Supplemental claim

[XIbodybag]

Filed a supplemental claim 12 days ago.  Sent a current diagnosis from VHA of combat related PTSD (they diagnosed me with other stressor related disorder at 30%) and evidence of symptoms and interactions with police that should put me at 50 or 70% in like 50 pages of evidence via .  Called 1800 number today to check on status and they said that it had already been decided for 10/20/2020 (tomorrow???) and no new C&P was given.  Does this seem a bit fast to you?  Does that mean its unfavorable or have you seen favorable decisions made that quickly?  

[GBArmy]

Xibodybag Everything the VBA does isn't necessarily a BAD thing. (Sometimes, I admit, it might seem like it though.) If you have the evidence, which it sounds like you have from VHA already, they make the decision quickly. Especially on MH disabilities. You don't have to have a C&P exam IF the evidence is already sufficient to establish fact. Wait for your decision letter; should be in a week from the date indicated in VA.gov. Let us know on results and, good luck. 

[broncovet]

Its not always necessary to have a c and p exam..those are at VA's discretion.  You will just have to wait for the envelope, or you can try letters in ebenefits. 

[Buck52]

9 hours ago, XIbodybag said:

Filed a supplemental claim 12 days ago.  Sent a current diagnosis from VHA of combat related PTSD (they diagnosed me with other stressor related disorder at 30%) and evidence of symptoms and interactions with police that should put me at 50 or 70% in like 50 pages of evidence via .  Called 1800 number today to check on status and they said that it had already been decided for 10/20/2020 (tomorrow???) and no new C&P was given.  Does this seem a bit fast to you?  Does that mean its unfavorable or have you seen favorable decisions made that quickly?  

BASSICALLY , IF YOU SHOWN YOUR SYMPTOMS  BEFORE OR AFTER THEY DIAGNOSE YOU FOR THE RELATED COMBAT PTSD AS CHRONIC/STATIC , DEPENDING ON YOUR SYMPTOMS  YOU SHOWN AS HOW THEY WILL RATE YOU, THE MORE SERIOUS SYMPTOMS THE HIGHER THE RATING.

SO THIS COULD BE A GOOD THING, NORMALLY WHEN THEY SEND THE VETERAN TO A C&P EXAM  IS TO GET A QUALIFIED DR TO ASK QUESTIONS AND THE ANSWERS YOU GIVE THEY WILL DETERMINE WHAT YOUR SYMPTOMS ARE. AND HOW THEY WILL RATE YOU.

***CAUTION DO NOT OVER EXAGGERATE YOUR SYMPTOMS OR SAY ANYTHING THAT IS NOT IN YOUR MEDICAL RECORDS  (ALWAYS BE TRUTHFUL NO MATTER WHAT)

SO IF THE VA MENTAL HEALTH DR'S HAS  NOTED ALL YOUR SYMPTOMS   THIS SHOULD GO IN YOUR FAVOR....IF YOU MEET ALL THE SYMPTOMS REQUIRED IN  RATING CHART. THAT IS A 100% RATING THEN LESSER SYMPTOMS  THEN THEY RATE ACCORDINGLY.  

CHECK THIS MENTAL HEALTH RATING FORMULA CHART  FOR THE SYMPTOMS THAT YOU HAVE   AND IF YOU HAVE ALL OR MOST OF THESE SYMPTOMS   THEN THIS IS THE RATING CHART THEY SHOULD USE TO RATE YOU ACCORDING TO ALL YOUR SYMPTOMS YOU SHOW YOU HAVE.

General Rating Formula for Mental Disorders

	Rating
Total occupational and social impairment, due to such symptoms as: gross impairment in thought processes or communication; persistent delusions or hallucinations; grossly inappropriate behavior; persistent danger of hurting self or others; intermittent inability to perform activities of daily living (including maintenance of minimal personal hygiene); disorientation to time or place; memory loss for names of close relatives, own occupation, or own name.	100
Occupational and social impairment, with deficiencies in most areas, such as work, school, family relations, judgment, thinking, or mood, due to such symptoms as: suicidal ideation; obsessional rituals which interfere with routine activities; speech intermittently illogical, obscure, or irrelevant; near-continuous panic or depression affecting the ability to function independently, appropriately and effectively; impaired impulse control (such as unprovoked irritability with periods of violence); spatial disorientation; neglect of personal appearance and hygiene; difficulty in adapting to stressful circumstances (including work or a worklike setting); inability to establish and maintain effective relationships.	70
Occupational and social impairment with reduced reliability and productivity due to such symptoms as: flattened affect; circumstantial, circumlocutory, or stereotyped speech; panic attacks more than once a week; difficulty in understanding complex commands; impairment of short- and long-term memory (e.g., retention of only highly learned material, forgetting to complete tasks); impaired judgment; impaired abstract thinking; disturbances of motivation and mood; difficulty in establishing and maintaining effective work and social relationships.	50
Occupational and social impairment with occasional decrease in work efficiency and intermittent periods of inability to perform occupational tasks (although generally functioning satisfactorily, with routine behavior, self-care, and conversation normal), due to such symptoms as: depressed mood, anxiety, suspiciousness, panic attacks (weekly or less often), chronic sleep impairment, mild memory loss (such as forgetting names, directions, recent events).	30
Occupational and social impairment due to mild or transient symptoms which decrease work efficiency and ability to perform occupational tasks only during periods of significant stress, or symptoms controlled by continuous medication.	10
A mental condition has been formally diagnosed, but symptoms are not severe enough either to interfere with occupational and social functioning or to require continuous medication.	0

 

Edited October 20, 2020 by Buck52 (see edit history)

[XIbodybag]

Thanks for the input guys.  I have a bad feeling its going to be denied.  My initial claim had my ebenefits letter update immediately.  They claim it closed today but on va.gov the supplemental is still saying "we dont know the status" and ebenefits looks exactly the same.  Im still holding out a bit of hope that since it doesnt say "closed" on va.gov yet that even though its supposedly closed today that their are still some i's to dot and t's to cross before it updates across both of the websites.  I literally sent them a recent diagnosis from a VA doctor of chronic ptsd w/ panic attacks that disagrees with the private contractors diagnosis of "other stressor related disorder :neurosis".  Shit id even be happy if they kept that rating at 30% but gave me my actual service connected PTSD.  Feels like a slap in the face.

[Buck52]

8 minutes ago, XIbodybag said:

Thanks for the input guys.  I have a bad feeling its going to be denied.  My initial claim had my ebenefits letter update immediately.  They claim it closed today but on va.gov the supplemental is still saying "we dont know the status" and ebenefits looks exactly the same.  Im still holding out a bit of hope that since it doesnt say "closed" on va.gov yet that even though its supposedly closed today that their are still some i's to dot and t's to cross before it updates across both of the websites.  I literally sent them a recent diagnosis from a VA doctor of chronic ptsd w/ panic attacks that disagrees with the private contractors diagnosis of "other stressor related disorder :neurosis".  Shit id even be happy if they kept that rating at 30% but gave me my actual service connected PTSD.  Feels like a slap in the face.

I'am not sure you know this  but the VA Raters only recognized the VA MH DEPT (CLINIC)  For a PTSD Diagnosis .

WHICH YOU MENTION YOU HAD A PTSD  DIAGNOSIS FROM A VA Dr...as chronic w/panic attacks  at 30%

you may be surprised on your new rating  if you never had a PTSD FORENSIC EXAM?

  AND THEY ARE GOING TO RATE YOU!

 IT LOOKS LIKE IT COULD BE IN YOUR FAVOR  ESPECIALLY IF YOUR EVIDENCE SUCH AS YOUR  DD-214  HAS YOUR DUTY STATION  UNIT NAME  LOCATION AND THE OPERATION  & DATE YOU WERE IN DURING YOUR COMBAT DUTY.AND SHOW CIB OR ANY COMBAT RIBBONS YOU WERE AWARDED FROM YOUR UNIT.?

..IF YOUR DD 214 HAS ALL THAT  THATS BASICALLY TELLING EVERYONE THAT READS YOUR DD 214 YOU WERE IN A COMBAT ZONE  AND ALL YOUR STRESSORS ARE CONCEDED.

SO NO C&P NEEDED.

[XIbodybag]

11 minutes ago, Buck52 said:

I'am not sure you know this  but the VA Raters only recognized the VA MH DEPT (CLINIC)  For a PTSD Diagnosis .

WHICH YOU MENTION YOU HAD A PTSD  DIAGNOSIS FROM A VA Dr...as chronic w/panic attacks  at 30%

you may be surprised on your new rating  if you never had a PTSD FORENSIC EXAM?

  AND THEY ARE GOING TO RATE YOU!

 IT LOOKS LIKE IT COULD BE IN YOUR FAVOR  ESPECIALLY IF YOUR EVIDENCE SUCH AS YOUR  DD-214  HAS YOUR DUTY STATION  UNIT NAME  LOCATION AND THE OPERATION  & DATE YOU WERE IN DURING YOUR COMBAT DUTY.AND SHOW CIB OR ANY COMBAT RIBBONS YOU WERE AWARDED FROM YOUR UNIT.?

..IF YOUR DD 214 HAS ALL THAT  THATS BASICALLY TELLING EVERYONE THAT READS YOUR DD 214 YOU WERE IN A COMBAT ZONE  AND ALL YOUR STRESSORS ARE CONCEDED.

SO NO C&P NEEDED.

Yeah so the benefits side of the VA did diagnose me with a service connected mental condition but not ptsd (even though I have a CIB on my dd214 as well as the initial award letter from my CIB, and an arcom with v).  But the contracted dr diagnosed me with "other stressor related disorder" and low balled me.  In contrast the health side of the VA DID diagnose me with chronic ptsd w/ panic attacks.   They also denied my claim for my right knee even though I uploaded evidence of me complaining about pain in my knee in service and provided evidence of a tumor removal from that same knee after I got out.  It now causes me chronic nerve pain in that portion of my leg, which i also have medicine prescribed for and a diagnosis of nerve pain from my VA primary doc.  Here are my contentions and what was denied and what was approved on the initial claim.

 

 

Disability	Rating	Decision	Related To	Effective Date
tinnitus	10%	Service Connected		03/04/2019
right knee		Not Service Connected
traumatic brain injury	10%	Service Connected		03/04/2019
migraine headaches	30%	Service Connected		03/04/2019
back injury		Not Service Connected
other trauma and stressor related disorder	30%	Service Connected		03/04/2019
post traumatic stress disorder (PTSD)		Not Service Connected	PTSD - Combat

Edited October 20, 2020 by XIbodybag (see edit history)

[Buck52]

XIbodybag QUOTE

'' But the contracted dr diagnosed me with "other stressor related disorder" and low balled me.  In contrast the health side of the VA DID diagnose me with chronic ptsd w/ panic attacks.   They also denied my claim for my right knee even though I uploaded evidence.''

IF A OUTSIDE CONTRACTOR  DR (EXAMINER) MENTION THIS ABOVE   THEN THAT WAS A C&P EXAM.

MAKE SURE HE WAS QUAILFIED TO MAKE A  MENTAL HEALTH MEDICAL OPINION ./ WHAT WERE HIS/.R CREDENTIALS?

YOU NEED TO GET A  IMO (INDENPENDENT MEDICAL OPINION )FROM A QUALIFIED  SPECIALIST  IN THE FIELD OF MEDICINE YOUR CLAIMING

AND HE /SHE NEEDS TO RENDER THEIR OPINION AFTER READING YOUR MEDICAL RECORDS AND EXAMINES YOU  AND USE THE WORDS  IS LIKELY AS NOT CAUSED BY YOUR MILITARY SERVICE  .

NOW ON THE MENTAL HEALTH ISSUE...THAT DEPENDS ON YOUR SYMPTOMS YOU SHOW DURING THE QUESTIONS THEY ASK YOU, THIS Dr that seen you....> (the contracted Dr  that mention '' other stressor related disorders ''  you need to find out what exactly what he meant by that  if you were claiming combat stressors  and not  shown stressors of another kind/type?

..but normally you get stressors from being traumatized of an actual event &  that can be anything traumatizing to you...combat strssors are the worst also MST Stressors  but non-combat stressors would be like you seen or witness to a different type of stressors   like you witness a bad car accident  otr you seen someone harm themself self inflicted injury  ect,,,ect,,, anything that traumatized you can be a stressor for PTSD & MDD ( MAJOR DEPRESSION DISORDERS) THOSE TWO GO HAND IN HAND SO-TO-SPEAK   even a bad car accident  ect,,ect,,,

Appeal the decision on your  ptsd claim FROM  OTHER STRESSOR  RELATED DISORDERS? TO COMBAT STRESSORS RELATED TO PTSD... and also your in service injury to your now bad knee.

 

if you used the old system legacy  you may now need to use the supplemental lane  or if you were in that and were denied OR Lowballed then head on over to the BVA because the next higher lane to chose is the HLR  AND IN THAT YOU CAN'T USE ANY NEW EVIDENCE ...SO YOU MORE THAN LIKELY WILL BE DENIED OR STAY THE SAME AS WHAT THEY GAVE YOU AND YOUR RATINGS WILL BE FOR THE SAME THING THEY RATING YOU IN THE FIRST PLACE...SO I RECOMMEND YOU HEAD OVER TO THE BVA...ASAP

 

It will help us help you if you can put a redacted copy of their reason and bases of their decision ''What We Decided''

black out personal information  name  claim #  address ect,,ect,,

Edited October 21, 2020 by Buck52 (see edit history)

[Buck52]

ALSO YOU MENTION BEING  S.C. FOR THE  TBI...OK MAKE SURE YOUR  TBI  IS OR IS NOT  RELATED TO OR CAUSED BY A SECONDARY DISABLING CONDITION?

TBI CAN BE RELATED TO A WHOLE BUNCH OF OTHER DISABLING CONDITIONS   MEMORY LOSS IS A BIGGIE ,SLEEP APNEA (OSA) AND LOSS OF USE, ECT,,,ECT,, YOU WILL NEED A QUALIFIED (SPECIALIST) DR TO GIVE HIS OPINION ON  OTHER CONDITIONS THAT YOU MAY HAVE CAUSED OR RELATED TO YOUR NOW SERVICE CONNECTED  TBI.

REMEMBER THERE'S NO LIMITS ON THE # OF CLAIMS WE CAN FILE.

BUT DO KEEP IN MIND ON ANY APPEALS YOU FILE  YOU ONLY HAVE ONE YEAR TO SUBMIT YOUR APPEAL  OR YOUR  NOD FROM THE DATE YOU WERE DENIED.

Edited October 21, 2020 by Buck52 (see edit history)