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| These are part of the lost year. I’d get out of the hospital only to succumb to Peritonitis again… and again… and again… all the way through Thanksgiving. I came home o/a the first of December 09 but went back in 3/15/10. This disease sucks. |
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This is part of the lost year for me in the VAMC trying to stay alive while the VAMC tried to kill me.
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I include these messages for others to benefit from. I was in the Seattle VA hospital for a year from 4/09 to 4/10 so I didn’t get to post very much due to illness/4 surgeries. AN
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For some of you, this is like going into the deep end before you know how to dog paddle. This info is for Veterans who are handling their own claims. If you feel confident to do this, and have the fire in your belly, then you may be able to accomplish it. Defending yourself pro se (latin for oneself) is not an easy chore. Of course, if you are terminally ill, what are you doing with your spare time other than trying to outguess Drew Carry’s contestants? There’s not a lot of difference sailing a sofa around the known universe and a chair behind a laptop. Look no further than the idiot typing this post. I couldn’t turn one of these on before Nov. 07. All it takes is a terminal illness, anger, and a belief that you are entitled to what the Govt. said you were when you held up your right hand.
First, let me explain a hardship claim. It is applied for much the same way you file for any other claim with the VA. You are asking them to “hurry up” your claim due to financial or medical reasons such as bankruptcy or terminal illness that may kill you prior to the completion of their painfully slow legal process. It allows your claim to be moved to the top of the pile for more immediate adjudication. The VA has to address this communication promptly or they look bad. Dead Vets with old claims are a Bozo no-no at 6 PM on the local news. When they commit suicide in frustration down at the local Vet’s Memorial in town, it becomes a PR nightmare for VA.
Filing, if you represent yourself, is no more complicated than sitting down in front of the C-box and typing in the Dear Sir, etc. Basically you are going to ask for either or both reasons depending on your circumstances. If it’s financial, include evidence of a foreclosure, unpaid medical, credit cards, cars, etc. the more the merrier. If its medical, then evidence of an incurable hep. that is spiraling out of control with cirrhosis and end stage liver symptoms such as ascites and portal gastropathy. These must be medical records signed by an MD. They don’t just take your word for it. I’m sure I don’t need to ask who out there qualifies for this. If your doctor has told you you’re shelf life is shorter than a Hostess Twinkie, you know you qualify. And if there’s a gentleman out in front of your house taking pictures ten days after you missed the mortgage payment, then chances are you,too, are a candidate.
Next, you do not need any special forms for this. While the VA would like you to always use Form 21-4138 to make their life easier, you will notice that they do not always reciprocate. In fact, shockingly enough, I have heard “bad words” said of the VA which we, as civilized, gentle persons, will not repeat here. Some of you Vets have come to the conclusion that the VA does not listen to your complaints and even ignores you. Has anyone ever tried to call the VA and get in touch with a person “knowledgeable” about their personal claim? I am not talking about Dial a Smile here. The drawbridge is always up at their castle and the moat is too wide to ford. So, why should you be forced to abide by their rules and regulations? Fortunately for you, the one size fits all does not apply. The CAVC has long ago decided that any communication you send the VA must pass the legibility test as well as clearly communicate that which you seek. That means you are free to personalize your communications stationary and to use the tried and true Standard Form 8.5X11 W (SF 8.5X11 W) that you load into your printer. See? This is getting easier by the moment. We have now eliminated PDF printable downloads that even I admit having a hard time locating. You may, should you so desire, use toilet paper if that is your personal choice. Its rather inappropriate for the task, but nevertheless permitted. An incarcerated Vet who was a guest of the Texas Corrections Institute of Higher Learning used a paper towel for lack of a better medium. His NOD was accepted after much complaint. As it should have been. Now they all are. All you need to include is your name, rank, airspeed and tail number.
The end result of your filing will be a decision reached in less than 90 days (they say). They did mine in 88. The VARO mailrooms across America have what is known as a Triage system to digest incoming mail. The Vets with the most immediate problems ( and I would say Hardship is among them)get the top drawer treatment. As I mentioned above, no one likes to find dead Vets littering our streets. It give politicians a bad name (or a worse one than they already have now after all this Earmark insanity.) So your filing for hardship will be greeted with the proper respect you would think should be normally accorded any claim you file. It’s unfortunate any Vet should reach the end of his rope before he has to resort to this method. I didn’t make the rules, but I sure can read them. That is why I mention this tried and true path. Do not use this as a shortcut. If you are NOT a hardship case and just impatient, this can cause your claim to end up at the bottom of the pile with an ugly case of black hole gravity that continues to pull it down deeper.
Attached here is the beginning of a BVA file that shows what happens when you are successful in you hardship filing. It is rather anticlimatic, but an illustration nonetheless:
Citation Nr: 0832858
Decision Date: 09/24/08 Archive Date: 09/30/08
DOCKET NO. 04-34 975 ) DATE
)
)
On appeal from the
Department of Veterans Affairs Regional Office in St. Louis,
Missouri
THE ISSUE
Entitlement to service connection for post-traumatic stress
disorder (PTSD).
REPRESENTATION
Appellant represented by: Texas Veterans Commission
ATTORNEY FOR THE BOARD
B. Berry, Associate Counsel
INTRODUCTION
The veteran served on active duty from January 1953 to
October 1954.
This matter comes to the Board of Veterans’ Appeals (Board)
on appeal from a rating decision dated in July 2003 by the
Department of Veterans Affairs (VA) Regional Office (RO) in
St. Louis, Missouri. The veteran now resides in Texas.
In May 2006, the Board remanded this matter to the RO for
additional research to attempt to verify the claimed in-
service stressor. After accomplishing the requested action
to the extent possible, the RO continued the denial of the
claim (as reflected in the May 2008 supplemental statement of
the case (SSOC)) and returned this matter to the Board for
further appellate consideration.
In February 2007, the veteran submitted a claim for service
connection for diabetes and leukemia. This matter is
referred to the appropriate RO for further development.
The appeal has been advanced on docket pursuant to 38 C.F.R.
§ 20.900 (c).
This is always filed at the VARO level. It will find its way to Washington if your claim is on appeal. The adjudication occurs at the local level as do all VA claims. They forward the results to wherever the claim resides currently. I hope this shines some light on another dark corner of our illustrious Govt. entity. I know most Vets feel very powerless to take on Goliath, but you will discover you have an inner power that shines in the face of adversity. My hope is to empower Vets, one at a time. You may feel you’re fighting a faceless entity, but you can get justice if you have the patience and the time. Vets are a unique class of humans unto themselves. Historically, our military succeeded where most others have failed because we entrusted so much decision making power to the lowest levels of command. This is why there was no permission slip attached to every hand grenade you were issued. Good Luck and Godspeed, Gentlemen. You are a very unique, illustrious Band of Brothers capable of anything you attempt, whether it be solo or in concert. The VA prays it will be otherwise. I sincerely hope you disappoint them.
In Part 4 of 38 CFR, you will find Section §4.114 which deals with the Schedule of Ratings for diseases of the digestive tract. There you will find Diagnostic Codes (DCs) that refer to specific diseases. The ones that most concern those of us with Hepatitis are DC 7345 (Hep.B, AIH, and chronic Hep.B), DC 7354 (Hep. C), and DC 7312 ( Cirrhosis). However, it has come to our attention that DC 7343 is a Diagnostic Code that has bearing on those Vets who undergo “Antineoplastic Chemotherapy”- a fancy name for Interferon therapy treatment. Technically, if you are SC for hep and under any chemotherapy treatment of the digestive system, you are eligible to apply for a temporary rating under this DC. Six months after cessation of treatment, VA is obligated to rerate you and base any decision on 3.105(e) and any residuals. We all know about residuals. Veterans may be overlooking a valuable loophole in the regulations by not availing themselves under this DC. There is nothing underhanded about this. Perhaps VA did not anticipate that some idiot would come up with a drug as insidious and nefarious as Interferon. They certainly didn’t anticipate all the side effects associated with it such as Fibromyalgia, Arthritis, DM2, blindness, Cryoglobulinemia, and Peripheral Neuropathy to name just a few. Filing a claim at the outset of IFN therapy if you are SC for HCV should now be a no brainer. The rating is 100% for the duration of the therapy and six months after as I mentioned. I reprint it below for your reading pleasure. Sometimes it is necessary to retire to the dictionary to discover what “chemotherapy” actually is defined as. We have already discovered that “is” has more than one meaning according to Slick Willie.
7343 Malignant neoplasms of the digestive system, exclusive of skin growths 100 %
Note: A rating of 100 percent shall continue beyond the cessation of any surgical, X-ray, antineoplastic chemotherapy or other therapeutic procedure. Six months after discontinuance of such treatment, the appropriate disability rating shall be determined by mandatory VA examination. Any change in evaluation based upon that or any subsequent examination shall be subject to the provisions of §3.105(e) of this chapter. If there has been no local recurrence or metastasis, rate on residuals.
Technically, the definition of malignant neoplasm is a malignant tumor. The term is also synonymous with cancer. As Hep.C creates fibrosis of the liver and eventual Hepatocellular Carcinoma (HCC), it can be classified as a malignant neoplasm. Therefore you will see more and more Vets who are SC and seeking IFN TX investigate this avenue. It will take the sting out of the financial nightmare when the income dries up during therapy. I wish there was some way to inject humor into this post, but I can find no humor with regards to Interferon. It a lot of my friends. One dose ended up causing my Crohns disease to relapse after 12 years in remission. It also turned lose the AIH dragon. VA should step up and offer some financial remuneration for any VET that chooses to use this poison, service connected or not.
01/31/09
After much talk, with many Vets, I have discovered two schools of thought regarding VSOs in general, and SOs(Service Officers) in particular. There does not seem to be any grey area in between on the subject of positive vs. negative experiences. I have found a total of 3 vets that were marginally appreciative of their SO’s efforts to assist them. I have not kept a running total on dissatisfied Vets, but the numbers are huge. I started a thread on this on our Delphi message board several months ago. I hate to say it but the consensus is that they are in cahoots with the VA proper. How else can they be so inept at filing our stuff, ignoring us after they have our POA, and losing a good percentage of our filings? They blame all these failings on the VA (lost filings) and try to console us.
I have had three encounters of the VSO kind now and all three were less than satisfactory. My first was with the DAV, who came highly recommended in 1989. They never left me out to dry. I will give them that. My rep. went with me to my RO DRO Hearing in 91 and asked me questions and tried to sound like a doctor. All we succeeded in doing was have all the testimony declared useless as it was “lay” testimony, rather than a statement from a doctor. I did get the 0% popsicle stick for both my left ear and tinnitus. No one ever suggested I file an NOD and attempt to get a higher(read compensable) rating. My claim was appealed but I lost the most important one-my back.
My second encounter was with AMVETS in 1994. They did everything but change their phone number after I signed on the POA dotted line. After I was denied, I gave them my Form 1-9 to file the appeal along with an initial rebuttal. To this day, no one knows where that Form 9 was sent-or if it really was. VA insists they never received it. Strangely, I believe them. My SO decided to become a Used Car Salesman shortly after I gave him the F-9. Its possible he wrote his resume on the back of it. Result- no appeal. Needless to say, I didn’t win on the Hepatitis, the PCT, or the reopen of the Tinnitus. Too bad. I really thought I had a better than even chance. I did have hep in service and I was hosed with Agent Orange and Blue. Keep in mind, the SO neglected to point out that in order to win, I needed the 3 Caluza/Hickson elements. Seems pretty simple. Make a note on the desk-Remember to tell Vets to get a nexus! I guess it was above his pay grade.
Again, in 2006. Like a trooper, I marched down to the Military Order of the Purple Heart, with many assurances that they were the golden boys. Again, no mention of the Caluza requirements. I found out about nexus requirements on HCVETS, and brought up the subject with the SO. His reply was that EVERYONE knows about the nexus requirement! I gave them everything to file and soon I discovered that med recs and 4138s were not in my file and they had no recollection of my having handed them in. To remedy this defect, I started filing the stuff with the Head office in Seattle. That didn’t help. They lost my nexus and never filed it. Finally, I started sending the stuff directly to the VA. And wonder of wonders, they started receiving it! At that point I was informed that if I continued doing this, I would lose my MOPH representation. I decided to take them up on their offer. They had just refused to file my NOD on the Tinnitus effective date anyway. They had decided it was “frivolous”. Boy, did I feel pregnant and alone! But guess what? Within the next 9 months I finally succeeded on both of my claims. I had been told I would never win on either one, so this really came as a surprise.
Your SO should be your confidant. He should be knowledgeable in what he is doing. He should be accessible for consultations. After all, he’s getting paid by Uncle Sam to do this. Yes, you read that right. They (the VSO) get paid for every POA they collect. You may notice the ability to reach your SO is inversely proportional to the square of the length of time he has had your POA. Surprised? Don’t be. You are not unique. I’m sorry to be the one to break this to you.
So, after all this discussion, we are wondering who is the best of the best? Who is there when you need them? Who has been successful dealing with Uncle Victor? Guess what. The Vet Jury is in. The winner appears to be the Vietnam Veterans of America, hands down. They do appear to have an extraordinary record up at the BVA level compared to the other big guys. I haven’t analyzed the results from the CAVC, so I’ll hold my opinion on that venue. Perhaps it all depends on the individual, the specific circumstances, the SO, the location in the US, or just blind luck. Who knows? Of course, the best money is still on the real McCoy-John Q. Vetlawyer.
If you have had an adjudication with the VA, an appeal sent up to the BVA, or had the pleasure of an appearance before one(or a panel) of our esteemed CAVC judges, we would be interested in who represented you, an honest assessment of their help, and whether it was instrumental in your success/failure to win. By the same token, we would be interested in how many Vets have attempted to do this Pro Se( by themselves) and their results. If you used a private attorney, we would be interested in how that turned out,as well.
The information will help all of us here to make choices on whether to seek help and from which VSO to seek it. Your input may help another Vet to win in your part of the country.We at Ask Nod try to give you the tools to accomplish this yourself. However, not all Vets are capable of tackling this task on their own. It can be very difficult, time consuming, and often results in frustration and severe depression. HCV, in its own right, is depressing, but this can be even more so. Please help us help you with your comments and input. We at ASK NOD would be very appreciative. I think it goes without saying that Vets would value another Vet’s opinion. Thank you and God Bless you for your Service to America.(Yeah. Kind of corny, I know, but we still believe in God). And we’re politically incorrect, too, so we apologize in advance.

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