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

Possible CUE ?????

Rate this question


Fat

Question

I know I'm beating a dead horse to extra death.

LOL............

However veteran group member Mark has a helluva claim and its quite fascinating.

Two incidents for headaches/head pain while on active duty.

Attempted to secondary service connect headaches to service connected Vertigo.

Claim denied due to no residuals of headaches and medical causation to Vertigo isn't feasible.

In addition, it was stated all medical records were reviewed and no service complaints or records of claimed disability.

 

The issue gets interesting because he has two records of doctor visits where the doctor noted headaches and head pain.

In addition, the doctor noted vascular migranes during the C&P exam.

If the regional office had located the information, they would have noted the inservice incidents and based on the C&P diagnosis they should have service connected at the 0% level (no residuals).

 

However failing to locate the two separate incidents and saying no service complaints or records of claimed disability killed the claim.

He is going to submit the two records/ C&P exam diagnosis with the supplemental claim paperwork.

 

Can he CUE a previous decision based on untrue statement of no inservice complaints or records of claimed disability?

Link to comment
Share on other sites

Recommended Posts

  • 0
  • Lead Moderator

Yes.  Time after time 38 CFR 3.156 wins an earlier effective date.  Note, the differences between "new evidence" and "new service records".  

New Service records is the more favorable of the 2 because, if the VA denied because they were missing your service records, then you always get the EED.  (If sc).  

New Evidence is less favorable, this applies to a "pending claim".  A pending claim is still in the appeal period. (Generally 1 year for VARO decisions).  

What some people may not know is if you get a remand, then you can submit new evidence and it always goes back to the beginning of the appeal period, if awarded.  

Link to comment
Share on other sites

  • 0

Veteran Mark and his wife appreciates the information.......

He acknowledges the hill to climb with no formal headache diagnosis, but a similiar or like complaint of head pain is hopeful.

He is a bit disappointed in the VSO whom didn't read/know the CFR regulation to properly advise him.

However; it was brought to his attention, he didn't thoroughly read or investigate the decision letter rationale either.

He thinks he's on a good path.

Atleast the regulation gives him a path of service connection based on missed evidence.

NEVER GIVE UP............

 

 

Link to comment
Share on other sites

  • 0
  • Lead Moderator

Whoa HOSS!

Fat posted:  

Quote

He acknowledges the hill to climb with no formal headache diagnosis

You dont need a diagnosis IN SERVICE .     Instead you need a CURRENT diagnosis for Service connection.  

This distinction is important.  One example of this is hep C.   People were not diagnosed for Hep C in the 1970's, because there was no test for it, and no diagnosis.  This did NOT mean you did not contact the malady in service, it meant you did not have a diagnosis is service.  

You get the diagnosis with a test currently, but must show an "in service EVENT", not an in service diagnosis. 

As always, refer to the Caluza elements:  These words are carefully  chosen by the judges:

1.  CURRENT diagnosis.  

2.  IN service Event or aggravation. 

3.  Nexus, or doc's opinion that the above 2 are linked.  

     While its true a diagnosis in service "could well suffice" as an "in service event", it is not always necessary that the malady be DIAGNOSED in service.  

Edited by broncovet
Link to comment
Share on other sites

  • 0

He has a current diagnosis of migrane headaches.

I was referring to a no diagnosis of migrane headaches in his service records.

Just complaints of headaches (due to cold) and head pain (due to exhaustion/dehydration) in the military files.

We are on the same page.

 

Link to comment
Share on other sites

  • 0
  • HadIt.com Elder

Fat As a side note, you have to change your profile...you're not politically correct. The REDSKINS are no more, sadly. They are the Washington Football Team now.🤔

Link to comment
Share on other sites

  • 0

LOL.........

So true, I remember my first Redskin game at RFK stadium in October 1979.

It was spectacular due to the energy and the band.

Yes, the Redskins actually had a band and the team was a perennial contender.

I miss those times............

Link to comment
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now


  • Tell a friend

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

    • spazbototto earned a badge
      Week One Done
    • Paul Gretza earned a badge
      Week One Done
    • Troy Spurlock went up a rank
      Community Regular
    • KMac1181 earned a badge
      Week One Done
    • jERRYMCK earned a badge
      Week One Done
  • Our picks

    • These decisions have made a big impact on how VA disability claims are handled, giving veterans more chances to get benefits and clearing up important issues.

      Service Connection

      Frost v. Shulkin (2017)
      This case established that for secondary service connection claims, the primary service-connected disability does not need to be service-connected or diagnosed at the time the secondary condition is incurred 1. This allows veterans to potentially receive secondary service connection for conditions that developed before their primary condition was officially service-connected. 

      Saunders v. Wilkie (2018)
      The Federal Circuit ruled that pain alone, without an accompanying diagnosed condition, can constitute a disability for VA compensation purposes if it results in functional impairment 1. This overturned previous precedent that required an underlying pathology for pain to be considered a disability.

      Effective Dates

      Martinez v. McDonough (2023)
      This case dealt with the denial of an earlier effective date for a total disability rating based on individual unemployability (TDIU) 2. It addressed issues around the validity of appeal withdrawals and the consideration of cognitive impairment in such decisions.

      Rating Issues

      Continue Reading on HadIt.com
      • 0 replies
    • I met with a VSO today at my VA Hospital who was very knowledgeable and very helpful.  We decided I should submit a few new claims which we did.  He told me that he didn't need copies of my military records that showed my sick call notations related to any of the claims.  He said that the VA now has entire military medical record on file and would find the record(s) in their own file.  It seemed odd to me as my service dates back to  1981 and spans 34 years through my retirement in 2015.  It sure seemed to make more sense for me to give him copies of my military medical record pages that document the injuries as I'd already had them with me.  He didn't want my copies.  Anyone have any information on this.  Much thanks in advance.  
      • 4 replies
    • 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.   
×
×
  • Create New...

Important Information

Guidelines and Terms of Use