Great ToeNail, bilateral remnants cauterization, scars, open wound, chronic

[ToxicSgt73]

Question: 
I am not even sure yet what my question is? 

Situation: 

I had ingrown toenails on great toe bilateral chronic in service.  Aggravated by weight control program policy (I was on 3 years, 8 months, 29 days) of running in combat boots, and last ditch effort of adding speed (amphetamines USAF strength). I did a lot of running from basic till the end, a lot more than I had not been on that program.

After multiple inservice removals of nails (complete).  USAF hospital at Tyndall removed nails and cauterized the 'matrix' the 'roots, or bed' of the nails where the nail grows from.  The idea was my nails would not grow back? Bad idea....

An Airman First Class was assigned the task. 

Result: My nails grew back.  Except neither one the same, and neither as original stock equipment.

I have 3 nails remnants on one toe, I have one nail that grows 90 degrees to the horizontal flat plane of the top of my toe.  This causes repeated open wounds? breaks in skin? over scar tissue? They are a nightmare to trim, as they are deformed and multiples times as thick as originals.  Varying degrees of pain during the time span between trimming, and great pain, open wounds and blood every time trimming is necessary. I can no longer trim them myself as my tremor isn't part time much of the time.

This has limited my choice of footwear over the years, as hard shoes don't feel that great with a toenail growing straight up.  Probably affected my gait, posture, etc. (never thought about it that way) until now that i have arthritis in my knees, just had an xray of my right knee, no obvious trauma to knee, just arthritis from oral report (request in for written and image). I do know that my running days were over when I left the service.

 

I am starting to build my claim.  I am using VLB template along with my other research into everything.....and I still am stumped as to how to treat this one.  

I have read a lot of denials for ingrown toenails on the web, and only one instance period of anyone having this cauterization done.

I though I would use this injury as first question about go about the claim process as it seems to be multiple routes.

Would this be pyramiding if I also have peripheral nephropathy? 

I am going to have a lot of doctors visits ahead if I need doctors to diagnose everything that isn't documented (I know the answer to this one).

Where does this injury fit into the claims types?

[ToxicSgt73]

31 minutes ago, GeekySquid said:

1st thing I will say is read what @GBArmy said and pay attention. he is right

You are referring to a Community Clinic and not the VAMC Hospital?

That is not the fastest way, visiting the VAMC is faster, but it will work. Go to your VA Regional Office, which is also the location of your local Benefits people and the various VSO services typically have an office inside the VARO building. The VARO is the fastest way to get your records into the local system.

You cannot get medical care until you are Enrolled in the local VARO & VAMC systems.

Once you get enrolled go to the actual VAMC and get "verified" for Premium Access to My Healthy Vet, which is an online portal for medical stuff at the VA.  You can self enroll online but Premium access is needed for many features. You will also want to get a VA ID card while there. It takes time at some VAMC's and will be mailed to you. You want this card.

what in hell's name does that mean?

The VAMC has priority groups, and even NON-Service Connected Veterans can get treated.... but it will cost you out of pocket. You mention financial hardship. You can apply for care under that and when the bills do show up (before you get rated) you take them to the VA and say "hey, I'm in a hardship" and fill out some papers.

This also applies to when you go to the VARO and enroll there. Tell them your situation. You mention losing your home. That places a flag on you file and you are moved to a higher priority processing group for intake and claims processing. They will connect you to homeless resources and a social worker. work with those people as they are there for your advantage. T

Take your SSDI paperwork when you go to the VARO. They will check but handing it to them can speed stuff up.

 

not sure what you mean here. It is a process and you have to follow the steps. You cannot really believe that the VA will just take your word for stuff and hand over medical care and money. You waited all these years and suddenly realized that your only income will be from SS after years of limited contributions to the system. Take ownership of your choices.

The ratings are set by Congress and are a result of professionals and the DSM which is incorporated as a whole by law. Medicine and disability are complex situations, and frankly scammers abound.

Some people want stuff for free and think nothing of cheating the system. That means departments like the VA and Social Security NEED to be thorough and have consistent standards of care, and standards of harm, that translate to any compensation that may be due.

do you have an Honorable Discharge? if not then you are barking up the wrong tree at this moment. You would need to get that discharge (what ever it is) upgraded to Honorable.

I will further offer an observation on former military people who say they were railroaded out. They usually contributed more than 50% to the "railroading".

Some vets, with PTSD or MH caused by service events, may have had an understandable reason for bad behavior, but without that excuse they just brought the problem onto themselves with their actions and attitudes.

while you may be right about having a list, the concept of "rock solid" is something many vets believe until they have to show proof that the VA will accept. Many of those vets end up very disappointed that they cannot meet that standard of proof.

Maybe you will be different, just don't be surprised if you are not.

Just because you have a medical problem does not mean it is service connectable. Even if you had treatment for a related thing in service, does not mean the service caused it or that it is compensable.

see the previous note.

if you can service connect your disabilities that SSDI rating can help you, but it is not a guarantee.

Don't ever believe there is a slam dunk in this process. You will be disappointed if you do.

three parts here. 1) maybe-maybe not, you are not the rater. 2) if your conditions are legitimately service connected and you can prove it, then yes there is benefit. 3) this will take a huge chunk of your time for a while.

This may be the easiest way in the door for you to basic service connection. Proof of this claim maxes out at 10% which is a starting point.

to rate an HL from that long ago you will need your STR to say there is an OSHA STS. If you have/had one it is marked on the audiology test form next to your results, and there will be a separate page stamped with that phrase.

Unless you are stone deaf, HL for most vets is 0%. that is just the way the law is written. An SC at 0% for HL is a benefit that may support future claims.

Without a "presumption" like Agent Orange, some of these will be hard to SC after this many years.

If you smoked, worked in a "dirty" industry setting, are overweight (which you stated you are) lack exercise, which you blame on the toes, getting SC'd can be a problem.

However, if you do SC your toe issue, even at 0%, you can try to connect the weight issue as secondary to the toes, and these others secondary to the weight.

That would be your causal chain connections that would bypass the lack of presumption.

 

 

GeekySquid,

I think all of you are right. I know nothing and I know it.  I have lost some filters in communication, although my fingers fly sometimes over the keyboard.  I will claim that I have retained some use of by brain, but matching the right word to what I actually  want to say the first time? I do not have a good record of getting the right words out the first time.  Certified actually here too. Unfortunately. That doesn't need to addressed with the VA or here now, yes I am complicated.

1) I think all of you are right. I am open to suggestions, that is why I am here.  I am visual, so I put it on paper, can't carry anything in my head.

2) yes I guess I was talking about a community clinic.  I can see where I need to educate myself on the system in this aspect.  Medical Center, okay bigger makes sense, and RO that is regional office, so if I wanted to speed things up go file this 10-10 form at RO? and apply for VA medical card, or filing is the same step? and then at this time we are talking only about getting them to look at the toenails, and they are no little thing, we are talking about something out of a horror movie.

3) letting VA tackle from the get go.....yea, sounds like I haven't absorbed anything from anywhere.....I only meant to let them look at my toes and get into the system. Just into the medical system, not the claims process, I have read about that, it is not the way it is.

4) priority of having VA correct something, that is not really what I was attempting to ask.  I was trying to ask about getting into the system any faster, or another way to put it....getting into the system in multiple ways....I don't need VA to do anything yet....will cover this answer in following bullet points.

5) and 6)  I talk too much. I also have trouble staying with a linear conversation (no straight lines of communication, sorry, I do what I can do).  Idiocy of ratings, I stand by that in my understanding of all definitions as my interpretation. Some ratings make sense and some don't.  Some combinations make sense and some don't. 

I will ask you here to believe me that I am not here to scam anyone, if you haven't go back if you want a good read and read my intro post.  My Dad volunteered at the end of WWII, he spent a year in a hospital because of a bad batch of boots, contracted a fungus that he carried his life, drew min $ rating his whole life, my Uncle was a front line runner in USMC in Korea, came back without a scratch (on the outside).....and never used the VA, I joined at the end of VN and I wouldn't not have left until I carried out.....and its been 42 years since then, and if I didn't need to collect what is mineI wouldn't be here, I have tried to stay away.....I am not saying that anyone said anything, I am just asking give me the benefit of the doubt until you know me, my story is going to take some time to absorb, becoming a toxic time bomb is not an easy thing to describe, until I connect the rest of the dots.

7) Railroading....yea, I should have had a V-8....I stand by my statement. And the Air Force is still killing airmen every year with the same program. Air Force Times saying that not me. and the War College report from 1978 where the Air Force was faced with the fact that they were killing more airmen than they could  legitimately continue to do so and keep getting away with it.....but....they still do.....1978 report date, was one year after I was railroaded out.....

no bad conduct, no lost days, no nothing.....I didn't weigh air force standards when I went in, I didn't weigh air force standards when I left basic, I didn't weigh air force standards after destroying my knees running in combat boots while on forced air force amphetamines and existing on iceberg lettuce and many forced dehydrations while metabolizing my toxic fat cells for food (mainlining every D combo, heavy metal, PAH, and even what if I had breathed the air over SEA ' but, I didn't' ) and therefore mainlining those toxins to every cell in my body....organs first....and some of those toxins leap out of the blood and cross the blood, brain barrier.....

But.....I am not going there yet......I am going through the back door with a simple easy ( I know that doesn't exist, but it sure is easier than what I just laid out? isn't it? )  so now do understand how I can make that mistake? Ischemic Heart Disease if my service records are intact, will service connect.....whether or not it is presumptive of anything, I have the evidence of 100 flavors from day one out of the service, and 100 percent evidence of gastro not being the problem in the begining.

my personal definition of railroaded? 
after losing 38 lbs....
one month I gained a couple of pounds (this is addressed in 1978 report along with a million other places) I was placed on control roster, thereby ending my career, one visit to the lawyer, and then a note to go to CBPO and 7 days later I was a civilian on the other side of the globe......was made to cancel medical appts, got no separation physical, no kiss......just an honorable discharge coded real fancy.....and a good conduct medal with no days lost.....railroaded....

I believe what you believe about railroaded out is about half true. 

so, I know what you mean, and I know what I mean.....do you know what I mean?

8 ) rock solid, chronic, I did not mean to say all service connected from the start.....it probably looked like that. 

geez.....I do talk too much.....I am hoping to not connect what SSDI put me out to pasture with, VA won't go there, and I don't want them there. Its not ratable. SSDI awarded me for a 'word' under compassionate allowance.

those are some awful big assumptions about my financial affairs, and about my fatness....so I will set things straight, I am broke and fat, has absolutely nothing to do with anything, about claims, about getting in the clinic? yes, but the reasons for being broke, not a thing.....

I have lost and started over from zero 3 times in my adult life thanks to my short air force career and luck of when I when born.  each time I was able to start over and build up a good life......each time I knocked down and kicked when down......I did own where I was at and pulled myself up......I never drew one week of unemployment in my life, I have never been to VA clinic for treatment.......I did use some educational benefits, but the program that I enlisted in was supposed to offer me educational benefits until I died, was changed just before I was railroaded out to ten years after seperation.......so when I was 1 year and 3 months into a 2 year program when I hit my ten years......you guessed it....it was in the idiotic rules......RULES......ten years are up......I survived anyway......
I did use my VA mortagage loan twice, paid in full both times.

I get SS disability, the kind you pay into, and I paid a lot into it, and I get a lot from it....more than what they consider rich....
And at present I get disability from my work, which runs out at retirement age....

if I could I would leave this check and medical for the warriors and soldiers....and PTSD....

I was just a bus driver.....a boy scout....I know all the routines, and I am good with them....I didn't sign up for what I got.....if they could not carry my weight they should have never left me out of basic....but, they just couldn't get my frame down to that weight, believe me......they tried.....

you don't know me.....your guesses are way off....

am I bitter? probably why I take antidepressants.....I have fought an invisible enemy until just recently......my 3 years 8 months and 29 days......the gift that keep on giving.......so, I read a cat scan I had in Jan, along with a head mri......

pineal cyst so what its tiny

lung nodules scattered.....tiny.....3mm
hazy base both lungs....Pneumonia at 29 yrs
one lung less than normal size......Pleurisy at 29 yrs

Renal cyst.....26mm.....dare anyone to call that small, but they do....obscures the width of the whole kidney

intra heptic (inside of liver) and extra heptic (outside of liver) bile duct dilalations (sounds inocent enough? ) means theres something inside of them making them bigger....( I have had Acute Pancreatitis hospitalized) and suffer at least weekly with chronic pancreatitis.

small....again small....intramuscular lipoma......(I sure hope they are right and its not a sarcoma) in left thigh
 

In my intro, I was told to give a timeline so others may help.....before I did that I thought it wise to soften up the defenses to so big of list of what 'could' be service connected.....not that I would claim all of them.....I just need to keep a roof over my head.

9 ) tinnutus.....if I have any problems with this one.....I will refer to 5 ) and 6 ) idiocy. But, I won't be surprised thanks to the prior experiences of many. 

10 ) I don't have the presumptive.  I do have evidence of exposure to just about everything else in a hot spot,  and until I develop my evidence more, that is where that is. And I am not talking about bathing in hydraulic fluid, which I did, nor about huffing jp-4 exhaust all day, which I did, nor solder fumes....none of that easy stuff.


I am only working up rock solid, chronic conditions that I already have diagnoses for and that have existed for the duration or show up on a presumptive list that I 'deduce' from my research to be 'rock solid' connected with my exposure.  NOT VA 'rock solid'.  That would be foolish, my research denotes no such animal, ever....100%.

 

******

I know I don't have any filters, but, here I am still trying.....will you try with me? I mean no one any ill will, no slight, I only ask for understanding.....I am asking for allowances....I will try not to abuse them.

[GeekySquid]

8 minutes ago, ToxicSgt73 said:

know I don't have any filters, but, here I am still trying

you post what you post. you say what you say. you chose the words you use.

Your statement about no filters does not change that you chose how to represent yourself to the world.

You don't get to be upset people see you how you represent yourself. well you can be upset but your target on that should be yourself. You set the table.

I am a blunt person, some people don't like that. Okay, they don't have to interact with me. I don't lose sleep over it or them.

I don't believe in sugar coating anything just because that person might not like being told flat out statements. So let me be clear, the way and what of your post screams red flags. You created them. Own that. Fix that. Stop that. for your own good. if you don't it means nothing to me, but it could negatively affect you and the outcomes you desire.

If you don't like that people will see you as you present yourself, get some filters. you are an adult and can get and use filters if you choose to, if not then accept that some people will speak to you bluntly.

Be prepared that at the VA, and in the C&P exams, those people will see you for how you present yourself and your claims. My observations and opinions don't matter, but theirs do and if you present like you did here, you might just find that they don't have confidence in the veracity of your statements. That will create another huge barrier for you to overcome.

You want help. Great. I offered you observations on what paths and help you might get. all based on your words.

Now take this observation to heart. If you present yourself wrong, stamp your foot and say "i have no filters, you have to accept that", then you will not be doing yourself any favors.

As for your definition of railroading... sorry bud, I stand by my experience and observations. People, as a rule, are willing to help those that are helping themselves and not acting like a jackass. I sincerely suspect that you pissed some people off with your "lack of filters" and with aggressively defensive responses and caused your own railroading. I could be wrong, but I don't believe I am based on how you came out of the gate posting here.

The good news for you is that my opinion doesn't affect your rating, but my suggestion that you get filters needs to be taken to heart.

As for your weight and financial situation. you brought them up as factors is your post. They are addressable by the VA and getting rated. Financial hardship is a flag on your file that expedites the processes both medical and for benefits. Weight can be service connected under the right circumstances.

If you reject being presented that information, after bringing them up as topics, then you are demonstrating my points in this post.

Here is another suggestion. Since you know you don't use filters, before responding or posting things, write them in a word document. save it. close it. come back to it in two hours. re-read what you wrote and decide if you should edit yourself in how you are presenting that information or response. You should probably always decide to edit your first response. That's a guess but I would lay odds in Vegas it is right.

I really doubt you will do this. In fact I suspect this whole response will just piss you off even more. I also don't think you will be honest about that facet in any response you make.

If I am right, and you respond badly, that is okay. We all have the ability to block any specific poster. There are about 20 people on here whose posts make them sound like total jackholes. I block them and am none the worse for not seeing their posts, complaints, whines, and other B.S.

If I am wrong and you take that suggestion in and apply it, then I will have accomplished something and you will prove you can use filters if you really want too.

Do what you will with this information, and my other response to you. Your future is in your control, decide if you want to make more problems for yourself or not.

 

[ToxicSgt73]

its all good. 

I could tell I had rubbed you wrong and I was trying to make it better...man,  that didn't work...

I won't try to explain as much, it doesn't matter what anyone thinks of me just as you said. 

its all good, I talk too much. I will find a better way to just get to questions and I will not be so thorough as I feel I need to be to be understood. I agree with you, I should have never brought my separation, the connection won't be seen till all the dots are connected. Back to step one. 

By the way, I am proud of my service, and my son's service. I am proud of every day I served. I just want to find out how to connect some dots.

I will take your advice, but, I don't like your application of what you think I am, I also speak what I truly believe.
I don't care if you are blunt, I can take it, as long as there is anything in there I can use, and I found plenty in what you said. 
 

[GBArmy]

Toxic, a lot of water just went under the bridge in the last few posts. I hope you will listen to the advise given.  Geeky is about as knowledgeable as they come on this forum, and it it is a rare day in May I disagree with what he says, blunt as he is. But that is also his purpose; go right to the point. These comments to help other veterans is just that; it isn't an editorial page. So, based on what we have learned, lets dumb it down a little, because you have a lot of stuff you want to do and you need to set priorities. Get into the VA system. Submit the 10-10 ez. You can get a response in 1-2 weeks sometimes. As soon as it arrives, call your VMAC and set up an initial appointment with a doc. (I am not sure if you can get travel reimbursement for the initial appointment, but give it a try. Fill out a form.)They will do extensive lab work as well; I think is excellent (easily cost several hundred on the outside.) Get your pic taken for your ID. Then, I would submit my claim for hearing, tinnitus and my foot. GET A DISABILITY RATING. Get the ball rolling. On the admin side, make an appointment when you go to the VMAC with the Veterans Advocate to find out what you can do. Talk to him/her about your financial status, potential loss of home, SSDI. NOT about any claim. Repeat NOT about a claim.You want to get on record as a priority because of hardship. And lastly, really important, lose the attitude brother. Nothing will turn VA people off faster than a complainer. Just try a simple filter. Don't tell  anyone what you feel about what has happened to you. We really don't care how you feel, that doesn't help in any way to resolve any of your issues. Keep us informed.

[ToxicSgt73]

thanks for all the great advice from all of you. That is why I choose to sign up here. 
I will pick and choose just like anyone else what I think will work for me, and thanks again for all for helping to realize why I came here. I hope I choose wisely. 

I do want to start over so now, after being reminded,  I do understand that this is not the place for feelings, this a place for serious business, of which I am needing some very much, so I will refrain from any feelings now and in the future, and I am truly sorry for this that I own, what I have caused here. I understand the implications. I realize I could have said the same things without a few colorful words and everything would be fine, I realize that now. But, more importantly I should not have said them now in this context. 

I do have a lot that I want to accomplish. I will stop trying to accomplish so much at one time.  I am writing this down so that it will happen. I own this. I commit to this. I expect the consequences. 

I ask that I may start over.  With just questions about how to navigate the system.  If I can do that, by pulling what we have been talking about above and getting it into a plan I can understand, in a visual format that I can understand.  I may write something that doesn't require any answer, its just that if I don't write it at that moment....it won't happen.  I can take the consequences of that, because I have no choice, and I am very familiar with them. NO feeling here.

  I have mild cognitive impairment, I am dripping with sweat to type this (I say this not to illicit any feelings from anyone, but to ask for understanding of why you are seeing it). Its all a question of expenditure of resources of the individual.  This is this important to me right now. Only one more limitation I must clear up.  I do not handle being overwhelmed in any area of brain function, what happens is other systems start shutting down and then only BASE systems work....I have almost ten years of practice of working with this with some level of knowledge of what is going on with me....most times I can back out of something before I escalate the BASE functions and sometimes I misjudge and I pay the consequences. So, I am not asking for a pass....just understanding of the what...if I own the consequences I pay. As soon as the internal escalation is gone I usually understand what has happened, but it is already done. 

I do want to explain why I choose my user name.  The toxic part is what is in my blood, the arsenic and cadmium and lead, and whatever else, not supposed to represent an attitude, I will commit to living that. 

So: 
I have my 10-10 ez form mostly filled out. I have my DD214.  
I have two question about the form, I plan on calling the number on the form to find out more info on medical expenditures for the previous year and supporting documents (this is not a problem having them, just knowing what to have and what to do with them). I can make it under the income limits with my medical expenses. 

Question: What to do with the form: 
Local Clinic ( I was told at the local clinic, it would be sent to the Medical Center, if I remember correctly)
Medical Center
Regional Office
Mail it in
Fill in online

I understand there are different reasons for doing each and what anyone is able to do.  Any of the above is within my reach. I haven't decided yet which way I will go.

GBArmy, when you typed VMAC, is that VAMC?   Are you referring to Veterans Affairs Medical Center? 

1. at VAMC get in system, get picture, get I.D. get initial medical appt. (this is totally separate from any claim and do not discuss claims, got it) 
2. at the point of making an appt, after being accepted.....does the VAMC have my service medical records in their system? (this was one of my earlier assumptions, to get into the system) (and to use my toenails as the excuse) (but from what I am reading, I really don't need any reason? to get an initial appt?) I am clueless here, but not for long.

3. make an appt. with Veterans Advocate at the VAMC? discuss medical care DO not discuss claims, got it. 

4. file claim for the NOT COMPLEX ISSUES, I get this as a strategy.  To get a rating sooner. This will lead me to a few other questions, so I will ask them here.

a) I have about 2 years until my disability is cut in half. (at retirement age I lose my workplace disability insurance) right now I have enough to live off of, I have SSDI (not SSI) I have a Medicare Advantage Plan, I go to Mayo clinic once a year, and get a week of diagnostics for my brain disease under research studies, this disease is not service connected). But as more and more issues grow and bloom, my medical expenses take everything.  Stated this to work through strategy. So, I could survive the next two years, with difficulty in working through a strategy for getting any VA claims rated.

b) I won't achieve any windfall if I do get any $ rating, before the two years as the workplace disability will reduce by the same amount, but I would get the needed extra medical help and the ball would get rolling for the next step, the toxic part.

c) I definitely need to replace what I am losing to survive in two years.

d) I can't file anything until I get my service medical records, I have located almost all of after service records, it is massive, I have pruned it down to a concise diagnostic picture of two file boxes (now I know I don't submit two boxes, this is what I have for that part to draw upon) 

My service records shouldn't be that much of a stack, but it should support the first 3, even a hearing loss a 0%, this is what I was thinking was the way to go with the first claim.

And I plan on working up a practice DBQ and VLB chart for Ischemic Heart Disease, as I believe I have that in service connected, and continuity, and this would really lay ground work for the toxic part.   If I got all of that through I don't have the ratings in front of me but I should be over 30%+ there.  I am not settled yet on this depending on what I have in my service records. 

5. Question: If I submit a claim and it has any number of individual items in it, the claim is completed as a whole of all the parts, or does it split if one or more items are rated and one or more items are denied or any of the other things that I am trying to grasp that happen to claims.  So does it all go up or down or sideways together? 
I believe what I am trying to ask, The whole claim is settled or it is not settled? All at the same moment? 

I do appreciate the time everyone gives to answer these questions, it is quite overwhelming, coming at it with ideas that are 42 years stale. Thanks.
 

 

[GBArmy]

You will find all sorts of abriviations when reviewing this entries. Most will try to break them down for new guys, but some don't VAMC, VA Medical Center=VA hospital you would go to. Mail the 10 10 ez to the address on the instructions: if I remember correctly, it is in Georgia. Your ref. #2. They create your medical file as you go. If you have record from the service, str's (service treatment records), I would assume they could be put in as part of a current medical condition if it were relative to your care, but most of your str's will be filed in St. Louis MO, or in some cases, at the military medical facility your received care at. If you want to get your own, submit a va form sf 180 for medical records. Most likely they will be incomplete. I would suggest for your future purposes, you should do that right now. #4-c if you are planning to replace your lost income via VA Disability claims, you better start pretty damn quick. VA disability benefits are not the easiest to accomplish, many ups and downs and it takes a LONG time to accomplish. 4d You have been warned, but I will do so again, DO NOT GIVE UP YOUR ORIGINAL RECORDS., make copies. Important: if you do not have anything in your str's that show diagnosis/treatment of a disability you are going after, you must get a doc to write his memical opinion  (IMO) that is is "Likely, or more likely, than not caused by your service. You definately need it for IHD ,for example. These usually will cost you $ up front, with no guarantee that you will win your claim. Hint: research here for every disability claim you submit; you will learn from those that went before. #5 I think you are asking are they decided and presented to you all at once; sometimes. Sometimes , especially a higher court can remand, or send it back for more development (evidence) so parts can be broken off and decided later.