Time line for life is getting short-Menalteed’s Story


menalteed
Registered: 09/08/09
Posts: 37
02/03/11 #1

My hep C has progressed to Liver cancer, in fact this was known from the time I filled my claim. I was told I didn’t have a lot of time. They said because of that they would put me on a expedited claim..I was told it could be as early as four months to close. It has been about 11 months so far. The C&P exam was Nov. 16 and I think I’m in the stack to go for rating.
I provided all my medical records and pertinent information including three Nexus letters at the time I filled, it seems like things are going so slow that I may not be around for the final. Can my wife keep my claim alive?  Are they just slow and I’m becoming paranoid. Can’t really call the VSO,  they never have given me the same answer twice and have never been right once. Anyone know how long these things take from the time my file gets to the rating pile to a answer to Service connection…peter
Edit | Delete
NOD
Avatar / PictureManager
Registered: 11/22/08
Posts: 654
02/04/11 #2

     The VA has rule 900 [ 38 CFR 20.900(c)] which allows a Veteran’s claim to be advanced on the docket. While it does advance it, it doesn’t guarantee adjudication in days or weeks. As a matter of course, as soon as the next available ratings expert is free, your claim will be decided. From what you have implied, the claim is still at the VARO rather on appeal to the BVA. Any candidates in line for consideration of Rule 900 in front of you are served first. There is no triage for 900 candidates. This may explain why your claim is moving slowly. 


     While it may sound bleak, here is the program. Should you pass before the decision has been granted, your claim will die. Your wife can then take your place and start over , but current law does not allow for substitution unless it is before the CAVC. If  VA determines the Hep was service connected and caused your death, your wife will be granted DIC. 

     Peter, allow me to express my sorrow for your circumstances. I know one day I will be announcing something similar and it is not in the far distant future. Getting the HCC Dx is one hell of a body blow. If there is anything we can do to aid you in this claim, rest assured we’ll move Heaven and Earth to do it for you. On the off chance time runs out, we stand united here to provide your wife with anything she will need to succeed. Were the shoe on the other foot, I have no doubt you would do the same for my wife. 

     As service members , we were a tightly knit crew. As Veterans, it is even more important to close ranks and support one another in these situations. We stand ready to help you, whatever form that may take.  I do strongly suggest you approach your Congressman/Senator and inform him of the need for haste. VA can be monolithic, but they occasionally   show their gentle side when addressed with these situations. Sadly, I concur on your VSO assessment. Chances are you may put him at risk of a DUI if you involve him in it. They don’t take bad news very well.
     Based on a Nov. 16th, 2010 C&P, I would presume you may get some results very soon. If they have your home phone number, they will probably call you to let you know if you have won. It may take another month to generate the paper for it and another month or two to effect a compensation payment and log you into the system. If it is still at the RO this will speed things up immensely. Were it at the BVA, it would entail a remand back to the RO for a rating.
      I think I speak for all of us here at HCVets when I say we hear of far too many of our members succumbing to this insidious disease. Being the undying optimist I am, I firmly hold out hope that some miracle drug will be forthcoming before you or I reach Bingo. Let us pray that drug comes to pass sooner rather than later.
Edit | Delete
menalteed
Registered: 09/08/09
Posts: 37
02/04/11 #3

Thank you for taking the time to answer some of my questions. Rest assured that I have contacted both my Senator and Congressman in a effort to speed things along. My medical exam was done through a private contractor hired  by the VA, (QTC) and at the time the doctor suggested that I also apply for AA, I really didn’t want to as I thought it would slow down my claim. My VSO told me to file it and it shouldn’t slow things down but Monday I received a call from the VA office asking me if I wanted to take the full 30 days for the AA claim, this was after I called to ask about my status of the regular claim.
I waved the right for the full 30 days. I asked the VA officer for his name but none given and faxed a letter to the VSO with the information and a letter stating my intention to wave the 30 days. I received a letter two day
later from the VA with the same question and again waved my 30 days and faxed the form to the VSO  to hard carry to the VA office. I was told everything was done and not to worry. At the time the VA officer called he was very nice and said my claim would be going right to the Rater. I asked what that time line would look like. The VA man put it at two to three weeks for the rater to get the file. I asked him how long after that did he think I would hear something and was told after the rater the file would have to mover to a rater checker and that could take awhile. I’m starting to get the feeling that there is a coordinated effort to stall me until I drop dead, a little paranoid feeling for sure! LOL. The positive is the OTC doctor wrote that my hep C was most likely to be service connected as did two VA doctors and the head of the Hepotology dept at my local University Medical center. With now, four Nexus statements I’m hoping it does not need to go any place else but the local office for a rating. I’m not that healthy anymore and if they stall this another 90 days I’m afraid for my family losing out. That is why I asked about time lines as the stress of this is not helping…Thank you again for your reply and your service…peter
Edit | Delete
NOD
Avatar / PictureManager
Registered: 11/22/08
Posts: 654
02/04/11 #4

Peter, I find it unconscionable that people who have no VA law background would advocate you file a claim for A&A. First of all,  absent a SC for Hep., there is no precedent for the A&A. It would be like applying for TDIU in the absence of any claim. In order to qualify for any additional perk associated with a disease, one must have a rating for the same first. That anyone would advocate that you do this speaks volumes about their ignorance of the law. 


     During the pendancy of my hep. claim in late 07, I informed my SO that I was effectively dead in the water medically and unable to work. My query to him was what should I do? He handed me the TDIU form and said they had to rule on it in 90 days or less. I pointed out that I had two 0% ratings for hearing/Tinnitus and felt VA wouldn’t view it favorably. His rejoinder was epic;”You’ll never know if you don’t try.” This is what is wrong with the VSO program. Poor training and a feeling that there is a VA form for every contingency breeds this stupidity. Your doctor, of all people, is as ill-prepared to offer legal advice as I am to dispense medical diagnoses. Clint Eastwood’s character in Magnum Force(Harry Callaghan)  enunciated this quite succinctly when he said “A man’s gotta know his limitations.”

     As there is only one C-File, any additional issues added on to the claim slow it down. A&A is an additional issue. It is also something the RO can deal with after the important business of getting you rated. Please avoid any more side trips, however well intentioned, until some resolution is attained with the Hep. claim. That, and only that is of paramount importance to you right now. 

      We do know that the normal time for a decision relating to your QTC C&P is never longer than 90 days. QTC headquarters is in some obscure little backwater in California. Everything has to go through there for the steno pool to type it up. I hope they are not tardy and have learned to take it up a notch in cases like yours. 

     I do not believe there is a conspiracy to deprive you of your rating. I know they have  a rather archaic method of checks and balances to ensure correctness. The redundancy built in to the system is maddening, but I firmly believe they are just trying to ensure a proper outcome. This is of little or no consolation to you, unfortunately. 

     Stay on top of this with the Congressional inquiry route. The VA responds more rapidly to political pressure than individual Veteran pressure for obvious reasons. Congress controls their purse strings and can make life unbearable for them if they ignore the requests.

     As for thanking me for my service, you needn’t. Wild horses couldn’t have kept me out of war in 69. Young adults feel the need to test their limits. What better way than to get into red clay up to your armpits and eat Agent Orange for breakfast?  Besides, the military had an unending supply of oversized M-80’s and they were free. So…free food, free rent, free ammo and they paid you to kill Communists. How could you improve on that system? Sadly, we are only now coming to realize the downside to it. The crime is that the VA now spends an inordinate amount of time and resources denying their culpability rather than focusing on equitable solutions. On behalf of my country, I apologize for the treatment that they accord you.  I only wish there was more we could do to aid you.

     I will excavate several BVA decisions that will illustrate the path your wife may encounter if things don’t go smoothly for you. I apologize for not posting something along these lines earlier. Perhaps it was a subconscious desire not to have to face the consequences  which you do now. It appears denial is more than just a river that runs through Egypt for me.
Edit | Delete
NOD
Avatar / PictureManager
Registered: 11/22/08
Posts: 654
02/23/11 #5

Peter-Here is a representative sample of what you will encounter. This one went to D.C. on appeal. They don’t always, but VA will surely vociferously try to show no culpability for your illness. Best if possible to treat your liverbox with the utmost respect until this process is completed. 

Edit | Delete
menalteed
Registered: 09/08/09
Posts: 37
02/23/11 #6

Thank you for the information. My VSO says my claim is now with the RO. It has been there for about seven weeks now and still no news but hoping someone does something with it sooner then later as it shows it is now being activly worked on…Hmmm….peter
Edit | Delete
NOD
Avatar / PictureManager
Registered: 11/22/08
Posts: 654
02/23/11 #7

      Well, we all certainly hope they don’t camp out on it. Having a nexus, let alone several, is paramount. Idle hands are  the devil’s workshop. Left to their own devices, they would seek their own nexus for you. Perhaps this will keep them occupied checking the bona fides of your doctors rather than pursuing an IMO.


      I arrived with only one from a prominent hepatologist. They opted to seek one of their own at QTC. Dissatisfied with that, they pursued yet another in an IMO that arrived at the same conclusion from another angle. So, after over 1200 samoles in pursuit of a denial, they gave in. Let us hope they don’t invest that much negative energy in an effort to denigrate your nexi. We will pray for your health and on this matter in spite of the fact that it is politically incorrect to do so. Concentrate on maintaining your health and the certain joy you will undoubtedly experience when VA grants this, Peter. Your unswerving dedication to America’s freedom will be realized and rewarded soon enough. Thank goodness you haven’t had to invest 17 years into it. I wish a site similar to this had been available to us in 1994. 
Edit | Delete
AZeeJensMom
Moderator
Registered: 01/05/09
Posts: 94
02/24/11 #8

Peter ….. for what it’s worth, and I sure hope it is plenty, I’m sending you positive vibes for a swift and positive decision.    You are a strong man, it’s most difficult to wait and wait and wait some more.   It sounds like you have enough IMO ammo with your 4 Nexus statements and with solid medical evidence to support those statements.   


As NOD points out, it’s a scrutiny of checkpoints, dotting i’s and crossing t’s …… after an almost 8 year battle with VA, my husband received his 100% sc for HepC.   I know, as many do here, what the waiting can do to someone.   

Hang in there ……


We anxiously await your post of victory.
Edit | Delete
menalteed
Registered: 09/08/09
Posts: 37
02/24/11 #9

Thank you all for your positive attitudes and vibes. As you know the not knowing is the hard part. I’m still not sure about the Nexus statements because in two of them they used the wording of “highly plausible” instead of “highly likely”, which my VSO should have caught but didn’t. One letter is correct, even saying 95% and highly likely and I hope this is enough with the other two as reinforcement. On the OTC letter they really didn’t make a statement other then just using my statement but didn’t question my reasons of the epidemiology of the Hep C as service related….peter
Edit | Delete
AZeeJensMom
Moderator
Registered: 01/05/09
Posts: 94
02/24/11 #10

You are welcome Peter.  Yes, we do know the waiting is horrible.  Like watching grass grow.  You know your claim better than anyone, staying informed and present in the process the best you can is paramount.   


We remain in support,

AZeeJensMom
Edit | Delete
menalteed
Registered: 09/08/09
Posts: 37
02/25/11 #11

Called my VSO today and found out my claim has been rated. I was excited and asked what the rating was and he said no way of knowing as my claim now has to go through a “Coach” and it would depend on how many claims the coach has to look through. Always seems to be another hoop. Never knew about the coach thing before….LOL…peter
Edit | Delete
flipfarts
Registered: 05/12/09
Posts: 19
02/25/11 #12

Sorry to hear my fellow vets are suffering like this. I have HCV and it progressed to head/neck cancer. Lost my thyroid. My “CUE” claim has been denied(da) and I want it out of the RO filed in Washington for a judge to hear. I requested SOC from denial at RO Los Angeles. Letter says records cannot be found. I must have from 9 filed with NOD. Am I screwed or what? How can I solve this problem?
ALSO… Are there any independent HCV doctors favorable to vets for the nexus opinion out there. My zip is 92307. I am  in CA and outpatient at Loma Linda VA Hospital. Looking for advice and help.
Please say your prayers my brothers and sisters. God does answer…..
Thank you for your service.
Edit | Delete
menalteed
Registered: 09/08/09
Posts: 37
02/25/11 #13

That you for your service. I’m not the one to ask questions as I’m not very up on things. Best bet is start a new thread asking your questions. NOD will then be able to answer you with the best resorces available. I don’t even knnow what “CUE” is but hope all works out well. Great information on this site and great people. Keep hope alive…peter
Edit | Delete
NOD
Avatar / PictureManager
Registered: 11/22/08
Posts: 654
02/25/11 #14

To flipfarts:


 I requested SOC from denial at RO Los Angeles. Letter says records cannot be found. I must have from 9 filed with NOD. Am I screwed or what? How can I solve this problem?
ALSO… Are there any independent HCV doctors favorable to vets for the nexus opinion out there. My zip is 92307. I am  in CA and outpatient at Loma Linda VA Hospital. Looking for advice and help. 


It would appear you have not filed your disagreement in the proper order. As I am unaware of whether you have VSO representation or not, I hesitate to confuse you with more advice. However, here goes. 

     When you receive a denial of any kind of claim, even a CUE claim. you must file a Notice of Disagreement (NOD) first, listing all the reasons you disagree with the decision. VA then issues you a Statement of the Case (SOC). The SOC may or may not grant your claim.If you file additional evidence(which you are not allowed to do in a CUE claim),  VA would review that, issue a Supplemental  Statement of the Case  and then ask you to file a Form 9 to complete your Substantive Appeal and prepare the claim for certification to the BVA in D.C. You may also seek a Decision Review Officer’s de novo review (unless it is a CUE claim). 

     If you fail to submit a NOD within one year of the denial indicating a desire to appeal each and everyone of the claims, your claim is final. You may reopen it if you can find and submit new and material evidence. If you file a NOD and VA denies you did, you must have proof of it via a Certified Mail-Return Receipt Requested (CM-RRR), or some proof of signature like UPS or FEDEX. Without proof of receipt there is no presumption of delivery. We read a case where a man got a notarized letter from his mail lady at the P.O. stating he mailed his Form 9 (he won) and another where a lady went in with a good friend who witnessed her mail a NOD for her husband. She, too, won. Absent that kind of proof, you may be in trouble. We always suggest Vets go to the P.O. personally and get a CM-RRR green card for $6.50 to CYA. It can really pay off. Of course, if  you have a VSO involved, they are the proof-assuming they remember to file it for you. 

     Please contact Patricia at HCVets@AOL.com to find a good doctor for a nexus.  She has the corner on that market. You may contact her at this site if necessary via private messaging at HCVET. 

     If you are  unsure how the VA adjudication process works, we might suggest going to the VA Tips and Tricks  Section and perusing the first ten or so introductory articles from Introduction to Proper nexus. The site here is easy to navigate and there are numerous posts covering most of the contingencies you need to have answered, especially questions concerning CUE. Vets need to understand that CUE is not a claim per se, but a collateral attack on a prior final decision that you assert is legally defective. The rules are completely different. VA is defending their good name such as it is. The benefit of the doubt is not for application here. CUE is Indian country for the Vet, and the burden of proof is substantial. You have to specifically cite that which you believe is in error. No 12 gauge spray and pray is permitted.  There are other equally daunting hurtles to overcome , but this isn’t the venue for that.
Edit | Delete
menalteed
Registered: 09/08/09
Posts: 37
03/03/11 #15

NOD, I’m getting very confused now after calling my VSO last week they told me my claim was the hands of the Coach, “last step” and I should be hearing someing within days. I called again today and was told my claim is with a rater. I asked what happeded to the Coach and was not given a real answer. So after telling me what the trail looked like he said the claim was with one rater for one day then another rater for 12 days then the Coach for nine days and is now with another rater as of yesterday. It seems like they are playing ping pong with the claim. I’m sure I’m on the bottom of another stack five months out from my C&P medical. I’m just frustrated! Sorry for bothering you, just had to get this off my chest as I realize the system has taken over here and just hope I can stay alive long enough to see this through……
NOD
Avatar / PictureManager
Registered: 11/22/08
Posts: 654
03/03/11 #16

Well. This is certainly classic VA behavior. The fact that it is filtered through the sensibilities and interpretation of your SO makes the chances of it being garbled even more so. 


     If we analyze this simply on the content you have provided thus far, I would be inclined to believe the GS-3 munchkin has provided this to the coach for a final clarification of some medical or legal fact. The knowledge that it has been returned to the munchkin in rating tells you all you need to know from what I see. Unless I am mistaken, had your claim been denied, it wouldn’t still be in rating. It would have journeyed over to the steno pool for the DEAR JOHN LETTER. The 9X12 manila envelope with the wax paper window (ICU2 TV) in it would either be in route or have arrived by now. I do know that they rated mine (in Seattle) on the 2nd of June 08 and actually called me to tell me it was rated 100%. I didn’t  receive a hard copy suitable for framing until July 8th. 

     No news is good news here Peter, unless otherwise indicated. Rest assured that no one at the VARO has the heart or the inclination to call you and tell you the decision was adverse. Nobody but a masochist would savor that job, anyway. They much prefer the anonymous route. Keep your spirits up. It must feel like a lifetime in just the last month. All things must pass.
Edit | Delete
menalteed
Registered: 09/08/09
Posts: 37
03/17/11 #17

Not long ago I read in here , someplace” about Bonus incentive for RO’s. Did I just dream that or is there a paper trail for that. Still waiting for my claim. I have been through a coach and six dirrerent RO’s and they all seem to be playing wackamo when my claim pops up on a tablle….peter
Edit | Delete
NOD
Avatar / PictureManager
Registered: 11/22/08
Posts: 654
03/17/11 #18

I have no information on that facet of the claims procedure or the personnel perks. associated with it. I do know from reading about the Board, that they regularly receive bonuses every year usually around December. For specifically what, I haven’t the faintest. Mayhap they didn’t pout and cry all year long. Peter, if it’s any consolation, those well-intentioned RVSRs in Seattle dropped my claim entirely from April to October, 2007. When I caught them at it, they quickly tried to catch up. It still took until June of 2008 and several QTC exams/IMOs to get results. Even then I didn’t “see” the decision until July 2nd nor did I receive the check for the back pay until mid to late August. When they make a ruling in your favor, they will often call you to let you know. It still may take another month to get any supporting paperwork. One also has to have super supervisor   approve a win to make sure they’re not giving away the farm on some technicality. We saw a decision last year where the VARO screwed up and sent out a “You’ve just won the Publisher’s Clearinghouse Sweepstakes” notice- only to be followed by an April Fool’s letter saying “Not”.. The Court reversed and gave him his award. VA has been extremely careful since then. The VARO justice system was once described by a Vet as ” watching a python digest a dog -very time consuming”. Patience, sir. I suspect your case will be done sooner rather than later if it is indeed in ratings. 


     Take two of the capsules listed below and call my nurse in the morning. They work well for python gazing or when contemplating one’s navel. For contraindications, click on the Fukitol  link.

Attached Images:
Click image for larger version - Name: fukitol.JPG, Views: 0, Size: 33.56 KB   Click image for larger version - Name: fukitol.JPG, Views: 1, Size: 33.56 KB

Edit | Delete
menalteed
Registered: 09/08/09
Posts: 37
03/22/11 #19

Today I looked at my case on line at ebenifits, and noticed something new as of today, there was a new entry at phase one development for something I had no clue about. Called the SO and after much   searching he found the entry. What he told me was it was out of rating now with someone else and now it had to go back to all who handled my case for final signatures prior to being finished….He said something like it was now in PVSO or something like that. The last two letters were SO for signature authorization. Hope I hear something soon…peter
Edit | Delete
NOD
Avatar / PictureManager
Registered: 11/22/08
Posts: 654
03/22/11 #20

Peter, from what you describe its patently evident that you have won something here and its larger than a bread box. Ratings does not need signature authorization (SA?) to send you a denial. A denial is signed off by a rater not the Decision Review Officer. Seattle’s DRO is named  Laura. I’ve talked to her.She’s not the brightest bulb in the chandelier. The gal who runs Appeals Coordination is the one who wears the pants down there in that section. So, the long and the short of it is you’re still in the winner’s column at Publisher’s Clearinghouse Sweepstakes so keep your eyes peeled for the Prize Patrol. If I’m wrong, I’ll buy you dinner. This claims process thing is not designed for Type A Tiger blood Vets or people with ADHD. It’s akin to spinning the Wheel of Fortune tonight and then having to wait until tomorrow night to say “T?” or “Pat. I’d like to buy an e”. Ex parte justice is not like Perry Mason. 
Edit | Delete
menalteed
Registered: 09/08/09
Posts: 37
03/23/11 #21

Just received a letter from my Senator  about my VA claim today. From the VA to the Senator. Not verbatim but the jest was my claim was complex and a rating has been made but the rater wanted a review by the DRO. Gives me the willies as anything can happen at this point, don’t understand this, still worried…file changed hands again today form Mark Snow to Chris Webster…..peter
Edit | Delete
NOD
Avatar / PictureManager
Registered: 11/22/08
Posts: 654
03/23/11 #22

When you win, as I mentioned, they have to make sure you’re not being given something you’re not supposed to have. I filed in 2/07. Did the QTC C&P 1/08. I was contacted in early May 08 as I look back in my records. VA rater named Victor called and said where’s all the medrecs? I quickly reassembled them all (my private ones) and raced to the post office. They rated it June 5th, 08 and I received the 8.5 X 11 rating suitable for framing on July 5th. I got my back pay on August 28th. It is a very slow process. There must be something unique that is provoking so much scrutiny. Pardon my memory, but what was the risk factor(s)? Jetguns, of course. But what else?
Edit | Delete
menalteed
Registered: 09/08/09
Posts: 37
03/24/11 #23

Only other Risk factors were Hemoglobin shots received while in Korea, known risk factor and Blood while helping a person with a head wound in Korea and a little mistake with a girl leading to STD still in Korea….No risk factors while out of service …My doctors were aware of my risk factors. Also in basic training three beds down a person shot themself in the head and that made a mess and some of that mess landed on me but I forgot to mention that in my claim. I’m sure there must be records but never serched. Try not to think about it..peter
Edit | Delete
NOD
Avatar / PictureManager
Registered: 11/22/08
Posts: 654
03/24/11 #24

     Jez. What next? A review of the review of the review? Something is not right. You have bona fide risks that would win it for multiple different reasons. One thing that always disturbs me when Vets go in for a claim is the nexus letter. A DRO sniffing around it is usually after a denial and prior to an appeal if you ask for a DRO review. 


      I just went through this process for one to tie my back injury to service. For one reason or another, when they did the C&P back in 1990, they failed to address whether or not it was related to service and the doctor was never privy to my military medical records. This was done at the VA by a VA doctor and was long before VA started outsourcing these things to QTC. In spite of the aforementioned defects and the absolute uselessness for rating purposes, they used it anyway and cited it in the BVA denial. I asked my private doctor (a chiropractor) to write one as he has been doing all my care for 20 + years. You can imagine how ignorant I was back then. Nobody knew and we didn’t have web sites like this to tell us. In spite of my carefully enunciating the requirements to make the nexus probative and withstand criticism from VA, he insisted upon tweaking it to meet his criteria. This resulted in a less than perfect product with the word “probably”. I went back and showed him the regulations for properly phrasing it and he grudgingly rewrote it to fit the program. This is the biggest error made by Vets once they get over the hurtle of discovering they actually have to have one. More than one Vet has stubbed his toe on the minutiae of nexus protocol. This seems to be the biggest bone of contention and one even VSOs are woefully ignorant of. Getting your contemporary military medical records and providing them to the doctor writing the letter is paramount to success. This is often where the VA’s “highly probative” nexus beats yours. They have your medrecs in their C-file. In fact, they also have your military records in most cases. If you were busted for smoking something besides cigarettes while in service, it will be in them. And that, Peter, is often where they play dirty and extrapolate that anyone smoking dope probably engaged in other willful misconduct. Result? Denial. 

     As I never saw your nexus letters and was apprised that some were a little shaky on the phraseology, I worry. VA might have been prepared to deny, but reconsidered based on the multiple verifiable risks. Oddly enough, I have seen cases where they denied simply because the Vet did not bring up a qualifying risk factor.

      When you file, it pays to study every facet of it from different angles prior to pushing “print”. Don’t laugh, but I put everything into a notebook next to the crapper and review it for a week or more every time I have occasion to visit to be sure I haven’t overlooked some salient point. My wife calls it the poop report. I apologize. I am usually not one for scatological humor.
Hopefully your letters from you doctors will not meet the fate of others and adequately support your contentions. I will pray on this matter. If my past is any measure, I doubt God will listen, but then I am an optimist. 
Edit | Delete
menalteed
Registered: 09/08/09
Posts: 37
03/27/11 #25

While two of my nexus letter did say “highly plausible” and one contained all the right language the fact that when I went to C&P exam I asked the Doctor why she was not interested in where I received MY hep C. She said she was not asked to look into that but did in her report make a statement confirming my thoughts on the matter that it was service connected. I’m thinking that I have multiple problems stemming from my disease and listed ten of them, it may be a stumbling block.  Asking for AA at the same time  may have put some sand on the gears. Hoping it is something simple. They sure did shop me around through nine different raters and a coach which can’t look that good for them on appeal if it comes to that. I was sure hoping for a expedited process as my condition would warrant. One other factor when I called MY VSO was told the person working on my claim quit and was moving cross country, so from here on out it is just me and NOD and my best guess is we will win one if not for me for the wife. By the way no service pot smoking or drugs or anything like that….keep me laughing…peter
Edit | Delete
NOD
Avatar / PictureManager
Registered: 11/22/08
Posts: 654
03/28/11 #26

Well, Peter. 

     Here’s what I do know about this process.When you put in a claim, the more items you list, the more they obviously have to investigate. When you file, VA goes through a process where they attempt to match up your perceived medical affliction to a corresponding disease/injury in their medical code. More issues equals more codes and different reasons for different diseases. This is why you will always see a VLJ’s decision phrased: The RO construed the Vet’s claim to be a request for AA or the VA interpreted his chickenscratch to be a claim for hangnails.


      If you had a problem list you added in or sublisted, these would be considered as secondary to the one root disease. They have to  be investigated both presumptively as well as directly. A good example-PCT (Porphyria Cutanea Tarda) is a disease both presumptive for Agent Orange exposure as well as 30% of  HCV positive Vets. If you claimed that as a secondary to Hep, they would still have to investigate the possibility that it wasn’t from AO as well in spite of what they did to me in 94. Giving them a sub-menu of  10 more would certainly slow things down appreciably. VA is thorough and will adjudicate them together. If the primary one is completed, they will set it off to the side to address all the sub problems and announce it all simultaneously.in one big Grant or a Blue slip ( the denials back in the nineties were always printed on an all blue paper hence the name). I’ll see if I can find one and attach it here. This will also tell you how long ago I started my fight with these jokers. You just have to be motivated and willing to invest some energy to win. I see you don’t appear to be lacking in that respect. You will prevail. Most importantly, your wife can pick up the flag now without having to refile from scratch if you depart sooner. That used to be a real claim destroyer in the past. Most spouses just didn’t have the heart to pursue this when faced with starting over from scratch.

Attached Images:
Click image for larger version - Name: Blue_Slip_94.jpg, Views: 4, Size: 298.33 KB

Edit | Delete
menalteed
Registered: 09/08/09
Posts: 37
04/01/11 #27

One thing I was told is I had a preliminary rating decision that was sent to the DRO. No one at the VA told me this but the letter to my Senator stated this. The letter also said that my case would be expedited. Expedited in VA lingo seems to be just a word to placate a Senator and not a reality in anyway for me.  I was never told my claim was denied, just that a rating decision has been made and was being reviewed by the DRO. To me this just seems like a stalling process and sure was unexpected. I was under the impression that a DRO would be a choice I could use if I had a NOD but didn’t think the Local VA office would or could use this track.
I was thinking of getting my car on the same track by asking for a pre-determination hearing at the local office thinking this may speed things along.
My  problem is that I’m not sure if this is a reality that I can call for this hearing and if I did would they give me my C-file to study. “I would like to see the rating”. This brings up a couple of questions on pre determination hearings, are they required to grant me one in a reasonable time frame or would this track derail me to some sort of VA purgatory ….peter
Edit | Delete
NOD
Avatar / PictureManager
Registered: 11/22/08
Posts: 654
04/01/11 #28

Peter, here is what I located on short order in the VBM:


There are certain important exceptions to the rule that hearings requested prior to an initial notice of decision must occur before a rating board. These exceptions apply when hearings are requested in cases of proposed decisions to reduce, suspend, or terminate compensation or pension benefits; to determine an incompetency rating; or to reduce an education assistance allowance or subsistence allowance as a result of the loss of a dependent. When a hearing is requested after a proposed decision to take one of these types of actions, a predetermination hearing is held before a hearing officer or Decision Review Officer (DRO) as discussed in the next section, instead of a rating board, even though the HO or DRO’s decision is in the nature of an initial one.
I have been told that you can present yourself at the VARO to review your C-File. I, for one, prefer to have my very own copy. I did so in early 2010 and was surprised at some of the things I found. If you ask for a copy during a claims decision process, they will stop everything cold to do so. It slows the claims game down dramatically which is something you can ill afford. As for your discussion of predetermination hearings, everything I have read indicates these are very rare nowadays. To put this in context, I filed in 89 for a back claim. They denied.   I  asked for a RO hearing to further plead my case and they granted it (not the claim). I lost again and appealed to D.C. I obtained some old civilian medrecs from a hospital in NW Thailand where I was taken after the plane crash and submitted them. They denied again and issued a SSOC. The BVA didn’t even remand it to obtain a full set of the civvie medrecs. That is currently the subject of a collateral attack as we speak.

 VA grants DRO reviews now, but only after an adverse decision has been made. They will also entertain a DRO hearing request. That can take months and months to schedule. Unless there is some new evidence or a facet of the claim that was overlooked, a speedy trip to D.C. is in order. The faster one can get his claim before a VLJ, the sooner one will obtain a docket date and real justice. I have no beef with VARO adjudication procedures. Other than the fact that they are sloppy, produce a questionable work product and are invariably rife with errors, they are what one could expect from an overworked staff.
     So, the long and the short of this is simple. You have evidence that some decision is in the wings. To request a PRE-determination hearing is a day late and a dollar short. As for a post determination hearing in the form of a DRO review? That is VA purgatory, sir. Absent new and material evidence as I mentioned above, a new decision (assuming you lost this one and I do not intimate that you have yet) would arrive about a year from now in the form of an SOC, I’m afraid. A DRO hearing would conservatively take 6 months to schedule absent a 20.900(c) filing. I suspect your claim is already operating on this precept now due to your precarious medical condition. JOVO.
Edit | Delete
menalteed
Registered: 09/08/09
Posts: 37
04/02/11 #29

Thank you again for the responce. It was more or less what I was thinking. At this point I think my best bet is to stay positive, after all they did say I had a rating. I shall take this to mean it must be a positve to SC. I don’t think they would use that language if it was anything but a question of percentage. …peter
Edit | Delete
NOD
Avatar / PictureManager
Registered: 11/22/08
Posts: 654
04/02/11 #30

     To while away the time, Peter, try my technique. I planted all the zucchini and summer squash seeds, the pumpkins for the grandkids and the tomatoes today. They’ll be up and I’ll probably be eating tomatoes before I see anything from the VA. You, slightly sooner, God willing. It takes your mind off the monotony and gives you a reason to live. It does me, anyway. Enjoy the colors while you’re out there. All the cherry trees are in bloom. Failing planting, take a drive for the colors alone. It’ll lift your spirits. Winter’s over. I heard the tree frogs without hearing aids last night. They don’t come out until the last frost is over. They know. Spooky, huh?
menalteed
Registered: 09/08/09
Posts: 37
 
     04/21/11   #31

Well my compensation claim phase went back from decision #2 to development phase #1, disappointment for me for sure on ebenifits.va.gov.
Checked out what they were looking for and this came up.
“Tracking only”
SEQTC exam IMO-…4/21/2011….suspence date 6/20/2011
I wonder if this has to do with AA that the VV had me sign up for after the QTC doctor said I should. Hate to have my claim held up by AA, when really I have asked the VV to remove that several months ago and wait for my regular claim to finish, but they didn’t…peter
Edit | Delete
NOD
Avatar / Picture
Manager
Registered: 11/22/08
Posts: 654 http://en.wikipedia.org/wiki/Rainbow_Herbicides
     04/21/11   #32

     We all had to go to college on this one, Peter. Thank goodness one of us had the common sense to sign up for this not ready for primetime Vet’s claim info service.For the rest of you who have not signed up for Ebenefits, this is an ongoing project that slowly adds functions as it is built. It’s on the third floor right now of a potential skyscraper. As such the plumbing isn’t quite finished  and the information is probably weeks out of date when someone remembers to post it. 


      Veteran  Menalteed has a claim before the Local VARO in his state. There are 4 phases of an initial claim. Stage one is the “Development” stage wherein the VA examiners look at your evidence and assemble everything needed to assure a fair decision is reached. Stage two begins when a claim appears to be ripe for a decision and ends when a decision appears on the  verge of being reached. This is paraphrased from VA’s definition but sounds like they are saying the same thing twice to us. So our long suffering Veteran has now seen his claim go backwards from Stage Two to Stage One. This would be cause for consternation in most quarters, but let’s look at the evidence.

<<SEQTC exam IMO-…4/21/2011….suspence date 6/20/2011>>
I parse this to be Service Entitlement QTC exam Independent Medical Opinion – 4/21/2011… suspense date 6/20/2011. What the VARO has done is to send this out for an IMO. I suspect they were on the verge of shitcanning it and denying Menalteed. Somebody said “Not so fast. Back the boat back up to the dock, Gilligan.” So they have sent this out for a much more thorough examination. All IMOs are done at the QTC Hq. located in Diamond Bar, California. The evidence is sent via snail mail. The IMO will be issued in the order received unless it is on rush.  It appears from the info supplied that QTC Hq. began a IMO of this case or received the evidence on 4/21/2011 which, oddly enough, is today’s date.. The suspense date is a reference date that QTC must have it decided and the evidence returned to the requesting VARO- e.g. June 20th, 2011. VA normally allows 90 days from date of mailing of medrecs to QTC for a final IMO report. That would yield a date of March 20th for transmittal, but we don’t buy this. Peter has mentioned he’s on a 20.900(c) fast track due to health issues. That would elicit a quicker turnaround date. No, it appears things are moving forward. Slowly, it would seem, but moving nevertheless. 
     VA does not send out for Chinese AA decisions . You have to be service connected with a rather high rating before this kicks in anyway. Any decision on the hep would just grant an earlier AA effective date. VA will not process an AA claim absent the SC to provoke it.
     If they were going to deny, they would not waste $835.00 on an IMO from QTC. Your case must be right on that cutting edge of equipoise and VA hates to let the scales tip in your favor if they can prevent it. Hence an IMO. The good news is your claim is still viable. As more doctors look at it, they tend to come around to your doctor’s point of view. Also, this is a quasi-independent IMO, not an in house VA-generated IMO. That would be an oxymoron, yes? The bad news is you may not hear about the outcome until about the first of July. And, as QTC is owned and operated by former VA secretary Anthony Principi, we always wonder about the independent nature of their IMOs…

     In all fairness to VA, I will say my QTC IMO sealed the deal for my win in 2008. VA obviously was sitting on the fence even though I had a good nexus wilh all the requirements. In spite of this and documented hep in service, they still sent out for the IMO. Peter, there just isn’t any rational explanation for this late breaking delay, but strap on the happy face mask because your boat is still afloat. The fat lady apparently has not finished her aria yet. She’s clearing her throat. 

     Here’s what my IMO from QTC looked like(see attached below). I believe the RO hit the wall on my claim and punted to QTC. Truth be told, Hep is confusing to raters. There are many versions besides A,B, C and D. There is also Autoimmune Hep. (AIH), steatohepatitis and chronic hep. B. There are probably more, but that is not pertinent to this discussion.
Attached Images:
IMO Page 1 
                                   Click image for larger version - Name: IMO_page_two.jpg, Views: 5, Size: 297.98 KB   Click image for larger version - Name: IMO_page_three.jpg, Views: 5, Size: 280.99 KB

 

Edit | Delete
menalteed
Registered: 09/08/09
Posts: 37
 
     04/22/11   #33

This all has me wondering, if they are seeking a IMO shouldn’t I get another IMO myself with a Doctor suggested on the hcvets Delphi forum. That way the balance could stay on my side and I wouldn’t slip over the edge into the black hole of the appeal process at the BVA level. I’m not down and out yet and want them to know I still have some fight in me….peter
Edit | Delete
NOD
Avatar / Picture
Manager
Registered: 11/22/08
Posts: 654 
     04/22/11   #34

     Here’s how this plays out, Peter. It’s somewhat like Tennis. The ball is in their court right now so you cannot serve again until they return the first serve. You have to have a logical termination of evidence in order for them to make a decision. Now, should they decide to deny, you can have a second nexus letter ready to submit. You , by definition, cannot have an IMO as you are an interested party to this. That precludes you having anything “independent” to submit. You ostensibly signed a VCAA notice saying “that’s all I have. Please decide my claim.” No, what has to happen is a decision up or down first. Then, in the event of denial, you can submit new evidence in the form of another nexus. If they deny again in spite of it, you could ask for a Decision Review Officer to review it all over again. That takes another year and will usually result in another denial. At that point you would mount a substantive appeal and file your Form 9. 


     Until you receive a decision, you cannot  stir new evidence into the stew. The wait is almost unendurable. I know. I waited sixteen months from filing to decision in 07-08. That included an IMO request by VA to QTC like yours. Be strong. If you are worried, pursue a backup nexus by all means. It’s money well spent if it helps you win. If it isn’t needed, well, think of it like a fire extinguisher on the wall. We have them, but we don’t always need them. Its probably better to have than not. I didn’t quit the pursuit of evidence for my claim until the day I saw the rating with my own eyes. Then I commenced the fight for an earlier date than the one they gave me. 

     You will have to sit on your hands until you have a decision. Obtain the additional nexus as soon as possible. Think of this like poker. You have a pair. VA does too, and is trying to draw to three of a kind. Another nexus in your pocket may give you a full house and tip the scales in your favor. Doing nothing could be detrimental. Having that extra nexus as a hole card can only show you’re here to separate the ribbon clerks from the poker players. VA will take notice.
Edit | Delete
menalteed
Registered: 09/08/09
Posts: 37
 
     04/23/11   #35

Mr NOD! Surprise in the mail last night. I received a large envelope from the VA and after I opened it could not believe it, it said SC for hep C at 20% and reasoned that it is from air gun injections. It also stated that I have 100% for my liver cancer…..While there are other residual claims still to be worked out and they are scheduling me for another QTC exam, it sure is wonderful news for me at this time. Check will be in the mail by June First…..Thanks for all the great help and insight, couldn’t have done this without this site and HC Vets. I have more to add but that can wait for a few days as I relax some for a day or two….peter
Edit | Delete
NOD
Avatar / Picture
Manager
Registered: 11/22/08
Posts: 654 
     04/23/11   #36

     Your good news is what helps other Vets who are just beginning this journey sustain themselves for the long struggle ahead. I know that when I refiled in 2007, I did so with great trepidation. I did not have this site to turn to. It was a lonely endeavor. When I filed in 1994, I was naive. I thought the VA was going to be there and help me. I thought my service medical records were complete. I thought a lot of things.  I was absolutely blindsided by their uncaring attitude and the adversarial nature of their insinuations. I honestly believed the 2007 filing was going to be a repeat of a very unpleasant experience like the reception I received in 94. I wasn’t too far off the mark, but at least I was more educated and prepared.


     Vets should realize that the Veterans Administration is not their “good buddy” and is there to defend the government-not assist the Vet. Over the last 20 or so years this has begrudgingly changed. The VA is assisting more in developing claims, but they still maintain an “Us against Them” posture. Perhaps via the new open society we have created with the internet, or for political reasons, we Vets are becoming more resourceful and aggressive in our pursuit of justice. It certainly helps (in a depraved sense) that we have two wars going with a third in the wings (Libya). The collateral damage from them creates an army of disabled candidates. 

     Sites like ours are narrowly tailored to a specific disease process. Trying to serve all Vets with all diseases wouldn’t be feasible for us here. For that, we would probably suggest one of the larger sites like VBN. I have had only one occasion to seek advice there and came away dissatisfied with both the veracity of the advice and their treatment of those seeking information. Being curt and borderline rude serves no useful purpose. Talking down, rather than to, Vets is another Bozo No-No in my book. Where HCV is concerned there are other associated symptoms such as depression and social  approbation about  how you contracted this in the first place. 

     HCV-positive Vets need a special forum for their fight. It’s very hard, under even the most optimum of circumstances, to attain service connection. Try throwing in a cryptogenic disease that often doesn’t rear its ugly head for 30+ years and then try to find a shred of useful evidence to buttress your contentions. Does this seem futile?  Yet Vets come here every day looking for the flashlight to illuminate the path. Sadly, we don’t have all the answers. What we do have is a wealth of tested evidence that does help. We don’t like to brag nor do we keep win/loss statistics. However we do seem to have a higher than average amount of Vets like Peter who return and inform us of their victory against what are unarguably insurmountable odds. I, for, one, believe this is more than just a coincidence or a statistical aberration. 

     VA has been rearranging the goal posts in this battle since evidence that something was afoot started to develop in the early 1990s. A closer inspection shows more denials as the science progressed. This was true up until the beginning of the millennium. Now we can ascertain what kind of hep people have had in the past and decipher old medrecs for signs of elevated liver functions. Each advance yields more wins.  VA responds by upping the evidentiary requirements.

     Peter’s win via jetguns is a prime example of success against demonstrably exorbitant odds. The VA’s Hepatitis Risk Factors Questionnaire doesn’t even list it as a potential disease vector. Now why is that? If I had experimented with shooting up junk several times in the military, unsubstantiated by anything other than my testimony, the VA would 86 my claim and point to this as my risk factor. But if medical personnel shot me up with a dirty, unsterilized multidose jetgun, why then, that was “a plausible” vector, but unsubstantiated. 

     Unlike many, we do look the gift horse in the mouth. I like to know why one man can succeed in this while another fails. For 17 years I wondered why I failed in my 1994 claim. One word-Nexus. I had none. I didn’t know I needed one and I had a VSO. The word “collusion” comes to mind, but we at AskNod do not subscribe to conspiracy theories.

      Peter entered this arena with a wealth of information we have accrued by trial and error. He is proof that it can be done. I do hope he will allow us to dissect his claim in detail and show others an easier path with greater odds of success. Congratulations are in order sir. Your perseverance has paid off handsomely. Welcome to the elite club of Disabled Veterans. I suggest you do not rest on your laurels just yet. The VA is now going to attempt to staunch the financial flow by impeding any meaningful effort on your part to solidify your gains. In order to protect your spouse’s DIC benefits, it will be necessary to shore up your defenses as soon as possible. It’s somewhat like the movie “Field of Dreams” but if you don’t build it, they won’t come. Meanwhile, put your mental feet up and take a breather. You have run a long race. And you won.
 

     

    

Edit | Delete
cdneh
Registered: 01/20/11
Posts: 44
 
     04/23/11   #37

That is absolutely wonderful news. Congratulations!
Well done that man!
__________________
donnelly.kate@gmail.com
Edit | Delete
menalteed
Registered: 09/08/09
Posts: 37
 
     04/24/11   #38

For NOD. Will be as helpful as possible and I do have a lot of good information. I do think one of the good things I did have going;  a great Nexus letter.  You are right on that, also battle is not over for DIC…..peterWhould post to NOD but don’t know how to post to a reply except the last one in a thread, don’t see any other choices….but thank you “cdneh” for the hardy congradulations….peter
Edit | Delete
AZeeJensMom
Moderator
Registered: 01/05/09
Posts: 94
 
     05/03/11   #39

Just catching up on the goings on around here and see this wonderful news Peter.    It’s encouraging to all Veterans who are still on the hamster wheel, never give up.   Not ever.

I’ve been absent as I’m now utilizing the Chapter 35 benefits via my husbands 100% sc and attending school full-time.   Peter, you shall be a busy bee (just as NOD told me) for the next few months getting all the ducks quacking at the same time.    That 100% opens doors for you and your family, depending on the effective date of the 100& sc, you can go back and recoup out of pocket medical expenses for your family (and yourself, if you obtained them at a VA med center) —- I’m in the process of a 5 year submission of medical expenses.   Thats no chump change.   
Bravo to you that the VA finally did the right thing on your behalf, they would have dropped the ball if you had walked away….but you didn’t and you got it.   
AZeeJensMom
Edit | Delete
menalteed
Registered: 09/08/09
Posts: 37
 
     05/06/11   #40

I still have to get my diabetes service connected, plus my stage four and other related problems to get into a permanent status on my 100%. As of now they are going to evaluate again in December . Still have a bit of work to do. Truth is I’m running down a bit and hope most future snags are minor.
Thank you for the kind words….peter
Edit | Delete
NOD
Avatar / Picture
Manager
Registered: 11/22/08
Posts: 654 
     05/06/11   #41

I looked through your prior posts and do not see anything. Were  you in-country in Vietnam so as to qualify for AO exposure? That will give you an automatic presumptive. If not, you’ll need a nexus letter from the gastrodoc saying the DM2 is secondary to the Hep. This is very common, apparently. I’m lucky I don’t have it (yet). Of course I got PCT so its 6 of 1 and half a dozen of the other. I almost think the DM might be better than the PCT. At least I’m alive. If you have any other ailments (PN?) that you or your doc suspect are related to the Hep., file for them as well. It’s showtime, Peter. Get all the cards on the table now and do it once. JOVO.
Edit | Delete
menalteed
Registered: 09/08/09
Posts: 37
 
     05/06/11   #42

I was  transplanted in 1996 for liver failure and labs of that time showed no  problems or DM2. My sevrice was in Korea 1960 on the DMZ and the time line from then to transplant dovetailed me into SC, with no ther risk factors. Transplanted people are now known to get DM2 at a rate of at least 52% and that is what I will base my claim on. It all may be a mute point as I still have liver cancer and stage four which is also a side effect after 15 years post transplant. I have had Heart stints also post transplant and no proplems pre transplant. I think I will be allright with the claim if I can hang on.
No matter what I will out think them!….peter
 
Unknown's avatar

About asknod

VA claims blogger
This entry was posted in General Messages and tagged , , , . Bookmark the permalink.

5 Responses to Time line for life is getting short-Menalteed’s Story

  1. Swiss Luke's avatar 3 KLANG says:

    I remember Peter in God’s own likeness.

  2. Hugo's avatar Hugo says:

    Hey Peter, I’m “karawane” from the trading club you opened about 1998. I hope you’re still doing well. I should have contacted you earlier… I always wanted to visit you in Seattle. But it’s a long way from Switzerland where I’m living now… Take care & God bless you!

  3. peter's avatar peter says:

    Well it’s new years eve Mr Nod and reguarding my liver cancer someone sent me a
    inspirational little vidio. Home everyone has a grain of salt! Thanks for all your good work, what a great site for help…peter

    > http://www.youtube.com/watch?v=Q8V70UXiAhU&feature=youtube_gdata_player

  4. asknod's avatar asknod says:

    Wow. Peter, you are the Asknod poster child. I have had a few success stories where the Vet scored big on ratings percentages, but it appears you may be the winner. It is sad that this is due to the military’s screwups, otherwise there might be more reason to celebrate. Nevertheless, you earned it and your wife will be covered. That is what is important, sir. You nailed it-and all by yourself (and your wife). By doing so, you have made it far easier for those who are trying to do the same.

  5. menalteed's avatar menalteed says:

    After a long fight of mental chess with the VA they sent my claim to the Salt Lake City VARO for a rating from Seattle.
    Got my letter Friday this week, they said it was handled by a team of 11 raters who in most cases agreed with me on my logic and in some of the claim they didn’t…still worked in my favor for the most part …My rating had 6 different lines from 20% to 60%; average about 30%. The thing that got the claim moving was a lot of pressure from my US Congressman and Senator. The good news is I’m now P&T and also Housebound with a good increase using the higher SMCS table. Secrets to success..never get mad, use all resourses found here and links from here. Read everything to make sure you covered all bases. ….I’m still alive and still a short timer where I could walk under a snake with a top hat on but I won..Yayayayayayhooooooooooooo….peter

Leave a reply to 3 KLANG Cancel reply

This site uses Akismet to reduce spam. Learn how your comment data is processed.