Jump to content

Ask Your VA Claims Questions | Read Current Posts 
Read VA Disability Claims Articles
Search | View All Forums | Donate | Blogs | New Users | Rules 

  • tbirds-va-claims-struggle (1).png

  • 01-2024-stay-online-donate-banner.png

     

  • 0

How To Open A Closed Claim

Rate this question


mountain tyme

Question

Good Morning,

I have a question...what is needed to open up a claim once the time has run out to send in evidence. As some of you guys know the town I live in we have had a heck of a time with keeping a VSO at our local office...so I Have been handing out Hadit.com cards to the vets I run into in the hallway of the building...well last tuesday I went down there to drop off some paperwork and forgot the NEW Vso is not at our office that day...and while I was there I met this vet that needed help...he is not computer savvy...

So here is the question...Danny is a retired Vet did his 20+ years active duty...during his time in service he has extensive medical history of Headaches going back to the 70's, in two of the records it is stated that he normally woke up with headaches with pains in the back of his neck head regin also he had a weight problem and was on the weight reduction program think they called tha the fat boy program back then...but anyways in regards the the H/a .the doctor wrote possible tension stress H/A. To make a long story short over a year ago he filed a claim with the VA for sleep apnea because he felt the H/A were caused from the sleep apnea because his doctor told him that. He showed me his denial letter from the VA which stated that noting in his MSR indicated that he had sleep apena so his claim is denied. Since then He had went ahead and obtained buddy statements that all indicated that he snored very loudly...in one of the buddy statement the guy who wrote it indicated his snoring was so intense that he could hear him in his room which was next door and had to move his bed across the room. Also in this guys medical records he had broke his nose while playing football for his squadon and had to have surgery. He told me that he told the military doctor about the sorning and he was told by the doctor it was due to having the surgery on his nose. So he never thought anything else about it. So can he re-open that claim with the buddy statements or will he need to go to a doctor to have them say the snoring and the Headaches were most likely an indicator he had sleep apena during his military service.

Thank You and Danny thanks you as well...

MT

Link to comment
Share on other sites

  • Answers 9
  • Created
  • Last Reply

Top Posters For This Question

Top Posters For This Question

Recommended Posts

  • HadIt.com Elder

Oh yah, I meant to say.

These particular headaches can be so severe that a person CANNOT function, simply because their brain CANNOT function and the residual effects of this type of headache can be as debilitating or more so, than the most severe form of migraine.

Neurologist time.

Get a good IMO. Reopen with "new and material and substantive".

"It is cold and we have no blankets.

The little children are freezing to death.

My people, some of them, have run away to the hills, and have no blankets, no food; no one knows where they are-perhaps freezing to death.

I want to have time to look for my children and see how many of them I can find.

Maybe I shall find them among the dead.

Hear me, my chiefs! I am tired; my heart is sick and sad.

From where the sun now stands, I will fight no more forever."

Chief Joseph

Link to comment
Share on other sites

  • HadIt.com Elder
Philip

Have you ever done anything with a discharge review? You talk about riding a sawhorse. The Board for Correction of Military records is a mess. They lose all evidence and their is no number to call to find out what is going on. They are far worse than the VA. They lost the brief I sent them and that is pissing me off the more I think about it. I would have lost anyway because I don't think you can win after a few years regardless of your evidence.

No I haven't, John, but for years I've been considering going after military retirement for myself. In my mind, knowing what I know now, I/we should have been retired out w/a S/C disability for PTSD or combat fatigue or whatever it was called during Nam. I just don't know if I want the aggravation. I think it's just better to forgive and move on and try to salvage our remaining years. I've found this to be true w/so many other things in my life. Now, on Oprah, they're calling it "The Secret." Who knew I could have made millions if I'd written the book first!!! lol jmo

pr

Link to comment
Share on other sites

  • HadIt.com Elder

The type of headaches you described are called "occipital/temporal headaches". This refers to the back and sides of the head. These headaches are commonly found to be secondary to disk herniation in any of the cervical disks. Cervical disks can be herniated by frontal blows to the head and whiplash injuries. The same blow that broke his nose could have injuried his neck.

You need to get the SMR. Do not make the mistake of going by his recollection of what the military doctors told him. The doctors sometimes put more in the records than they tell you. Have his primary doctor review any questionable diagnosis or symptoms that might indicate a head or neck injury and look for any x-ray reports that could estaqblish a diagnosis of a neck or head injury. If you find something this will not necessiarly win a claim. However it will open the door and it could later be a valid claim depending on how things are intrepretated. You would probably have to get a nexus letter for any medical conditions that he has post service.

I do not mean to play doctor. I have had these types of heads for 30 years. I also wake up at night and in the morning with severe head pain. I do not have sleep apnea. All of my head pain symptoms have been attributed to cervical disk herniation by the treating doctors.

Edited by Hoppy

Hoppy

100% for Angioedema with secondary conditions.

Link to comment
Share on other sites

Guest
This topic is now closed to further replies.


  • Tell a friend

    Love HadIt.com’s VA Disability Community Vets helping Vets since 1997? Tell a friend!
  • Recent Achievements

    • Lebro earned a badge
      First Post
    • stuart55 earned a badge
      Week One Done
    • stuart55 earned a badge
      One Month Later
    • Lebro earned a badge
      Conversation Starter
    • Sparklinger earned a badge
      First Post
  • Our picks

    • Caluza Triangle defines what is necessary for service connection
      Caluza Triangle – Caluza vs Brown defined what is necessary for service connection. See COVA– CALUZA V. BROWN–TOTAL RECALL

      This has to be MEDICALLY Documented in your records:

      Current Diagnosis.   (No diagnosis, no Service Connection.)

      In-Service Event or Aggravation.
      Nexus (link- cause and effect- connection) or Doctor’s Statement close to: “The Veteran’s (current diagnosis) is at least as likely due to x Event in military service”
      • 0 replies
    • Do the sct codes help or hurt my disability rating 
    • VA has gotten away with (mis) interpreting their  ambigious, , vague regulations, then enforcing them willy nilly never in Veterans favor.  

      They justify all this to congress by calling themselves a "pro claimant Veteran friendly organization" who grants the benefit of the doubt to Veterans.  

      This is not true, 

      Proof:  

          About 80-90 percent of Veterans are initially denied by VA, pushing us into a massive backlog of appeals, or worse, sending impoverished Veterans "to the homeless streets" because  when they cant work, they can not keep their home.  I was one of those Veterans who they denied for a bogus reason:  "Its been too long since military service".  This is bogus because its not one of the criteria for service connection, but simply made up by VA.  And, I was a homeless Vet, albeit a short time,  mostly due to the kindness of strangers and friends. 

          Hadit would not be necessary if, indeed, VA gave Veterans the benefit of the doubt, and processed our claims efficiently and paid us promptly.  The VA is broken. 

          A huge percentage (nearly 100 percent) of Veterans who do get 100 percent, do so only after lengthy appeals.  I have answered questions for thousands of Veterans, and can only name ONE person who got their benefits correct on the first Regional Office decision.  All of the rest of us pretty much had lengthy frustrating appeals, mostly having to appeal multiple multiple times like I did. 

          I wish I know how VA gets away with lying to congress about how "VA is a claimant friendly system, where the Veteran is given the benefit of the doubt".   Then how come so many Veterans are homeless, and how come 22 Veterans take their life each day?  Va likes to blame the Veterans, not their system.   
    • Welcome to hadit!  

          There are certain rules about community care reimbursement, and I have no idea if you met them or not.  Try reading this:

      https://www.va.gov/resources/getting-emergency-care-at-non-va-facilities/

         However, (and I have no idea of knowing whether or not you would likely succeed) Im unsure of why you seem to be so adamant against getting an increase in disability compensation.  

         When I buy stuff, say at Kroger, or pay bills, I have never had anyone say, "Wait!  Is this money from disability compensation, or did you earn it working at a regular job?"  Not once.  Thus, if you did get an increase, likely you would have no trouble paying this with the increase compensation.  

          However, there are many false rumors out there that suggest if you apply for an increase, the VA will reduce your benefits instead.  

      That rumor is false but I do hear people tell Veterans that a lot.  There are strict rules VA has to reduce you and, NOT ONE of those rules have anything to do with applying for an increase.  

      Yes, the VA can reduce your benefits, but generally only when your condition has "actually improved" under ordinary conditions of life.  

          Unless you contacted the VA within 72 hours of your medical treatment, you may not be eligible for reimbursement, or at least that is how I read the link, I posted above. Here are SOME of the rules the VA must comply with in order to reduce your compensation benefits:

      https://www.law.cornell.edu/cfr/text/38/3.344

       
    • Good question.   

          Maybe I can clear it up.  

          The spouse is eligible for DIC if you die of a SC condition OR any condition if you are P and T for 10 years or more.  (my paraphrase).  

      More here:

      Source:

      https://www.va.gov/disability/dependency-indemnity-compensation/

      NOTE:   TO PROVE CAUSE OF DEATH WILL LIKELY REQUIRE AN AUTOPSY.  This means if you die of a SC condtion, your spouse would need to do an autopsy to prove cause of death to be from a SC condtiond.    If you were P and T for 10 full years, then the cause of death may not matter so much. 
×
×
  • Create New...

Important Information

Guidelines and Terms of Use