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Sending Hubby For Tbi Testing


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#1 Deltawife

 
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Posted 20 December 2011 - 02:58 PM

Hello,

I haven't been on the Hadit site in quite a while because we've been playing the waiting game. My husband sent in a claim for an Increase for PTSD after our neighbor was shot and killed in May of 2010. He finally called the VARO today and was told they are sending him for TBI testing and another test on his hearing. (He already received hearing aids about a year ago, but no compensation)
Since he did NOT apply for TBI, does this mean they are FINALLY actually looking at his records and the fact that he was shot down 3 times? He is a Viet Nam Veteran and was in Special Forces. He's never been compensated for his wounds. He has shrapnel in his bones, but the Ortho doc said "it shouldn't hurt because it's in the bone". IMHO I'm thinking they are really honestly looking at his records.
Should we NOT get our hopes up, or does it sound like they are doing something.

Thank you so much.

Blessings and Happy Holidays

#2 carlie

 
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Posted 20 December 2011 - 03:27 PM

What is he currently SC'd for and at what percentage evaluation levels
for each ?

#3 Deltawife

 
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Posted 20 December 2011 - 04:24 PM

What is he currently SC'd for and at what percentage evaluation levels
for each ?


He is currently at 60%, 50% PTSD and 10% tinnitus.

#4 Berta

 
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Posted 21 December 2011 - 08:50 AM

There is information here as to scar ratings that he should look into and claim the schrapnel scars ,if they fall into a ratable category) as well as any residuals from the schrapnel.

The Schedule of Ratings, under the Diagnostic Code link to the right has the scar info as to ratings.

"He has shrapnel in his bones, but the Ortho doc said "it shouldn't hurt because it's in the bone". What about any muscular invovlement ???

"IMHO I'm thinking they are really honestly looking at his records."

It is good that he is getting TBI testing but unusual since he didn't apply for TBI comp. ???

I learned not to depend too much on what the VA says when they call or respond to an IRIS.

#5 Deltawife

 
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Posted 21 December 2011 - 03:50 PM

Berta,

I thought it was unusual too, since he didn't apply. His first award was given from an advocates office and based on interviews with Gary back in 2001 (after 9/11), and ONLY Interviews. He did not actually see anyone at the VA at all until the advocates put the PTSD and tinnitus claim in for him. Now he goes regularly to see his PCP and Psychiatrist.
He did have an IMO and she did say he was "unemployable". I think maybe they gave him his first rating by glancing and verifying that he was in Special Forces, did two tours, and had purple hearts.....period.

You would NOT believe (yes you would) the BS he has gone through in the last 10 years with his reps. He did NOT even know that he could apply for an increase or anything! He would come home so frustrated (as well as many others I'm sure). I started going with him, doing research on this wonderful site and have learned so much. NOT enough, but enough to understand a little bit more than he does. He just about "shuts down" when it comes to dealing with all of this. One of his reps put in that he had Prostate Cancer and Diabetes JUST to get their attention.....he does not have those (thank GOD). I wrote a long SOC and it appears that they have really paid attention to it and are treating what I put on there as a claim.

Thank you so much to ALL of you for your help!

#6 Deltawife

 
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Posted 21 December 2011 - 04:17 PM

There is information here as to scar ratings that he should look into and claim the schrapnel scars ,if they fall into a ratable category) as well as any residuals from the schrapnel.

The Schedule of Ratings, under the Diagnostic Code link to the right has the scar info as to ratings.

"He has shrapnel in his bones, but the Ortho doc said "it shouldn't hurt because it's in the bone". What about any muscular invovlement ???

"IMHO I'm thinking they are really honestly looking at his records."

It is good that he is getting TBI testing but unusual since he didn't apply for TBI comp. ???

I learned not to depend too much on what the VA says when they call or respond to an IRIS.


I learned not to depend too much on what the VA says when they call or respond to an IRIS.


Berta, he called the VARO directly to see where his claim stood, because it's been 16 months since he applied. We are not set up on IRIS or eBenefits because you have to be enrolled in DEERS first....and we cannot get them on the phone to enroll him nor do we have the money to make a 5 hr drive to the VARO.

#7 carlie

 
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Posted 21 December 2011 - 05:04 PM

I learned not to depend too much on what the VA says when they call or respond to an IRIS.

Berta, he called the VARO directly to see where his claim stood, because it's been 16 months since he applied. We are not set up on IRIS or eBenefits because you have to be enrolled in DEERS first....and we cannot get them on the phone to enroll him nor do we have the money to make a 5 hr drive to the VARO.


https://www.ebenefit...trationOverview




What to do if I am a...

  • [url="""]Veteran with a MyHealtheVet Account[/url]
  • [url="""]Veteran who's a DoD Employee or Contractor[/url]
  • [url="""]Veteran other than above[/url]
    • Option 1: Get Premium Access over the Phone by Verifying your Direct Deposit Award Payments.
    • Step 1: Have the following items on-hand:
    • the account number for your direct deposit payments
    • the exact dollar amount of the most recent transaction
  • Step 2: Call 1-800-827-1000 between Monday and Friday, 7AM to 7PM
    Step 3: Answer the challenge questions to confirm your identity with authorized National Call Center (NCC) personnel who will request your DS Logon
    Step 4: Receive your DS Logon activation code via US mail in 7-12 business days
    Step 5: Go to the DoD Self-Service Access Center and select Activate a DS Logon
    Step 6: Follow the instructions on-screen to activate
    Step 7: Record your username and password. Then, return to eBenefits and click Log in


    For additional information, check out the FAQs regarding remote proofing over the phone.

  • Option 2: Get a Basic Account instantly, then upgrade to a Premium DS Logon in person at a TRICARE Service Center (TSC).
  • You can get a Premium Account immediately if you first register for a Basic Account online then visit a TRICARE Service Center.
    To find your nearest facility, use the Service Center Locator in your region:
  • You will need take the following items with you:
    • One primary form of government identification (with a photograph) and a secondary form of identification (with or without photograph).
    • Proof of your current mailing address, if your ID is not current (acceptable items include a mortgage voucher, rent voucher, or utility bill).
    • Original DD-214 (if separated before 1982).
  • You can also go in person to request a Premium Account without first getting a Basic Account, but you will have to wait 7-12 business days to receive your DS Logon activation code via the US mail.


#8 Deltawife

 
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Posted 21 December 2011 - 07:51 PM

We did the "over the phone" option. It kept saying they were backlogged with calls and to leave our name and number and they would call us back....at a scheduled time. They never called. Every time I've tried to enroll in ebenefits...I get a message the we must be enrolled in DEERS. I've tried it all! I did get through to one of these options that said they were mailing a code in the regular mail.
I've been all over the VA site for two days. LOL

https://www.ebenefit...trationOverview




What to do if I am a...

  • [url="""]Veteran with a MyHealtheVet Account[/url]
  • [url="""]Veteran who's a DoD Employee or Contractor[/url]
  • [url="""]Veteran other than above[/url]
    • Option 1: Get Premium Access over the Phone by Verifying your Direct Deposit Award Payments.
    • Step 1: Have the following items on-hand:
    • the account number for your direct deposit payments
    • the exact dollar amount of the most recent transaction
  • Step 2: Call 1-800-827-1000 between Monday and Friday, 7AM to 7PM
    Step 3: Answer the challenge questions to confirm your identity with authorized National Call Center (NCC) personnel who will request your DS Logon
    Step 4: Receive your DS Logon activation code via US mail in 7-12 business days
    Step 5: Go to the DoD Self-Service Access Center and select Activate a DS Logon
    Step 6: Follow the instructions on-screen to activate
    Step 7: Record your username and password. Then, return to eBenefits and click Log in


    For additional information, check out the FAQs regarding remote proofing over the phone.

  • Option 2: Get a Basic Account instantly, then upgrade to a Premium DS Logon in person at a TRICARE Service Center (TSC).
  • You can get a Premium Account immediately if you first register for a Basic Account online then visit a TRICARE Service Center.
    To find your nearest facility, use the Service Center Locator in your region:
  • You will need take the following items with you:
    • One primary form of government identification (with a photograph) and a secondary form of identification (with or without photograph).
    • Proof of your current mailing address, if your ID is not current (acceptable items include a mortgage voucher, rent voucher, or utility bill).
    • Original DD-214 (if separated before 1982).
  • You can also go in person to request a Premium Account without first getting a Basic Account, but you will have to wait 7-12 business days to receive your DS Logon activation code via the US mail.



#9 Deltawife

 
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Posted 09 January 2012 - 12:09 PM

Update...

Hubby called the VARO Friday. He was told on a prior conversation that he was taken out of the rating system to be sent for TBI testing and a hearing test and that we should be getting a letter in the mail for his appointments. He called because a letter never arrived. The woman he spoke to this time said that they had decided he did not need further testing after all. She was sending an email to whomever had his file and would send me an email when she found out. We are so perplexed! It's been 17 months now. She was very nice and could not understand why it had been that long.
So, here we are STILL WAITING! Does this sound normal for the VA system?

#10 carlie

 
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Posted 09 January 2012 - 12:53 PM

deltawife,
If I understand right - currently you hubby gets 50% PTSD and 10 % Tinnitus.
Currently he has in a request for increase in his PTSD symptomology.
Is this correct ?
If yes - does he have medical evidence that supports an evaluation percentage
higher than the current 50 % - per the rating criteria in 38 CFR - Part 4 ?

http://ecfr.gpoacces....111.73&idno=38

#11 Deltawife

 
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Posted 09 January 2012 - 01:26 PM

Carlie, Thank you for your reply and Yes you are correct about his percentages.

Gary has MOST of the symptoms in the 70 percentile, but not all of them. The VA sent him to an outside IMO and she ranked him as a GAF score of 50 for PTSD, but also put down that he was unemployable.
He is on medications for anxiety and depression. He's been going to the VA for 11 years, and we were NEVER told that we had to put in a claim for an increase by his VSO. The whole time he's been going there, he thought the Doctors were sending in the information for him. I am so appalled that all this time he was so ill informed with the system. (Sorry, I got off the subject there)

How would one prove that he has those other symptoms....his psych doctor WILL NOT write anything for him. He just doles out the pills. At this time we absolutely cannot afford to get him to an outside psych, because Gary has been unable to work at all.

Thank you so much!

#12 carlie

 
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Posted 09 January 2012 - 02:33 PM

Carlie, Thank you for your reply and Yes you are correct about his percentages.

Gary has MOST of the symptoms in the 70 percentile, but not all of them. The VA sent him to an outside IMO and she ranked him as a GAF score of 50 for PTSD, but also put down that he was unemployable.
Was this IMO for a C&P exam in relationship to the request for increase?
Were you able to get a copy of the exam - also, did this IMO supply medical rationale supporting the opinion
that he is "unemployable" - if yes, exactly what does it state ?

He is on medications for anxiety and depression. He's been going to the VA for 11 years,
Have you gotten copies of say his last 6-12 months of treatment / progress notes ?
If yes, do these show symptomology that supports an evaluation higher than 50 % ?

and we were NEVER told that we had to put in a claim for an increase by his VSO. The whole time he's been going there, he thought the Doctors were sending in the information for him. I am so appalled that all this time he was so ill informed with the system. (Sorry, I got off the subject there)
Bottom line is all claimants are ultimately responsible for their claim issues - even if they have representation.
If there is no open claim issue and the claimant has not advised the VBA that there is medical evidence of record
to be obtained - there would be no reason for VBA / VARO to try to get the records and no reason for any doctor to send
records to the VARO. If all the doctors at all the VAMC's just sent in all patients medical records / evidence to the VARO's
what a huge mess that would be.

How would one prove that he has those other symptoms....his psych doctor WILL NOT write anything for him.
Go to the VAMC - Release of Information and request copies of his treatment / progress notes for say the past
12 months. Hopefully there is medical evidence in there that supports a higher evaluation.

He just doles out the pills. At this time we absolutely cannot afford to get him to an outside psych,
because Gary has been unable to work at all.
Hopefully - this has been stated and supported in the records.
carlie



#13 Deltawife

 
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Posted 03 February 2012 - 09:44 PM

Carlie,

I have been meaning to get back to you on the questions you had asked. I have had some pain issues and on medication couldn't concentrate enough to get all of the info you asked for together. (Had a minor surgery and came out with a torn rotator cuff tendon, herniated disc, and severed nerve)

We still haven't heard anything. Today hubby got a hold of his VSO in Oakland where the VARO is. He went to the VARO and found out that my hubbies file is sitting in the Sacramento office. They had put on it that he missed 2 appointments.....and HE HASN'T had ANY appointments at all. Service Rep said they probably screwed up and were covering their arses!

We are so upset....his case has been in the system since Aug 2010. I think he has a CUE. What they have done to him and many others is deplorable!

NOW they say they are setting up more appts, but we don't know for what!

Spitting nails....not fingernails REAL Nails.

If you have a fax machine, I would love to fax his info to you. I sent it via scanned email a long time ago, but you were having trouble bringing it up. I know you have your hands full too.

Thank you so much
Patti