [ ] 1 [ ] 2 [ ] 3 [ ] 4 [ ] 5 [ ] 6 [ ] 7 [X] 8 or more
[X] Other symptoms, describe:
Veteran states he awakens at night he awaken and loses his bowel(defication) .
b. Does the Veteran have any of the following signs or findings attributable to any pancreas conditions or residuals of treatment for pancreas conditions?
[X] Yes [ ] No If yes, check all that apply:
[X] Steatorrhea
If checked, describe frequency and severity:
Veteran states greacy foul smelling stools 3 times per week.
[X] Diarrhea
If checked, describe frequency and severity:
Veteran states has loose and watery diarrhea.
Veteran states his last severe episode was 4 days ago.

Below is the Criteria for 100%...

Pancreatitis, total pancreatectomy, and partial pancreatectomy: With all of the following ..... 100%
Daily or near-daily debilitating attacks of pancreatitis with few pain-free intermissions;
Two or more signs of pancreatic insufficiency (such as steatorrhea, diabetes, malabsorption, diarrhea, and malnutrition); and Unresponsive to medical treatment.

~With the following .. 60%
Seven or more documented attacks of pancreatitis per year with at least one sign of pancreatic insufficiency (such as steatorrhea, diabetes, malabsorption, diarrhea, or malnutrition) between acute attacks.

~With any of the following .. 30%
Three to six documented attacks of pancreatitis per year with at least one sign of pancreatic insufficiency (such as steatorrhea, diabetes, malabsorption, diarrhea, or malnutrition) between acute attacks;

Share this post


Link to post
Share on other sites

Recommended Posts

  • 0

I haven't, but I will try to help.

The wording on the 100% part seems a little wierd because of this part "Pancreatitis, total pancreatectomy, and partial pancreatectomy". I don't see how someone can have a total and partial removal of the pancreas at the same time. It might be an accident. Having two signs of pancreatic insufficiency could qualify you for 100%, but the only things missing in the DBQ write up you posted is the "...and unresponsive to treatment" part. Keep in mind that the DBQ's were written to help provide a good picture of a disability at time of examination, but they might not always have every rating criteria question perfectly explained. If the unresponsive statement is documented elsewhere, I recommend you make sure that it is included in the evidence you submitted.

Also, if you do get rated at 100%, consider filing for SSDI (if you haven't already) and also for any rate-able conditions which might be possible to SC as secondary to the pancreatitis and/or the medications used to treat it. If you can get additional %'s to total 60% or are unable to leave home for work (not telecommute either) due to pancreatitis, consider filing for SMC-S.

Good luck! I'm sure someone else will come and add to this or correct it.

Share this post


Link to post
Share on other sites
  • 0

I haven't, but I will try to help.

The wording on the 100% part seems a little wierd because of this part "Pancreatitis, total pancreatectomy, and partial pancreatectomy". I don't see how someone can have a total and partial removal of the pancreas at the same time. It might be an accident. Having two signs of pancreatic insufficiency could qualify you for 100%, but the only things missing in the DBQ write up you posted is the "...and unresponsive to treatment" part. Keep in mind that the DBQ's were written to help provide a good picture of a disability at time of examination, but they might not always have every rating criteria question perfectly explained. If the unresponsive statement is documented elsewhere, I recommend you make sure that it is included in the evidence you submitted.

Also, if you do get rated at 100%, consider filing for SSDI (if you haven't already) and also for any rate-able conditions which might be possible to SC as secondary to the pancreatitis and/or the medications used to treat it. If you can get additional %'s to total 60% or are unable to leave home for work (not telecommute either) due to pancreatitis, consider filing for SMC-S.

Good luck! I'm sure someone else will come and add to this or correct it.

Thanks for your response, Vync! I think they mean they are rating on Pancreatitis, Total pancreatectomy and Partial pancretectomy...  I am guessing they recognize them as different forms/degrees of pancreatitis.  

They have been giving me all kind of medicines to try to get my Pancreatitis in control.  They keep increasing my medications and adding new ones.  I have been on 5 different medication so far. 

Below is the C&P remark.

8. Remarks, if any
    ------------------
       1. Veteran's current claimed and diagnosed GI symptoms is at least as
       likely as not (50 percent or greater probability)a continuation and/or progression of
       the Veteran's already service connected Chronic Cholecystitis, S/P
       Cholecystectomy with Acid Reflux.

       2. C&P Recommendation:
       Veteran's previous documented abnornomal clinical findings were discussed
       with Veteran.  Veteran is advised to follow-up with his primary medical provider for
       evaluation and treatment of his ongoing and chronic GI symptoms.  
       
      

    

Share this post


Link to post
Share on other sites
  • 0

The way the VA reads the ratings can be pretty odd due to the semicolons, and's, and or's. Usually they indicate the possibility of multiple criteria or an inclusion of certain required combinations of criteria. If you want a good example, go look at the MH ratings. :)

On the bright side, the 50 percent or greater is a big hurdle just just jumped over. I hope you get the 100% rating. Crossing my fingers for you.

Share this post


Link to post
Share on other sites
  • 0

Thanks Vync!  I went and got a better understanding of how they rate Pancreatitis.  The reason they did multiple criteria is because if you had a Total or Partial Pancreatectomy, the minimum the VA can rate you is at 30%. 

Read below.  It explain things better with the rating.

 

7347    Pancreatitis:

 

 

                   With frequently recurrent disabling attacks of abdominal pain with few

 

                        pain free intermissions and with steatorrhea, malabsorption, diarrhea

 

                        and severe malnutrition........................................................................................ 100

 

                  With frequent attacks of abdominal pain, loss of normal body weight

 

                        and other findings showing continuing pancreatic insufficiency

 

                        between acute attacks........................................................................................... 60

 

                  Moderately severe; with at least 4-7 typical attacks of abdominal pain

 

                        per year with good remission between attacks....................................................... 30

 

                  With at least one recurring attack of typical severe abdominal pain

 

                        in the past year..................................................................................................... 10

 

 

            Note 1: Abdominal pain in this condition must be confirmed as resulting from pancreatitis by appropriate laboratory and clinical studies.

 

 

            Note 2: Following total or partial pancreatectomy, rate under above, symptoms, minimum rating 30 percent.

Share this post


Link to post
Share on other sites
  • 0

OK so I had pancreatectomy in 2003 due to an impacted goldstone 2/3 of my  Pancreas was removed I am type one diabetes with very large scars continued diarrhea stomach problems Constant back and shoulder pain I recently received a Nexus letter from my  endocrinologist related to my service in the gulf war.  Any suggestions or advice from anyone

Share this post


Link to post
Share on other sites

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.

Guest
Answer this question...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.

Sign in to follow this  

  • Similar Content

    • By L2dee2
      I was diagnosed with Diabetes type 2 on 2 Mar 10,  my last day on active duty was 28 Feb 09. I was denied service connection when I filed since I was officially diagnosed 3 days outside the 1 year window.  I never appealed this claim.  I was rated 60% in 2010 and never looked back.
      I recently happened across this site and realized, I might be able to reopen the case and submit a nexus letter stating that the diabetes manifested within the one year of me leaving active duty if not before.  Lab test taken on 25 Feb 09 show a Glucose reading of 324.  For some reason HB A1C test wasn't take until 2 Mar 10.  My HB A1C was 12.5.  The 2 Mar 10 date puts me inside the 1 year window.  There is no way my diabetes appeared in 3 days after the 1 year window.
      I am also service connected with Hypothyrodism (Hashimotos) which caused weight gain and slows the metabolism.  I was diagnosed in 1998.  Some medical evidence also shows slow thyroid can cause Diabetes.  Due to weight gain from my underactive thyroid, I was clinically obese on active duty.    If I can't get Diabetes added by showing it is service connected, maybe I can add it as a secondary to my Hypothyrodisim.  What are your thoughts?
       
    • By clynch726
      I am looking for anyone who was on Kadena AFB, Okinawa or .Chanute AFB, IL. My dad was there from Oct. 68-April 70. He has ichemic heart disease, diabetes which has resulted in the amputation of his right leg below the knee and peripheral neuropathy. We were denied in 2002 AMVETS filed a claim on his behalf for heart condition, diabetes and back problems. I refiled in December 2011 and have just received the claim statements and medical release forms. I am familiar with filling out this paper work because my husband is a combat veteran of Iraqi Freedom. I have been reading articles from the Japan times and I am a member of the Agent Orange Okinawa facebook page. Another thing that helps make my dad's case is that he was on Chanute AFB, IL and it is on the EPA Superfund list and has PCBs/Pesticides and Dioxins/Furans listed as ground and water contaminants. I welcome any advice, tips or articles that I may have missed in my own research.
    • By pctinc2001
      I suffered a back injury while in the ARMY years ago. My back has continuously given me problems. I am SC for DDD and was wondering how can i go about service connecting Diabetes 2? Any information or case studies will be of great help. 
    • By VETOVET
      Please, welcome new VET2VET podcast episode:
      https://youtu.be/waV5t0HPtbM
      Today we are joined by Thomas Wendel, DAV National area supervisor for West Cost Region.
      Thomas E. Wendel served in the U. S. Marine Corps from 1983 until 1997.
      Since 1999, Tom has worked assisting veterans in processing various entitlement claims on the local, state and federal levels; first in Clare County as a county service officer and then when he came to work for the Disabled American Veterans in 2000. In 2008 he was promoted to the position of supervisor of the DAV Service Office in Detroit and later he was promoted to the position of supervisor of the DAV National area for West Cost Region.
      DAV is America’s largest, most effective veterans service organizations dedicated to the needs of those injured, ill or wounded in service. We have more than 1,300 Chapters in communities nationwide to help make sure veterans from all generations and their families get the benefits and support they deserve. Today, nearly 1.3 million veterans belong to DAV, and we encourage you to add your voice to the cause. Our programs and free services help all veterans get the health, disability and financial benefits they earned. Take advantage of our benefits claims assistance, medical transportation and employment resources. Your local DAV Chapter is a great way to connect with fellow veterans in your area.
      ★ JOIN US IN OUR COMMITMENT TO YOU AND OUR FELLOW VETERANS ★
      ▶ facebook.com/VETOVET2
      ▶ itunes.apple.com/us/podcast/vet2vet/id1077206523?mt=2
      ▶ twitter.com/VETOVET2
      ▶ youtube.com/c/VETOVET2
      ▶ plus.google.com/u/0/+VETOVET2
      ▶ goo.gl/app/playmusic?ibi=com.google.PlayMusic&isi=691797987&ius=googleplaymusic&link=https://play.google.com/music/m/Iiqawbuzg7eviiyqm6xz7kju62m?t%3DVET2VET
      ▶ feeds.soundcloud.com/users/soundcloud:users:198832065/sounds.rss
      ▶ soundcloud.com/vet2vet
      ▶ stitcher.com/s?fid=80842&refid=stpr
       
      ★ LIMITED LIABILITY CLAUSE ★
       
      THE INFORMATION AVAILABLE THROUGH THE VET2VET MAY INCLUDE INACCURACIES OR ERRORS. CHANGES ARE PERIODICALLY ADDED TO THE INFORMATION HEREIN. VET2VET MAY MAKE IMPROVEMENTS AND/OR CHANGES OF THE CONTENT AT ANY TIME. ADVICE RECEIVED VIA VET2VET SHOULD NOT BE RELIED UPON FOR PERSONAL, MEDICAL, LEGAL OR FINANCIAL DECISIONS AND YOU SHOULD CONSULT AN APPROPRIATE PROFESSIONAL FOR SPECIFIC ADVICE TAILORED TO YOUR SITUATION.
       
      IF YOU ARE DISSATISFIED WITH ANY PORTION OF VET2VET, YOUR SOLE AND EXCLUSIVE REMEDY IS TO DISCONTINUE CONSULTING VET2VET.
       
    • By VETOVET
      Please, welcome new VET2VET podcast episode:
      https://youtu.be/9paX1-FyCaI
       
      Today we’re talking about SERVICE CONNECTION.
      When we talk about service-connecting a medical condition, disease, injury or illness to military service, we are talking about proving the relationship between the two.
      1) Direct Service Connection
      2) Service Connection by Aggravation
      3) Presumptive Service Connection
      4) Secondary Service Connection
      5) Service Connection due to Injury Caused by Treatment in the VA Healthcare System
      6) Special Service Connection Rules for Post-Traumatic Stress Disorder
      ★ JOIN US IN OUR COMMITMENT TO YOU AND OUR FELLOW VETERANS ★
      ▶ facebook.com/VETOVET2
      ▶ itunes.apple.com/us/podcast/vet2vet/id1077206523?mt=2
      ▶ twitter.com/VETOVET2
      ▶ youtube.com/c/VETOVET2
      ▶ plus.google.com/u/0/+VETOVET2
      ▶ goo.gl/app/playmusic?ibi=com.google.PlayMusic&isi=691797987&ius=googleplaymusic&link=https://play.google.com/music/m/Iiqawbuzg7eviiyqm6xz7kju62m?t%3DVET2VET
      ▶ feeds.soundcloud.com/users/soundcloud:users:198832065/sounds.rss
      ▶ soundcloud.com/vet2vet
      ▶ stitcher.com/s?fid=80842&refid=stpr
       
      ★ LIMITED LIABILITY CLAUSE ★
       
      THE INFORMATION AVAILABLE THROUGH THE VET2VET MAY INCLUDE INACCURACIES OR ERRORS. CHANGES ARE PERIODICALLY ADDED TO THE INFORMATION HEREIN. VET2VET MAY MAKE IMPROVEMENTS AND/OR CHANGES OF THE CONTENT AT ANY TIME. ADVICE RECEIVED VIA VET2VET SHOULD NOT BE RELIED UPON FOR PERSONAL, MEDICAL, LEGAL OR FINANCIAL DECISIONS AND YOU SHOULD CONSULT AN APPROPRIATE PROFESSIONAL FOR SPECIFIC ADVICE TAILORED TO YOUR SITUATION.
       
      IF YOU ARE DISSATISFIED WITH ANY PORTION OF VET2VET, YOUR SOLE AND EXCLUSIVE REMEDY IS TO DISCONTINUE CONSULTING VET2VET.
       
  • Ads

  • Our picks

    • So, my lawyer sent an IME w/ IMO and filed a supplemental claim solely for IU on March 20.

      It was closed on March 25, and va.gov just states claim closed and nothing more.

      Hopefully, I get good news.
    • Thanks for the responses. I am filing a new claim but will continue pushing the NOD. My new question is it stated in law or statute that if during the claims process the VA finds conditions that could possibly rate service connection that was not originally filed for, the VA will “invite” the veteran to file the claim on the claims form. Reason I ask is that my private DBQs, NEXUS letter, and even the VA nurse examiner's DBQs lists bilateral upper radiculopathy as present. If it is written in statute or official guidance it might qualify as a CUE. Just looking at all angles. 
    • Everyone needs to read our stories so they can try to avoid these screws by the va...
      Thank you, everyone contributes, good or bad, all of our stories will help others, and yes, they have been stated by others for ages, over and over, but we just get depressed, and the time turns into years as they screw us..

      Welcome to the department of Veterans Affairs!  I can honestly say, "been there, done that".  

      Even after winning my tdiu in 2017, it was back to the drawing board as VA hornswaggeld my effective date.  (but of course).  

      I finally won my tdiu effective date in Feb. 2020, 18 years after I first applied!!!  

      Here is how they managed to drag mine out 18 years:

      1.  They never adjuticated my decison until 2009, where they called it "moot".  

      2.  I appealed, said it was not moot because it could result in an earlier effective date and SMC S under Bradley vs Peake.  The judge agreed with me, and ordered VARO consider me for extra schedular TDIU, under 4.16 b.  

      3.  The VARO piddles with  the remand for 3 years, and hoped I wouldnt notice.  I noticed and raised cane until they adjuticated it.  (denied of course).  

      4.  Finally, after the baord denied again, I hired a lawyer, in 2014, and appealed to CAVC.   

      5.  The lawyer won a remand, got an IMO and I won tdiu in 2017.  But at the wrong effective date, even after 15 years.  

      6.  I hired another lawyer, Chris Attig, and appealed the effective date, and he won a remand for effective date.  Trip 2 to CAVC.  

      7.  Mr. Attig won a remand, and advised me to get another IMO.  

      8.  The board awarded my earlier effective date in Feb. 2020.  

           So, I do have advice fighting VA for TDIU, they fought and fought and I hung in there and won it all.  

      ADVICE:  Dont count on VA, they could easily throw your fax in the trash.  Follow up!  
    • "Keep in mind that due to the nature of the digestive system, VA would most likely combined your conditions and pay you at the higher rate to avoid pyramiding".    That is one of my main gripes.  They are only listing the GERD with hiatal hernia and ignoring the rest of my gastric issues such as the gastritis which I also had in service.  I included it in my 2007 request for increase and again in 2019.  The info from the civilian dr that stated I had the gastritis with H pylori was not even provided to the examiner in 2007, nor did he have my VA health records. The 2019 request was based on an EGD I had AT THE VA in Jan 2019.   I filed for an increase 6 Mar and they did an ACE on 27 Mar and downgraded to noncompensable on that date.  The only reason I was thinking CUE:  38 CFR § 3.326 - Under Examinations  it states (c) Provided that it is otherwise adequate for rating purposes, a statement from a private physician may be accepted for rating a claim without further examination".  
    • Enough has been said on this topic. This forum is not the proper forum for an attorney and former client to hash out their problems. Please take this offline
  • Ads

  • Popular Contributors

  • Ad

  • Latest News
×
×
  • Create New...

Important Information

{terms] and Guidelines