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      The following is on my About page, but some have been asking how this all happened. So here is my little story. Tbird US Navy 1983 – 1990 E-6 HadIt.com the website domain registered Jan 20, 1997 the domain is registered and paid for through Jan 21, 2023 at which time I plan to register it for another 15 years Lord willing and the creek don't rise. I guess the best place to start is Jan 1991; I had gotten out of the navy Dec 1990. At my separation seminar, there was a DAV rep Jim Milton he told us to bring our medical records in and he would look through them for us and let us know if we should file a claim with the VA. Well, bless his heart, he opened my medical file, reads the first insert, looks me straight in the eye, and says you will be 50% for the rest of your life and he would file the claim for me. 50% was for surgery I had in the service. True to his word he met with me and talked with me for a long time filled out my paper work and urged me to file for PTSD. I would not file the PTSD claim, nor even discuss it. By Feb 1991 I had moved to the San Francisco bay area and was staying at a friends apartment and pretty much I was just a puddle. In desperation one night I called suicide hot line, I had no job, no idea about going to the VA. They talked with me for a long time and explained to me that I could go to the local VA hospital even if I did not have insurance. Now, I know what you are thinking if I was 50% why didn't I just go to the VA in the first place, two reasons 1, this was Feb 1991 and the 50% didn't come till May and 2, even if it had come through it is unlikely that I would have had the mental acuity at the time to put the two together. I relate this here because it is where so many of our brothers and sisters are coming from, perhaps where you started. Fuzzy and unsure, in pain and sometimes homeless they come to the VA hospital for help. And that is where I ended up. Up to the pysch ward I went, blah, blah, blah, a few days later I was released with a promise of a call from the out patient program, which I would soon be entering. Blah, blah, blah, after many missed communications, and no call backs I was at the Day Hospital everyday M-F. And this brothers and sisters is where I began to learn and formulate my plan for HadIt.com. Veterans, veterans everywhere…I spent a year in the day hospital and about another year at a sheltered workshop before I got back on my feet. So I just talked to veterans everyday waiting for appointments, waiting for prescriptions, waiting for a vet rep and I started to learn the system. While in the navy I was data analyst and had to learn a 5 volume manual and just about anything you were suppose to do was in that manual. So I figured there must be a manual on how to do a VA claim or at the very least regulations. So I found out about the Code of Federal Regulations, United States Code, Veterans Affairs Manuals and so on and so forth. Of course this was 1991/1992 I was living in a tiny studio apartment in a particularly bad neighborhood, working in a sheltered workshop making a nickel per envelope I stuffed throw in PTSD and you will see that it was a difficult task for me to get somewhere where they had copies of these, let alone that they would let me look at. And there was so much knowledge around me, it was like the gold rush in those days, I could just sit on a bench a veteran would sit down next to me a little conversation later I had another nugget, I made copious notes. Phone numbers to call, ask for this guy or that guy he'll give you the straight scoop and they'd slip me a piece of paper with a number on it. You want to read this regulation or that one and another slip of paper into my hand. 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So taking my lesson from the squirrels earlier I started to gather, gather, gather…and learn HTML and work as a marketing systems analyst and work my claim. 1996/1997 major PTSD cork blows and unemployed. Working my claim, working the website. 20 Jan 1997 register HadIt.com domain name right after getting off the phone with the VA and saying I've had it with this. As fate would have it the old DAV board goes down just as mine opens up and folks start to wander in. So HadIt.com has two main components the website which supports the discussion board with links, articles, research resources etc. The website starts to grow, I can't tell you how many times I had to switch servers for space and features. I continue on a downward trend and in 1998 ended up back home in St Louis living in my sisters basement in therapy and working it, I swear I would have swung a dead chicken around my head at midnight naked if I thought it would have helped. The website continued to do great during this time, I just stayed in the basement bought new software, new books, and learned how to make things work and I continued to use this knowledge to make HadIt.com better. My 100% finally came through from the VA and I had a friend who is an advocate who helped me thru my SSDI claim, he was literally at my side thru the entire process and that came through for me. My therapist and sister continued to try and get me to leave the basement, but to no avail. At some point in 1998 or 1999 I put a counter on the website and was shocked to discover how many visitors we were getting. Time goes by my sister gets married and I move from the basement to the upstairs, there is much celebration that Aunt T is living in the light again. More time goes by and I settle into my life in St Louis and spend more time on the site trying new things, finding more information. 2003 I buy my own home VA loan. For years now I have just considered HadIt.com my job and I get up every morning go to the office and work for several hours, take an afternoon break and see where the rest of day takes me. I have a place in the office to use the computer and a comfortable to place to read journals and articles and take notes. Blah, blah, blah so that is my story and HadIt.com's intertwined.
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      VA Training and Fast Letter Forum Index The following is the index with links to the various Training and Fast Letters plus a few miscellaneous. These letters are not necessarily in the original formatting. I have tried to present them in an easy-to-read form instead of some forms as originally presented. Some of the paragraphs were WAAAAYYY too long. lol - HadIt.com Member fanaticbooks Something to be aware.... Some of these letters may be rescinded, outdated, or otherwise no longer viable. I have still included them because sometimes they provide additional insight or just plain more information than the newest version. Use them wisely. The oldest letters will display at the bottom with the latest letters displayed at the top, all in sequential numbers. Coding of the letters... FL = Fast Letter TL = Training Letter First two numbers = last two digits of year of origin Training Letter http://www.hadit.com/forums/index.php?/topic/40694-va-tl-00-07/ http://www.hadit.com/forums/index.php?/topic/40693-va-tl-00-06/ Fast Letter Number Title http://www.hadit.com/forums/index.php?/topic/44262-va-fl-11-15/ http://www.hadit.com/forums/index.php?/topic/44260-va-fl-11-13/ http://www.hadit.com/forums/index.php?/topic/44261-va-fl-11-11/ http://www.hadit.com/forums/index.php?/topic/44310-va-fl-11-09/ http://www.hadit.com/forums/index.php?/topic/42151-va-fl-11-03/ http://www.hadit.com/forums/index.php?/topic/40957-va-fl-10-49/ http://www.hadit.com/forums/index.php?/topic/40958-va-fl-10-46/ http://www.hadit.com/forums/index.php?/topic/40959-va-fl-10-45/ http://www.hadit.com/forums/index.php?/topic/40960-va-fl-10-42/ http://www.hadit.com/forums/index.php?/topic/40961-va-fl-10-39/ http://www.hadit.com/forums/index.php?/topic/40962-va-fl-10-35/ 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Ankle Rating

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Posted · Report post

Quick question,

How is the Ankle rated? I can't find where it is rated in 38 CFR. Here are the results of a recent MRI of my ankle:

1. Findings present consistent with a stenosing tenosynovitis in region peroneal ligaments cephalad to tip of lateral malleolus.

2. Findings present consistent with degenerative changes/possible tendinitis involving segments of peroneal tendons distal to tip of lateral malleolus.

3. Normal anterior talofibular ligament not identified. This may be reflective of a chronic disruption.

The podiatrist says the talofibular ligament was ruptured, and I will need to have it rebuilt. I will be filing a claim, but I don't know how it's rated. Any help would be appreciated. Thanks in advance!

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12 answers to this question

Posted · Report post

Quick question,

How is the Ankle rated? I can't find where it is rated in 38 CFR. Here are the results of a recent MRI of my ankle:

1. Findings present consistent with a stenosing tenosynovitis in region peroneal ligaments cephalad to tip of lateral malleolus.

2. Findings present consistent with degenerative changes/possible tendinitis involving segments of peroneal tendons distal to tip of lateral malleolus.

3. Normal anterior talofibular ligament not identified. This may be reflective of a chronic disruption.

The podiatrist says the talofibular ligament was ruptured, and I will need to have it rebuilt. I will be filing a claim, but I don't know how it's rated. Any help would be appreciated. Thanks in advance!

38 CFR 4.71a

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Posted · Report post

Thanks Sharon! I found the section, but have no idea what dx the injury would fall under. Basicaly it's a grade 3 sprain (total rupture) have to wear ankle braces or my ankle will fold under. Any Ideas?

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Posted · Report post

Ideas anyone?

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Posted · Report post

20%

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Posted · Report post

Any idea which code it would be rated under?

5270 Ankle, ankylosis of:

In plantar flexion at more than 40°, or in

dorsiflexion at more than 10° or with abduction,

adduction, inversion or eversion deformity 40

In plantar flexion, between 30° and 40°, or in

dorsiflexion, between 0° and 10° ..................... 30

In plantar flexion, less than 30° ........................... 20

5271 Ankle, limited motion of:

Marked .................................................................. 20

Moderate .............................................................. 10

5272 Subastragalar or tarsal joint, ankylosis of:

In poor weight-bearing position ............................ 20

In good weight-bearing position ........................... 10

5273 Os calcis or astragalus, malunion of:

Marked deformity .................................................. 20

Moderate deformity .............................................. 10

5274 Astragalectomy ................................................ 20

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Posted · Report post

You are going to have to have a C&P performed.......to determine the ROM remaining, or the pain involved with motion of the joints in your ankle, or to determine whether you have any degree of what I call "drop foot".

If you haven't had a C&P yet, on the ankle, then you probably won't get one until sometime after you file the claim.

Having said all that, 20% is what I have found that they like to hand out in the case of ankle problems.

If you have to wear orthosis to keep your ankle from, as you say "folding under" (drop foot), then you need to get the diagnosis that they used to issue you the orthosis (provided the brace is a VA-issued item) and file your claim including a copy of your VA med recs stating the need for the brace. Should be a no-brainer, which is sometimes the very thing that it takes for them to act upon, a no-brainer, seems they can handle those.

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Posted · Report post

I have "service connection for residuals, left ankle sprain."

My award letter states: "Your recent VA examination showed swelling with no effusion. Mild bony enlargement and deformity was noted. Dorsiflexion was limited to 0 degrees plantar flexion to 14 degrees. Pain was noted on range of motion testing with additional limitation of motion due to pain, weakness and fatigue."

Based on this, and supporting service connecting evidence, they granted "... service connection for your left ankle with a 20% disability evaluation. An evaluation of 20% is assigned for marked limited motion of the ankle. This is the maximum disability evaluation for an ankle condition without ankylosis or a frozen ankle." (italicizing added)

(but! ankylosis there is! :) )

Ankylosis= . 1 stiffness or fixation of a joint by disease or surgery

2 union of separate bones or hard parts to form a single bone or part

I hope this helps. :)

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Posted · Report post

Thanks for the replies. Hopefully they take into account that the anterior talofibular ligament is totally ruptured, and needs to be surgically repaired. Sorry, I forgot that I will have to spell it out for them.

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Posted · Report post

Hey Bufloguy, I have the anterior talofibular ligaments in my left and right ankle gone, I get 20% for each because of limited motion,not any for the ligament ruptured, when you get the surgery make sure and file for temp 100% rating. I just had the surgery to fix it on the 9 of april. I hope that might tell you something about how the rating works.

Ken

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Posted · Report post

Thanks.

I just filed for service connection for residuals, left ankle sprain secondary to SC bi-latteral plantar fasciitis.

Long story short . . . I was walking down some stairs, and felt a very painful stab of pain in the arch of my foot. To escape the pain, I rolled my ankle blowing out the tendion. To me, it's a really easy connection for the VA to make, but with my luck, it'll take a year for service connection.

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Posted · Report post

I also have bi-latteral planter fascitits, I have filled a clam with VA on it being secondary to my ankle and heel problems, I have heel spurs and problems with my Achilles tendons on both feet, my orthopedic surgeon stated that in his report on me to the VA. With the VA you have to have the Doc make it in writing for them, or they do not believe you, I hope it works out for you o n your clam.

KEN

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Posted · Report post

Yes-they have to connect the dots carefully-

I just came from my foot doc who took casts on my feet-I have bilateral planter whathaveyou- and it affects my knees and my back.

He did something 2 weeks ago to my ethonic shoes and I was able to dance for hours last week- but I needed knee brace to use my chain saw and to fix a small leak in my porch overhang-Unfortunately Medicare and CHAMPVA dont cover my foot issues and I have to pay for this myself-

I have seen a few 100% ratings for SC flat feet , causing knee prolems, and then hip and back problems to point the vet was unemployable.

You would think Medicare would handle these problems-as the VA does- because people with foot problems like this can easily fall and cause further problems.

They say one third of all elderly Americans over 65 fall every year.

I just got a CHAMPVA newletter and there is info in it as to how to prevent falls-

yet neither CHAMPVA nor Medicare covers stuff like custom insoles which are costing me 500-600 bucks.

(They better be made out of solid gold for that price)

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