Jump to content


  • veteranscrisisline-badge-chat-1.gif

  • Fund HadIt.com

    168%
    $2,528.00 of $1,500.00 Donate Now
  • Advertisemnt

  • 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
     
  • 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

  • 0

C&P EXAM AND VA RATING


Question

Hello al,l need your help. I  am currently rated at 70% P/T with IU. I have a current claim in for increase of my S/C 10% Coronary Artery Disease. In regards to the METs for the heart condition, on my Feb 11, 2017 C&P exam the examiner noted the following on the DBQ.

Interview-based METs test on 2/11/2017

   Symptoms during activity:

   The METs level checked below reflected the lowest activity level at which the Veteran reports any of the following symptoms attributable to a cardiac condition:

    FATIGUE

         Results of interview-based METs test

           METs level on most recent interview-based METs test:

           7-10 METs;  This METs level has been found to be consistent with activities such as climbing stairs quickly, moderate bicycling, sawing wood, jogging (6 mph).

     Has the Veteran had both an exercise stress test and an interview-based METs test?

    Examiner answered:  YES

The questioned was asked "What is the estimated METs level due solely to the cardiac condition(s) listed above? (If this is different than METs reported above because of co-morbid conditions, provide METs level and Rationale below.)

The examiner's answer was "The limitations in METs level is due to multiple medical conditions including the heart condition(s). it is not possible to accurately estimated the percent of METs limitation attributable to each medical condition."

Now the C&P Examiner copy and pasted  the following into the DBQ (Heart Condition)

    * * * ATLANTA VA HOSPITAL CARDIOLOGY CONSULT * * *

10/16/2016

PT IS A 51 YR OLD MALE HERE FOR CARDIOLOGY

CC: 1st visit today:  Veteran w/ h/o chronic, stable angina - reported CP in service on Sept 6, 1990 in which Veteran was told he had a  Myocardial Infarction- had NL MPI. Veteran has undergone heart Caths in 1992 and 2008, which were NL except as noted below - advised he likely has microvascular disease or microspasm or cardiac syndrome X (decreased blood flow in left ventricle).

Veteran has noted intermittent CP for more than 25yrs - averages CP 3 times per month at it occurs at rest and during sleep and with or without activity. pausing/resting typically relieves the pain but uses one 1 nitro tablet to help relieve the CP. Veteran uses on average 1 nitro table per month.

Veteran also has Obstructive Sleep Apnea with use of CPAP nightly.

My last hospital admission for CP was 12-7-2016 to 12-8-2016 at which I had a Nuclear Stress Test and ECHOCARDIGRAPHY done.  The Tests revealed the following: 

The Left Ventricular Cavity size is normal.  There is Left Ventricular Basal Septal Hypertrophy

The Left Ventricular Systolic Function is normal, Ejection Fraction is 60-65%.

The Left Ventricular Diastolic function is ABNORMAL. Mild (grade I) showing impair.red relaxation

The Right Ventricular Cavity size and systolic function is/are normal.

The Mitral Valve Leaflets are mildly thickened

There is Trace Mitral and Valve regurgitation present.

Pulmonary artery pressure is normal.

My question is being that a Exercise METs level cant be determined should my CAD be rated at 100% based on my last Cardiologist exam that is noted above.  The last and only time that I had a Exercise Stress Test was in December 1990.  I feel that the examiner didn't have a clue as to what she was doing and this may cost me the rating that I deserve. I am also receiving Social Security Disability Compensation for my S/C Heart and Back Conditions. The examiner also noted that my Heart and Back Conditions DO NOT prevent me from working. The Social Security Disability paperwork is in my VA file not to mention I gave her a copy at my C&P Exam.

Edited by VAW-126
Link to post
Share on other sites
  • Answers 2
  • Created
  • Last Reply

Top Posters For This Question

Popular Days

Top Posters For This Question

Popular Posts

Are you the same member who posted in a different thread a few days ago? That thread got replies. As I recall the examiner was a NP and probably had no cardio expertise. I think I suggested

2 answers to this question

Recommended Posts

  • 0
  • HadIt.com Elder

Are you the same member who posted in a different thread a few days ago? That thread got replies.

As I recall the examiner was a NP and probably had no cardio expertise.

I think I suggested to wait for the decision. 

If so, that thread s here somewhere under a search.

  • Like 1
Link to post
Share on other sites
  • 0

Yes thats me. I had different drafts and was just trying to get a feel and feedback to see if anyone else out there has been in similar situation and their outcome. My claims are current in the Prep for Decision phase. 

Edited by VAW-126
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.

  • Ads

  • Ads

  • Ads

  • Our picks

    • I already get compensation for bladder cancer for Camp Lejeune Water issue, now that it is added to Agent Orange does it mean that the VA should pay me the difference between Camp Lejeune and 1992 when I retired from the Marine Corps or do I have to re-apply for it for Agent Orange, or will the VA look at at current cases already receiving bladder cancer compensation. I’m considered 100% Disabled Permanently 
      • 10 replies
    • 5,10, 20 Rule
      The 5, 10, 20 year rules...



      Five Year Rule) If you have had the same rating for five or more years, the VA cannot reduce your rating unless your condition has improved on a sustained basis. All the medical evidence, not just the reexamination report, must support the conclusion that your improvement is more than temporary.



      Ten Year Rule) The 10 year rule is after 10 years, the service connection is protected from being dropped.



      Twenty Year Rule) If your disability has been continuously rated at or above a certain rating level for 20 or more years, the VA cannot reduce your rating unless it finds the rating was based on fraud. This is a very high standard and it's unlikely the rating would get reduced.



      If you are 100% for 20 years (Either 100% schedular or 100% TDIU - Total Disability based on Individual Unemployability or IU), you are automatically Permanent & Total (P&T). And, that after 20 years the total disability (100% or IU) is protected from reduction for the remainder of the person's life. "M-21-1-IX.ii.2.1.j. When a P&T Disability Exists"



      At 55, P&T (Permanent & Total) or a few other reasons the VBA will not initiate a review. Here is the graphic below for that. However if the Veteran files a new compensation claim or files for an increase, then it is YOU that initiated to possible review.



      NOTE: Until a percentage is in place for 10 years, the service connection can be removed. After that, the service connection is protected.



      ------



      Example for 2020 using the same disability rating



      1998 - Initially Service Connected @ 10%



      RESULT: Service Connection Protected in 2008



      RESULT: 10% Protected from reduction in 2018 (20 years)



      2020 - Service Connection Increased @ 30%



      RESULT: 30% is Protected from reduction in 2040 (20 years)
        • Thanks
        • Like
      • 53 replies
    • Post in New BVA Grants
      While the BVA has some discretion here, often they "chop up claims".  For example, BVA will order SERVICE CONNECTION, and leave it up to the VARO the disability percent and effective date.  

      I hate that its that way.  The board should "render a decision", to include service connection, disability percentage AND effective date, so we dont have to appeal "each" of those issues over then next 15 years on a hamster wheel.  
        • Like
    • Finally heard back that I received my 100% Overall rating and a 100% PTSD rating Following my long appeal process!

      My question is this, given the fact that my appeal was on the advanced docket and is an “Expedited” appeal, what happens now and how long(ish) is the process from here on out with retro and so forth? I’ve read a million things but nothing with an expedited appeal status.

      Anyone deal with this situation before? My jump is from 50 to 100 over the course of 2 years if that helps some. I only am asking because as happy as I am, I would be much happier to pay some of these bills off!
        • Like
      • 18 replies
    • I told reviewer that I had a bad C&P, and that all I wanted was a fair shake, and she even said, that was what she was all ready viewed for herself. The first C&P don't even  reflect my Treatment in the VA PTSD clinic. In my new C&P I was only asked about symptoms, seeing shit, rituals, nightmares, paying bills and about childhood, but didn't ask about details of it. Just about twenty question, and  nothing about stressor,
  • Ads

  • Popular Contributors

  • Ad

  • Latest News
×
×
  • Create New...

Important Information

{terms] and Guidelines