AZeeJensMom
Moderator
Registered: 01/05/09
Posts: 94 |
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01/05/09 |
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#1 |
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Hello…My husband has an active claim pending in the appeal process.
He was SC in April ’08 for diabetes and related medical conditions.The appeal issue is SC for HepC. He had a videoconference BVA hearing on Nov. 21, 2008. While in the hearing, the Judge asked what my husband was doing for employment now. He advised the Judge he was 100% disabled through SSA and had been since May 2006 (he was 62 in Nov. 08). Disabled due to many health conditions, including HepC. My husband was a medical provider for over 30 years and due to HepC and 3 courses of therapy his thought process gradually declined and he felt he could no longer provide safe treatment for his patients, write reports, render diagnoses, etc. on top of just being tired and fatigued all the time.
He had to undergo a surgery in Jan. 06 that would take him over a year to recoop, and could no way go back into the profession he had for over 30 years with just the shoulder situations alone and, on top of that the HepC issues.
We applied for SSA Disablity for him effective on 12/31/05, the last day he stepped foot into the office was 12/30/05. I had all of his medical records, etc. organized, in files, and dropped them off at the local SSA office on 1/6/06, the date of his shoulder surgery. He was approved for SSA Disability in April 06 for benefits – no questions asked. No denial. Approved.
His original VA Claim was filed in Feb. 03. Denied. Went through the entire back and forth process with the VA. Finally had to involve our Congressman’s Office in Nov. 06 as he had not even had an exam up to that point and no one could tell us what the *H* was going on with his claim.
Through the Congressional Inquiry of my husband’s file, it was determined that his claim “fell through the cracks” – Where was the VA’s “Duty to Assist”???? He underwent VA exam for his AO related diabetes issues in Feb. 08, his claim was approved and he received a 20% SC for the diabetes with an effective date of 1 year prior to filing his original claim due it being a presumed condition due to AO exposure. Just to prove he had stepped on land in Vietnam we submitted documentation, Affidavits, photos, etc. He was a Marine stationed onboard the USS Long Beach serving duty in the waters offshore of Vietnam, patrolling DMZ, etc. His Duty Station was Orderly for the CO and he was REQUIRED to go everywhere with him, prepare his vehicle, drive him around, etc. Top Secret briefings in Da Nang where no record exists that they even occurred, when they did was a big joke. That in itself is another story….at least it is resolved now. I’ll mention he did 2 WesPac tours to Vietnam, 17 months in all.
Effective Feb. 08 he is 70% SC for diabetes and additional related medical issues due to diabetes.
Now, here we are, almost 6 years later. He just had his hearing with the BVA via videoconference. At least a month prior to the hearing date, I gathered updated medical records, solid Nexus from his Gastro, etc. and submitted to the VA through The Americal Legion. They sent the info off to DC which was where his file was sitting pending the upcoming hearing. As of the date of the hearing, the Judge still did not have the additonal docs in the file. I had sent everything to American Legion via Certified Mail, Return Receipt Requested so I had proof they did receive it.
The Hearing experience was unremarkable. The Judge seemed compassionate to my husband’s case. It was evident to him that he fell through the cracks of the system.
I wonder how long it will take the VA to obtain a copy of the SSA application.
I have a completed copy of the original SSA Disability Application.
I just wonder if I should submit this to the VA rather than wait another 6 years for them to get the information they need to adjudicate his claim.
Should I submit the SSA application to them to speed things up?
How long does it take to receive a decision on the BVA hearing?
Thank You for taking the time to read through this post. I attempted to keep it simple and straightforward.
AZeeJensMom
P.S.
Should mention, my husband’s last liver biopsy was Stage 3/4 and he has gone through 3 course of Interferon Therapy and has proven a non-responder with total relapse. |
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NOD
Manager
Registered: 11/22/08
Posts: 652 |
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01/05/09 |
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#2 |
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Congratulations on navigating the maze known as VA Justice. I’m sorry to hear you have had your claim go awry. That is often the case with this system. You can always find out the status by going online at iris.va.gov and go to the “ask a question” function. Put in all your info and then ask your question and you will usually receive a reply within 5 working days, often much sooner. It’s almost unconscionable that you had to wait six years to reach this point. With that said, I would fire off a letter to Kim Brown, assistant to Sen. Patty Murray(who is on the Veterans Affairs committee) of veterans affairs and ask him to see if he can get the BVA to speed things up seeing’s how they managed to screw it up so badly and for so long.
Now, I am unable to prognosticate on how long the BVA will take to adjudicate your claim but it will probably hinge on how much evidence you gave them that is new and material to the claim. As for SSA info, mail it to them (BVA) directly and make sure you put your husband’s SSN at the top of any sheet of paper you send them. Send them a copy of the decision granting him SSD/SSA. That is far more important than the application. I would add that VA does not use SSA decisions to grant SC for anything. They merely peruse it and see if there is anything in it that is harmful to the Vet’s claim for SC(i.e. an admission of drug usage). The VA judicial system makes all it’s own decisions and does so based on military and medical records and the contents of the C-file. SSA records can be a source of additional info in making a rating,as I mentioned above, but will not be used in a decision making process in D.C.
Three attempts to scale Interferon Mountain indicates you husband is a die hard or an optimist. That is a very insidious drug and will aggravate every disease in his body(like diabetes). We at HCVets stand ready to help and aid you with anything we can to speed things up on his claim. Your weakest link is your VSO as they have nothing personal invested in your claim. You are a number that generated some $ to AMLEG when you signed the Power of Attorney. Any help you got after that was a fluke in my opinion unless you knew someone there personally. I’m sorry, but that is just my experience after 3 VSOs and 20 years in the paper jungle. I know all about FOIA and trying to prove I had boots on ground in RVN for 15 years. It’s an arduous process to say the least. |
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AZeeJensMom
Moderator
Registered: 01/05/09
Posts: 94 |
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01/05/09 |
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#3 |
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Thanks for the quick reply.One of the docs I submitted to BVA was the decision from SSA/SSD.
The new evidence was minimal, 2 recent liver biopsies, the Nexus, the SSA decision, a letter from a private physchiatrist he saw for a consult/2nd opinion regarding depression issues (we paid for the consult), he stated his mental conditions are directly related to HepC, 3 tx for HepC & diabetes.The risk factors he had were:
1 small tattoo on his upper arm noted at enlistment exam
2 tattoo acquired in service, on his right forearm
3 attempted removal via 7 surgeries of the in service tattoo
4 the usual innoculations, etc.
5 1 visit to a “House”
The VA doc who did his rating exam for the Hep C was not a gastro doc. He had a bunch of errors in his report, ie…the pre-service tattoo is on his left shoulder, he said right. He said this tattoo was removed during service under sterile conditions so could not be a source of the contamination. THAT is his opinion. He was not there. He said the tattoo was there on his exit exam. We had previously submitted photographs showing the tattoo on his arm with his uniform on, clearly evident he was onboard the ship when the photo was taken. My layperson opinion is this doc is misinformed, in a hurry, and didn’t pay attention to records and to the patient sitting in front of him. I was present at the examination.
We completely corrected this with the BVA in the videoconference as my husband showed the Judge the areas where the tattoo was on his forearm and all the scarring, the one the ships doctor tried to remove but could not. He had to “cut it out” piece by piece and sew his incision each time as my husband has really tight skin. Somewhere in his service records the VA said the “surgery to remove the tattoo was denied” – where that is, who knows. We’ve never seen this document and, I have his personnel/medical records for his entrance and exit exams. I will reserve my comment about the ships doctor who performed surgery when it was not approved as it’s a cosmetic proceedure. My husband said after it was all done and his term was up, the Marine Corp asked him to re-up and they would “fix his excessive scarring up”. He told them to fly a kite, he was done.
As for the VSO, you are so right. We really had no help from them, except to file the initial claim and a Rep at the hearing. I called WA State Vets and was advised that we could not change or remove the VSO during the appeal process. Other than that, I would say they did zip for us. Anything that did get accomplished was due to my perserverance and to Congressman Smith’s office.
6 years is a very long time. Especially since the 1st exam he even received from a VA rating doc was in Feb. 08.
We both hope no other Vet should be forced to jump through rings on fire like we have been.
I will send a letter off to Kim Brown and put in an inquiry to the web-site you mentioned.
As for the SSA/SSD evidence, BVA received the entitlement letter in the packet we sent them a month prior to the hearing.
I will mention and praise the Office of Congressman Adam Smith for all of their help in getting this claim pushed to the point where it now is. Congressman Smith is also on the Veterans Affairs Committee.
I’ll post an update when we receive any info. Hopefully our story will help another Vet somewhere down the line.
Thanks for the support.
As for the 3 courses of Interferon tx, it played a huge roll on his health no doubt, and he is not the same man he was prior to that first injection. |
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NOD
Manager
Registered: 11/22/08
Posts: 652 |
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01/05/09 |
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#4 |
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Well, if you have an honest, upright VLJ, then we have nothing to worry about. From what I have seen, this is what I would expect: Risk factor #1) A VA examiner somewhere has probably already opined that this was a risk factor acquired prior to service and weighs against the claim. #2): Valid risk factor
#3)possible but is there enough documented info in medrecs?
#4)No help here.#5)House of “ill repute” as in Cholon District or House of Opium Den? If you had any NGUs or other STDs in the records, its a winner! and can tip the scales in your favor. The tat is the clincher, if you have the photo. That should be the winning ticket in its own right. An honest VLJ will see the tattoo for what it is. The absence of any negative evidence is positive evidence in their eyes.Keep in mind your husband is not allowed to make med. decisions and formulate reasons unless he has the M.D. after his name. Best of Luck. |
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AZeeJensMom
Moderator
Registered: 01/05/09
Posts: 94 |
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01/05/09 |
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#5 |
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| SSOC dated 9/8/08 — VerbatimSvc tx records contain enlistment exam 2/23/66 documenting a tattoo on left arm. 2/28/69 exam performed on release from active duty documents the same tattoo. Clinical report dated 11/20/68 reports much of the tattoo had been excised. Consult note 11/21/68 stated excision of tattoos not approved. 2/17/69 tx record reported all sutures removed from left arm tattoo, scar healing well.VA Exam 7/9/08 confirms dx of HepC with history of multiple courses of antiviral theray. Svc records as well as med recs pertaining to the current dx of HepC were reviewed by a QTC physician to determine which risk factor is the most likely cause of the disease per VA’s guidlines for SC. The physician determined at least as likely as not HepC is secondary to the confirmed risk factor of the tattoo in service. He did not think the HepC was caused tattoo removal because that proceedure was performed under sterile techniques. The physcian erroneosely stated the tattoos were acquired during service.
You provided a photograph pointing out a tattoo that appears to be on your right forearm. Lay statements from former service members testify they recall your tattoo removal. Only Mr. ***** stated you acquired the tattoo during service.
The evidence clearly shows you had a tattoo at enlistment. The medical evidence does not document any additional tattoo was acquired during service. The photograph you submitted inexplicably shows a tattoo on the right arm. Mr. ***** testimony is so many years after the fact and contradicts the records so is not probative. Since the medical opinion reports most like risk factor for HepC is the acquistion of the tattoo and not the rattoo removal, we conclude HepC was not incurred during service.
End of SSOC
Well, the tattoo on the upper left arm was there at enlistment. The tattoo on the right forearm was acquired during enlistment. The tattoo on the right forearm was the tattoo that was surgically removed during 7 proceedures, cutting out a portion, sewing it up, cutting out another portion and so on. There are still remnants of the dye from the tattoo intermingled with the scars.
The photographs they refer to were provided by us. My husband is in uniform onboard the ship and the tattoo is clearly visible. The SSOC concurs with this. The BVA Judge saw the scars on the right forearm. The fellow serviceman who provided the Affidavits specifically recalled the tattoo on the right forearm, when and where it was acquired.
It’s interesting that the records indicate unapproved surgical proceedures to remove the tattoo and then on the exit exam they indicate there is a tattoo on the upper left arm. They also clearly note the clinical record of 2/28/69 reports much of the tattoo had been excised and then state the scar is healing well, etc. The SSOC states there was no other tattoo acquired during service. So, if this is true (and it’s not) then what tattoo removal are they referring to that was an unapproved surgical proceedure??????
We could not have presented the facts of this claim any clearer. The QTC doc fudged up the exam, the VARO fudged up the SSOC, the VA fudged up the in-service medical records. They are the ones who contradict themselves. Our evidence is clear. Their evidence is not.
Besides, who can really pinpoint the exact moment of exposure unless it’s a well documented fact with a blood test that HepC was not present on one day, then the exposure occurs and HepC is positive. Prior to 1989 it was Non-A/Non-B Hepatitis and the docs didn’t know what this HepC was all about.
And so we await the decision of the BVA Judge. Let’s hope he is a fair man and we both felt he was. He could clearly see the evidence in front of him. And, with the additional documentation that was submitted just prior to the BVA hearing, he should have a very clear picture of the facts of this case.
Lori |
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NOD
Manager
Registered: 11/22/08
Posts: 652 |
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01/06/09 |
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#6 |
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| So the question VETS are all dying to know is: Did he have to roll up his sleeves and show the VLJ the LUA tattoo, the area formerly known as the location of the RUA tattoo, the resulting scars, and submit glossy 8 1/2 X 11 Color photographs of same? I expect everyone would be able, at that point,to follow the arrow map with flow chart notes and powerpoint laser presentation. Your SSOC is almost a carbon copy of another tattoo case we’re helping a Vet with. Just exchange left with right in our Vet’s case and facts are identical except for the excision! Gives a whole new meaning to the phrase “triage” and “Tiger Team” remand crew. VA could take lessons from Willy W.’s lumpa lumpas. |
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AZeeJensMom
Moderator
Registered: 01/05/09
Posts: 94 |
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01/06/09 |
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#7 |
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| The left upper arm tattoo is on the shoulder. This is the tattoo the SSOC recs say was excised. Nope. Still there last time I checked. It was there when he went into the Marine Corp. and was there when he checked out.The in-service tat was on the right forearm. This is the tattoo the ships doc tried to excise during 7 surgical proceedures. There are still remnants of the dye in the appx. 7×3 inch scar on his right forearm.And, the answer to the question is:
YES, he absolutely volunteered to show the VLG the scar on the right arm where the tat was. Tom stood up, rolled up the sleeve of his shirt and bingo, there it is. The VLJ saw the errors in the SSOC very clearly after he saw the scar with his own eyes.
Lori |
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NOD
Manager
Registered: 11/22/08
Posts: 652 |
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01/07/09 |
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#8 |
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| Did you also have to bring rubbing alcohol to prove that the one on the left shoulder wasn’t Henna? You know how those tattoos move around when you’re not looking. Look at how they confused those poor GS-3s down in Seattletown. A whole new industry will spring up some day devoted to staging nothing but VA Traveling Board Hearing presentations. Your VLJ has a college education. That is what will save your claim- a deductive mind. |
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kosmikcowboy
Registered: 01/08/09
Posts: 3 |
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01/08/09 |
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#9 |
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| I went for my hearing with the appeals board in Washington DC via video. It was quite an experience. My SO very proudly proclaimed I was a Vite Nam era vet and that I served and was honorably discharged. Then he went on to expose the VA for what they are. The contradictions in my files was enough for the judge to see things our way. In my files he found where I went to my PC complaining of weight loss and appetite loss. I weighed about 119 lbs and I am six four. In the progress notes my PC wrote that I was a well defined healthy male with no distress. I was sicker than a dog! My body was fighting the HCV and no one diagnosed it especially when they had blood tests confirming my infection. This was 1999 and it was 2004 before the VA decided to tell me. That is when I filed for HepC along with my eating disorder and my anemia as kickers to the HCV. The judge also had me stand up and show her my build.Then we submitted my files from my private PC that confirms I have HepC and pernicious anemia. Along with his files( and by the way my private PC is also a VA doctor at our cramped up out patient clinic) and the VA MC,s contradictions to my health issues will be the ticket to getting SCC for my HEpC and anemia. The deal is the VA denies that I have HCV. But I have blood tests that dispute that. The VA denied me saying that there was no HCV RNA in blood! They say my body cleared the virus on its own. Yet my private PC gave results that are the exact opposite. He monitors me every three months and keeps a close eye on my liver. His nexus will be what gets me SCC.As Soon as I get a decision I will post up and let everyone know what went down. Wish me luck, I feel that I have a darn good chance to get what I deserve. Kosmikcowboy
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Robert E Vaught |
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AZeeJensMom
Moderator
Registered: 01/05/09
Posts: 94 |
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01/08/09 |
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#10 |
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| Hello kosmikcowboy….We too are awaiting a decision on my husband’s BVA videocon that was heard this past Nov. It’s been a very long 6 years since he originally filed his claim and we are hopeful for a positive decision from the VLG who conducted the hearing.When was your hearing date?
We look forward to an update from you. Wishing you the best of luck in your appeal and health issues. Keep on keepin on. |
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kosmikcowboy
Registered: 01/08/09
Posts: 3 |
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01/08/09 |
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#11 |
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Hey thanks for the reply,,,yeah the VA here in OK has a bad rep. They deny me even tho I had a complete blood transfusion during service for an ulcer that was neglected by the infirmary doctors till it ruptured, despite numerous trips on sick call, that I cannot prove with documentation. While requesting all files pertaining to service all I would get was bits and pieces of what I was searching for. After three requests I still cannot produce any labs or consults from my surgery. Only the report on discharge and progress notes was all I could produce. But the contradictions in my files and my private doctors files will surely be all I need. My hearing date was December 17, 2008.Wish you guys all the luck! Peace,,,,Kos__________________
Robert E Vaught |
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