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From S to R2?

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jfrei

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I was most recently diagnosed with a seizure disorder and was referred to University of Pittsburgh for a case study along with the Mayo Clinic. Here is his letter

Attention Mayo Clinic/University of Pittsburg concussion Center ;

 

As noted in Mr. Frei’s history, he underwent severe trauma while active duty military.  He has since been retired from the military with posttraumatic stress disorder and traumatic brain injury which is not fully been compensated yet.  Traumatic brain injury is definitely a component.

 

I have been his primary care physician for approximately the last year as he has started with the VA in Wilmington, Delaware.  After his military career.  He was a helicopter pilot in the military, then a aircraft mechanic at Philadelphia international Airport.  However, his memory was so impaired and headaches as well as circadian rhythm disturbance due to his union schedule.  He lost his job at Philadelphia and was until recently working on helicopters down in Maryland.  Once they found out memory issues.  They terminated his employment.

 

Most importantly patient has the chronic symptoms of PTSD associated with anxiety as well as some slight physical residual symptoms from the motor vehicle.  He suffered while active duty.  On several occasions approximately 2 times per year.  He has had sudden episodes of loss of consciousness where he is found on the ground and after just a minute or so is conscious.  He has never swallowed his tongue.  He has never been foaming at his mouth.  He has never had loss of urine.  MRI shows consistency with TBI.  There is no evidence of significant seizure workup as well as etiology and combination to create one full situation of posttraumatic stress disorder associated with seizure disorder associated with traumatic brain injury.

 

At this point, I believe Jamie Frey would be most benefited by a a full team approach medical evaluation by the Mayo Clinic for University of Pittsburg concussion Center as the current system of addressing one issue at a time at different facilities is not coming up with an answer and this is a 31-year-old white male in very good physical condition with physical injuries and former military service.

 

If accepted to the program.  I suspect we will have a good chance of having her in the Veterans Administration cover costs, but cannot guarantee.  Until that is actually submitted

 

 

If the hospital turns it down he said it a good chance it will be approved couldn't I use this as a way to get SMC-R2? This makes my life a living hell with the timing my wife's pregnant, has lymphoma during pregnancy doctor thinks. Son has a minor birth defect my daughter has a heart defect. Worrying about my own health issues is

trivial in my eyes. Dealing with 2 black outs a year and headaches with short term memory problems seem minor to my pregnant wife. Life's full of curveballs 

 

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I was going to guess 70% for both since they had one below total for impairment but stated in another question that yes it does prevent me from working. I'm coming up on my 1 year mark in November for my IU and have yet to submit a employment do you do this exactly at the one year or maybe a month before they are not missing much as I have not been employed sold all my 401k and retirement to skate by this past years But at least I'm currently going three some times 4 a month for treatment for my TBI. I'm really not sure about SMC regulations I know I was given S with my IU that's it. If I get 100 for two items what does that mean I thought i had to be missing parts for anything hire for SMC or be impatient rehab at least for my TBI. Which I'll be going hopefully in October...

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Sorry to hear of your health issues bud. My 50% TBI falls under Migraines due to Concussions, and my 70% PTSD has all the mental conditions grouped into 1. Really I believe that over the last couple of years, the VA Raters really do what they want on that particular claim based on their mood. Multiple Vets can submit the same claim, and info, yet all be rated different, both good and bad. Wish you the best and keep us updated. God Bless

100% PTSD

100% Back

60% Bladder Issues

50% Migraines 
30% Crohn's Disease

30% R Shoulder

20% Radiculopathy, Left lower    10% Radiculopathy, Right lower 
10% L Knee  10% R Knee Surgery 2005&2007
10% Asthma
10% Tinnitus
10% Damage of Cranial Nerve II

10% Scars

SMC S

SMC K

OEF/OIF VET     100% VA P&T, Post 911 Caregiver, SSDI

 

 

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That be nice since the doctor at my TBI review dx me with post traumatic headaches although I was already SC for them in 2010 they rated it a zero.percent but maybe it will fall under the shield Never even thought about Thanks for your info I'm just hoping for the best at least me and my family are getting card since they did find me P and T...

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On ‎9‎/‎9‎/‎2017 at 7:05 AM, Buck52 said:

SorrI think some times  they don't know how to word certain disability's that can factor into others  and they try to ''sneek the symptomatology in as pyramiding as Alex mention above

Looks like to me if they are giving you a 70% rating for PTSD AND 70%Rating for TBI  that's just 100%.

Now if you don't agree with the decision look up what the rating % should be according to the CFR Regs for both symptoms (as what the Dr's are stating) I personally think you should get 100% for both of these .

if you only had one and not the other you can bet they would rate it at 100%   so why not do what is right and rate then both at 100%

 I think its b/c they don't want to give out more $$$ to you  and let you meet the higher SMC Creteria .....  but this is just my opinion.

if you let them know you know the rating regulations on this issue  it could change their minds somewhat!

jmo

 

Sorry buck I just read this again must have took me a second look to understand the VA trying to keep their money. This was my guess as well the 70% and 70% which makes IU moot but doesn't meet a higher SMC then I think the S which I was receiving when IU. I think the fact they made my TBI/PTSD has me worried about losing my P ad T rating but everyone Ive talked to says they wont touch it unless its improved not gotten worse. But no talks about what if they separate the diagnosis and make them both equally disabling. Also I meant to put R1 not R2. Whats even more confusing is that this claim was filed for neither of the increases but one single claim of adjustment disorder which I thought would be lumped in with the TBI it the exam would have gotten it 50 by itself. But since the TBI is 70% it would have been listed as a symptom along with the Neurocognitive Disorder dx which I would have hoped with the Post traumatic headaches pushed the 100% mark but I will know in less then 5 days

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On ‎9‎/‎9‎/‎2017 at 9:42 AM, Navy04 said:

Sorry to hear of your health issues bud. My 50% TBI falls under Migraines due to Concussions, and my 70% PTSD has all the mental conditions grouped into 1. Really I believe that over the last couple of years, the VA Raters really do what they want on that particular claim based on their mood. Multiple Vets can submit the same claim, and info, yet all be rated different, both good and bad. Wish you the best and keep us updated. God Bless

Also I noticed your rated for your damaged cranial nerve. My clivus was fractured and possibly damaged my VBI and nerve 7. I am allergic to IV contrast die so it makes dx of this in my brain so hard I think for the doctors who guess prescribe drugs and wait to see what happens bad or good

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jfrei,

 

Boy do i know about that dye, i throw up every time I have to do the brain scans, every 6 months at ft worth va. My cranial nerve damage is actually my tongue. The Military DRs burned and cut my tongue along with my throat 6'' by accident and didnt tell me until, it required a second emergency surgery. The VA admitted it was a botched surgery, but had no rating or that particular issue, so the VA granted SC disability under Cranial Nerve damage stating that it is an issue in the head area. Sorry to hear of your issues. 

100% PTSD

100% Back

60% Bladder Issues

50% Migraines 
30% Crohn's Disease

30% R Shoulder

20% Radiculopathy, Left lower    10% Radiculopathy, Right lower 
10% L Knee  10% R Knee Surgery 2005&2007
10% Asthma
10% Tinnitus
10% Damage of Cranial Nerve II

10% Scars

SMC S

SMC K

OEF/OIF VET     100% VA P&T, Post 911 Caregiver, SSDI

 

 

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