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      How to get your questions answered. A few observations, and requests of all members. All folks who come here are volunteers who do this on their own time and their own dime.To avoid burning out our best contributors please follow these guidelinesf you are reading a post and it reminds you of a question you want to ask, start a new topic, if you place your question in someone thread it will be difficult to distinguish your question from the original poster, you will get better results posting a new topic with your question. 1. Before Posting please do a search and see if your question has already been answered. If you find the answer print it out and put it in a file to use as a reference file, I find this helpful myself. 2. If you can not find the answer and you do post a question, please print out those answers and refer to them to avoid duplicate questions. 3. Refer to the Frequently Asked Questions4. Duplicate questions will come up from time to time but the keeping them to the minimum will lighten the load on the regular volunteers.5. Respect folks privacy do not request their personal phone numbers for claims help, it is inappropriate and not why they are here.6. Keep the topics focused on veterans issues, in closing Search first Search ... Ask second.it may save a lot of time or at the very least enlighten you.
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    • A bit about Tbird and HadIt.com for those who've asked...

      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. I spent a lot of time on those benches watching the squirrels they gathered their nuts and I gathered mine :) So I'm thinking I could put a little handbook together print it out and hand it out at the VA. Or perhaps fliers. Still formulating, time goes by, 1994/1995 I am being treated for PTSD regularly and doing and feeling much better and I go to work for a company as a marketing systems analyst and I discover the internet. Well let me tell you that was perhaps one of the most significant life changing events I have ever experienced. And I might add finally a positive one :) It seemed only natural to me that surely there must be a website that contained all the knowledge I wanted, well as it turned out not so much, lots of stuff but I wanted to get straight to the claims information and there was a lot of stuff to wade through to get to it. 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.
    • HadIt.com Pass It On Cards

      Hi I've updated our HadIt.com Pass It On Cards. They are in a PDF format you can print them out cut them there are 12 to a page. If you have found HadIt.com helpful and would like to pass it on to other veterans this is an easy way to do it.I hope you find them helpful, feel free to leave a few anywhere veterans gather, veterans centers, veterans hospitals, public libraries, be creative. Please make sure though, that if you want to leave some at any business you ask permission first.Here you go http://www.hadit.com...it_on_cards.pdf
    • VA Training and Fast Letter Forum Index

      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/ http://www.hadit.com/forums/index.php?/topic/40963-va-fl-10-34/ http://www.hadit.com/forums/index.php?/topic/40964-va-fl-10-32/ http://www.hadit.com/forums/index.php?/topic/40966-va-fl-10-30/ http://www.hadit.com/forums/index.php?/topic/40967-va-fl-10-26/ http://www.hadit.com/forums/index.php?/topic/40968-va-fl-10-25/ http://www.hadit.com/forums/index.php?/topic/40819-va-fl-10-24e1/ http://www.hadit.com/forums/index.php?/topic/40818-va-fl-10-24/ http://www.hadit.com/forums/index.php?/topic/40817-va-fl-10-22/ http://www.hadit.com/forums/index.php?/topic/40814-va-fl-10-04/ http://www.hadit.com/forums/index.php?/topic/40969-va-fl-10-03/ http://www.hadit.com/forums/index.php?/topic/40812-va-fl-10-02/ http://www.hadit.com/forums/index.php?/topic/40808-va-fl-09-52/ http://www.hadit.com/forums/index.php?/topic/40806-va-fl-09-50/ http://www.hadit.com/forums/index.php?/topic/40970-va-fl-09-41/ http://www.hadit.com/forums/index.php?/topic/40971-va-fl-09-38/ 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A O Symptoms

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Posted · Report post

Just went in the hospital and they found out that I have coronary artery disease also known as bradycardia ( slow heart rate) Should I file a claim for AO ?

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18 answers to this question

Posted · Report post

sorry I meant heart disease,not artery disease.

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Posted · Report post

3.309(e). Presumptive ao for heart:

Ischemic heart disease (including, but not limited to, acute, subacute, and old myocardial infarction; atherosclerotic cardiovascular disease including coronary artery disease (including coronary spasm) and coronary bypass surgery; and stable, unstable and Prinzmetal’s angina)

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Posted · Report post

Is Ischemic heart disease the same as Bradycardia

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Posted · Report post

CAD (coronary artery disease), IHD, and bradycardia can be related. CAD can cause IHD. High blood pressure can be related to both IHD and CAD.

Actually, cause and effect of these are intertwined. Bradycardia can be the result of a silent heart attack, or when it is very mild, normal under certain conditions. Since my at rest pulse rate is about 57, I technically have Bradycardia. It's really a minor issue, in comparison to other's, such as CAD.

CAD can be the direct cause of IHD. The big question is what is your left ventricle efficiency, since you do have evidence of damage to your heart.

An LVEF of less than 30% can result in a 100% schedular rating. I assume you fall under the A/O exposure rules.

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Posted · Report post

Hello Buzz,

First ,,, remember that for ANY terminology of CAD, IHD, or Atherosclerosis....They are one and the same. I have been diagnosed with each one but the VA and medical terminology will all come up the same. So if you have one .....sorry you got them all.

However you will try to use the IHD as it is presumptive to all AO veterans who have boots on the ground Vietnam. This does not apply to me because of my station and I am under Direct exposure of AO where it was widely used. Just as James Cripps one of our members in Fort Gordon Georgia won his AO award under direct exposure. And Kurt Priessman another one of our members who won his AO in Thailand , it is an example of how widespread the AO problem is . Please check our AO archives and read my post on Agent Orange Bases and see just how many there are and those not even listed by DOD list.

As Chuck pointed out ...your LVEF or infarction rate will need to be addressed to point you to the correct rating schedular percentage by VA. It will help if your Cardiologist or even your PCP Doctor can list you as IHD but you already have one diagnosis so see what that doctor will say. IMOs ,,,,will trigger your Benefit of a Doubt rule and the way to have IMOs written is on our site also. Above all , if you are just starting, be prepared for a long wait and battle ....but the main issue will and still is ............NEVER GIVE UP. ....God Bless, C.C.

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Posted · Report post

Just a little info to help you out, also check your Mets level!

(The regulation says 3 METs or less is 100%, more than 3 METs up to 5 METs is 60%, more than 5 METs up to 7 METs is 30%, etc.)

METS are (metabolic equivalent).

NJ

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Posted · Report post

Just a little info to help you out, also check your Mets level!

(The regulation says 3 METs or less is 100%, more than 3 METs up to 5 METs is 60%, more than 5 METs up to 7 METs is 30%, etc.)

METS are (metabolic equivalent).

NJ

METS level assignments can be very subjective, and may not agree with medical evidence. (especially when made at a VA C&P exam)

Private physicians are often uncomfortable with METS and another method used by many states in assigning handicap levels.

Actual medical test results are usually better. An example might be measurements of blood pressures, volumes etc. taken via a heart cath sensor.

Heart damage(IHD,etc) can change high blood pressure to a more normal pressure. One indicator of this possibility is a "slow" heartbeat.

The measured "pressure waves" inside the heart are a diagnostic tool that can be used to fairly accurately estimate total heart damage.

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Captain;

I'm under the impression that once you're granted exposure to AO if you have any of the diseases on the AO list you can be granted service connection for them. Nehmer only applies to the Vietnam vet with boots on the ground but the Dec 2011 C&P bulletin on the THailand Vets states that if a Thailand vet has been denied and he reopens his claim because he worked on or near the perimeter his eed will be the date of his original claim. The example given was that if the vet filled for DMII in 2006 and was denied if he reopens his claim in 2001 his effective date will be the date the VA received his denied claim in 2006. A vet in Michigan was recently granted service connection for DMII and he worked in the Autodin building on Camp Friendship, the Autodin building was about a hundred feet from the perimeter fence.

Rick

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Posted · Report post

METS level assignments can be very subjective, and may not agree with medical evidence. (especially when made at a VA C&P exam)

Private physicians are often uncomfortable with METS and another method used by many states in assigning handicap levels.

Actual medical test results are usually better. An example might be measurements of blood pressures, volumes etc. taken via a heart cath sensor.

Heart damage(IHD,etc) can change high blood pressure to a more normal pressure. One indicator of this possibility is a "slow" heartbeat.

The measured "pressure waves" inside the heart are a diagnostic tool that can be used to fairly accurately estimate total heart damage.

Chuck75,

I added that info based on my C&P exam the doc wrote 1-3 Mets with Chronic Angina and they awarded me 100% P&T with no further exams and yes it was service connected (CAD), I was rated 60% when first awarded and my Mets were 3-5, Just going by my Experience.

NJ

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Posted · Report post

If you can get the VA to do a CT scan of your legs or even a leg and it shows calcification that can lead to a heart disease DX. If you are a RVN vet that can lead to a SC rating. I know because I did it.

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Hello All,

John that is a very good point to bring up. Did you have any of the diseases also listed such as CAD, Athero, or IHD? It sounds like you did a backdoor approach to it and it worked for the rating and grant.

Computer Tech, Yes your right but unfortunately proving up an AO exposure is difficult outside of Vietnam . Yes Thailand and now Georgia, and Korea are seeing more grants thanks to James Cripps and Kurt Priessmans work , you will have to prove it up first and still must file a DIRECT exposure claim. If you try to use presumptive outside of Vietnam, it will get axed everytime. There is only one case that I can find of AO exposure from Alaska and it is the Haynes Pipeline corridor claim from Fort Greely. The DOD list is not complete and only about half of the bases in the U.S. and the World, ended up on the list to even try a presumptive fight or a direct exposure fight. Once again go look at the Agent Orange Category here at Hadit and see the bases all over the United States that sent personnel to the Mandatory Training Seminars in 1973 at Colorado Springs , Colo. I also broke the list down to show just how wide spread AO was even in North America. This is why our archives are so Valueable to each Veteran. It is also important to know that you do not ,,,I repeat do not have to have Perhiperal Neuropathy as secondary to DM11 like the VA states in its Presumptive list and 38 CFRs, before it will grant PN due to AO. I also have posted here in the Archives of 2 separate claims which won PN , Agent Orange exposures without any DM11 links. I am a Veteran with severe PN and no DM11 and am fighting the VA on AO with PN, IHD , Dry eyes appeals which will win eventually at BVA or CAVA. If I can prove exposure ....IF. Proving exposure needs much medical expertise, opinions and solid evidence that AO was used where the Veteran was stationed. As well as how the Veteran was exposed. Even though the discontinuence of AO was in 1975, the research clearly shows that AO may be active and threaten human life for decades. See James Cripps Work also from Dr. Arnold Schectters research as well as the Agent Orange section to see the BVA cases that I posted also in the AO archives.

I would also point out that DIRECT exposure will take much more time , evidence , medical opinions and a very strong chain linking all to it. However it will be, in the end ,the only way some of us can prove up our claims outside of Vietnam or a couple of the other areas listed. Once an area gets a Claims Awarded under Direct exposure then it opens the door for other Veterans. It will NEVER happen at the RO level and will take BVA at the least and probably the CAVA to win it properly. This is why my claim is so important for the other AO Alaska Veterans. My claim must set precedence. There is no denial of AO in Alaska period and DOD and VA know this , however their clock is ticking against them and they know that also. There is no other site which has more evidence on Agent Orange in Alaska that here at Hadit and I am posting new evidence when I get it just as I have for the last 5 years. I also urge other veterans to help post any evidence from anywhere concerning AO so that all Veterans may shut the door on the AO lie that has killed over 240000 vets and 300 per day. This lie must be brought to the eyes of not just America but to the World.

The Acute and Subacute points on the VA regulations concerning presumptive DM11 and PN awards are not to be followed in the DIRECT exposure issue. Though the VA rubber stamps this denial every time because a Veteran does not end up within 1 year of showing signs of DM11 or PN or 2 years for the subacute, it can be beaten in court and has with the 2 cases I have listed from the BVA.

Chuck brings up a very important point that METS levels are so broad and are not as good to use as the Infarction Rate numbers. Whenever possible I would always try and use the medical records which show most of the time a true infarction rate.

Ok ,,,, I hope this helps....

I hope that most importantly every Veteran remembers to ..........NEVER GIVE UP. God Bless, C.C.

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Capt.

Yes, I say if you can't go in the front door try the window or backdoor to get SC. That is how I got HB and other stuff. Your doctor (PCP) can be your friend and if you know something about your regs and disease secondary problems such as all those to do with DMII I think you can go a long way. When the VA makes a condition presumptive they open the door for all secondary conditions and there are a ton of them for DMII.

John

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Capt.

Yes, I say if you can't go in the front door try the window or backdoor to get SC. That is how I got HB and other stuff. Your doctor (PCP) can be your friend and if you know something about your regs and disease secondary problems such as all those to do with DMII I think you can go a long way. When the VA makes a condition presumptive they open the door for all secondary conditions and there are a ton of them for DMII.

John

Sort of on and off topic at the same time!

I received an envelope the other day from the NVLSP. It contained a copy of the Nehmer review decision. The decision was correct in the overall EDD date, and award for IHD, but obviously erred in some secondary decisions.

One was a later EDD assigned than the overall EDD, even though evidence showed treatment well before the overall EDD (set by claim date). Another decision used current law instead of the law that was in place on and well after the overall EDD. This resulted in 0% rating instead of 10% for the secondary.

When queried, the NVLSP stated that they did not have the time or manpower to deal with secondaries, and were just concentrating on IHD awards.

So, if you have secondary conditions related to IHD, don't depend on the NVLSP to help when/if the VA does not properly deal with them..

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Hello John and Chuck,

John your thoughts on this and what you did are very similiar to mine. I also had several Doctors including VA who did not know the regulations but understood the diseases. It did help the Doctors to know and they were more than helpful after I showed them the regulations and the proper way to address my issues. Secondary issues are always going to be an issue for any service connected Veteran. Most Veterans do not understand this and never press the issue. Thanks for your thoughts on this.

Chuck ,,, I could understand the NVLSP and their lack of manpower on the secondaries. It looks like the folks here at Hadit are going to have to fill in the gap .................................. like they usually do. Thank you Chuck .

NEVER GIVE UP. God Bless, C.C.

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diagnose with Coronary atherosclerosis of native coronary vessel

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Buzz

That condition of yours is presumptive on its own if you were "boots on the ground" RVN vet. How did you find out about it?

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John I WAS IN VIET NAM 68-69,HAD TEST IN THE HOSPITAL TO FIND OUT MY CONDITION

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